Rehabilitation in practice: management of lower motor neuron weakness

Ramdharry, Gita M (2010) Rehabilitation in practice: management of lower motor neuron weakness. Clinical Rehabilitation, 24(5), pp. 387-397. ISSN (print) 0269-2155

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Abstract

This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'The trainee consistently demonstrates a knowledge of the pathophysiology of various specific impairments including lower motor neuron weakness' and 'management approaches for specific impairments including lower motor neuron weakness'.This article explores weakness as a lower motor symptom. Weakness as a primary impairment of neuromuscular diseases is addressed, with recognition of the phenomenon of disuse atrophy, and how weakness impacts on the functional abilities of people with myopathy and neuropathy. Interventions to reduce weakness or address the functional consequences of weakness are evaluated with consideration of safety and clinical application. LEARNING OUTCOMES: This paper will allow readers to: (1) appraise the contribution of research in rehabilitation of lower motor neuron weakness to clinical decision making and (2) engage with the issues that arise when researching rehabilitation interventions for lower motor neuron weakness. AIM OF ARTICLE: Impairments associated with neuromuscular conditions can lead to significant functional difficulties that can impact on a person's daily participation. This article focuses on the primary impairment of weakness and explores the research evidence for rehabilitation interventions that directly influence weakness or address the impact of weakness on function.

Item Type: Article
Uncontrolled Keywords: marie-tooth-disease, facioscapulohumeral muscular-dystrophy, randomized controlled-trial, ankle-foot orthoses, quality-of-life, neuromuscular diseases, electrical-stimulation, sensory neuropathy, hereditary motor, myotonic-dystrophy
Research Area: Allied health professions and studies
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences (until 2013)
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Depositing User: Gita Ramdharry
Date Deposited: 27 May 2010 07:15
Last Modified: 17 Dec 2012 11:19
URI: http://eprints.kingston.ac.uk/id/eprint/12347

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