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Topics in Stroke Rehabilitation

L Tedesco Triccas, J H Burridge, A M Hughes, K L Meadmore, M Donovan-Hall, J C Rothwell, G Verheyden
Background Neurorehabilitation technologies used mainly in research such as robot therapy (RT) and transcranial direct current stimulation (tDCS) can promote upper limb motor recovery after stroke. Understanding the feasibility and efficacy of stroke rehabilitation technologies for upper limb impairments is crucial for effective implementation in practice. Small studies have explored views of RT by people with stroke; however experiences of people receiving tDCS in combination with RT have never been explored...
September 20, 2018: Topics in Stroke Rehabilitation
Fernanda Maria Faturi, Gabriela Lopes Santos, Gabriela Nagai Ocamoto, Thiago Luiz Russo
BACKGROUND: Stroke is a leading cause of disability in the adult population, impairing upper limb (UL) movements affecting activities of daily living. Muscle weakness has been associated to disabilities in this population, but much attention is given to central nervous system alterations and less to skeletal muscles. OBJECTIVE: The objective of this review is to carry out a systematic literature review to identify structural muscle alterations in the UL of poststroke individuals...
September 17, 2018: Topics in Stroke Rehabilitation
Stacey E Aaron, Chris M Gregory
BACKGROUND: Improvement in overground walking speed reduces dependency and is a central focus in post-stroke rehabilitation. Previous studies have shown that high-intensity interval training (HIT) can significantly improve functional and health-related outcomes in neurologically health individuals more so than traditional approaches. Emerging evidence suggests the same may be true post-stroke. OBJECTIVE: The purpose of this study was to assess the feasibility of a single session, novel HIT design...
September 17, 2018: Topics in Stroke Rehabilitation
Tarun Girotra, Forrest Lowe, Wuwei Feng
BACKGROUND: Pseudobulbar affect (PBA) is a neuropsychological condition of emotional lability and affective dysregulation associated with a variety of neurological conditions such as stroke, traumatic brain disease, and neurodegenerative disease. The true prevalence and medico-social burden of PBA associated with stroke is unclear. Often confused with post-stroke mood disorders, PBA is under-recognized and under-treated. OBJECTIVE: To provide a comprehensive narrative synthesis of published literature on the topic of PBA...
September 13, 2018: Topics in Stroke Rehabilitation
João Paulo Branco, Sandra Oliveira, João Sargento-Freitas, Orlando Galego, Gustavo Cordeiro, Luís Cunha, António Freire Gonçalves, João Pinheiro
OBJECTIVE: To evaluate the potential of neuroimaging, serum biomarkers, stroke etiology, and clinical characteristics as predictors of upper limb functioning 12 weeks after stroke. METHODS: This was a prospective, observational study of patients (18-85 years-old) hospitalized due to acute ischemic stroke in the territory of the middle cerebral artery. Patients were hospitalized at a stroke rehabilitation center, where they underwent a standardized rehabilitation program...
September 13, 2018: Topics in Stroke Rehabilitation
Renerus J Stolwyk, Elissa O'Connell, David W Lawson, Amanda G Thrift, Peter W New
BACKGROUND AND OBJECTIVES: There are scarce data on post-stroke neurobehavioral disability (NBD). The aim of this study was to identify the prevalence of NBD in a subacute inpatient stroke population and examine potential associations with demographic, stroke-related, functional and psychosocial variables. METHODS: 82 survivors of stroke were consecutively recruited during their inpatient rehabilitation admission. Nursing staff rated NBD in patients using the St Andrews -Swansea Neurobehavioral Outcome Scale (SASNOS)...
September 13, 2018: Topics in Stroke Rehabilitation
Xuan Zhou, Minxia Du, Lanshu Zhou
OBJECTIVE: Information technology and mobile devices are potentially beneficial and useful in the management of patients who have had stroke, including recognition, translation, assessment, and rehabilitation. The objective of this study was to determine the effectiveness of mobile applications in the rehabilitation of stroke survivors. METHODS: A literature search appraising the effectiveness of mobile applications in the rehabilitation of stroke survivors was performed on PubMed, Embase, Science Citation Index Expanded-SCIE, and EBSCO-CINAHL from their inception until May 28th, 2017...
September 13, 2018: Topics in Stroke Rehabilitation
Norikazu Hishikawa, Hiroki Tanikawa, Kei Ohtsuka, Masahiko Mukaino, Keisuke Inagaki, Fumihiro Matsuda, Toshio Teranishi, Yoshikiyo Kanada, Hitoshi Kagaya, Eiichi Saitoh
BACKGROUND: Most people with hemiplegia experience gait changes after a stroke. Abnormal gait patterns in stroke patients vary across subjects and this make it difficult to assess the cause of gait abnormalities. Therefore, it is necessary to quantitatively evaluate abnormal gait patterns through gait analysis for stroke patients. OBJECTIVE: To develop and evaluate the validity of quantitative assessments of the degree of knee extensor thrust, flexed-knee gait, insufficient knee flexion during the swing phase, and medial whip...
September 13, 2018: Topics in Stroke Rehabilitation
Miyuki Ushio, Maki Kanaoka, Yumiko Kinoshita, Satoko Maeno, Kimie Fujita
BACKGROUND: Physical activity (PA) is beneficial for stroke prevention; in particular, moderate-to-vigorous physical activity (MVPA). However, few studies have investigated its relationship with recurrent ischemic stroke (RIS). OBJECTIVES: To clarify the relationship between MVPA and RIS and the burden of risk factors after a first-ever ischemic stroke. METHODS: A total of 45 outpatients (mean age 67.1 ± 10.2 years) who had previously experienced a transient ischemic attack or a minor non-cardioembolic ischemic stroke at a single hospital in Japan (mean 6...
September 12, 2018: Topics in Stroke Rehabilitation
Michael J McCarthy, Tamilyn Bakas, Jeffrey Schellinger, Katie Stapleton, Brett M Kissela
BACKGROUND: Stroke survivors and family caregivers often have incongruent appraisals of survivor cognitive, physical, and psychosocial function. Partner incongruence contributes to poor outcomes for survivors and caregivers. OBJECTIVES: This study explored whether partner incongruence: (1) differs by function domain; (2) increases or decreases over time, and; (3) is associated with self-rated health, distress, stress, and depressive symptoms. METHODS: Structured surveys were administered to 32 survivors and caregivers at approximately 3 (enrollment) and 7 months (follow-up) post-stroke...
September 12, 2018: Topics in Stroke Rehabilitation
Lynda D Lisabeth, Susan D Horn, Nneka L Ifejika, Emma Sais, Michael Fuentes, Xiaqing Jiang, Erin Case, Lewis B Morgenstern
OBJECTIVE: Minority populations have worse stroke outcomes compared with non-Hispanic whites (NHWs). One possible explanation for this disparity is differential allocation of stroke rehabilitation. We utilized a population-based stroke study to determine the feasibility of studying Mexican American-NHW differences in stroke rehabilitation in a population-based design including identification of community partners, development of standardized data collection instruments, and collection of pilot data...
September 6, 2018: Topics in Stroke Rehabilitation
Orla C Sheehan, Janet Prvu-Bettger, Jin Huang, William E Haley, J David Rhodes, Suzanne E Judd, Meredith L Kilgore, David L Roth
Background Claims data from Medicare or other payers might not generalize to other populations regarding service use after stroke especially among younger patients. However, high agreement between self-report and Medicare claims data would support the use of self-reported healthcare utilization data in these populations. Methods A population-based sample of 147 stroke participants with traditional fee-for service Medicare and their family caregivers was examined. Concordance with Medicare claims was examined for stroke participant self-report for Emergency Room visits, hospitalizations, and physician visits for a six-month period after stroke, and for both stroke participant and caregiver reports of receipt of Physical Therapy (PT), Speech and Language Pathology (SLP), or Home Health Agency (HHA) visits...
July 26, 2018: Topics in Stroke Rehabilitation
Shin Sasaki, Masashi Kanai, Taku Shinoda, Hidemi Morita, Shinichi Shimada, Kazuhiro P Izawa
Background The health utility score in patients with stroke relates to physical, psychological, and various other factors. However, the relationship between the health utility score in patients with stroke and objective physical activity has not been clarified. Objective To clarify the relation between the health utility score and objective physical activity in community-dwelling ambulatory patients with stroke. Design A cross-sectional study. Method Patients who received outpatient consultation from a stroke certified nurse after discharge were recruited...
July 24, 2018: Topics in Stroke Rehabilitation
Sophe Kimonides, Marina G Cavuoto, Laksiri De Silva, Glynda J Kinsella
Background For long-term stroke survivors, objective neuropsychological impairments and subjective cognitive difficulties are common, and may contribute to ongoing difficulties in community reintegration. However, subjective cognitive complaints have been as much associated with low mood as with actual cognitive performance. Objective The objective of our study was to investigate the extent to which subjective cognitive complaints predicted community reintegration following a stroke, and whether this relationship would be mediated by emotional status...
July 24, 2018: Topics in Stroke Rehabilitation
Michelle Rabelo, Emerson Fachin-Martins
Background Stroke represents the largest cause of chronic disability resulting in muscle weakness and instability in the trunk muscles. Despite the reliable measures from isokinetic devices for upper/lower limb muscles, there is a lack of measures for trunk muscles in post-stroke hemiparesis. Objectives To investigate the reliability of the strength and endurance measures from an isokinetic dynamometer for able-bodied and post-stroke hemiparesis people. Methods The measures were taken from both groups (control/hemiparesis) performing antagonistic movements (flexion/extension) during different protocols (seated-compressed and semi-standing) to assess strength (60º/s) and endurance (120º/s)...
July 20, 2018: Topics in Stroke Rehabilitation
Satoru Amano, Atsushi Umeji, Akira Uchita, Yukihisa Hashimoto, Takashi Takebayashi, Kayoko Takahashi, Yuki Uchiyama, Kazuhisa Domen
Background Against the background of linguistic and cultural differences, there is a need for translation and adaptation from the English version of the Fugl-Meyer Assessment (FMA) to Japanese. In addition, there is no study of inter-rater reliability of FMA all domains for affected upper extremities with appropriate sample size based on the intraclass correlation coefficient (ICC) focusing on non-simultaneous assessment. Objective This study aimed (1) to translate the English version of the FMA and its administration/scoring manual; and (2) to investigate the psychometric properties of the Japanese version of the FMA in patients with stroke...
July 20, 2018: Topics in Stroke Rehabilitation
Satoru Amano, Atsushi Umeji, Akira Uchita, Yukihisa Hashimoto, Takashi Takebayashi, Yoshihiro Kanata, Yuki Uchiyama, Kazuhisa Domen
Background Blinding for outcome assessors is considered less possible in rehabilitation treatment trials than in pharmacologic trials. This problem can be solved in part by the standardized remote evaluation system, in which researchers video-record patients for centralized assessment using prospectively standardized shooting procedures, and then outside assessors evaluate the videos using prospectively standardized methods. Objective To assess the inter-rater reliability of remote evaluation for the Fugl-Meyer assessment (FMA) and the action research arm test (ARAT) in hemiparetic patients after stroke...
July 20, 2018: Topics in Stroke Rehabilitation
Chantelle Chapman, Prue Morgan, Dominique A Cadilhac, Tara Purvis, Nadine E Andrew
BACKGROUND: Chest infections occur in approximately one-third of patients following acute stroke, and are associated with poor outcomes. Limitations in previous reviews restricted the accuracy of results. OBJECTIVES: To perform a systematic review to reliably identify modifiable risk factors for chest infections following acute stroke. METHODS: Ovid Medline, CINAHL, Cochrane, EMBASE and AMED were searched from 1946 to April 2017 for observational studies where risk factors for chest infections in patients hospitalized with acute stroke were reported...
July 20, 2018: Topics in Stroke Rehabilitation
Muditha Wagachchige Muthucumarana, Kerstin Samarasinghe, Carina Elgán
BACKGROUND: Stroke is a life-changing event for both stroke survivors and their family caregivers. After receiving acute care at the hospital, family members are expected to take care of stroke survivors at home and to continue treatment and rehabilitation. The new role of "informal caregiver" is a challenge that creates many difficulties for family caregivers that are not explicit in the Sri Lankan context. OBJECTIVES: This study aimed at exploring family caregivers' experiences of providing informal care for dependent stroke survivors...
July 20, 2018: Topics in Stroke Rehabilitation
Qiu Han, Chun Chen, Hai-Qin Hu, Jun Shen, Guang Yang, Bin Chen, Lei Xia
Background The bedside fiber bronchoscope has been widely used in the diagnosis and treatment of respiratory disease. This study aims to assess the effect of using bedside fiber bronchoscope in sputum suction and alveolar lavage for treatment of stroke-associated pneumonia (SAP), compared with the use of conventional suction catheter. Methods One hundred and six patients with SAP were randomly divided into control group (n = 53) and experimental group (n = 53) for a controlled study. Patients in the two groups were conventionally treated with phlegm-resolving and anti-infective therapy...
May 22, 2018: Topics in Stroke Rehabilitation
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