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Biomedical subjects

A Ohry

Publications and source records attributed to A Ohry.

At least 19 recordsLinked to original sources
PubMed1992

[Spinal cord injuries caused by aviation accidents].

During the past 15 years fewer than 1% of those treated in the National Spinal Cord Injury Center were injured as a result of aviation accidents. In addition to 9 such patients treated at the center since 1973, another 6 were found among the many hundreds receiving ambulatory care in our clinics. 3 patients had survived a helicopter crash, 2 were injured while ejecting from combat aircraft, 3 were injured in crashes of light aircraft, 1 fell from a hand glider and 6 were injured in parachute drops. Of the 15 reviewed, 6 use wheelchairs, 3 walk assisted by orthopedic devices, while 6 ambulate freely. Although initial hospitalization was not substantially longer than in other patients with spinal cord injuries, extended ambulatory psychological intervention was necessary.

Accidents, Aviation↗
PubMed1992

Long term follow up of spinal cord injury caused by penetrating missiles.

Eighty-four spinal cord injured patients (SCIP) injured as a result of penetrating missiles were categorised according to: neurological level of injury, age at time of injury, circumstances of injury, missile type, initial treatment, duration of injury, and ethnic background. Evaluations and comparisons were made concerning: life habits, family status, education, employment, and mental well being. A discussion of complicating factors, both physical and psychological, and their relation to the final rehabilitation result is presented.

Adult↗
PubMed1992

Long term follow up of patients with cauda equina syndrome due to intraspinal lipoma.

We have had the opportunity to treat and follow up two young males with cauda equina syndromes after recurrent resection of intraspinal lipomas. This condition is relatively rare. The patients underwent myelographies, operations, long periods of hospitalisation, and rehabilitation. The syndromes included low back pain, arachnoiditis, and recurrence of the lipoma after several years and multiple operations. These are the problems that we were faced with: (1) Although the tumor is benign it is impossible to resect it completely. (2) There are complications which interfere with rehabilitation, including pain, arachnoiditis, and neurological deterioration. (3) Long term prognosis might be grave and the patient and family should know this. (4) Physiotherapy and sports: should these patients perform strenuous exercise or not?

Adult↗
PubMed1992

Functional recovery in young stroke patients.

Thirty young stroke patients were retrospectively assessed for levels of activities of daily living and of basic functional movements. Scores upon admission, discharge, and follow-up were compared in order to evaluate course of rehabilitation and functional outcome. Mean length of stay in the rehabilitation ward was 87 +/- 17 days, and duration of follow-up was 31 +/- 8 months. Multivariate analysis of covariance confirmed significant improvements during hospitalization, in transfer, standing, sitting and walking abilities (F = 3.5, p less than 0.02), as well as in activities of daily living (F = 4.7, p less than 0.01). Further improvement during the follow-up period was observed for standing and walking abilities (F = 10.2, p less than 0.001) only. No fatalities occurred among the patients during the study period. Eighty-one percent of the patients resumed their previous or other jobs six months after discharge. We conclude that for young stroke patients admitted to a rehabilitation ward shortly after the event, prognosis in terms of survival and functional outcome is favorable, and independent of precipitating factor, age, sex, or side of weakness.

Activities of Daily Living↗
PubMed1991

[Injury proneness: the physiatric and psychiatric view points].

Proneness to injury is a natural inclination with many causes: psychological, physical, physiological and social. We describe 9 patients with this problem. Most injuries, usually the result of falls, occur in 3 populations: young sports persons, workmen, and the elderly or those with chronic disorders. By analyzing the cases we can identify those prone to accidents and injury so as to improve prevention.

Accident Prevention↗
PubMed1991

Pulse volume recording disturbances in paraplegic patients.

Spinal cord injuries may modify vascular reactivity in the denervated region. This study presents an original observation of altered vascular response in paraplegic patients. A group of 30 consecutive paraplegic otherwise normal individuals underwent a thorough vascular examination. There were 29 male and 1 female patient, 21 to 67 years old (average 41), all with traumatic spinal cord injury. Average time since injury was 17 years. All had good peripheral pulses and normal segmental Doppler pressure measurements. In 8 patients, plethysmography--pulse volume recording (PVR) was normal as expected. In 22 patients an unusual feature of the vascular examination was recorded, consisting of normal peripheral arterial pressures with PVR waveforms indicating poor pulsatility. This group was older than the group with normal studies: ages 44 +/- 13 vs 34 +/- 8 years (p = 0.05), and more time had elapsed since injury-20 +/- 12 vs 10 +/- 4 years (p = 0.015). The altered pulsatility demonstrated in most of those paraplegic patients may play a role in deficient wound healing frequently observed below the level of spinal neurological loss.

Adult↗
PubMed1990

[Stroke in the young].

31 young patients who were hospitalized and rehabilitated after acute cerebral stroke, we are reassessed. In 58% there was a wide array of underlying diseases and risk factors, while in the others the cause could not be established. 74% suffered from nonhemorrhagic, thrombotic or embolic phenomena and 25% from intracerebral or subarachnoid hemorrhage. There were no alarming preceding signs. After an average of 31 months following the cerebrovascular accident, more than 90% were independent in all daily living activities. Functional outcome did not depend on the underlying disorder.

Activities of Daily Living↗
PubMed1990

The 'hyperprosexia phenomenon' in traumatic brain injured patients (a forgotten term for an old problem).

In traumatic brain injured patients the basic functions of the cognitive, behavioral, emotional and intellectual systems are disturbed. The patients' ability to regulate the interaction between the ego and the external world is diminished and they present inflexible, concrete and sometimes inappropriate behavior. We have not observed anosognostic phenomena in these patients. Most of them are preoccupied with their physical impairments and unaware of their intellectual deficits. We hypothesize that this preoccupation or 'hyperprosexia phenomenon' may be observed in traumatic brain injured patients. The various neuropsychological, medical and philological aspects of these terms are discussed.

Behavior↗
PubMed1990

Arm crank ergometry in chronic spinal cord injured patients.

Cardiovascular response to arm crank ergometry, using a specially adapted Monark bicycle ergometer, was examined in 98 men with long-standing spinal cord injuries (SCI), who were classified into groups by neurologic level of SCI. Exercise response was significantly correlated with lesion levels: the higher the lesion, the lower the levels of physical work capacity and mean exercise systolic and diastolic blood pressure. Also, physical symptoms and abnormal systolic blood pressure exercise response were more frequent. Exercise response of patients with lower thoracic and lumbar SCI did not differ from the control group. The undisputed value of ergometry in the routine evaluation and exercise prescription for health maintenance in SCI and other wheelchair-disabled patients was substantiated by the study findings.

Adult↗