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{ Category Archives } Functional Domains & Other Topics

MossRehab to Perform Exclusive U.S.Trial of ReWalk(TM)

MossRehab will soon begin the exclusive U.S. clinical trial for a new assistive technology called the ReWalk. The ReWalk is a motorized exoskeleton suit that enables patients with lower limb disabilities, including complete paralysis, to independently engage in ambulatory activities, such as standing, walking and in some cases climbing stairs.The ReWalk consists of a lightweight [...]

Hand path priming in manual obstacle avoidance: Rapid decay of dorsal stream information.

by Steven A. Jax, PhD, David A. Rosebaum Moss Rehabilitation Research Institute, Philadelphia, PA 19141, United States. The dorsal, action-related, visual stream has been thought to have little or no memory. This hypothesis has seemed credible because functions related to the dorsal stream have been generally unsusceptible to priming from previous experience. Tests of this [...]

Assessment of spatial attention and neglect with a virtual wheelchair navigation task.

by Laurel J. Buxbaum, PsyD, Mary Ann Palermo,  Dina Mastrogiovanni,  Mary Schmidt Read,  Ellen Rosenberg-Pitonyak,  Albert A. Rizzo, H. Branch Coslett Moss Rehabilitation Research Institute, Philadelphia, PA, USA A total of 9 participants with right-hemisphere stroke performed a new virtual reality (VR) wheelchair navigation test of lateralized spatial attention and neglect. The test consists of [...]

Comparison of speeds used for the 15.2-meter and 6-minute walks over the year after an incomplete spinal cord injury: the SCILT Trial.

by H. Barbeau, PhD, R. Elashoff, PhD, D. Deforge, MD, J. Ditunno, MD, M. Saulino, MD, B.H. Dobkin, MD McGill University/Institut de Readaptation de Montreal, Montreal, Quebec, Canada. BACKGROUND: Timed walking speed for 6 to 15 m and the distance walked in 2 to 12 minutes are frequently used outcome measures in rehabilitation trials, presumably [...]

Structural consequences of diffuse traumatic brain injury: a large deformation tensor-based morphometry study.

by Junghoon Kim, Brian Avants, Sunil Patel, John Whyte, MD, PhD, Branch H. Coslett, MD, John Pluta, John A. Detre, James C. Gee Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA Traumatic brain injury (TBI) is one of the most common causes of long-term disability. Despite the importance of identifying neuropathology in individuals [...]

The dilemma of the control condition in experience-based cognitive and behavioural treatment research.

by Tessa Hart, PhD, Jesse R. Fan, Thomas A. Novak Department of Rehabilitation Medicine, Jefferson Medical College, Philadelphia, PA, USA. Rehabilitation using cognitive and behavioural treatment methods (i.e., experience-based interventions) faces particular challenges in improving its evidence base through rigorous studies such as randomised controlled trials (RCTs). Experience-based treatments are often complex, with multiple “active [...]

The effects of bromocriptine on attention deficits after traumatic brain injury: a placebo-controlled pilot study.

by John Whyte, MD, PhD, Monica Vaccaro, MA, Patricia Grieb-Neff, MS, Tessa Hart, PhD, Marcia Polansky, ScD, H. Branch Coslett, MD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania. OBJECTIVE: To evaluate the effects of bromocriptine on a variety of aspects of attention, ranging from laboratory-based impairment measures to caregiver ratings and work productivity, [...]

Treatment of limb apraxia: moving forward to improved action.

by Laurel J. Buxbaum, PsyD, Kathleen Y. Haaland, Phd, Mark Hallett, MD, Lewis Wheaton, PhD, Kenneth M. Heilman, MD, Amy Rodriguez, MA, CCC-SLP, Leslie J. Gonzalez-Rothi, PhD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA. Limb apraxia is a common disorder of skilled, purposive movement that is frequently associated with stroke and degenerative diseases [...]

Influence of botulinum toxin type A treatment of elbow flexor spasticity on hemiparetic gait.

by Alberto Esquenazi, MD, Nathaniel Mayer, MD, Roser Garreta, MD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania, USA. OBJECTIVE: To assess whether walking velocity could be improved in patients with disorders related to upper-motor neuron syndrome (UMNS) by treating elbow flexor spasticity with botulinum toxin type A (BoNTA). DESIGN: This was a [...]

A Longitudinal Study of Actual and Perceived Activity Levels in Polio Survivors and Older Controls.

by Mary G. Klein, PhD, Leonard E. Braitman, PhD, Roberta Costello, MS, RN, Mary Ann Keenan, MD, Albert Esquenazi, MD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA; Thomas Jefferson University, Philadelphia PA. OBJECTIVE: To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve over time [...]

The Moss Attention Rating Scale for traumatic brain injury: further explorations of reliability and sensitivity to change.

by John Whyte, MD, PhD, Tessa Hart, PhD, Colin A. Ellis, ScB, Inna Chervoneva, PhD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA OBJECTIVE: To examine the interrater agreement and responsiveness to change of the Moss Attention Rating Scale (MARS), 22-item version, during acute inpatient rehabilitation after traumatic brain injury (TBI). DESIGN: Observational [...]

A grand unified theory of rehabilitation (we wish!). The 57th John Stanley Coulter Memorial Lecture.

by John Whyte, MD, PhD Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Philadelphia, PA There has been much discussion of the need to enhance the evidence base supporting rehabilitation practice. Much of this discussion focuses on the need for gathering useful empirical data to support or refute the benefit of specific treatments and services. [...]