Rehabilitation

Article Audiology & Speech-Language Pathology

A preliminary comparison of fluent and non-fluent speech through Turkish predictive cluttering inventory-revised

Asli Altinsoy, Ramazan Sertan Ozdemir, Sukru Torun

Summary: This study aimed to compare the speech fluency performance of people with stuttering, people with cluttering, and people with cluttering and stuttering with a fluent control group. The results indicated that individuals with cluttering and individuals with cluttering and stuttering have similar speech motor characteristics, while other features assessed by the tool can distinguish individuals with cluttering from those with cluttering and stuttering, individuals with stuttering, and the control group.

JOURNAL OF FLUENCY DISORDERS (2024)

Article Audiology & Speech-Language Pathology

The Fifth Croatia Stuttering Symposium: Part I. Treatments for early stuttering

Mark Onslow, Robyn Lowe, Suzana Jelcic Jaksic, Nan Bernstein Ratner, Kristin Chmela, Valerie Lim, Stacey Sheedy

Summary: This paper documents the contents of the first module of the Fifth Croatia Stuttering Symposium in 2022, focusing on three treatments for early childhood stuttering supported by randomized controlled trial evidence. The Symposium used videos and clinical demonstrations to interpret the research findings and facilitate discussion on their application in clinical practice.

JOURNAL OF FLUENCY DISORDERS (2024)

Article Rehabilitation

Disorders of Consciousness Programs Components, Organization, and Implementation

Kristen A. Harris, Yi Zhou, Stacey Jou, Brian D. Greenwald

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Editorial Material Rehabilitation

Disorders of Consciousness

Sunil Kothari, Bei Zhang

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Association between physical activity status and musculoskeletal pain in individuals infected with SARS-CoV-2: Sulcovid-19 survey.

Juliana Quadros Santos Rocha, Yohana Pereira Vieira, Eduardo Lucia Caputo, Suele Manjourany Silva Duro, Mirelle de Oliveira Saes

Summary: This study aimed to evaluate the association between physical activity before SARS-Cov-2 infection and musculoskeletal pain after infection. The results showed that sufficient physical activity before infection was associated with reduced likelihood of experiencing pain in the cervical spine after COVID-19. Participants who remained active had lower likelihood of pain in the cervical spine and at least one body site. Becoming inactive increased the likelihood of experiencing pain in the lower limbs after infection.

MUSCULOSKELETAL SCIENCE AND PRACTICE (2024)

Article Rehabilitation

Technological Modalities in the Assessment and Treatment of Disorders of Consciousness

Gang Liu, Bradley Chi

Summary: This article provides a comprehensive review of the technological advances in the diagnosis and treatment of patients with a disorder of consciousness over the past 10 years. While these advances show promise, there is limited high-quality evidence supporting their widespread clinical adoption.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Medical, Neurologic, and Neuromusculoskeletal Complications

Jean E. Woo, Abana Azariah, Eboni A. Reed, Nicholas Gut

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Prognostication and Trajectories of Recovery in Disorders of Consciousness

Mary E. Russell, Cindy B. Ivanhoe, Eboni A. Reed

Summary: Acquired brain injury, especially severe brain injury, is a chronic medical condition that lacks research studies on postacute care and long-term outcomes. There is a need for standardized admission criteria, diagnostic tools, and prognostic protocols. Furthermore, healthcare systems should consider personalized factors and different perspectives on meaningful recovery and quality of life.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Emergence from Disorders of Consciousness Optimizing Self-Agency Through Communication

Brooke Murtaugh, Susan Fager, Tabatha Sorenson

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Pharmacology in Treatment of Patients with Disorders of Consciousness

Michael H. Marino

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Evaluation and Management of Disorders of Consciousness in the Acute Care Setting

Ruth Tangonan, Christos Lazaridis

Summary: Acute disorders of consciousness refer to impairments in arousal and awareness that occur within 28 days of an initial injury, which can be caused by various insults. Thorough evaluations, including assessments of consciousness level, brainstem reflexes, and motor responses, are important. Laboratory tests, imaging, and electrophysiology testing are needed for the evaluation of acute disorders of consciousness. Prognostication in this phase should be done cautiously, with open and frequent communication with families, considering the significant multidimensional uncertainty.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Disorders of Consciousness in Children: Assessment, Treatment, and Prognosis

Beth S. Slomine, Stacy J. Suskauer

Summary: Research on children with disorders of consciousness (DoC) lags behind adult literature, and there is a lack of rigorous evaluation of assessment tools for this population. However, recent developments show promise in improving assessment for young children and those without overt command following. Early signs of consciousness are associated with better long-term outcomes. Although large clinical trials are lacking, programmatic data provide valuable information for standards of care and treatment options for children with DoC.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Conceptualizing Consciousness: a Change in Perspective The Elephant Still Surprises Those only Touching Its Trunk

Mariel Kalkach Aparicio, Christos Lazaridis

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Education, Training, and Support Across the Continuum of Recovery for Caregivers of Persons with Disorders of Consciousness

Amy Shapiro-Rosenbaum, Michelle P. Jaffe

Summary: Caregivers of persons with DoC experience high levels of perceived burden, which is associated with adverse physical, emotional, psychosocial, and financial outcomes and is directly tied to expressed needs for information and support. Providing individualized education and training at each phase of recovery can enhance effective communication between providers and caregivers, helping to increase caregiver proficiency in managing their loved one's care while also helping to mitigate the challenges associated with perceived burden. This may subsequently increase the rate of community discharge among persons with DoC, potentially translating to a reduction in the long-term costs of care for this population.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Special Considerations in Behavioral Assessments for Disorders of Consciousness

Katherine O'Brien, Bei Zhang, Elizabeth Anderl, Sunil Kothari

Summary: Behavioral assessment is essential in the clinical evaluation of disorders of consciousness, and it should be supplemented by qualitative behavioral observations and individualized quantitative assessments. Therapy disciplines, staff, and family members all play important roles in this process.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Strategy and Philosophy for Treating Pain and Sleep in Disorders of Consciousness

Amanda Appel, Eric Spier

Summary: This article discusses the importance of the emergence of consciousness in brain-injured patients and presents a framework for evaluating and tailoring treatment of sleep and pain. Although more research is needed, validated tools are currently available for assessing consciousness, pain, and sleep.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Neuroimaging in Disorders of Consciousness and Recovery

Linda B. Xu, Stephen Hampton, David Fischer

Summary: Neuroimaging in DoC has evolved to characterize complex brain networks and may have significant implications for understanding the natural history of DoC and optimizing long-term management.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Structural and Functional Neuroanatomy of Core Consciousness A Primer for Disorders of Consciousness Clinicians

David B. Arciniegas, Lindsey J. Gurin, Bei Zhang

Summary: Understanding the neuroanatomy of wakefulness and awareness is crucial for clinicians dealing with disorders of consciousness. Wakefulness is supported by brainstem-forebrain-diencephalic systems, while awareness is a result of integrated activity within and between wakefulness systems and cortical areas. Disruptions in these neural systems can inform the clinical presentation and treatment options for disorders of consciousness.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Disorders of Consciousness Classification and Taxonomy

Katherine Golden, Yelena G. Bodien, Joseph T. Giacino

Summary: This article discusses the classification associated with the four major disorders of consciousness (DoC): coma, vegetative state or unresponsive wakefulness syndrome, minimally conscious state, and post-traumatic confusional state. The history of each disorder are briefly reviewed and operational definitions and diagnostic criteria are provided. The article heavily relies on recently released practice guidelines and identifies knowledge gaps and discusses future directions to advance DoC research and practice.

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA (2024)

Article Rehabilitation

Factors associated with return to play following conservative treatment for lumbar spondylolysis among young athletes: A retrospective case series using structural equation modeling

Masahiro Tsukada, Toshiro Takiuchi, Noriko Ichinoseki-Sekine

Summary: This study aimed to determine the factors associated with the time required for return to play (RTP) among young athletes with early-stage lumbar spondylolysis receiving conservative treatment. The factors investigated included spondylolysis laterality, symptom duration, lower-extremity flexibility, treatment interval, patient adherence, and residual lower back pain (LBP). The results showed that patient adherence to physician orders, treatment interval, and spondylolysis laterality directly contributed to shortened RTP.

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES (2024)