Assessment and Treatment of Neuromuscular Disorders

Author(s):  
Lynn H. Parker
Author(s):  
L. Jane Easdown

Muscle weakness in the perioperative period is a common finding and is a risk to patient safety. It can occur as a result of many physiological, pathological, and iatrogenic states. The most common etiology is the use of, misuse of, and failure to reverse neuromuscular blocking drugs (NMBDs). Patients might also present with underlying neuromuscular disorders at baseline or in an exacerbated state after surgery and anesthesia. Muscle weakness can lead to critical events such as respiratory failure and can delay recovery and discharge. The plan for prompt diagnosis and management of a patient with muscle weakness is presented. Knowledge of the pathophysiology, assessment, and treatment of perioperative muscle weakness is essential to ensure optimal patient outcomes.


2017 ◽  
Vol 48 (04) ◽  
pp. 211-220 ◽  
Author(s):  
Rebecca Leary ◽  
Anne Oyewole ◽  
Katharine Bushby ◽  
Annemieke Aartsma-Rus

AbstractTranslational research in Europe for the assessment and treatment of neuromuscular disorders (TREAT-NMD) is a global network of world-class experts within the neuromuscular community whose mission is to support all stages of therapy development and improve the health and quality of life of people around the world with neuromuscular disorders (NMD). Since 2007, TREAT-NMD has played a central role in bringing together the right experts, patients, advocacy organizations, scientists, healthcare professionals, and pharmaceutical companies. By uniting these experts within the neuromuscular community, TREAT-NMD has supported preclinical research in animal and cell models that has raised the potential for clinical trials. TREAT-NMD has successfully developed several key resources, including cell and animal standard operating protocols (preclinical research), global patient registries, ethical framework and care guidelines, and family guides, to help develop and extend translation research in the field, thereby making the field ready for clinical trials. This review aims to highlight key achievements of the network, which spans a decade and the successful partnership with our stakeholders who have enabled the field to identify and address challenges to therapeutic development and standard of care for patients. This review will also outline future perspectives.


2015 ◽  
Vol 25 ◽  
pp. S271
Author(s):  
A. Aartsma-Rus ◽  
E. Hoffman ◽  
F. Bucella ◽  
K. Flanigan ◽  
J. Kirschner ◽  
...  

1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.


1994 ◽  
Vol 3 (3) ◽  
pp. 77-88 ◽  
Author(s):  
Celeste Roseberry-McKibbin

The number of children with limited English proficiency (LEP) in U.S. public schools is growing dramatically. Speech-language pathologists increasingly receive referrals from classroom teachers for children with limited English proficiency who are struggling in school. The speech-language pathologists are frequently asked to determine if the children have language disorders that may be causing or contributing to their academic difficulties. Most speech-language pathologists are monolingual English speakers who have had little or no coursework or training related to the needs of LEP children. This article discusses practical, clinically applicable ideas for assessment and treatment of LEP children who are language impaired, and gives suggestions for distinguishing language differences from language disorders in children with limited English proficiency.


2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.


Author(s):  
Nkiruka Arene ◽  
Argye E. Hillis

Abstract The syndrome of unilateral neglect, typified by a lateralized attention bias and neglect of contralateral space, is an important cause of morbidity and disability after a stroke. In this review, we discuss the challenges that face researchers attempting to elucidate the mechanisms and effectiveness of rehabilitation treatments. The neglect syndrome is a heterogeneous disorder, and it is not clear which of its symptoms cause ongoing disability. We review current methods of neglect assessment and propose logical approaches to selecting treatments, while acknowledging that further study is still needed before some of these approaches can be translated into routine clinical use. We conclude with systems-level suggestions for hypothesis development that would hopefully form a sound theoretical basis for future approaches to the assessment and treatment of neglect.


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