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Biomedical subjects

G E Molnar

Publications and source records attributed to G E Molnar.

At least 19 recordsLinked to original sources
PubMed2000

Employment and social issues in adults with cerebral palsy.

OBJECTIVE: To assess the social and employment status of adults with cerebral palsy. DESIGN: Detailed medical history, physical examination, and functional rating in the PULTIBEC system were performed on all study participants; they also responded to a standardized social adaptation questionnaire. SETTING: Outpatient clinic. SUBJECTS: Volunteer participants (n = 101), all with cerebral palsy, between the ages of 27 and 74 years, living independently in the community. RESULTS: More than 80% wished that their physician knew more about cerebral palsy. The majority (84%) felt their parents overprotected them in childhood. More than 90% desired more sexual education. More than half (67%) lived independently, 34% with and 33% without attendant. Of the 53% who were competitively employed, 22% earned an income high enough that advancement would cause financial loss through termination of disability benefits. Speech deficits severely compromised functional verbal communication in 50%. Type of employment correlated more with adequate cognition than with physical or communicative impairments. CONCLUSIONS: Compared with earlier studies, the present study showed more adults with cerebral palsy achieving competitive employment and independent living, despite moderate to severe physical disability. Advances in rehabilitation technology, better home support services, and legal mandates in education and environmental access may have facilitated positive change for persons with cerebral palsy. Further studies are encouraged with emphasis on longitudinal designs.

Activities of Daily Living↗
PubMed1995

Medical and functional status of adults with cerebral palsy.

One hundred and one adults (19 to 74 years of age) with cerebral palsy were interviewed and examined. There were 52 subjects with dyskinesia, 28 with spastic quadriparesis, 11 with spastic diplegia, and 10 with spastic hemiplegia. Neuromuscular dysfunction was mild in two cases, moderate in 72 and severe in 27. 76 per cent of the subjects had multiple musculoskeletal problems. In 63 per cent, these occurred under 50 years of age, suggesting that abnormal biomechanical forces and immobility had led to excessive physical stress and strain, overuse syndromes, and possibly early joint degeneration. A number of the patients had urinary complaints due to difficulties with toilet accessibility and possible neurogenic bladder. General health care seemed satisfactory for acute illnesses, but preventive health care was almost totally lacking. Treatment for the musuculoskeletal system and availability of adaptive devices were less adequate than for children with cerebral palsy.

Adult↗
PubMed1991

Rehabilitation in cerebral palsy.

Cerebral palsy is the most frequent physical disability of childhood onset. Over the past four decades, prevalence has remained remarkably constant at 2 to 3 per 1,000 live births in industrialized countries. In this article I concentrate on the rehabilitation and outcome of patients with cerebral palsy. The epidemiologic, pathogenetic, and diagnostic aspects are highlighted briefly as they pertain to the planning and implementation of the rehabilitation process.

Cerebral Palsy↗
PubMed1989

Pediatric rehabilitation. 1. General principles and special considerations.

This self-directed learning module addresses core concepts in the assessment of any child with disability, including physical growth and development, evolution of reflexes, and cognitive and personality development. It is a section of the chapter on pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. The rehabilitation perspective is emphasized, especially as it changes to accommodate the developing child, with a focus on specific chronic disorders such as respiratory disease, congenital heart disease, and malignancy. These types of disorders serve as a model for the management of problems that require special medical, rehabilitative, and psychosocial consideration.

Child↗
PubMed1989

Pediatric rehabilitation. 2. Brain damage causing disability.

This self-directed learning module addresses rehabilitation issues in the child with brain damage. It is a section of the chapter on pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. In addition to the motor manifestations, intellectual, social, and emotional impairment are addressed. Problems vary with developmental stage. Emphasis is on the etiology, severity, and combination of deficits in order to develop a plan of management, including physical, occupational, and speech therapy, recreational and social milieu, and family and community resources.

Brain Damage, Chronic↗
PubMed1989

Pediatric rehabilitation. 3. Disorders of the spinal cord: spinal cord injury, myelodysplasia.

This self-directed learning module provides review and references for the basic concepts of, and highlights new advances in, disorders of the spinal cord in children. It is a section of the chapter on pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. For spinal cord injury, only data pertinent to the pediatric age group are discussed. Myelodysplasia is presented in detail to include genetic implications, early intervention, long-term management planning, psychosocial impact, and quality-of-life considerations.

Child↗
PubMed1989

Pediatric rehabilitation. 4. Disorders of the motor unit.

This self-directed learning module addresses diagnostic and rehabilitation issues in children with the most common disorders of the motor unit. It is a section of the chapter on pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. Conditions occurring only in infancy or childhood and differences in diagnostic and rehabilitation approaches as compared with those used in adults are highlighted.

Child↗
PubMed1989

Pediatric rehabilitation. 5. Joint and connective tissue diseases.

This self-directed learning module presents pertinent information about rehabilitation management of specific joint and connective tissue diseases affecting children. This section highlights juvenile rheumatoid arthritis, Lyme disease, rheumatic fever, hemophilia, dermatomyositis, polymyositis, systemic lupus erythematosus, and other forms of arthritis. It is a section of the chapter of pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation.

Child↗
PubMed1989

Pediatric rehabilitation. 6. Musculoskeletal and soft tissue disorders.

This self-directed learning module highlights advances in evaluation and treatment of congenital and acquired musculoskeletal disorders in the child. It is a section of the chapter on pediatric rehabilitation for the Self-Directed Medical Knowledge Program Study Guide for practitioners and trainees in physical medicine and rehabilitation. This section contains information on alterations of limb structure and gait, scoliosis, torticollis, sports injuries and overuse syndromes, and unexplained pain in children.

Arm Injuries↗
PubMed1979

Reliability of quantitative strength measurements in children.

In normal children, sex, age, height and weight account for approximately 50% to 70% of variance in the strength scores obtained by quantitative measurements. Although quantitative techniques accurately measure the forces generated by muscle contraction, technical and psychological variables may cause some inconsistency of scores and contribute to the variance observed. To explore the role of these factors, reliability of quantitative strength measurements was examined in children withe normal intelligence and with mild mental retardation using the isokinetic method. Results showed mean score deviations of 5.3% to 5.8% for different muscle groups within the same test. When testing was repeated by the same examiners 7 to 10 days apart, mean score deviations were 7.9% to 9.8% in various muscle groups. Repeated measurements by different examiners 7 to 10 days later yielded 8.7% to 10% mean score deviations for various muscles. Statistical analyses showed that these differences were not significant. Technical and behavioral aspects of test performance are not an important source of inaccuracy and, therefore, cannot contribute significantly to the variance of scores.

Child↗
PubMed1978

Analysis of motor disorder in retarded infants and young children.

A prospective longitudinal study of 53 retarded infants and young children without evidence of a frank physical disability suggests that their delayed motor development was related to a subtle but specific disturbance in the evolution of infantile reflex behavior. The aberration was characterized by a delay in the appearance of postural adjustment reactions, specifically, of propping and equilibrium responses that, under normal circumstances, precede the accomplishment of successive gross-motor milestones. Motor development in this selected group of retarded children was delayed for their chronological age but was consistent with the maturational level of postural adjustment reactions.

Child Development↗