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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
Nathan Zasler, Jeffrey Kreutzer, Chiara Arienti, Aydan Oral
No abstract text is available yet for this article.
2018: NeuroRehabilitation
Debbie Rand
BACKGROUND: Proprioception deficits are common post-stroke and may lead to impaired standing balance and restricted mobility. OBJECTIVES: To compare 1) mobility, balance, balance confidence (BC), independence in basic and instrumental activities of daily living (BADL and IADL) of individuals with and without mild proprioception deficits at the chronic stage post-stroke. In addition, 2) correlations between mobility, balance and BC to BADL and IADL will be assessed...
2018: NeuroRehabilitation
John W Krakauer, Juan Camilo Cortés
BACKGROUND: Stroke is one of the leading causes of disability in the world, with the upper limb being affected up to 80% of the time. Current rehabilitative therapies for the upper limb, primarily centered on task-oriented training, are ineffective at boosting recovery from motor impairment beyond what is expected from spontaneous biological recovery and instead promote compensatory strategies in order to perform specific activities of daily living. PURPOSE: To give a critical overview of animal and clinical literature that support the idea that a non-task-oriented approach may be more fruitful for recovery from motor impairment, and to propose a novel therapeutic paradigm designed to bolster spontaneous biological recovery early after stroke...
2018: NeuroRehabilitation
Lynne M Weber, Joel Stein
BACKGROUND: Stroke is among the leading causes of acquired disability in the United States, affecting nearly 800,000 Americans annually. The identification of more effective treatments for hemiparesis has been recognized as a top research priority. Intelligent, motor-driven devices for rehabilitation, or rehabilitation robotics, represent an exciting frontier with considerable potential to address these concerns. PURPOSE: This article presents a state of the science review regarding selected robotic technologies that are representative of current robot-aided rehabilitation strategies, the evidence surrounding their efficacy, barriers to widespread dissemination, and technologies in development...
2018: NeuroRehabilitation
Louise A Connell, Marie-Claire Smith, Winston D Byblow, Cathy M Stinear
BACKGROUND: There is growing interest in using biomarkers to predict motor recovery and outcomes after stroke. The PREP2 algorithm combines clinical assessment with biomarkers in an algorithm, to predict upper limb functional outcomes for individual patients. To date, PREP2 is the first algorithm to be tested in clinical practice, and other biomarker-based algorithms are likely to follow. PURPOSE: This review considers how algorithms to predict motor recovery and outcomes after stroke might be implemented in clinical practice...
2018: NeuroRehabilitation
E López-Larraz, A Sarasola-Sanz, N Irastorza-Landa, N Birbaumer, A Ramos-Murguialday
BACKGROUND: Motor paralysis after stroke has devastating consequences for the patients, families and caregivers. Although therapies have improved in the recent years, traditional rehabilitation still fails in patients with severe paralysis. Brain-machine interfaces (BMI) have emerged as a promising tool to guide motor rehabilitation interventions as they can be applied to patients with no residual movement. OBJECTIVE: This paper reviews the efficiency of BMI technologies to facilitate neuroplasticity and motor recovery after stroke...
2018: NeuroRehabilitation
Caroline Winters, Gert Kwakkel, Erwin E H van Wegen, Rinske H M Nijland, Janne M Veerbeek, Carel G M Meskers
BACKGROUND: Stroke rehabilitation aims to reduce impairments and promote activity and participation among patients. A major challenge for stroke rehabilitation research is to develop interventions that can reduce patients' neurological impairments. Until now, there has been no breakthrough in this research field. To move stroke rehabilitation forward, we need more knowledge about underlying mechanisms that drive spontaneous (i.e., reactive) neurobiological recovery after stroke and factors that can be used to optimize its prediction early after stroke onset...
2018: NeuroRehabilitation
Danielle Burch, Silke Bernert, Justin F Fraser
OBJECT: Recent efforts in neurocritical care have emphasized optimal timing and employment of rehabilitation services. However, there is sparse literature on the effect of team approaches to the intensive care patient. The aim of this study was to evaluate the effect of increased coordination between a physical therapist and an attending cerebrovascular neurosurgeon through daily multidisciplinary rounds. METHODS: A retrospective review was performed of 235 patients who were admitted to the neuroscience service under a single cerebrovascular neurosurgeon over a 16-month period (April 2014 through July 2015) in a level-I trauma hospital...
2018: NeuroRehabilitation
Marco Tramontano, Elena Bergamini, Marco Iosa, Valeria Belluscio, Giuseppe Vannozzi, Giovanni Morone
BACKGROUND: Vestibular rehabilitation (VR) consists in a customized exercise program patient-centred that includes a combination of different exercise components with the aim to promote gaze stability, improve balance and gait, and facilitate somatosensory integration. OBJECTIVE: The aim of this study was to investigate the effect of customized vestibular rehabilitation training on gait stability of patients with subacute stroke. METHODS: Twenty-five inpatients (12 M, age: 64...
2018: NeuroRehabilitation
Connie L Fiems, Eric L Dugan, Elizabeth S Moore, Stephanie A Combs-Miller
BACKGROUND: The emergence of mobile technology allows the examination of balance through direct measures of postural sway in a cost-effective, convenient and portable fashion. However, there is insufficient evidence for use in populations with neurologic conditions. OBJECTIVES: 1) To determine the test-retest reliability of the Sway Balance™ mobile application in measuring postural sway in individuals with Parkinson disease, 2) To examine the concurrent validity of Sway Balance™ with inertial measurement units and 3) To determine if Sway Balance™ scores can predict disease severity...
2018: NeuroRehabilitation
Nuran Eyvaz, Umit Dundar, Hilal Yesil
BACKGROUND: After the stroke, a number of changes occur in the neuromuscular system functions. OBJECTIVE: To determine whether the water based exercise (WBE) program applied in combination with the land-based exercises (LBE) compared to LBE alone contributes to the stroke patients' motor functions, walking, balance functions and quality of life (QoL). METHODS: In total, 60 patients participated in this study. Patients were randomly divided into two groups...
2018: NeuroRehabilitation
Farnaz Abdollahi, Molly Corrigan, Emily D C Lazzaro, Robert V Kenyon, James L Patton
BACKGROUND: Stroke recovery studies have shown the efficacy of bimanual training on upper limb functional recovery and others have shown the efficacy of feedback technology that augments error. OBJECTIVE: In a double-blinded randomized controlled study (N = 26), we evaluated the short-term effects of bilateral arm training to foster functional recovery of a hemiparetic arm, with half of our subjects unknowingly also receiving error augmentation (where errors were visually and haptically enhanced by a robot)...
2018: NeuroRehabilitation
Richard L Harvey
No abstract text is available yet for this article.
2018: NeuroRehabilitation
Jaeho Park, Yijung Chung
BACKGROUND: Robot-assisted gait training provide a big therapeutic advantage in functional mobility for postural control. OBJECTIVES: The purpose of this study was investigate the effects of robot-assisted gait training using virtual reality and auditory stimulation on balance and gait abilities in stroke patients. METHODS: All subjects were randomly divided into three groups where twelve subjects were in the Virtual reality robot-assisted gait training group (VRGT), twelve subjects in the auditory stimulation robot-assisted gait training group (ARGT), and sixteen subjects in the control group...
2018: NeuroRehabilitation
Inmaculada Riquelme, Raphael S do Rosário, Kari Vehmaskoski, Pekka Natunen, Pedro Montoya
BACKGROUND: Children with cerebral palsy (CP) perform less physical activity than their typically developing peers (TDP). Pain, important comorbidity in children with CP, restrains levels of physical activity. OBJECTIVE: This study aims at exploring the influence of chronic pain in physical activity of children with CP and TDP. METHODS: 24-hour heart rate was registered in four groups of children: children with CP and TDP, with and without chronic pain...
2018: NeuroRehabilitation
Julio Gómez-Soriano, Diego Serrano-Muñoz, Elisabeth Bravo-Esteban, Juan Avendaño-Coy, Gerardo Ávila-Martin, Iriana Galán-Arriero, Julian Taylor
BACKGROUND: Tibialis Anterior (TA) cutaneous reflex (CR) activity evoked following cutaneous stimulation of the plantar (Pl) surface (Pl-TA CR) has demonstrated hyperreflexia and damage of inhibitory mechanisms in subjects with spinal cord injury (SCI) and spasticity. OBJECTIVES: To modulate Pl-TA CR and Soleus H-reflex activity with transcutaneous electrical nerve stimulation (TENS) and vibratory stimulation of the plantar pad during rest and controlled isometric plantarflexion...
2018: NeuroRehabilitation
Kazuki Yoshida, Keita Ogawa, Takuroh Mototani, Yuji Inagaki, Daisuke Sawamura, Katsunori Ikoma, Shinya Sakai
BACKGROUND: Flow is an optimal psychological state when people engage in a training task, and it is a theory explaining the absorbed state. OBJECTIVE: To investigate the additional effect of flow on attention deficits for chronic patients after traumatic brain injury. METHODS: Twenty patients were randomly assigned to the flow group (n = 10) or the control group. Patients performed a video game task, one inducing flow (flow group) and the other not (control group) for 4 weeks, and they were assessed with the flow state scale for occupational tasks (FSSOT) regularly and neuropsychological tests at baseline, after intervention, and at 4 weeks after intervention (follow-up)...
2018: NeuroRehabilitation
Mille Moeller Thastum, Charlotte Ulrikka Rask, Erhard Trillingsgaard Naess-Schmidt, Jens Soendergaard Jensen, Oana-Veronica Frederiksen, Astrid Tuborgh, Susanne Wulff Svendsen, Joergen Feldbaek Nielsen, Andreas Schröder
BACKGROUND: About 5-15 % of patients with concussion experience persistent post-concussion symptoms (PCS) longer than 3 months post-injury. OBJECTIVE: To explore the feasibility of a new intervention for young patients with persistent PCS and long-term changes after intervention. METHODS: Thirty-two consecutive patients (15-30 years) with persistent PCS 2-4 months post-injury were recruited from a cohort study or referred to a non-randomized feasibility study of an individually tailored, 8-week, multidisciplinary intervention...
2018: NeuroRehabilitation
Maria Crotty, Maayken van den Berg, Allison Hayes, Celia Chen, Kylie Lange, Stacey George
BACKGROUND: Homonymous hemianopia post-stroke reduces independence. OBJECTIVE: To compare the effectiveness of a standardised program versus current individualized therapy in patients with homonymous hemianopia. METHODS: Single-blind randomized controlled trial, 24 patients (54% male), mean age (65±4.3), mean time since stroke (51±52.3 days), recruited from rehabilitation and vision services in Adelaide, Australia. Participants were randomized to a combined standardized scanning and mobility program of 7 weeks, 3 times per week or to individualized therapy recommended by clinicians...
2018: NeuroRehabilitation
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