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NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders.
We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
Article Type: Other
DOI: 10.3233/NRE-1993-3301
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. iv-iv, 1993
Authors: Zasler, Nathan D.
Article Type: Introduction
DOI: 10.3233/NRE-1993-3302
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. vi-vi, 1993
Authors: Marks, Michelle | Sliwinski, Martin | Gordon, Wayne A.
Article Type: Research Article
Abstract: Data from a questionnaire designed to assess the long-term needs of caregivers of children with brain injury were analyzed. The goals of this study were (1) to identify those needs most important to caregivers, (2) to identify those important needs that were least likely to be met, and (3) to identify characteristics of caregivers that predicted success in having needs met. Caregivers tended to endorse needs focused on acquiring information regarding their child's condition more often than needs to obtain resource or emotional support. On the average, 22 of the 39 needs sampled were considered important to caregivers, while only …an average of 9 needs were rated as being met. While there were no strong demographic predictors of success in having important needs met, a regression analysis indicated that respondent gender and age, the number of behavioral problem, exhibited by the brain-injured child, and the Family Crisis Oriented Personal Evaluation Scales (FCOPES) reframing subscale were related to having important needs met. This study indicates that there are significant gaps between what caregivers perceive as important needs and the extent to which caregivers perceive their needs being met. Show more
DOI: 10.3233/NRE-1993-3303
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 1-12, 1993
Authors: Lash, Marilyn | Scarpino, Christiane
Article Type: Research Article
Abstract: The complexities and challenges of school reentry and integration for children with traumatic brain injuries (TBI) have been examined largely from the clinical perspectives of specialists working in rehabilitation settings or programs. Less attention has been directed to the inherent differences and priorities of hospital, school, and family systems that can undermine effective educational planning and programming. This paper describes the development of a consumer-generated, school-based, model TBI program. It examines: (1) programmatic and fiscal conflicts between medical and educational systems, (2) different expectations for family involvement by hospital and school staff, and (3) the meaning of transition. The authors …conclude that clinical competence of rehabilitation specialists is not sufficient for designing effective educational programs for student, with TBI. Schools and medical/rehabilitation facilities need to become much better informed about each other's resources, method, of service delivery, and payment systems in order to become effective partners with complementary expertise. Otherwise, false assumptions and unrealistic expectations among schools, medical providers, and families will continue to compound the difficulties that children have when they enter or return to school after TBI. Show more
DOI: 10.3233/NRE-1993-3304
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 13-25, 1993
Authors: Ringle-Bartels, Janet | Story, Tamara B.
Article Type: Research Article
Abstract: This article argues that pediatric cognitive rehabilitation is different from rehabilitation for adults; that available theoretical perspectives (Piaget, information processing theory, Luria, and learning theory), are both necessary for and seriously underutilized in planning and conducting pediatric therapy; and that the recognition of such theoretical perspectives would significantly alter clinical pediatric practice. This article then suggests an approach to a theory-based clinical pediatric practice and provides examples.
DOI: 10.3233/NRE-1993-3305
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 26-43, 1993
Authors: Banja, John D. | Jann, Brigitta B.
Article Type: Research Article
Abstract: Ethical issues pertaining to treating pediatric rehabilitation patients stem from at least three sources: the fact that children are not morally autonomous persons and must depend on the values and moral beliefs of others in ethically complex decision-making situations; the extent of parental authority in asserting problematic beliefs or imposing questionable demands affecting treatment decisions; and the way clinical uncertainty affects moral uncertainty in determining treatment approaches or alternatives. Although these problems are pervasive among all age groups of children with disabilities, this article will primarily examine their impact on the rehabilitation of children and adolescents. Principles and strategies for …managing value-laden conflicts will be discussed along with how various ethical, social, and clinical constraints may nevertheless compromise a straightforward resolution of an ethically vexing situation. Show more
DOI: 10.3233/NRE-1993-3306
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 44-52, 1993
Authors: Michaud, Linda J. | Ried, Stephanie R. | Radcliffe, Jerilynn | Lazar, Mary F. | King, Lori A. | Manitta, Phyllis | Koeppel, Colleen | Domers, Hillary S. | Middaugh, Patricia A.
Article Type: Research Article
Abstract: Brain tumors are the most common type of solid tumors in childhood. It has only been over the past 20 years that the majority of children with intracranial tumors are surviving. Children who survive their tumors may do so with significant disabilities resulting from the tumor or its treatment, and are presenting a new challenge in pediatric rehabilitation. In this article, we will discuss the epidemiology and characteristics of the major types of brain tumors that occur in children, the multimodality approach to tumor treatment along with the major complications of the interventions that have implications for the quality of …survival, the types of deficits in function that occur most commonly in children who survive their tumors, and the team approach to rehabilitation of children with disabilities due to brain tumors. Show more
DOI: 10.3233/NRE-1993-3307
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 53-65, 1993
Authors: Paul, Scott M. | Barlow, Janet R.
Article Type: Research Article
Abstract: Heterotopic ossification (HO) following neurological injury is defined as soft tissue bone formation which is most often seen after spinal cord or head injury and reported to occur after numerous other neurological insults. It can result in ankylosis of associated joints restricting patient mobility. Lesions present with signs of local inflammation. Evidence of ossification is noted on Technetium 99 bone scan and then on X-ray. Serum alkaline phosphatase may be elevated. Although it resembles the histopathology of myositis ossificans traumatica, its pathogenesis remains unclear. Current research favors exercise of joints to attenuate loss in range of motion. Ethane-1-hydroxy-1, 1-diphosphonic acid, …a diphosphonate analogue of pyrophosphate, is the only medical treatment specifically indicated in heterotopic ossification. It has not been as effective as first hoped. Nonsteroidal anti-inflammatory drugs, warfarin, and X-radiation therapy hold promise as treatments. Surgical excision to remove ankylosing ectopic bone has been plagued by reoccurrence. Studies to better elucidate the etiology of HO, accelerate diagnosis of the condition, and accurately determine its risk of reoccurrence are needed. Further controlled studies of the various treatments are also warranted. Show more
DOI: 10.3233/NRE-1993-3308
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 66-78, 1993
Authors: Novack, Thomas A. | Penrod, Louis
Article Type: Research Article
Abstract: Restlessness and agitation following traumatic brain injury are potential barriers to successful rehabilitation. Although there are several ways to address the problem, including environmental management, physical restraint, and medication, the type of treatment which would be most appropriate under particular circumstances has not been established. Existing treatment studies often suffer from an emphasis on anecdotal information rather than measurement of restlessness/agitation. Use of the Agitated Behavior Scale would help remedy this situation by allowing more consistent decisions about beginning and altering treatment and providing a measurement device to clarify research results, particularly with respect to the use of medications.
DOI: 10.3233/NRE-1993-3309
Citation: NeuroRehabilitation, vol. 3, no. 3, pp. 79-82, 1993
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