DOCSLIB.ORG

Intensive Neurophysiological Rehabilitation System — the Kozyavkin Method

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Intensive Neurophysiological Rehabilitation System — the Kozyavkin Method Intensive Neurophysiological Rehabilitation System — the Kozyavkin Method A Manual for Rehabilitation Specialists. Edited by Prof. V.I. Kozyavkin International Clinic of Rehabilitation Lviv – Truskavets - 2012 УДК 616-036.82 ББК З62-5,07 Content Introduction. .5 V.I. Kozyavkin 1. Anatomic and Physiological Features of Organ and System Development in Healthy Children . .8 К80 Intensive Neurophysiological Rehabilitation System — the Kozyavkin Method. 1.1. The Child’s Physical Development . .10 A Manual for Rehabilitation Specialists. 1.2. The Nervous System. .12 1.3. Sense Organs. .20 Edited by Prof. V.I. Kozyavkin. — Translation from Ukrainian. — Lviv: “Papuga” Publishing House, 2012.– 240p. 1.4. The Skin. .21 1.5. Urinary system. 22 Система інтенсивної нейрофізіологічної реабілітації – 1.6. Endocrine Glands. .22 Метод Козявкіна. 1.7. The Cardiovascular System. 23 Посібник реабілітолога / За ред. проф. Козявкіна В.І. – 1.8. Respiratory Organs . 25 Переклад з української. – 1.9. Muscular and Skeletal Systems. .28 Львів: Дизайн студія «Папуга», 2012.– 240с. 2. Sequence of Topical Clinical Diagnosis of Lesions of the Nervous System. 37 3. Perinatal Lesions of the Nervous System and Their Consequences. 45 ISBN 978-966-8041-80-8 3.1. Effects of Harmful Factors on the Embryo and Fetus. .46 3.2. Perinatal Lesions of the Nervous System. .47 Authors: V.I. Kozyavkin, M.O. Babadahly, H.P. Lun, O.O. Kachmar, 4. Cerebral Palsies, CP . .49 S.M. Hordiyevych, V.I. Lysovych, B.D. Voloshyn. 4.1. Clinical Picture of Lesions of Central Motor Neurons This book is essentially devoted to a new rehabilitation technology for treating (Central and Spastic Forms of Paralysis). .49 patients with organic neurological lesions – the Intensive Neurophysiological 4.2. Clinical Picture of Lesions of the Peripheral Motoneuron Rehabilitation System – known worldwide as Prof. Kozyavkin’s Method. (Flaccid, Atrophic, Atonic Forms of Paralysis). 51 The manual covers fundamental medical components of the rehabilitation sys- 4.3. CP Related Syndromes. .52 tem, and provides a detailed description of the diagnostic algorithm to examine 4.4. Main Clinical Motor Patterns of CP . 52 patients. We present a brief description of anatomical and physiological features in the development of healthy children’s organs and systems and diagnostic fun- 4.5 Abnormal Joint Variations in CP. 53 damentals related to perinatal lesions of the nervous system. 4.5.1. Abnormal Variations in Hip Joints in CP. .58 5. Types of Rehabilitation. 63 This manual is recommended for use by physical rehabilitation specialists, medi- cal personnel, doctors specializing in different medical fields and involved in 6. Methods for Treating Organic Lesions of the Nervous System. .67 rehabilitation, in particular child neurologists, pediatricians, orthopedists, neu- 6.1. Therapeutic Author (Copyright) Systems. .69 rologists, speech therapists, and specialized educators. 7. The Kozyavkin Method – the Intensive Neurophysiological Rehabilitation System. 71 7.1 Indications for INRS Treatment. 74 Translation from Ukrainian into English by Dialog, the Center of Foreign Languages 7.2. Contraindications for INRS Treatment. 74 7.3. The INRS Rehabilitation Program. 75 7.4. The INRS Diagnostic Algorithm. .75 7.4.1. First Level Screening. 75 © International Clinic of Rehabilitation, 2012. 7.4.2. Second Level Screening. 76 7.4.2.1. Anthropometry methods adapted to patients with organic lesions of the NS. 76 All rights reserved. Neither this book nor any section thereof may be reproduced in any form or 7.4.2.2. Measuring the patient’s blood pressure (BP) and heart rate. .77 by any means whatsoever without prior written permission from the International Clinic of Rehabilitation. 7.4.2.3. Measuring the circumference of the patient’s head and limbs. 77 7.4.2.4. Measuring the length of the patient’s limbs and feet. .78 ISBN 978-966-8041-80-8 7.4.2.5. Measuring the distance between the patient’s parted legs. .79 7.4.2.6. Manual Ability Classification System for Children with Cerebral Palsy 4-18 years . .79 7.4.2.7. Video recording of the patient’s gross motor functions . .85 Introduction 7.4.2.8. Gross Motor Function Classification System. .86 7.4.3. Third Level Screening. .95 Dear readers! 7.4.3.1. Neuropediatric examination scheme. .97 Improving a patient’s quality of life is 7.4.3.2. Neuro-orthopedic evaluation. .106 the main goal of medical rehabilita- 7.4.3.3. Somatic tests. 107 tion. This goal is universally accepted 8. Basic Complex of INRS Therapeutic Rehabilitation Measures . .110 in all civilized countries. To imple- 8.1. Biomechanical Correction of the Spinal Column. .110 ment such a program, it is necessary 8.2. Joint Mobilization. 111 to study, to generalize one’s experi- 8.3 Craniofacial Mobilization . 117 ence, to search, and to introduce 8.4. Reflexotherapy. .118 innovations and information technology in order to develop new and more 8.5. Special Massage Systems. .122 effective rehabilitation methods for our patients. 8.6. Remedial Exercises. .130 Motivation and information constitute particularly important components 8.6.1. Remedial Exercises Using the Pavuk (Spider) System. 139 in our medical rehabilitation system. However, this should not be information 8.7. Spiral – the Biodynamic Corrector . 141 just for the sake of information. Through knowledge gained through modern 8.8. Multivector System for Modeling Movements technology, information should be put into practice, first, by acquiring practi- of the Spinal Column Using Virtual Reality and Games Therapy. .143 cal expertise and skills, and further, by translating them into action focused on 8.9. The Dolphin Apparatus for Passive Joint Mobilization good results. These results, in turn, generate new information, new knowledge, of the Spinal Column and Limbs. 143 and new skills. 8.10. Dance Movement Therapy in the INRS Rehabilitation Program. 144 The clinic’s scientific work is conducted in close cooperation with the 8.11. Mechanotherapy. 147 P. Shupik National Medical Academy of Postgraduate Education, the Ukrain- 8.12. Cycling. 148 ian Research Institute of Clinical and Experimental Neurology and Psychiatry, 8.13. Correcting Gait on the Treadmill. .149 the Danylo Halytsky Lviv Medical University, the Munich Children's Center, 8.14. Vibration Therapy. .150 the Moscow Scientific and Practical Center for Pediatric Psychoneurology, the 8.15. Apitherapy. .153 Tokai University in Japan, Karolinska Institutet in Sweden, etc. 8.16. Games Therapy. .154 On behalf of more than 40,000 patients from 60 countries, and on my own 8.16.1 Hand Training Device . .169 behalf, I would like to thank a professor who devoted her whole life to CP pa- 8.16.2 Training Chair. .170 tients – Ksenia Oleksandrivna Semenova. Almost 25 years ago, when Profes- 8.16.3 Universal Game Device. .172 sor Semenova headed the All-Union medical commission, she objectively and 8.17. Світлотерапія в СІНР. .174 impartially became acquainted with our rehabilitation method, examining a 9. Factors Limiting Rehabilitation According to Kozyavkin’s Method. 176 group of patients treated for cerebral palsy, and confirmed this radically new 9.1. Neurological . 176 direction for rehabilitation, which is now officially called the Intensive Neuro- 9.2. Orthopedic. 176 physiological Rehabilitation System. 9.3. Somatic . 176 There is a host of important reasons for publishing a teaching manual con- 10. Information Technology in Standardizing cerning the rehabilitation of patients of all ages suffering from the effects of and Organizing Medical Rehabilitation. 177 organic lesions of the nervous system and cerebral palsy. Unfortunately, the 11. Music Therapy in the INRS Program. .180 number of such patients has not decreased, and the search for the most effec- 12. Motivation as an Aspect of Rehabilitation in the INRS Program. 183 tive methods continues. The best criterion illustrating the actual effectiveness 13. Reference. .188 of rehabilitation treatment is obtaining a positive result, whereas the tool for 14. Appendix. 190 success is the applied treatment method. 5 Dear readers! Before you lies a manual about the Intensive Neurophysiologi- Professor V.I. Kozyavkin has created a fundamentally new, modern, and highly ef- cal Rehabilitation System designed for rehabilitation specialists and medical fective rehabilitation system for patients with Cerebral Palsy, which has received wide personnel. We hope that it will be useful for doctors working in different spe- recognition both in Ukraine and abroad. This system includes a high rehabilitation po- cialized fields, as well as for specialized educators, speech therapists, psycholo- tential in the context of extending the scope of its application, namely for rehabilitating gists, and development pathologists working in rehabilitation treatment. not only children with cerebral palsy, but also children and adults suffering from various organic lesions of the nervous system, as well as other neurosomatic pathologies. I wish all our readers and colleagues all the best for further creative search We recommend that V.I. Kozyavkin’s intensive neurophysiological rehabilitation and great success for the benefit of our children. system should be put into practice not only in preventive healthcare facilities in Ukraine Volodymyr Ilyich Kozyavkin, but also in similar institutions abroad. Doctor of Medical Sciences, Professor P.V. Voloshyn, Director of Institute of Neurology, Psychiatry, Honoured Worker of Science and Technology, and Narcology, National Academy of Medical Sciences
Load more

Recommended publications
  • Common Medical Comorbidities Associated with Cerebral Palsy
    Common Medical Comorbidities Associated with Cerebral Palsy a,b, a,b DavidW. Pruitt, MD *,TobiasTsai,MD KEYWORDS Cerebral palsy Seizures Gastroesophageal reflux Sleep Pain The 2004 International Workshop of Definition and Classification of Cerebral Palsy definition includes the following: ‘‘The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication, and behaviors, by epilepsy, and by secondary musculoskeletal problems.’’1 The Surveillance for Cerebral Palsy in Europe (SCPE) collaboration has reported that 31% of children with cerebral palsy (CP) have severe intellectual disability, 11% have severe visual disability, and 21% have epilepsy.2 Thus, although CP is primarily a disorder of movement, many children with this diagnosis have other impairments that may affect their function, quality of life, and life expectancy. Children with a diag- nosis of CP often have multiple medical issues that are best addressed by an interdis- ciplinary medical team, including a ‘‘medical home’’ with primary care physicians and additional assistance from multiple medical subspecialists. A comprehensive health plan implemented in the context of a well-defined ‘‘medical home’’ is a critical compo- nent to ensuring that the health needs of children with CP are adequately addressed.3,4 Management of the multisystem-associated comorbidities requires a careful review of systems. Cerebral palsy is defined as a nonprogressive neurologic condition; however, as the child grows and matures physically
    [Show full text]
  • Retained Neonatal Reflexes | the Chiropractic Office of Dr
    Retained Neonatal Reflexes | The Chiropractic Office of Dr. Bob Apol 12/24/16, 1:56 PM Temper tantrums Hypersensitive to touch, sound, change in visual field Moro Reflex The Moro Reflex is present at 9-12 weeks after conception and is normally fully developed at birth. It is the baby’s “danger signal”. The baby is ill-equipped to determine whether a signal is threatening or not, and will undergo instantaneous arousal. This may be due to sudden unexpected occurrences such as change in head position, noise, sudden movement or change of light or even pain or temperature change. This activates the stress response system of “fight or flight”. If the Moro Reflex is present after 6 months of age, the following signs may be present: Reaction to foods Poor regulation of blood sugar Fatigues easily, if adrenalin stores have been depleted Anxiety Mood swings, tense muscles and tone, inability to accept criticism Hyperactivity Low self-esteem and insecurity Juvenile Suck Reflex This is active together with the “Rooting Reflex” which allows the baby to feed and suck. If this reflex is not sufficiently integrated, the baby will continue to thrust their tongue forward, pushing on the upper jaw and causing an overbite. This by nature affects the jaw and bite position. This may affect: Chewing Difficulties with solid foods Dribbling Rooting Reflex Light touch around the mouth and cheek causes the baby’s head to turn to the stimulation, the mouth to open and tongue extended in preparation for feeding. It is present from birth usually to 4 months.
    [Show full text]
  • Intro to Pediatric HCC Module
    A Message from Mark Baiada BAYADA Home Health Care has a special purpose—to help people have a safe home life with comfort, independence, and dignity. BAYADA will only succeed with your involvement and commitment as a member of our home health care team. I recognize your importance to the organization and appreciate your compassion, excellence, and reliability. I value the skills, expertise, and experience that you bring with you. And, as an organization, BAYADA is committed to providing you with opportunities to help broaden your expertise and experience. Acquiring new skills will allow you to participate in the care of a wider variety of clients. That makes you an increasingly valuable member of our home health care team. Most importantly, our clients benefit when you successfully master new skills that contribute to their safety and well-being. BAYADA University and the School of Nursing courses are designed to help you perfect your knowledge and skill to achieve clinical excellence in the care of clients. I applaud your willingness to continue the journey of life-long learning and wish you continued success in your professional development as an important member of the BAYADA team. Sincerely, Mark Baiada President Table of Contents Welcome ...........................................................................................................................iv Introduction to home care ................................................................................................. 1 Psychosocial ..................................................................................................................
    [Show full text]
  • CP Research News 2021
    Monday 8 March 2021 Cerebral Palsy Alliance is delighted to bring you this free weekly bulletin of the latest published research into cerebral palsy. Our organisation is committed to supporting cerebral palsy research worldwide - through information, education, collaboration and funding. Find out more at cerebralpalsy.org.au/our-research Professor Nadia Badawi AM Macquarie Group Foundation Chair of Cerebral Palsy Subscribe to CP Research News Interventions and Management 1. Upper Extremity Strengthening for an Individual With Dyskinetic Cerebral Palsy: A Case Report Laura Graber, Claudia Senesac Pediatr Phys Ther. 2021 Feb 23. doi: 10.1097/PEP.0000000000000785. Online ahead of print. Purpose: The purpose of this case is to describe an exercise program designed for an individual with athetoid cerebral palsy who had difficulties with fine motor control and shoulder girdle stability. Summary of key points: ET is a 19-year-old man with dyskinetic-type cerebral palsy with rapidly fluctuating muscle tone and movements that preclude trunk and extremity control necessary for the effective performance of functional activities. The participant underwent a 6-week intense physical therapy program aimed at strength and stability at the shoulder girdle and fine motor movements of the hand. Conclusions: ET had improvements on the Performance of Upper Limb Scale, myometry, and from family report after 6 weeks. Recommendations: A progressive exercise program aimed at improving proximal stability and fine motor function might be an appropriate intervention
    [Show full text]
  • The Cerebellum in Children with Spastic Cerebral Palsy: Volumetrics MRI Study
    Prog Health Sci 2011, Vol 1 , No2 Cerebellum cerebral palsy volumetrics study The cerebellum in children with spastic cerebral palsy: Volumetrics MRI study Gościk E.1*, Kułak W.2, Gościk J.3, Gościk J.4, Okurowska-Zawada B.2, Tarasow E.5 1 Department of Children’s Radiology, Medical University of Bialystok, Poland 2 Department of Pediatric Rehabilitation, Medical University of Bialystok, Poland 3 Faculty of Computer Science, Bialystok University of Technology, Poland 4 Faculty of Mechanical Engineering, Bialystok University of Technology, Poland 5 Department of Radiology, Medical University of Bialystok, Poland ABSTRACT __________________________________________________________________________________________ Purpose: To determine the volume of the difference between the total cerebellar volume and cerebellum in children with spastic cerebral palsy gender in patients with CP was found. No (CP) in relation to risk factors and motor significant relationship between cerebellar volume development. and birth weight, Apgar score, gestational age, and Material and methods: The present study included Gross Motor Function Classification System 30 children with spastic CP, aged 2-17 years. The (GMFCS) level were noted. Positive correlations volume of the cerebellum was examined on sagittal between birth weight, Apgar score, gestational age, magnetic resonance images (MRI) of the CP and GMFCS level, between Apgar score and patients and on 33 healthy subjects. To estimate the gestational age, or between gestational age and total cerebellum volume of each subject we used GMFCS level were found. Analyze 10 Biomedical Imaging Software. Conclusion: Our results show that children with Results: Children with spastic CP (129726,2 ± spastic CP had smaller volumes of the cerebellum 26040,72 mm3) had a significantly smaller mean of as compared to controls.
    [Show full text]
  • WCN19 Journal Posters Part 2 Revised V1
    JNS-0000116542; No. of Pages 131 ARTICLE IN PRESS Journal of the Neurological Sciences (2019) xxx–xxx Contents lists available at ScienceDirect Journal of the Neurological Sciences journal homepage: www.elsevier.com/locate/jns WCN19 Journal Posters Part 2 revised_V1 WCN19-2260 WCN19-2269 Poster shift 01 - Channelopathies /neuroethics /neurooncology / Poster shift 01 - Channelopathies /neuroethics /neurooncology / pain - Part I /sleep disorders - Part I /stem cells and gene therapy - pain - Part I /sleep disorders - Part I /stem cells and gene therapy - Part I /stroke /training in neurology - Part I and traumatic brain Part I /stroke /training in neurology - Part I and traumatic brain injury injury Numb chin syndrome- The first finding in metastatic malignancy Results of surgical treatment in patients with moyamoya disease considering CT-perfusion imaging study N. Mustafayev, A. Bayrakoglu, F. Ilgen Uslu, M. Kolukısa Bezmialem University, Neurology, Istanbul, Turkey O. Harmatinaa, V. Morozb, I. Skorokhodab, I. Tyshb, N. Shahinb,R. Hanemb, U. Maliarb a Numb chin syndrome (NCS) is a sensory neuropathy of the SI «Romodanov Institute of Neurosurgery of NAMS of Ukraine», mental nerve, which is accompanied by hypoesthesia and paresthe- Neuroradiology Department, Kyiv, Ukraine b sia of the jaw and lower lip. Although being well known in neurology SI «Romodanov Institute of Neurosurgery of NAMS of Ukraine», practice, most of the physicians who have not experienced this Emergency Department of Vascular Neurosurgery, Kyiv, Ukraine phenomenon are unaware of this phenomenon since it is rare and can be confused with somatic complaints. This case report aims to Aim point out that NCS may be the first sign and symptom of metastatic To improve the results of surgical treatment of patients with cancers in patients who are not diagnosed.
    [Show full text]
  • Cerebral Palsy: Critical Elements of Care
    Cerebral Palsy CRITICAL ELEMENTS OF CARE Produced by The Center for Children with Special Needs Children's Hospital and Regional Medical Center, Seattle, WA Fourth Edition, Revised 2/2006 The Critical Elements of Care (CEC) consider care issues across the life span of the child. The intent of the document is to educate and support those caring for a child with Cerebral Palsy. The CEC is intended to assist the Primary Care Provider in the recognition of symptoms, diagnosis and care management related to a specific diagnosis. The document provides a framework for a consistent approach to manage- ment of these children. These guidelines were developed through a consensus process. The design team was multidisciplinary with state-wide representation involving primary and tertiary care providers, family members, and a represen- tative from a health plan. Original Consensus Team: Leslie Babbitt, RD, MS Jean Popalisky, RN, MN Barbara Boldrin, RN Diana Sandoval, MS, OTR/L Charles Cowan, MD Pat Trulson, PHN Betsey Denonville, RN Stephanie Underwood, Parent Kathy Mullin, RN William Walker, MD Chris Olson, MD Technical Assistance: John (Jeff) McLaughlin, MD Content reviewed and updated 2/06: William Walker, MD DISCLAIMER: Individual variations in the condition of the patient, status of patient and family, and the response to treatment, as well as other circumstances, mean that the optimal treatment outcome for some patients may be obtained from practices other than those recommended in this document. This consensus based document is not intended to replace sound clinical judgement or individualized consulta- tion with the responsible provider regarding patient care needs. © 1997, 2002, 2006 Children’s Hospital and Regional Medical Center, Seattle, Washington.
    [Show full text]
  • Step Usmle® 1
    2015 USMLE Review THE 25th EDITION OF THE WORLD’S MOST FOR ® POPULAR MEDICAL REVIEW BOOK! THE FIRST AID FIRST FIRST AID Trust 25 years of experience for the most effective USMLE Step 1 preparation possible ® • 1,250+ must-know topics provide a complete • Extensive faculty review process with Due to Printer: framework for your USMLE preparation nationally known USMLE instructors THIRD PASS 10/31/14 • Test-taking advice with focus on • 1,000+ color photos and diagrams help high-efficiency studying you visualize high-yield concepts THE FOR Sponsoring • Major revisions in all subject areas based • Expanded guide to high-yield study Catherine Johnson USMLE Editor on feedback from thousands of students resources, including mobile apps ® USMLE STEP • Free real-time updates and corrections at www.firstaidteam.com INSIDER ADVICE Marketing Jennifer Orlando FOR STUDENTS FROM STUDENTS STEP FOR THE ULTIMATE STEP 1 FOR A COMPLETE 1 Copy REVIEW PACKAGE, REVIEW OF THE Editor John Gerard BE SURE TO BASIC SCIENCES, ALSO GET: TURN TO: 1 2015 th Editorial 25 Peter Boyle EDITION 25th ANNIVERSARY EDITION Supervisor LE j c More than 1,250 frequently tested topics and mnemonics b BHUSHAN Art Director Anthony Landi Index c Hundreds of significant high-yield updates b c 250+ new photographs and diagrams b 978-0-07-174397-6 978-0-07-174402-7 978-0-07-174395-2 978-0-07-174388-4 j SO c c Updated student ratings of review resources and apps b HAT ISBN 978-0-07-184006-4 MHID 0-07-184006-0 9 0 0 0 0 Visit: FirstAidfortheBoards.com and FirstAidTeam.com 9 7 8 0 0 7 1 8 4 0 0 6 4 “USMLE” is a registered trademark of the National Board of Medical Examiners.
    [Show full text]
  • Pediatric Welcome to Virtue Chiropractic
    Virtue Chiropractic New Patient Initial Interview - Pediatric Welcome to Virtue Chiropractic. Your time here today is very important. The information you fill in here is paramount to Dr. Loren reaching conclusions and directional decisions about your child’s health, from the past to the present and into the future. If there is anything you’re not sure of then please don’t hesitate to ask one of our friendly team members. About the Child: Last Name: _________________ First: ____________________ Preferred Name: _________________ Gender: Male Female Date of Birth: ________________ Age: _____________ Number of Siblings: ________ Sibling(s) Names & Ages __________________________________ Social Security Number (for insurance purposes) :____________________________________ About the Parent/Guardian: Name: __________________________________ Birthdate: ___________________ Age: _______ Mailing Address: ________________________________City_______________ Zip Code____________ Occupation_____________________________Employer______________________________________ Email: __________________________________________________________________________________ Spouse’s Name: _______________________________________________________________________ Phone: H: __________________ Cell: ___________________ Cell Phone Provider (for reminders): __________________________ Who can we thank for referring you OR How did you hear about us? ______________________ Reason for the visit: ____ Describe the reason for the visit (Please be specific): _________________________________________________________________________________________________
    [Show full text]
  • Categorization of Functional Impairments in Human Locomotion
    University of Texas at El Paso DigitalCommons@UTEP Open Access Theses & Dissertations 2010-01-01 Categorization of Functional Impairments in Human Locomotion using the Methods of the Fusion of Multiple Sensors and Computational Intelligence Huiying Yu University of Texas at El Paso, [email protected] Follow this and additional works at: https://digitalcommons.utep.edu/open_etd Part of the Biomedical Commons, and the Electrical and Electronics Commons Recommended Citation Yu, Huiying, "Categorization of Functional Impairments in Human Locomotion using the Methods of the Fusion of Multiple Sensors and Computational Intelligence" (2010). Open Access Theses & Dissertations. 2814. https://digitalcommons.utep.edu/open_etd/2814 This is brought to you for free and open access by DigitalCommons@UTEP. It has been accepted for inclusion in Open Access Theses & Dissertations by an authorized administrator of DigitalCommons@UTEP. For more information, please contact [email protected]. CATEGORIZATION OF FUNCTIONAL IMPAIRMENTS IN HUMAN LOCOMOTION USING THE METHODS OF THE FUSION OF MULTIPLE SENSORS AND COMPUTATIONAL INTELLIGENCE HUIYING YU Department of Electrical and Computer Engineering APPROVED: ________________________________ Thompson Sarkodie-Gyan, Ph.D., Chair ________________________________ Scott Starks, Ph.D. ________________________________ Richard Brower, M.D. ________________________________ Bill Tseng, Ph.D. ________________________________ Eric Spier, M.D. __________________________________ Patricia D. Witherspoon, Ph.D. Dean of the Graduate
    [Show full text]
  • Neurological History and Physical Examination
    emedicine.medscape.com eMedicine Specialties > Clinical Procedures > none Neurological History and Physical Examination Kalarickal J Oommen, MD, FAAN, Professor and Crofoot Chair of Epilepsy, Department of Neurology, Chief, Section of Epilepsy, Texas Tech University Health Sciences Center; Medical Director, Texas Tech University Health Sciences Center (TTUHSC) Covenant Comprehensive Epilepsy Center Updated: Nov 25, 2009 Neurological History "From the brain and the brain only arise our pleasures, joys, laughter and jests, as well as our sorrows, pains, griefs, and tears.... These things we suffer all come from the brain, when it is not healthy, but becomes abnormally hot, cold, moist or dry." —Hippocrates The Sacred Disease, Section XVII Taking the patient's history is traditionally the first step in virtually every clinical encounter. A thorough neurologic history allows the clinician to define the patient's problem and, along with the result of physical examination, assists in formulating an etiologic and/or pathologic diagnosis in most cases.[1 ] Solid knowledge of the basic principles of the various disease processes is essential for obtaining a good history. As Goethe stated, "The eyes see what the mind knows." To this end, the reader is referred to the literature about the natural history of diseases. The purpose of this article is to highlight the process of the examination rather than to provide details about the clinical and pathologic features of specific diseases. The history of the presenting illness or chief complaint should
    [Show full text]
  • Equinus Deformity in the Pediatric Patient: Causes, Evaluation, and Management
    Equinus Deformity in the Pediatric Patient: Causes, Evaluation, and Management a,b,c Monique C. Gourdine-Shaw, DPM, LCDR, MSC, USN , c, c Bradley M. Lamm, DPM *, John E. Herzenberg, MD, FRCSC , d,e Anil Bhave, PT KEYWORDS Equinus Pediatric External fixation Achilles tendon lengthening Gastrocnemius recession Tendo-Achillis lengthening Different body and limb segments grow at different rates, inducing varying muscle tensions during growth.1 In addition, boys and girls grow at different rates.1 The rate of growth for girls spikes at ages 5, 7, 10, and 13 years.1 The estrogen-induced pubertal growth spurt in girls is one of the earliest manifestations of puberty. Growth of the legs and feet accelerates first, so that many girls have longer legs in proportion to their torso during the first year of puberty. The overall rate of growth tends to reach a peak velocity (as much as 7.5 to 10 cm) midway between thelarche and menarche and declines by the time menarche occurs.1 In the 2 years after menarche, most girls grow approximately 5 cm before growth ceases at maximal adult height.1 The rate of growth for boys spikes at ages 6, 11, and 14 years.1 Compared with girls’ early growth spurt, growth accelerates more slowly in boys and lasts longer, resulting in taller adult stature among men than women (on average, approximately 10 cm).1 The difference is attributed to the much greater potency of estradiol compared with testosterone in Two authors (BML and JEH) host an international teaching conference supported by Smith & Nephew.
    [Show full text]