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Full-Text Articles in Medicine and Health Sciences

Head And Trunk Movement Responses In Healthy Children To Induced Versus Self-Induced Lateral Tilt, Donnalee Milette, Rose Marie Rine Nov 1987

Head And Trunk Movement Responses In Healthy Children To Induced Versus Self-Induced Lateral Tilt, Donnalee Milette, Rose Marie Rine

Physical Therapy Faculty Research

The purpose of our study was to determine head and trunk movement responses that occur in healthy 7-year-old children during induced and self-induced lateral tilt. Twenty subjects, while tailor sitting on a tiltboard, participated in three trials of both induced and self-induced left and right lateral displacements. Measurements of neck and trunk lateral flexion; trunk counterrotation; and neck, trunk, and body anterior-posterior movement were obtained from slide transparencies made at three stages of tilt (original position, initial tilt, and full tilt). For each subject in the two test conditions, changes in these measurements between the stages of tilt were determined …


Using Neuromuscular Electrical Stimulation To Facilitate Limb Control In The Head-Injured Patient, Cynthia Zablotny Jun 1987

Using Neuromuscular Electrical Stimulation To Facilitate Limb Control In The Head-Injured Patient, Cynthia Zablotny

Faculty Publications - College of Physical Therapy

Neuromuscular electrical stimulation (NMES) has been used to treat a variety of extremity problems in head-injured patients. Specifically, NMES has been used to gain motor control, reduce joint contractures, and reduce muscle hypertonicity.1 Such uses rely on intact peripheral nerve excitability to generate the desired muscular response. This article will present some clinically relevant methods of maximizing the effectiveness of NMES programs for facilitating limb control in the head-injured patient. Stimulator features that help ensure treatment success will be identified. The special cognitive considerations that must be addressed when using NMES on the head-injured patient will also be discussed. The …


Serial Casting: Clinical Applications For The Adult Head-Injured Patient, Cynthia Zablotny, Maureen Forte Andric, Charlotte Gowland Jun 1987

Serial Casting: Clinical Applications For The Adult Head-Injured Patient, Cynthia Zablotny, Maureen Forte Andric, Charlotte Gowland

Faculty Publications - College of Physical Therapy

Serial casting has been used for over a decade to manage soft tissue contractures in patients with traumatic head injuries. Its use has also extended to the prevention of contractures in extremities exhibiting potentially deforming spasticity. This article will review the causes of soft tissue contractures and discuss how serial casting can manage such deformities. It will also identify how a serial casting program can be modified and integrated with other therapeutic efforts as the head-injured patient progresses physically and cognitively. Finally, it will address the timing and priority of casting in the patient's overall program.