Rom Houben, a Belgian man whom doctors believed to have been in a coma for 23 years following a car crash in 1983, was conscious all the time: we know because Houben himself has told us, in several media interviews conducted over the last few days. Doctors in Zolder, Belgium, had repeatedly diagnosed Houben using the internationally accepted Glasgow Coma Scale to assess his eye, verbal and motor responses. But each time he was incorrectly graded as being in a vegetative state, reported the Daily Mail. It was only when Steven Laureys, a doctor and researcher at the University of LiГЁge, scanned Houben's brain in 2006 and discovered it was still working, although his body was paralysed, that doctors began to realize he may be conscious. Now 46, Houben told the BBC that he had to learn to be patient. He was very angry at first when he realized other people had an opinion of him that was rather pathetic, but he had to learn to be patient, he said. Intense physiotherapy for the last three years has been helping him regain some movement, reports the Guardian.
Charcot-Marie-Tooth Disease (CMT), also known as Chacot-Marie-Tooth hereditary neuropathy, peroneal muscular atrophy, and hereditary motor and sensory neuropathy, is a genetic disease of nerves, typically with progressive muscle weakness, particularly the arms and legs. The hallmark feature of CMT is a clear wasting of the distal extremities, especially the peroneal muscle groups in the calves - the patient develops stork legs. In most cases, patients experience weakening of the legs before the arms. Two French neurologists, Jean Charcot (1825-1893), Pierre Marie (1853-1940), and the English physician Howard Henry Tooth (1856-1925) were the first to fully clinically describe the disease; hence the name. Jean Charcot was Sigmund Freud's mentor. According to Medilexicon's medical dictionary, peroneal muscular atrophy is: "a generic title for at least three distinct hereditary neuromuscular disorders, all of which share the common features of pes cavis and marked wasting of the more distal portion of the limbs, particularly the peroneal muscle groups (resulting in the characteristic "stork legs").
Statement by APTA President R. Scott Ward, PT, PhD The American Physical Therapy Association (APTA) applauds the US House of Representatives for taking recent action to ensure that America's seniors and people with disabilities have access to high quality care rehabilitative services. The Medicare Physician Payment Reform Act of 2009 (HR 3961), which passed by a vote of 243 to 183, would stop a 21.2% scheduled cut in Medicare payments to providers set to go into effect on January 1, 2010, and update the physician fee schedule conversion factor to avoid further cuts in the future. While we are pleased that the House has passed legislation to replace the flawed sustainable growth rate (SGR) formula with a more accurate annual update, APTA is disappointed the House did not address the December 31, 2009, expiration of the therapy caps exceptions process and provisions that ensure equitable payments to rural physicians and other providers, including physical therapists. We urge the Senate to take swift action on HR 3961.
Intensive, Progressive Physical Therapist Exercise Program Plus Educationreduces Disability And Improves Patient Function After Back Surgery
Patients who have undergone a single-level lumbar microdiskectomy for lumbar disk herniation experienced significant improvement in physical function following an intensive, progressive physical therapist guided exercise and education program, according to a research report published in the November issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA). Low back pain continues to be the most prevalent musculoskeletal problem, and one cause is lumbar disk herniation accompanied by sciatica - with many cases resulting in lumbar diskectomy. Up to 35 percent of patients continue to have pain and impaired function after surgery, which may be related to the type of postoperative care that they receive. "An important goal of physical therapy interventions is to resolve functional deficits associated with low back pain, " said physical therapist and lead researcher Kornelia Kulig, PT, PhD, associate professor of clinical physical therapy in the Division of Biokinesiology and Physical Therapy at the University of Southern California in Los Angeles.
The Centres for Medicare & Medicaid Services (CMS) issued a proposed statute on April 28, 2009 that would amend valuation rates and clarify the framework for Medicare patient choice and care in inpatient rehabilitation facilities (IRFs) during fiscal year (FY) 2010. The proposed rule would exercise to more than 200 freestanding IRFs and over 1, 000 IRF units in acute care hospitals, and would be effective for discharges occurring on or after Oct 1, 2009. The proposed rule's patient selection and care refreshment are intended to lock on that Medicare beneficiaries who occasion the intensive rehabilitation services provided in IRFs continue to include access to high quality care. In appendix to the proposed rule, CMS is posting draft revisions to the Medicare Benefit Policy Manual (MBPM) for public comment. This draft makes conforming changes to the album based on the proposed rule; it provides detailed policy guidance regarding the selection of patients for admission to IRFs, and the development and implementation of express treatment plans.
A multi-state project to nourishment operators of skilled nursing facilities and assisted living facilities doctor up their ability to better predict which residents are at risk for falling was announced by Simply Rehab LLC at the annual LSN (Life Services Network) convention in Chicago. This programme extremely includes measurements that lead to appropriate preventative actions for the at risk resident. Falls among community dwelling older adults are a powerful dilemma in the US with Medicare's valuation of treating the injuries resulting from falls being quick to $3 billion. Statistics gathered by CMS (The Centers for Medicare and Medicaid Services) report that for every 10 residents of nursing homes in the US, 5 falls are reported everyone year. Simply Rehab LLC, a Northbrook, IL based company that provides physical, occupational, and speech therapy services to nursing homes and exercise programs to assisted living facilities, announced this project in which nursing homes in Illinois, Colorado and North Carolina have banded together to address this serious issue.
NICE guidance published sets gone to improve the constitution of control patients receive during their recovery and rehabilitation after critical illness. Approximately 110, 000  human beings spend continuance in critical carefulness units in England and Wales each year, the majority survive to be discharged home. For many patients recovery after critical illness is relatively straightforward on the contrary for others, discharge from critical care is the start of an uncertain journey to recovery characterised by problems such as, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty. Family members change into informal caregivers, and this itself can exert an supplementary toll of ill-health and a strain on family relationships and financial security. This guideline outlines the assessments and care patients should receive in hospital following a critical illness and the rehabilitation goals that testament help patients recover to booty any in usual diurnal activities as much and as rapidly as credible following discharge.
Patients with Parkinson disease may be able to correct their postural stability by directing their carefulness to the external baggage of their movements rather than to the movements of their own body, according to a scan published in the Feb 2009 issue of Physical Therapy, the scientific journal of the American Physical Therapy Association (APTA). Adults with Parkinson disease are at greater risk for posture and balance impairments. These conditions may surpass to falls, resulting in head injuries and fractures, which can limitation with hospitalization and further mobility limitations. Approximately 90 percent of community with Parkinson disease testament fall at some point during their lives.1 In the past 12 months, two-thirds of patients with Parkinson disease reported a fall.2 According to physical therapist researcher and APTA spokesperson Merrill Landers, PT, DPT, OCS, who also worked on this study, "of the larger motor signs of Parkinson disease, postural instability is the least responsive to medication.
If you are destroyed with your activity or are female and live alone, chances are you may take longer to recover from lower back pain than your less stressed counterparts, says recent UQ PhD recipient and osteopath Dr Nick Penney. Dr Penney examined the relationship between lower back misery and psychological, physiological and social factors. His researched besides focused on the biopsychosocial model, which recognises the significance of biological, psychological and social factors in disease and illness. "The mould is now understood to be central in sensitive human health in general, and pain in particular, " he said. The five-year announce showed that people working in a high-demand nevertheless low control environment such as an assembly line, or who had an unhelpful governance style at work, were more likely to suffer from back despondency and found it harder to recover. Dr Penney, from the Sunshine Coast, again found that being absent from effort on compensation such as Work Involve was and potential to slow recovery, and that those who lived alone and with dwarf social support also faced the same risk.
Ground Breaking Ice Pack Improves Seam Mobility Among Osteoarthritis Patients And Helps Athletes Recover Faster
A ground breaking ice pack, which reduces pain and improves joint mobility among osteoarthritis patients and helps athletes recover quicker and extra effectively from injury or surgery, has been launched by North Yorkshire healthcare innovations company - Salitas The revolutionary MORPHO™ Cryo-Matrix remains colder up to 12 times longer than conventional gel packs and is not wet or messy and is easy to prepare and apply. It can be programmed to stay at a constant 'cold' temperature (with a skin interface temperature in the paragon (7-12° C zone) for up to four hours, as opposed to the 20 minutes associated with conventional gel packs. It is specious from a unique matrix structure that moulds to the patients' contours, even when they are moving; allowing patients to be given treatment whilst taking part in exercise, training schedules or physiotherapy programmes. These lone features permit joints and muscles to be kept at the right temperature, for the right extent of time, promoting faster recovery rates after surgery or injury.