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Topics in Stroke Rehabilitation

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https://www.readbyqxmd.com/read/28330419/how-does-sex-affect-the-care-dependency-risk-one-year-after-stroke-a-study-based-on-claims-data-from-a-german-health-insurance-fund
#1
Susanne Schnitzer, Johannes Deutschbein, Christian H Nolte, Martin Kohler, Adelheid Kuhlmey, Liane Schenk
OBJECTIVES: The study explores the association between sex and care dependency risk one year after stroke. METHODS: The study uses claims data from a German statutory health insurance fund. Patients were included if they received a diagnosis of ischemic or hemorrhagic stroke between 1 January and 31 December 2007 and if they survived for one year after stroke and were not dependent on care before the event (n = 1851). Data were collected over a one-year period...
March 22, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28327054/effects-of-low-frequency-repetitive-transcranial-magnetic-stimulation-and-neuromuscular-electrical-stimulation-on-upper-extremity-motor-recovery-in-the-early-period-after-stroke-a-preliminary-study
#2
Aliye Tosun, Sabiha Türe, Ayhan Askin, Engin Ugur Yardimci, Secil Umit Demirdal, Tülay Kurt Incesu, Ozgur Tosun, Hikmet Kocyigit, Galip Akhan, Fazıl Mustafa Gelal
OBJECTIVE: To assess the efficacy of inhibitory repetitive transcranial magnetic stimulation (rTMS) and neuromuscular electrical stimulation (NMES) on upper extremity motor function in patients with acute/subacute ischemic stroke. METHODS: Twenty-five ischemic acute/subacute stroke subjects were enrolled in this randomized controlled trial. Experimental group 1 received low frequency (LF) rTMS to the primary motor cortex of the unaffected side + physical therapy (PT) including activities to improve strength, flexibility, transfers, posture, balance, coordination, and activities of daily living, mainly focusing on upper limb movements; experimental group 2 received the same protocol combined with NMES to hand extensor muscles; and the control group received only PT...
March 22, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28326897/gender-differences-in-physical-activity-and-health-related-behaviors-among-stroke-survivors-data-from-the-5th-korea-national-health-and-nutrition-examination-survey
#3
Yookyung Lee, Won-Seok Kim, Nam-Jong Paik
BACKGROUND: Physical activity and health-related behaviors are important in primary prevention of stroke and are also recommended for secondary prevention. Gender differences in physical activity and health-related behaviors have been reported in various populations and diseased states but data is lacking on stroke survivors. OBJECTIVES: To assess gender disparities in physical activity in stroke patients and to investigate possible reasons for such disparities...
March 22, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28322130/motor-recovery-in-post-stroke-patients-with-aphasia-the-role-of-specific-linguistic-abilities
#4
Valeria Ginex, Laura Veronelli, Nicola Vanacore, Eleonora Lacorte, Alessia Monti, Massimo Corbo
BACKGROUND: Aphasia is a serious consequence of stroke but aphasics patients have been routinely excluded from participation in some areas of stroke research. OBJECTIVE: To assess the role of specific linguistic and non-verbal cognitive abilities on the short-term motor recovery of patients with aphasia due to first-ever stroke to the left hemisphere after an intensive rehabilitation treatment. METHODS: 48 post-acute aphasic patients, who underwent physiotherapy and speech language therapy, were enrolled for this retrospective cohort-study...
March 21, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28317472/psychological-health-of-caregivers-and-association-with-functional-status-of-stroke-patients
#5
Serda Em, Mehtap Bozkurt, Mehmet Caglayan, Figen Ceylan Cevik, Cemal Kaya, Pelin Oktayoglu, Kemal Nas
OBJECTIVE: Stroke does not only affect the physical state of patients but also the emotional state of their relatives, most effectively their caregivers. The study aims to examine the mood of caregivers experienced with care for patients with stroke who are highly dependent on the assistance and also to establish the relationship between the emotional state of caregivers and the severity of disability of the patients. METHODS: This study contained a total of 76 patients with sufficient cognitive functions and severe physical disabilities with hemiplegia caused by a cerebrovascular accident and their caregivers and 94 controls...
March 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28251861/skeletal-muscle-changes-following-stroke-a-systematic-review-and-comparison-to-healthy-individuals
#6
Jennifer L Hunnicutt, Chris M Gregory
BACKGROUND: Despite extensive study of the impact of stroke on muscle and functional performance, questions remain regarding the extent to which changes are due to the neurological injury vs. age-related loss of morphology and force production. OBJECTIVES: To synthesize available evidence describing post-stroke changes in lower extremity muscle size and strength compared to healthy adults. METHODS: Scientific literature was searched up to April 2016 to identify studies that included lower extremity muscle size and strength measures in individuals with chronic stroke...
March 2, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28220715/a-systematic-review-of-mechanisms-of-gait-speed-change-post-stroke-part-1-spatiotemporal-parameters-and-asymmetry-ratios
#7
Elizabeth C Wonsetler, Mark G Bowden
BACKGROUND: In walking rehabilitation trials, self-selected walking speed (SSWS) has emerged as the dominant outcome measure to assess walking ability. However, this measure cannot differentiate between recovery of impaired movement and compensation strategies. Spatiotemporal variables and asymmetry ratios are frequently used to quantify gait deviations and are hypothesized markers of recovery. OBJECTIVES: The purpose of this review is to investigate spatiotemporal variables and asymmetry ratios as mechanistic recovery measures in physical therapy intervention studies post-stroke...
February 21, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218021/a-systematic-review-of-mechanisms-of-gait-speed-change-post-stroke-part-2-exercise-capacity-muscle-activation-kinetics-and-kinematics
#8
Elizabeth C Wonsetler, Mark G Bowden
BACKGROUND: Regaining locomotor ability is a primary goal in stroke rehabilitation and is most commonly measured using changes in self-selected walking speed. However, walking speed cannot identify the mechanisms by which an individual recovers. Laboratory-based mechanistic measures such as exercise capacity, muscle activation, force production, and movement analysis variables may better explain neurologic recovery. OBJECTIVES: The objectives of this systematic review are to examine changes in mechanistic gait outcomes and describe motor recovery as quantified by changes in laboratory-based mechanistic variables in rehabilitation trials...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218020/stroke-rehabilitation-evidence-and-comorbidity-a-systematic-scoping-review-of-randomized-controlled-trials
#9
Michelle L A Nelson, Kaileah A McKellar, Juliana Yi, Linda Kelloway, Sarah Munce, Cheryl Cott, Ruth Hall, Martin Fortin, Robert Teasell, Renee Lyons
BACKGROUND: Most strokes occur in the context of other medical diagnoses. Currently, stroke rehabilitation evidence reviews have not synthesized or presented evidence with a focus on comorbidities and correspondingly may not align with current patient population. The purpose of this review was to determine the extent and nature of randomized controlled trial stroke rehabilitation evidence that included patients with multimorbidity. METHODS: A systematic scoping review was conducted...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218007/cognitive-communication-disorder-following-right-hemisphere-stroke-exploring-rehabilitation-access-and-outcomes
#10
Ronelle Hewetson, Petrea Cornwell, David Shum
BACKGROUND: Rehabilitation positively influences return to activities and social roles in people with aphasia. The cognitive-communication disorder (CCD) found following a right hemisphere stroke has been less extensively researched with rehabilitation access and outcomes yet to be determined. OBJECTIVES: To document rehabilitation access and outcomes for people with CCD post-stroke; and compare outcomes based on presence (viz CCD; aphasia) or absence of communication impairment...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28198661/cost-effectiveness-of-the-occupation-based-approach-for-subacute-stroke-patients-result-of-a-randomized-controlled-trial
#11
Hirofumi Nagayama, Kounosuke Tomori, Kanta Ohno, Kayoko Takahashi, Ryutaro Nagatani, Ryota Izumi, Kensuke Moriwaki, Keita Yamauchi
BACKGROUND AND PURPOSE: The cost effectiveness of occupational therapy for subacute stroke patients is unclear in the extant literature. Consequently, this study determined the cost effectiveness of the occupation-based approach using Aid for Decision-Making in Occupation Choice (ADOC) for subacute stroke patients compared with an impairment-based approach. METHODS: We conducted an economic evaluation from a societal perspective alongside a pilot randomized controlled trial, with a single blind assessor for participants in 10 subacute rehabilitation units in Japan...
February 15, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28198659/intra-and-inter-rater-reliabilities-of-measurement-of-ultrasound-imaging-for-muscle-thickness-and-pennation-angle-of-tibialis-anterior-muscle-in-stroke-patients
#12
Ki Hun Cho, Hwang Jae Lee, Wan Hee Lee
BACKGROUND: Dysfunction of skeletal muscle has been commonly reported in stroke patients. OBJECTIVE: The purpose of this study was to investigate the intra- and inter-rater reliabilities of measurement of ultrasound imaging (USI) for pennation angle (PA) and muscle thickness (MT) of tibialis anterior muscle in stroke patients. METHODS: Thirty-four stroke patients (19 men) participated in this study. USI was used for measurement of PA and MT of the tibialis anterior muscles at rest and during maximum voluntary contraction (MVC)...
February 15, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28191861/the-effect-of-self-management-education-following-mild-stroke-an-exploratory-randomized-controlled-trial
#13
Timothy J Wolf, Meredith J Spiers, Meghan Doherty, Emily V Leary
BACKGROUND: Mild stroke comprises 53% of stroke hospital admissions; however, the majority of those with mild stroke patients receive little support to address chronic symptoms following stroke. OBJECTIVES: To evaluate the feasibility and preliminary effect of the Chronic Disease Self-Management Program (CDSMP) for use with individuals immediately post mild-stroke. METHODS: Single-blind, exploratory, randomized controlled trial with participants who sustained a mild stroke (NIHSS <6)...
February 13, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28162050/erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
February 6, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28107807/continuous-theta-burst-stimulation-may-improve-visuospatial-neglect-via-modulating-the-attention-network-a-randomized-controlled-study
#15
Wei Fu, Lei Cao, Yanming Zhang, Su Huo, JuBao Du, Lin Zhu, Weiqun Song
BACKGROUND: Visuospatial neglect (VSN) is devastating and common after stroke, and is thought to involve functional disturbance of the attention network. Non-invasive theta-burst stimulation (TBS) may help restore the normal function of attention network, therefore facilitating recovery from VSN. OBJECTIVE: This study investigated the effects of continuous TBS on resting-state functional connectivity (RSFC) in the attention network, and behavioral performances of patients with VSN after stroke...
January 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28102113/comparison-of-the-effects-on-dynamic-balance-and-aerobic-capacity-between-objective-and-subjective-methods-of-high-intensity-robot-assisted-gait-training-in-chronic-stroke-patients-a-randomized-controlled-trial
#16
Young-Hyeon Bae, Suk Min Lee, Mansoo Ko
BACKGROUND: Robot-assisted gait training (RAGT) is effective for improving dynamic balance and aerobic capacity, but previous RAGT method does not set suitable training intensity. Recently, high-intensity treadmill gait training at 70% of heart rate reserve (HRR) was used for improving aerobic capacity and dynamic balance. PURPOSE: This study was designed to compare the effectiveness between objective and subjective methods of high-intensity RAGT for improving dynamic balance and aerobic capacity in chronic stroke...
January 19, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28100160/determining-the-potential-benefits-of-yoga-in-chronic-stroke-care-a-systematic-review-and-meta-analysis
#17
Tharshanah Thayabaranathan, Nadine E Andrew, Maarten A Immink, Susan Hillier, Philip Stevens, Rene Stolwyk, Monique Kilkenny, Dominique A Cadilhac
BACKGROUND: Survivors of stroke have long-term physical and psychological consequences that impact their quality of life. Few interventions are available in the community to address these problems. Yoga, a type of mindfulness-based intervention, is shown to be effective in people with other chronic illnesses and may have the potential to address many of the problems reported by survivors of stroke. OBJECTIVES: To date only narrative reviews have been published. We sought to perform, the first systematic review with meta-analyses of randomized controlled trials (RCTs) that investigated yoga for its potential benefit for chronic survivors of stroke...
January 19, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28095755/changes-in-caregiver-burden-among-informal-caregivers-of-stroke-patients-in-mongolia
#18
Enkhzaya Chuluunbaatar, Christy Pu, Yiing-Jenq Chou
BACKGROUND: Modern therapeutics and health care improvements prolong stroke patients' survival; however, the degree of disability remains high. Stroke survivors often require caregivers, particularly in the first year after the onset of the stroke. Longitudinal assessment of and factors associated with caregiver burden (CGB) among caregivers of stroke patients has been scarcely discussed. This study aimed to define the changes in CGB in the first year of caregiving among the caregivers of stroke patients and to identify associated factors...
January 18, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28056670/electromyographic-comparison-of-conventional-machine-strength-training-versus-bodyweight-exercises-in-patients-with-chronic-stroke
#19
Jonas Vinstrup, Joaquin Calatayud, Markus D Jakobsen, Emil Sundstrup, Kenneth Jay, Mikkel Brandt, Peter Zeeman, Jørgen R Jørgensen, Lars L Andersen
OBJECTIVE: To investigate whether bodyweight exercises can induce comparable levels of muscle activity as conventional machine exercises in chronic stroke patients. METHODS: Eighteen patients performed three repetitions of bilateral- and unilateral machine leg press and the bodyweight exercises chair rise and hip thrust. Surface electromyography (EMG) was recorded from 10 lower extremity muscles and normalized to maximal EMG (nEMG) of the non-paretic leg. RESULTS: For the paretic leg, the bodyweight exercises showed comparable levels of nEMG in 6 out of 10 muscles compared with the bilateral leg press...
January 6, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28054504/analysis-of-muscle-fiber-conduction-velocity-during-finger-flexion-and-extension-after-stroke
#20
Megan O Conrad, Dan Qiu, Gilles Hoffmann, Ping Zhou, Derek G Kamper
BACKGROUND: Stroke survivors experience greater strength deficits during finger extension than finger flexion. Prior research indicates relatively little observed weakness is directly attributable to muscle atrophy. Changes in other muscle properties, however, may contribute to strength deficits. OBJECTIVES: This study measured muscle fiber conduction velocity (MFCV) in a finger flexor and extensor muscle to infer changes in muscle fiber-type after stroke. METHODS: Conduction velocity was measured using a linear EMG surface electrode array for both extensor digitorum communis and flexor digitorum superficialis in 12 stroke survivors with chronic hand hemiparesis and five control subjects...
January 5, 2017: Topics in Stroke Rehabilitation
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