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Rammage, Kimberly

Works: 1 works in 1 publications in 1 language and 1 library holdings
Classifications: RC388.5,
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Publications about Kimberly Rammage
Publications by Kimberly Rammage
Most widely held works by Kimberly Rammage
A case study investigating the relationships between impairments and functional limitations post stroke by Jennifer Hyde( Book )
1 edition published in 2001 in English and held by 1 library worldwide
Abstract: Background and Purpose. During rehabilitation following a stroke, the focus is often to identify and improve or correct dysfunction on a number of levels. Identifying dysfunction at multiple levels allows therapists to identify relationships between deficits and limitations, develop appropriate treatment plan, and evaluate change in status over time. The purpose of our case report was to follow one patient during an episode of care so as to monitor the changes in function and impairments and then reflect on the relationships between data collected. Case Description. The subject was a 59 year old male with no pertinent past medical history who sustained a right sided stroke. Function was represented by balance and mobility, measured using the Berg Balance Scale and observational gait analysis. Impairment level dysfunction was evaluated through the use of the modified Ashworth Scale and the Fugl-Meyer lower extremity subscale. Results. Results of the Berg Balance Scale showed a gain in the overall balance scores as noted by a six point increase without the use of a brace and a five point increase while using a brace. The patient also demonstrated improvement in gait, with notable reductions in gait deviations, increases in distance of ambulation, and decreased assistance to walk. During the same period, the modified Ashworth Scale remained unchanged and the Fugl-Meyer lower extremity subscale changed only minimally. Discussion. Improvements in functional performance with minimal or no improvement in impairment level data deviates from what we would expect knowing the concepts of the disablement model. Perhaps clinicians need to take a second look at the assumptions they make regarding these associations. Further research is needed to investigate the interrelationships among the concepts of the disablement model and the subsequent assumptions made
English (1)
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