Increasing Standing Tolerance and Posture Quality following Severe Brain Injury Using a Behaviour Modification Approach

Alderman, Nick; Shepherd, Jane; Youngson, Heather A.

doi:10.1016/s0031-9406(10)61482-4

Cited by 20 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Publication dates for the whole group of papers ranged from 1978 to 2004. Thirteen were single case studies, 41,43,44,[46][47][48][49][50][51][52][54][55][56] the remaining 5 being reports on the progress of groups of subjects ranging in size from 8 to 80 subjects (median, 20 subjects). 10,12,42,45,53 It should be noted that.…”

Section: Resultsmentioning

confidence: 99%

“…This group will include the so-called 'slow to recover' group. Subjects who appeared to match this profile included those in the papers by Jackson, 41 Lezak and O'Brien, 42 Alderman et al, 43 Horn et al, 44 Sbordone et al, 45 Worthington et al, 46 Wade, 49 Burke et al, 50 Wales and Bernhardt, 51 Keren et al, 52 and Watson and Hitchcock, 54 as well as possibly some of the subjects in the studies of Panikoff, 10 Najenson et al, 12 and Watson et al 53…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Feasibility of further motor recovery in patients undergoing physiotherapy more than 6 months after severe traumatic brain injury: an updated literature review

Watson¹

2007

Physical Therapy Reviews

View full text Add to dashboard Cite

The aim of this updated literature review was to evaluate the extent to which adults are documented as being capable of further motor recovery more than 6 months after a severe traumatic brain injury. This topic has high potential relevance for neurological physiotherapists, some of whom may be tasked with implementing physical treatment programmes for this challenging patient group. A revised search of relevant databases was carried out, using the previous review as a starting point. A further 10 papers were identified, extending the original total to 18 published studies. Of the 18 papers, 13 were single-case studies, with 5 being reports of subject groups (8-80 subjects; median, 20 subjects). Recovery was documented as occurring over periods which extended up to 180 months' post-injury, though more reports fell within the 60 months' post-injury period. Evidence supporting the hypothesis that subjects are readily capable of continuing and/or further change was not overwhelming; reasons for this are discussed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Feasibility of further motor recovery in patients undergoing physiotherapy more than 6 months after severe traumatic brain injury: an updated literature review

Watson¹

2007

Physical Therapy Reviews

View full text Add to dashboard Cite

show abstract

“…Walking tolerance and standing tolerance have been used as measures of outcome in accordance with previous relevant literature2,3,13). Walking tolerance was assessed in terms of distance and duration, while standing tolerance was evaluated with respect to duration only.…”

Section: Methodsmentioning

confidence: 99%

Impact of Position on Efficacy of Caudal Epidural Injection for Low Back Pain and Radicular Leg Pain Due to Central Spinal Stenosis and Lumbar Disc Hernia

Altun

Yüksel

2017

J Korean Neurosurg Soc

View full text Add to dashboard Cite

ObjectiveThis study was performed to evaluate and compare the efficacies of caudal epidural injections performed at prone and lateral decubitus positions.MethodsA total of 120 patients suffering from low back pain and radicular leg pain were included and patients were randomly distributed into 2 groups according to the position during injection. In Group 1 (n=60; 32 women, 28 men), caudal epidural injection was performed at prone position, whereas it was implemented at lateral decubitus position in Group 2 (n=60; 33 women, 27 men). Visual analogue scale, Oswestry Disability Index (ODI), walking tolerance (WT) and standing tolerance (ST) were compared in 2 groups before and after injection.ResultsIn Group 1, ODI values were higher at 30th minute (p=0.007), 3rd week (p=0.043) and 6th month (p=0.013). In Group 1, ODI, VAS and ST values were improved significantly at all follow-up periods compared to initial values. In Group 1, WT scores were better than initial values at 30th minute, 3rd week and 3rd month. In Group 2, ODI scores at 30th minute, 3rd week, 3rd month and 6th month were improved while VAS and ST scores were improved at all periods after injection. WT scores were better at 30th minute, 3rd week and 3rd month compared to initial WT scores.ConclusionOur results indicated that application of injection procedure at lateral decubitus position allowing a more concentrated local distribution may provide better relief of pain.

show abstract

“…The first variable was length of exposure target (F (1,19) = 105.2, p<O-OOOl). A descriptive stepwise regression was performed to determine the relative predictive power of three of these variables to estimate duration of successful exposure when used in combination.…”

Section: H a Youngson And N Aldermanmentioning

confidence: 99%

Fear of incontinence and its effects on a community-based rehabilitation programme after severe brain injury: Successful remediation of escape behaviour using behaviour modification

Youngson

Alderman

1994

Brain Injury

Self Cite

View full text Add to dashboard Cite

The presence of continence problems following severe traumatic brain injury may be attributable to either organic or psychological factors. In the case of the latter this in turn may lead to the development of behaviours that result in avoidance of or escape from rehabilitation activities. In this paper, a single case study is described in which verbalized fear of incontinence prevented participation within a community rehabilitation programme. Assessment suggested that behaviours that led to escape from this programme were being maintained by negative reinforcement through reduction in anxiety associated with this activity. An intervention was implemented using graded exposure and differential reinforcement of incompatible behaviour. Treatment led to a significant reduction in escape behaviour; this had been maintained and consolidated further at 9-month follow-up. However, no change occurred to the client's prompted self-ratings of anxiety. Reasons for the discrepancy between improvement in behaviour but not self-report are discussed. The potential limitations of using cognitive-behavioural therapy with some survivors of severe traumatic brain injury are also discussed. Finally, comments are made concerning the applicability of the treatment techniques described here in the modification of escape and avoidance behaviours that may be acquired following brain injury.

show abstract

Increasing Standing Tolerance and Posture Quality following Severe Brain Injury Using a Behaviour Modification Approach

Cited by 20 publications

References 12 publications

Feasibility of further motor recovery in patients undergoing physiotherapy more than 6 months after severe traumatic brain injury: an updated literature review

Feasibility of further motor recovery in patients undergoing physiotherapy more than 6 months after severe traumatic brain injury: an updated literature review

Impact of Position on Efficacy of Caudal Epidural Injection for Low Back Pain and Radicular Leg Pain Due to Central Spinal Stenosis and Lumbar Disc Hernia

Fear of incontinence and its effects on a community-based rehabilitation programme after severe brain injury: Successful remediation of escape behaviour using behaviour modification

Contact Info

Product

Resources

About