Search PubMed⌕ Search

Biomedical subjects

V Mooney

Publications and source records attributed to V Mooney.

At least 127 records · Page 7Linked to original sources
PubMed1971

Orthopedic rehabilitation of the stroke patient.

Rehabilitation of hemiplegic patients begins with setting reasonable functional goals and a treatment plan to reach them. During the initial illness an effort is made to begin range of motion exercising and positioning to prevent contractures. Transfer from bed to chair is recommended as soon as the patient's general condition permits.Upper extremity function depends on sensory and motor function as well as visual and central cerebral impairment. Spastic symptomatic contracture of the shoulder must be prevented by adequate orthopedic management of any musculoskeletal problems such as arthritis or tendinitis and the initiation of an active exercise program. Surgical release of contractures is occasionally indicated in refractory cases. Elbow flexion and pronation flexion deformity of the forearm and hand have also required surgical release on occasion. The goal of lower extremity function is ambulation. A double upright short leg brace aids stability in gait. Long leg braces are not used but a cane may be necessary for balance assistance. Contractures must be prevented by an exercise program or surgically released.

Braces↗
PubMed1967

Fitting of temporary prosthetic limbs immediately after amputation.

Better fit and function of prosthetic limbs is promoted when section and closure is done with attention to the prospective use of the stump as a pad for seating the limb. Preservation of tissue, fixing muscles to bone under physiologic tension, and making sure that bone ends are well covered with tissue are important to the comfort and usefulness of the limb that is to be fitted to the stump. Immediate application of a plaster-cast to form a total-contact socket for seating a temporary prosthetic limb, then early standing, weight-bearing and walking aid in healing and in shaping the stump to the permanent prosthetic socket it will ultimately occupy.

Amputation Stumps↗
PubMedDate not supplied

Cast bracing.

Explore the source record for details and available documents.

Adult↗
PubMedDate not supplied

A motivational scoring system for outcome prediction with spinal pain rehabilitation patients.

The aim of this study is to demonstrate an effective method of testing using the Sixteen Personality Factor Questionnaire (16 PF) along with the Minnesota Multiphasic Personality Inventory (MMPI) to predict outcome criteria in a spinal pain clinic. Using an objective system of criteria for patient achievement, including goals attained, pain estimates, psychological adjustment, medication reduction, and physical function, a quantitative method of scoring was employed to find success and failure. Using appropriately constructed testing methods, a very high level of predictability of outcome is now available. The combined use of the 16 PF and the MMPI can be relied upon to predict effective results in a spinal pain program with considerable confidence.

Back Pain↗
PubMedDate not supplied

Spinal pain rehabilitation: inpatient and outpatient treatment results and development of predictors for outcome.

Multidisciplinary treatment outcomes with a 1-year follow-up is reported for 100 chronic low-back pain patients participating in inpatient rehabilitation and 100 patients participating in outpatient rehabilitation. Treatment for both groups of patients was based on principles of operant conditioning and consisted of increasing structured exercise activities and educational classes for instruction in techniques of pain management. Results are presented in terms of patient reports of decreased pain, increased activity, decreased medication, need for further treatment, and return to work. A method for predicting return to work was developed by way of a computerized discriminate analysis with the formulas presented for consideration by those interested in similar patient groups.

Adult↗
PubMedDate not supplied

Objective assessment of spine function following industrial injury. A prospective study with comparison group and one-year follow-up.

Objective functional capacity measurement techniques were used to guide a treatment program for a group of 66 chronic back pain patients. These patients were compared with a group of 38 chronic patients who were not administered the treatment program. Outcome data were collected by telephone survey at an average 1 year follow-up. In addition, functional capacity measures were collected for treatment group patients on admission and follow-up evaluations. Results demonstrated that the functional capacity measures collected for the treatment group improved in approximately 80% of the patients. These changes were also accompanied by positive changes in psychologic measures. In addition, at 1 year follow-up, the treatment group had approximately twice the rate of patients who returned to work, relative to the comparison group. Additional surgery rates were comparable for both groups (6% in the treatment and 7% in the comparison group), but the frequency of additional health-care professional visits was substantially higher in the comparison group. The findings suggest that quantitative functional capacity measures can give objective evidence of patient physical abilities and degree of effort and can significantly guide the clinician in administering an effective treatment program.

Adult↗
PubMedDate not supplied

The facet syndrome.

Injection of irritant fluid precisely into the facet joint causes referred pain patterns indistinguishable from the pain complaints frequently associated with the "disk syndrome." Even straight leg raising and diminished reflex signs can be obliterated by precise local anesthetic injection into the facet joint. The use of radiographically localized injection of steroids and local anesthetic into the facet joint has been presented as a diagnostic-therapeutic procedure. Clinical experience with a group of 100 consecutive patients suggests that this treatment alone can achieve long-term relief in one-fifth of the patients with lumbago and sciatica and partial relief in another one-third of these patients. This information suggests that the structures related to the facet joint can be a persistent contributor to the chronic pain complaints of individuals with low back and leg pain.

Adult↗