Robert Anthony Boland

Learn More
Respiratory impairment, due to respiratory muscle weakness, is a major cause of morbidity and mortality in patients with amyotrophic lateral sclerosis/motor neuron disease (ALS/MND). Threshold loading may strengthen the inspiratory muscles and thereby improve patient prognosis. A phase II, double-blind, randomized-controlled trial was undertaken to(More)
Water displacement methods are commonly used to measure upper limb swelling. The purpose of this study was to improve upon currently used volumetric equipment and methods by developing a volumetric method that would be reliable, accurate, and sensitive to changes in forearm and hand volume of less than 1%. The first two phases involved measuring a sample of(More)
The mechanisms underlying spinal shock have not been clearly defined. At present, clinical assessment remains the mainstay to describe progression through spinal shock following traumatic spinal cord injury. However, nerve excitability studies in combination with conventional nerve conduction and clinical assessments have the potential to investigate spinal(More)
Although carpal tunnel syndrome (CTS) is the most common human entrapment neuropathy characterized by paraesthesiae and numbness with nocturnal exacerbation, the mechanisms underlying the generation of these symptoms remain unclear. Consequently, the aim of the present study was to investigate the relationship between changes in axonal excitability and the(More)
OBJECTIVE To identify the sensitivity and the patterns of change in sensory excitability that accompany an ischaemic insult. METHODS Sensory excitability studies were undertaken in 10 subjects (mean age 36), and monitored throughout ischaemia and following its release. Ischaemia was induced using a sphygmomanometer inflated to 200mm/Hg above the elbow. (More)
The aim of the study was to investigate whether a combination of selected provocative manoeuvres and sensory testing could improve the accuracy of clinical diagnosis of carpal tunnel syndrome (CTS). Prospective studies were undertaken in 43 of 296 consecutive patients who were referred with suspected CTS and had undergone nerve conduction studies (NCS).(More)
Our objective was to evaluate the neurophysiological index (NI) as a biomarker for amyotrophic lateral sclerosis (ALS) and to assess the validity of linear mixed effects models for describing longitudinal changes. Functional assessment and nerve conduction studies were undertaken in 58 ALS patients. Neurophysiological data were collected on four occasions(More)
BACKGROUND Lymphedema of hand after breast cancer treatment causes significant loss of hand function. Although there are several ways of assessing limb volume, measuring hand volume has been problematic due to technical difficulties associated with assessment of finger volumes. The aim of this study was to investigate the criterion validity and reliability(More)
The passive straight leg raise (SLR) procedure is routinely used in the assessment of patients with lumbar pain. Often these symptoms are also associated with symptoms that are in a sciatic distribution. The significance of passive SLR is that it has been shown to move the sciatic nerve adjacent to the sciatic notch, as well as induce movement of, and(More)
OBJECTIVE To assess changes in peripheral motor excitability after traumatic spinal cord injury (SCI). METHODS Conventional nerve conduction and nerve excitability studies were longitudinally investigated in a patient diagnosed as C6 American Spinal Injury Association (ASIA) C incomplete. Recordings were undertaken from the peroneal nerve to tibialis(More)