Rehab Centers: Clinical Impact of RehaCom Software for Cognitive Rehabilitation of Patients With Acquired Brain Injury.

Clinical Impact of RehaCom Software for Cognitive Rehabilitation of Patients with Acquired Brain Injury.

Filed under: Rehab Centers

MEDICC Rev. 2012 Oct; 14(4): 32-5
Fernández E, Bringas ML, Salazar S, Rodríguez D, García ME, Torres M

We describe the clinical impact of the RehaCom computerized cognitive training program instituted in the International Neurological Restoration Center for rehabilitation of brain injury patients. Fifty patients admitted from 2008 through 2010 were trained over 60 sessions. Attention and memory functions were assessed with a pre- and post-treatment design, using the Mini-Mental State Examination, Wechsler Memory Scale and Trail Making Test (Parts A and B). Negative effects were assessed, including mental fatigue, headache and eye irritation. The program’s clinical usefulness was confirmed, with 100% of patients showing improved performance in trained functions. KEYWORDS Acute brain injuries; traumatic brain injury; brain injury, vascular; rehabilitation; intellectual disability; neuropsychology; Cuba.
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Improvements in Heart Rate Recovery Among Women After Cardiac Rehabilitation Completion.

Filed under: Rehab Centers

J Cardiovasc Nurs. 2012 Nov 14;
Beckie TM, Beckstead JW, Kip KE, Fletcher G

BACKGROUND:: Heart rate recovery (HRR) after exercise cessation is thought to reflect the rate of reestablishment of parasympathetic tone. Relatively little research has focused on improved HRR in women after completing cardiac rehabilitation (CR) exercise training. OBJECTIVE:: We examined the influence of exercise training on HRR in women completing a traditional CR program and in women completing a CR program tailored for women. METHODS:: A 2-group randomized clinical trial compared HRR between 99 women completing a traditional 12-week CR program and 137 women completing a tailored CR program. Immediately upon completion of a symptom-limited graded exercise test, HRR was measured at 1 through 6 minutes. RESULTS:: Compared with baseline, improvement in 1-minute HRR (HRR1) was similar (P = 0.777) between the tailored (mean [SD], 17.5 [11] to 19.1 [12]) and the traditional CR program (15.7 [9.0] to 16.9 [9.5]). The amount of change in the 2-minute HRR (HRR2) for the tailored (30 [13] to 32.8 [14.6]) and traditional programs (28.3 [12.8] to 31.2 [13.7]) also was not different (P = 0.391). Similar results were observed for HRR at 3 through 6 minutes. Given these comparable improvements of the 2 programs, in the full cohort, the factors independently predictive of post-CR HRR1, in rank order, were baseline HRR1 (part correlation, 0.35; P < 0.001); peak exercise capacity, estimated as metabolic equivalents (METs; 0.24, P < 0.001); anxiety (-0.17, P = 0.001); and age (-0.13, P = 0.016). The factors independently associated with post-CR HRR2 were baseline HRR2 (0.44, P < 0.001), peak METs (0.21, P < 0.001), and insulin use (-0.10, P = 0.041). CONCLUSIONS:: One to 6 minutes after exercise cessation, HRR was significantly improved among the women completing both CR programs. The modifiable factors positively associated with HRR1 included peak METs and lower anxiety, whereas HRR2 was associated with insulin administration and peak METs. Additional research on HRR after exercise training in women is warranted. HubMed – rehab


Correlation between Voluntary Cough and Laryngeal Cough Reflex Flows in Traumatic Brain Injury Patients.

Filed under: Rehab Centers

Arch Phys Med Rehabil. 2012 Nov 12;
Lee SC, Kang SW, Kim MT, Kim YK, Chang WH, Im SH

OBJECTIVE: To correlate voluntary cough and laryngeal cough reflex (LCR) flows in traumatic brain injury (TBI) patients. DESIGN: Cross-sectional study. SETTING: University rehabilitation hospital. PARTICIPANTS: Twenty-five TBI patients and 48 healthy controls. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Peak cough flows (PCF) and LCR flows were measured using a peak flow meter at the oral-nasal interface. The largest value of 3 attempts was recorded for PCF and LCR, respectively. LCR was elicited by 20% solution of pharmaceutical grade citric acid dissolved in sterile 0.15 M NaCl solution that was inhaled from a nebulizer. RESULTS: PCF was 447.4 ± 99.0 L/min in the control and 211.7 ± 58.2 L/min in the patient group. LCR was 209.2± 63.8 L/min in the control and 170.0 ± 59.7 L/min in the patient group. Both PCF (p = 0.000) and LCR (p = 0.013) were significantly reduced in TBI patients compared to that of control group. LCR was strongly related to the PCF in both control group (R = 0.645, p = 0.000) and patient group (R = 0.711, p = 0.000). CONCLUSIONS: As LCR can be measured as a numerical value and significantly correlates with PCF, LCR can be used to estimate cough ability for TBI patients who cannot cooperate with PCF measurement.
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Yoga & the Tao ~ Part 1 ~ Living Yoga – Sarah Joy Marsh exemplifies the spirit of SERVICE in YOGA. This is a story about Living Yoga from Portland Oregon ~ whose mission is to bring yoga to places that would normally not have the opportunity: prisononers, drug rehab centers, homeless shelters. Sarah Joy believes SERVICE to others is an integral and often missing component of Yoga in the US: Copyright (c)Kirk Mann 2011


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