Rehab Centers: Prosthetic Rehabilitation of Amputated Hallux After Distraction Osteogenesis: One-Year Follow-Up.

Prosthetic rehabilitation of amputated hallux after distraction osteogenesis: one-year follow-up.

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Prosthet Orthot Int. 2012 Oct 8;
Gautam R, Singh SV, Agrawal R, Chand P, Tripathi S, Alvi HA

Background: The great toe helps in maintaining body balance during standing, walking, running, dancing, and so on.Case Description and Methods: A 22 year-old female patient reported to the department, one month after losing her left hallux in a road accident. Anatomical reconstruction was performed with distraction osteogenesis. The prosthesis was constructed using a wax pattern of the normal hallux to create a silicone prosthesis. The residual limb mold was altered to increase prosthesis retention.Findings and Outcomes: The procedure was economical, conserved materials, and produced lifelike anatomy without requiring artistic expertise.Conclusion: Distraction osteogenesis helped in improving function and retention of the prosthesis. Satisfactory esthetic and functional results were observed at the one-year follow-up.
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The Sir Ludwig Guttmann Lecture 2012: the contribution of Stoke Mandeville Hospital to spinal cord injuries.

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Spinal Cord. 2012 Oct 9;
Frankel HL

This Ludwig Guttmann Lecture was presented at the 2012 meeting of the International Spinal Cord Society in London. It describes the contribution of Stoke Mandeville Hospital to the field of spinal cord injuries. Dr Ludwig Guttmann started the Spinal Unit at Stoke Mandeville Hospital in 1944 and introduced a novel, comprehensive method of care, which included early admission, prevention and treatment of spinal cord injury related complications, active rehabilitation and social reintegration. Soon a dedicated specialist team was assembled and training of visitors was encouraged, some of whom went on to start their own spinal units. Research went hand in hand with clinical work, and over the years more than 500 scientific contributions from Stoke Mandeville have been published in peer reviewed journals and books. Guttmann introduced sport as a means of physical therapy, which soon lead to organised Stoke Mandeville Games, first national in 1948, then international in 1952 and finally the Paralympic Games in 1960. Stoke Mandeville is regarded as the birthplace of the Paralympic movement, and Guttmann was knighted in 1966. Stoke Mandeville is also the birthplace of the International Medical Society of Paraplegia, later International Spinal Cord Society, which was formed during the International Stoke Mandeville Games in 1961, and of the Society’s medical journal Paraplegia, later Spinal Cord, first published in 1963. Guttmann’s followers have continued his philosophy and, with some new developments and advances, the present day National Spinal Injuries Centre at Stoke Mandeville Hospital provides comprehensive, multidisciplinary acute care, rehabilitation and life-long follow-up for patient with spinal cord injuries of all ages.Spinal Cord advance online publication, 9 October 2012; doi:10.1038/sc.2012.109.
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The use of errorless learning strategies for patients with Alzheimer’s disease: a literature review.

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Int J Rehabil Res. 2012 Oct 5;
Li R, Liu KP

The aim of this article was to review the evidence of errorless learning on learning outcomes in patients with early-stage Alzheimer’s disease. A computer-aided literature search from 1999 to 2011 was carried out using MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO and PsycArticles. Keywords included ‘errorless learning or practice’ and ‘Alzheimer’s disease’. Four studies that fulfilled the inclusion criteria were selected and reviewed. Two of the studies were clinical controlled trials: one was a single-group pretest-post-test trial and the other was a multiple single-participant study. Demographic variables, design, treatment and outcome measures were summarized. Recall trials were used as the primary outcome measure. Results indicate that the use of errorless learning promotes better retention of specific types of information. Errorless learning is effective in memory rehabilitation of older adults with Alzheimer’s disease. However, it would require more studies with unified outcome measures to allow for the formulation of standardized clinical protocol and recommendations.
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[Psychiatric Rehabilitation will be a Future Topic for Psychiatry – Pro & Contra].

Filed under: Rehab Centers

Psychiatr Prax. 2012 Oct; 39(7): 317-8
Salize HJ

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