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Michael Ruecker, Katharina Zepharovich, Patrick Zorowka, Heinrich Matzak, Markus Kofler, Leopold Saltuari
INTRODUCTION: Dysphagia is a frequent problem in various neurological disorders. However, knowledge on swallowing function in patients with cerebral hypoxia is sparse. The objective of this study is to report the development of swallowing function in a series of adolescent and young-adult patients with cerebral hypoxia. METHODS: We recruited eight patients (1 male) who were admitted to our institution after the acute phase following cerebral hypoxia. Each patient underwent detailed neurological evaluation, magnetic resonance imaging (MRI), standardized neurophysiological assessment and repeated clinical and fiber-endoscopic evaluation of swallowing...
November 8, 2018: NeuroRehabilitation
Linda Clare, Julia C Teale, Gill Toms, Aleksandra Kudlicka, Isobel Evans, Sharon Abrahams, Laura H Goldstein, John V Hindle, Aileen K Ho, Marjan Jahanshahi, Dawn Langdon, Robin Morris, Julie S Snowden, Rhys Davies, Ivana Markova, Monica Busse, Jo Thompson-Coon
BACKGROUND: Despite their potentially significant impact, cognitive disability may be overlooked in a number of progressive neurodegenerative conditions, as other difficulties dominate the clinical picture. OBJECTIVE: We examined the extent, nature and range of the research evidence relating to cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in Parkinsonian disorders, multiple sclerosis (MS), frontotemporal dementias (FTD), motor neuron disease and Huntington's disease...
November 8, 2018: NeuroRehabilitation
Adriana Neves Dos Santos, Nelci Adriana Cicuto Ferreira Rocha
BACKGROUND: Kinesiotaping (KT) has been commonly used in clinical setting. However, beneficial KT effects have not been proved yet. OBJECTIVE: We aimed to verify the effects of KT in knee extensor torque in children with CP. METHODS: We evaluated three children diagnosed as spastic CP, classified as level I, II and III, according with GMFCS. Knee extensor peak torque was analyzed by isokinetic evaluation (Biodex Multi Joint System). The test was performed at 60°/s in the concentric passive mode and the children performed maximal contractions...
November 8, 2018: NeuroRehabilitation
Megan Laffey, Adam J Darby, Michael G Cline, Edmond Teng, Mario F Mendez
BACKGROUND: Repetitive traumatic brain injury (TBI) is associated with chronic traumatic encephalopathy (CTE), a progressive neurodegenerative disorder characterized by Alzheimer-like changes in the brain. CTE has been defined through neuropathological findings among deceased athletes and others exposed to repetitive TBI, but to date there are no definitive clinical criteria for CTE. OBJECTIVE: To evaluate the utility of currently proposed clinical criteria for CTE and suggest improvements...
November 3, 2018: NeuroRehabilitation
Muhammed D Al-Jarrah, Nour S Erekat
BACKGROUND: Induction of Parkinson disease (PD) causes IL-1β and TNF-α upregulation in gastrocnemius skeletal muscles. Endurance exercise suppresses iNOS and HSP90 overexpression in PD skeletal muscle. The purpose of this study is to test the impact of treadmill exercise training on PD-associated IL-1β and TNF-α upregulation in the gastrocnemius muscle. METHODS: Thirty normal albino mice were randomly selected and divided into three equal groups: sedentary control (SC), sedentary PD (SPD), and Exercised PD (EPD)...
November 2, 2018: NeuroRehabilitation
Hanan Khalil, Alham Al-Shorman, Khalid El-Salem, Alia A Alghwiri, Duah Al-Shorafat, Shada Khazaaleh, Lamees Abu Foul
BACKGROUND: Balance deficits are considered a risk factor for falls in MS patients. Therefore, developing innovative approaches such as virtual reality (VR) to improve balance in MS is required. OBJECTIVES: The aims of this study were to develop and evaluate feasibility and acceptability of VR scenarios that target balance in MS using a pilot trial. METHODS: Participants were randomly allocated to either a VR training (i.e. intervention group) (n = 20) or a control group (n = 20)...
November 2, 2018: NeuroRehabilitation
Vasileios C Skoutelis, Anastasios Kanellopoulos, Stamatis Vrettos, Georgios Gkrimas, Vasileios Kontogeorgakos
BACKGROUND: Selective Percutaneous Myofascial lengthening (SPML) is an innovative minimally invasive surgical procedure, using micro incisions often combined with alcohol nerve block, for managing muscle contractures and stiffness in children with cerebral palsy (CP). There is lack of evidence of effects of a combined intervention of SPML and physiotherapy on gait function and muscle strength in CP. OBJECTIVE: This study investigated the change in gait function and muscle strength in children with CP who underwent gait laboratory assessment before and after SPML, combined with obturator nerve blocks, and 9-month post-surgical functional physiotherapy...
November 2, 2018: NeuroRehabilitation
Nigel V Marsh
OBJECTIVE: This study reports the results from a 5-year longitudinal investigation of the prevalence and severity of cognitive deficits following significant (i.e., ventilation required for >  24 hours) traumatic brain injury. The changes in performance, either improvement or decline, across five domains of cognitive functioning are described. METHOD: A group of 56 adults was assessed at approximately 6 months, 1 year, and 5 years following injury. RESULTS: Impairment was evident on all measures but prevalence and rate of improvement varied...
November 2, 2018: NeuroRehabilitation
Kazuya Takeda, Shigeo Tanabe, Soichiro Koyama, Koji Shomoto, Yuki Naoi, Hiroaki Sakurai, Yoshikiyo Kanada
BACKGROUND: The relationship between peak torque of the knee extensor muscles and gait speed was previously investigated in patients with chronic stroke, but whether the rate of force development (RFD), another indicator of muscle strength, affected gait speed remained unknown. OBJECTIVE: To clarify the relationships between the RFD of the knee extensor muscles over multiple time intervals and gait speed in patients with chronic stroke. METHODS: Twenty chronic stroke patients participated in this study...
November 2, 2018: NeuroRehabilitation
Norah Alhwoaimel, Ruth Turk, Martin Warner, Geert Verheyden, Liselot Thijs, Seng Kwee Wee, Ann-Marie Hughes
BACKGROUND: Post-stroke trunk control is reported to be associated with trunk performance and recovery of the upper limb, but the evidence for the influence of trunk exercise on both of these is unclear. OBJECTIVE: To evaluate the effect of trunk exercises on trunk performance post-stroke, and to determine if these exercises result in improved upper limb function. METHODS: A comprehensive search of the literature published between January 1990 and February 2017 was conducted using the following electronic databases; AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDiscus...
November 2, 2018: NeuroRehabilitation
T Foley, A McKinlay, N Warren, R J Stolwyk
INTRODUCTION: While cognitive impairment is a recognised feature of Parkinson's disease (PD), few studies have evaluated the validity of brief cognitive screening measures compared to a comprehensive neuropsychological assessment. This studies aim was to evaluate the sensitivity and specificity of the Mini-Mental State Examination (MMSE), Modified Mini-Mental State Examination and Dementia Rating Scale (DRS-2) to detect cognitive impairment in individuals with PD. METHOD: Fifty-eight participants were administered the MMSE, 3MS, DRS-2 and a neuropsychological battery...
November 2, 2018: NeuroRehabilitation
Brenda Jeng, Brian M Sandroff, Robert W Motl
BACKGROUND: The energetic cost of walking (Cw) is elevated in persons with multiple sclerosis (MS). This may be explained by spasticity and spatiotemporal parameters of gait. OBJECTIVE: To examine the associations among Cw, spasticity of ankle plantarflexors, and spatiotemporal gait parameters in persons with MS who had moderate disability. METHODS: The sample included 44 persons with MS who had moderate disability. Cw was measured over-ground during the 6-Minute Walk using indirect calorimetry and was calculated based on net oxygen consumption and walking speed (i...
October 31, 2018: NeuroRehabilitation
Elizabeth Salmon Powell, Radha Korupolu, Philip M Westgate, Cheryl Carrico, Lakshmi Reddy, Lumy Sawaki
BACKGROUND: Non-invasive transcranial direct current stimulation has been shown to modulate cortical excitability in various studies. Similarly, recent preliminary studies suggest that transcutaneous spinal direct current stimulation (tsDCS) may engender a modulation effect on spinal and cortical neurons. OBJECTIVE: The purpose of this study was to evaluate the dose-response effects of tsDCS in healthy subjects and thereby lay groundwork for expanding treatment options for patients with spinal cord injury (SCI)...
October 31, 2018: NeuroRehabilitation
Megan L Turville, Thomas A Matyas, Jannette M Blennerhassett, Leeanne M Carey
BACKGROUND: Somatosensory loss occurs often following stroke. A proportional recovery model is proposed for spontaneous motor recovery, with implication for treatment planning. It is currently unknown if initial severity of sensory impairment influences stroke survivors' response to treatment to improve sensation. OBJECTIVE: To examine if initial (pre-treatment) severity of upper limb somatosensory impairment is related to sensation outcomes following treatment...
October 31, 2018: NeuroRehabilitation
Wen-Hsu Sung, Cheng-Chun Liu, Shun-Hwa Wei, Long-Ren Chuang, Eric Chuang, Kevin A Wang, Jia-Chi Wang
BACKGROUND: Traditional Tai Chi is too complex for most elderly individuals. There have been few reports regarding the development of simplified Tai Chi programs to suit the physical needs of elderly adults. However, these programs were not individualized according to the participants' balance control abilities. OBJECTIVE: Purpose of this study is to develop an individualized Tai Chi program and report the feasibility of the program. METHODS: Phase 1: Five Tai Chi masters performed the Tai Chi movements on a force platform...
October 30, 2018: NeuroRehabilitation
Mirella Boselli, Roberto Aquilani, Roberto Maestri, Maria Pia Achilli, Nadia Arrigoni, Evasio Pasini, Anna Maria Condino, Federica Boschi, Maurizia Dossena, Daniela Buonocore, Manuela Verri
BACKGROUND: Systemic inflammation and its impact on rehabilitation for patients with non-traumatic haemorrhagic injury (HBI) sequelae has not yet been adequately documented. OBJECTIVE AND METHODS: We therefore considered 31 patients with HBI, to determine the serum levels of inflammatory markers (C-Reactive Protein, CRP and or interleukine-6, IL-6) to establish their impact on functional status (Functional Independence Measure, FIM: 18 indicating the worst performance and 126, a normal score)...
April 7, 2018: NeuroRehabilitation
David L Ripley
No abstract text is available yet for this article.
2018: NeuroRehabilitation
Michael J Makley, Kimberley R Monden, Angela Philippus, Patrick M Tarwater, Jody Newman, Jennifer Biggs, Eric Spier, Alan Weintraub
BACKGROUND: As awareness of disrupted sleep in patients with traumatic brain injury (TBI) increases so does interest in finding objective measures of sleep. As a result, many clinicians are turning to actigraphs to monitor sleep in patients with altered consciousness. Actigraphs are accelerometers which have been used in sleep research for over four decades. OBJECTIVE: The purpose of the present study was to determine the best method for scoring actigraphs in a TBI population and to describe the benefits and pitfalls of using actigraphs with patients on a brain injury rehabilitation unit...
2018: NeuroRehabilitation
Lisa F Wolfe, Ashima S Sahni, Hrayr Attarian
BACKGROUND: Sleep disorders play a significant role in the care of those with Traumatic Brain Injury (TBI). OBJECTIVE: To provide a literature review on the interaction of sleep and circadian processes on those with TBI. METHODS: A literature review was conducted on PubMed using the following key words and their combination: "Sleep Apnea", "Traumatic Brain Injury", "Circadian", "Parasomnia", "Insomnia", "Hypersomnia", "Narcolepsy", and "Restless Legs"...
2018: NeuroRehabilitation
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