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Biomedical subjects

J A Delisa

Publications and source records attributed to J A Delisa.

10 recordsLinked to original sources
PubMed1989

Functional electrical stimulation bicycle ergometry: patient perceptions.

Forty-seven patients who had participated in a clinical electrical stimulation ergometry program were administered a questionnaire to determine their perceptions of the therapy. Improved endurance was reported by 62% of paraplegics and 65% of quadriplegics. Sixty-two percent of paraplegics and 56% of quadriplegics reported improved self-image, while 54% of paraplegics and 77% of quadriplegics perceived their appearance was better. Thirty-nine percent of paraplegics and 24% of quadriplegics noted decreased lower extremity edema with training. Six out of nine patients with a previous history of neurogenic pain noted an increase in pain, which caused them to leave the program.

Activities of Daily Living↗
PubMed1983

Educational needs assessment in physical medicine and rehabilitation: the Foundation of Continuing Medical Education.

Continuing medical education (CME) needs of practitioners are often poorly defined, leaving CME providers little objective data for planning programs. Likewise, practitioners may not have a clear objective picture of their educational needs before engaging in CME. This paper identifies the responsibilities of both CME providers and practitioners for the identification of CME learners' needs as the first step in planning an efficient educational program. A quality CME program starts with learner needs assessment (LNA), plans and implements accordingly, and finishes with an evaluation linked to the initial LNA. Educational process effectiveness and cost effectiveness are two important results of the use of LNA. Four specific contributions of LNA to planning CME are also discussed: (1) who/what to assess, (2) identification of causes, (3) how to assess and (4) how to decide. This systematic LNA process has the potential to improve the quality of future CME offerings by allowing physiatrists to objectively assess their educational needs and by giving CME providers better data for planning CME.

Education, Medical, Continuing↗
PubMed1983

Therapeutic exercise: types and indications.

In the intact subject, strength is determined by the physiologic cross-sectional area of all the muscle fibers as influenced by the activity of the neural elements. Passive range-of-motion exercises prevent or help correct contractures but do not build strength. High-resistance, low-repetition exercises simultaneously develop strength and endurance. Isotonic exercises are generally preferable to isometric exercises.

Exercise Therapy↗
PubMed1982

Wheelchair prescription guidelines.

Few physicians are familiar with the components of wheelchairs. Consequently, they may prescribe wheelchairs that limit or impair their patients' functional abilities. Correct ordering requires use of catalogs, patient measurements, assessment of functional needs and a knowledge of the available modifications and accessories. Consultation with a rehabilitation specialist may be required for patients with special needs.

Adolescent↗
PubMed1982

Stroke rehabilitation: part I. Cognitive deficits and prediction of outcome.

In many cases, the family physician will set the tone for rehabilitation of the stroke patient. It is imperative that the physician understand the recovery process, as well as the nature, benefits and limitations of rehabilitation. Since there are no precise predictors of individual outcome, no patient should be excluded from rehabilitation unless he is too ill or too cognitively devastated to participate.

Brain↗
PubMed1982

Stroke rehabilitation: Part II. Recovery and complications.

Return of neurologic function after a stroke tends to be complete within six months after the insult. Initial flaccidity is superseded by spasticity, which is most prominent distally. Movements initially occur in synergistic patterns. Return of voluntary movements begins proximally in the lower extremity. In the upper extremity, proximal recovery usually occurs first, but finger movement occasionally is the earliest sign. Proper positioning and early, passive range-of-motion exercises help to avoid complications.

Activities of Daily Living↗
PubMed1981

Basic upper extremity orthotics.

Improved hand function after injury or disease is achieved by increasing joint mobility, muscle strength and coordination, while reducing edema and pain. Static and dynamic orthoses assist in correcting deformities, provide strengthening activities and maintain a functional hand position. Many orthotic appliances are commercially available or may be fabricated for specific hand problems. The process of gradually increasing wearing tolerance helps to reduce the risk of skin breakdown or excessive pressure. A program of daily range-of-motion exercises may aid in preventing joint immobilization.

Hand Injuries↗