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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
Shiho Mizuno, Kotaro Takeda, Shinichiro Maeshima, Sonoda Shigeru
Objective To assess quantitatively the efficacy of oral baclofen for spasticity poststroke. Methods The participants were 29 persons poststroke with increased resistance to passive ankle dorsiflexion and ankle clonus on clinical assessment. Baclofen was administered at 20 mg/day for 1 week. The ankle joint was passively dorsiflexed at either 5°/s (slow stretch) or 90°/s (fast stretch) by a custom-built device. The ankle joint angle and resistive torque were measured during the ramp-and-hold stretch, with gastrocnemius electromyogram...
May 16, 2018: Topics in Stroke Rehabilitation
Kara K Patterson, Jennifer S Wong, Thi-Ut Nguyen, Dina Brooks
Background and Objective Despite gains made with rehabilitation, gait and balance remain limited post-stroke. Dance is a fun and motivating activity which has shown benefits in individuals with Parkinson's disease. The purpose of this article is to investigate the feasibility of a dance program for individuals with chronic stroke. Methods Pre-post intervention feasibility study where twenty individuals with chronic stroke participated in a dance class twice a week for 10 weeks. Feasibility measures included interest, enrollment, attendance, adverse events, and participant satisfaction...
May 10, 2018: Topics in Stroke Rehabilitation
Lola Qvist Kristensen, Hanne Pallesen
Objective The objective of the present study was to translate and cross-culturally adapt the Stroke Self-Efficacy Questionnaire (SSEQ) from English to Danish in order to create a Danish version of the measure, SSEQ-DK, and to assess psychometric properties in the form of internal consistency and face validity. Methods The adaptation process followed standard guidelines, in five stages: (I) initial translation, (II) synthesis, (III) back translation, (IV) expert committee, and (V) pretest involving 30 stroke survivors...
May 4, 2018: Topics in Stroke Rehabilitation
Wen Liu
BACKGROUND: Gait impairment is common in stroke survivors. Recovery of walking ability is one of the most pressing objectives in stroke rehabilitation. OBJECTIVES: Of this report are to briefly review recent progress in gait training after stroke including the use of partial body weight-supported treadmill training (PBWSTT) and robot-assisted step training (RAST), and propose a minimal assistance strategy that may overcome some of limitations of current RAST. METHODS: The literature review emphasizes a dilemma that recent randomized clinical trials did not support the use of RAST...
May 2, 2018: Topics in Stroke Rehabilitation
Uchenna Prosper Okonkwo, Sam Chidi Ibeneme, Ebere Yvonne Ihegihu, Afamefuna Victor Egwuonwu, Charles Ikechukwu Ezema, Fatai Adesina Maruf
BACKGROUND: Stroke results in varying levels of physical disabilities that may adversely impact balance with increased tendency to falls. This may intensify with cognitive impairments (CI), and impede functional recovery. Therefore, task-specific balance training (TSBT), which presents versatile task-specific training options that matches varied individual needs, was explored as a beneficial rehabilitation regime for stroke survivors with and without CI. It was hypothesized that there will be no significant difference in the balance control measures in stroke survivors with and without CI after a 12-month TSBT...
May 2, 2018: Topics in Stroke Rehabilitation
Yuichi Hirakawa, Kazuya Takeda, Shigeo Tanabe, Soichiro Koyama, Ikuo Motoya, Hiroaki Sakurai, Yoshikiyo Kanada, Nobutoshi Kawamura, Mami Kawamura, Junji Nagata, Tetsuo Kanno
Background Intensive motor training with low-frequency repetitive transcranial magnetic stimulation (rTMS) has efficacy as a therapeutic method for motor dysfunction of the affected upper limb in patients with mild to moderate stroke. However, it is not clear whether this combination therapy has the same effect in chronic post-stroke patients with severe upper limb motor impairment. Objectives The aim of this study was to test the treatment effects of intensive motor training with low-frequency rTMS in chronic post-stroke patients with severe upper limb motor impairment...
May 2, 2018: Topics in Stroke Rehabilitation
Donghwan Park, Ji-Hyun Lee, Tae-Woo Kang, Heon-Seock Cynn
BACKGROUND: Talus-stabilizing taping (TST) may improve ankle range of motion and gait performance by providing a posterior-inferior talar glide in a closed-chain dorsiflexion position. OBJECTIVES: This study aimed to investigate the immediate effects of TST on balance and gait parameters in patients with chronic stroke. METHODS: Twenty post-stroke patients participated in this study. Each participant performed tests under three conditions (TST, barefoot, and conventional ankle-foot orthosis [AFO]), in random order...
May 2, 2018: Topics in Stroke Rehabilitation
Sarafraz Hadi, Otadi Khadijeh, Mohammadreza Hadian, Ayoobi Yazdi Niloofar, Gholamreza Olyaei, Bagheri Hossein, Sandra Calvo, Pablo Herrero
Objectives The objective of this study was to assess the short-term effects of dry needling on spasticity, gait, and muscle architecture of patients with chronic stroke. Methods A case series study was designed; and six chronic stroke patients with ankle spasticity and gait impairment received a single session of dry needling for gastrocnemius medialis, lateralis, and soleus muscles. The main outcome measures were the Modified Modified Ashworth Scale (MMAS), and Timed Up and Go test (TUG). In addition, ultrasonography measurements (e...
April 23, 2018: Topics in Stroke Rehabilitation
M M Wentink, J Meesters, M A M Berger, A J de Kloet, E Stevens, G P H Band, C H Kromme, R Wolterbeek, P H Goossens, T P M Vliet Vlieland
Background Computer-based cognitive rehabilitation is used to improve cognitive functioning after stroke. However, knowledge on adherence rates of stroke patients is limited. Objective To describe stroke patients' adherence with a brain training program using two frequencies of health professionals' supervision. Methods This study is part of a randomized controlled trial comparing the effect of the brain training program (600 min playtime with weekly supervision) with a passive intervention in patients with self-perceived cognitive impairments after stroke...
April 17, 2018: Topics in Stroke Rehabilitation
Emilie Hutin, Mouna Ghédira, Catherine-Marie Loche, Valentina Mardale, Catherine Hennegrave, Jean-Michel Gracies, Nicolas Bayle
Objectives Reliability of clinical tests to evaluate ambulation in chronic hemiparesis may vary according to the testing condition. The 10-meter ambulation test (AT10) assesses walking speed and step length over 10 m, starting and ending in seated position. In the present study, we compared the intra- and inter-reliability of AT10 in chronic hemiparesis in four different conditions: with shoes and barefoot, at free and maximal safe speed. Methods Ten patients with hemiparesis, >1 year post-stroke (age 45 ± 12, time since stroke 16 ± 9 months, mean ± SD) participated in the reliability study (registration, ID-RCB-2017-A00090-53)...
April 17, 2018: Topics in Stroke Rehabilitation
Marykay A Pavol, Clare C Bassile, Jennifer R Lehman, Emma Harmon, Nancy Ferreira, Brittany Shinn, Nancy St James, Jacqueline Callender, Joel Stein
OBJECTIVE: Training and implementation for a multidisciplinary stroke rehabilitation method emphasizing procedural memory. BACKGROUND: Current practice in stroke rehabilitation relies on explicit memory, often compromised by stroke, failing to capitalize on better-preserved procedural memory skills. Recruitment of procedural memory requires consistency and practice, characteristics difficulty to promote on inpatient rehabilitation units. We designed a method Modified Approach to Stroke Rehabilitation (MAStR) to maximize consistency and practice for transfer training with stroke patients...
April 3, 2018: Topics in Stroke Rehabilitation
Matthew Barrett, John Charles Snow, Megan C Kirkland, Liam P Kelly, Maria Gehue, Matthew B Downer, Jason McCarthy, Michelle Ploughman
Background and Purpose Previous research suggests that patients receiving inpatient stroke rehabilitation are sedentary although there is little data to confirm this supposition within the Canadian healthcare system. The purpose of this cross-sectional study was to observe two weeks of inpatient rehabilitation in a tertiary stroke center to determine patients' activity levels and sedentary time. Methods Heart rate (HR) and accelerometer data were measured using an Actiheart monitor for seven consecutive days, 24 h/day, on the second week and the last week of admission...
April 3, 2018: Topics in Stroke Rehabilitation
Gabrielle M Harris, Janet Prvu Bettger
Background Stroke is a leading cause of disability in the United States, resulting in physical, cognitive, and emotional impairments. One in ten strokes occur in adults younger than 50 years of age and the incidence has increased approximately 44% from 2000 to 2010. Young adult survivors have specific needs related to their developmental stage including childcare responsibilities. Despite the high value placed on parenting by society, parenting is currently not assessed at any stage of stroke rehabilitation...
April 2, 2018: Topics in Stroke Rehabilitation
Rahul Malhotra, Choy-Lye Chei, Edward Balan Menon, Wai-Leng Chow, Stella Quah, Angelique Chan, Shweta Ajay, David Bruce Matchar
Objective To delineate positive aspects of caregiving trajectories among family caregivers of stroke-survivors and determine the impact of stroke-survivor disability, a time-varying factor, on the delineated trajectories. Methods In a longitudinal study, family caregivers of 173 stroke-survivors in Singapore were administered the Positive Aspects of Caregiving scale (PAC scale) thrice (baseline/3 months/6 months). Group-based trajectory modeling delineated positive aspects of caregiving trajectories and identified the impact of stroke-survivor disability on the trajectories...
March 26, 2018: Topics in Stroke Rehabilitation
Cynthia Campos, Vincent G DePaul, Svetlana Knorr, Jennifer S Wong, Avril Mansfield, Kara K Patterson
Background Slow and asymmetric gait post-stroke may reduce the accuracy of accelerometers (e.g. ActiGraph [AG]) to measure activity. Objectives To (1) determine the validity of AG step counts post-stroke; (2) develop guidelines for low frequency extension filter (LFE) use; and (3) determine the feasibility of daily accelerometer wear. Methods Adults with (n = 33) and without stroke (n = 20) wore three devices for approximately 7 h on a single day: ankle AG, waist AG, and a reference accelerometer at the ankle (REFA)...
May 2018: Topics in Stroke Rehabilitation
Natsuki Shimizu, Hiroyuki Hashidate, Tomohiro Ota, Akihiko Saito
Background Activity monitors are known to provide quantitative evaluation of physical activity in people with stroke. However, little evidence is available on the test-retest reliability and suitable measuring conditions for evaluating physical activity with an activity monitor in people with subacute stroke at a hospital setting. Objectives To evaluate reliability of physical activity measurement using an activity monitor in different measuring conditions in hospitalized people with subacute stroke according to gait ability...
May 2018: Topics in Stroke Rehabilitation
Amanda Larén, Amanda Odqvist, Per-Olof Hansson, Carina U Persson
Objective Little is known about which factors are associated with a patient's fear of falling (FoF) after acute stroke. The aim of this study was to investigate baseline variables and their association with FoF during rehabilitation in acute stroke. Patients and methods The study population consisted of the 462 patients with acute stroke who were admitted to a stroke unit, included in the observational study "The Fall Study in Gothenburg (FallsGOT)" and were able to answer a single question: "Are you afraid of falling?" (Yes/No)...
May 2018: Topics in Stroke Rehabilitation
Claudia Kim Nyberg, Jan Egil Nordvik, Frank Becker, Darius A Rohani, Donatas Sederevicius, Anders M Fjell, Kristine B Walhovd
Background Computerized cognitive training is suggested to enhance attention and working memory functioning following stroke, but effects on brain and behavior are not sufficiently studied and longitudinal studies assessing brain and behavior relationships are scarce. Objective The study objectives were to investigate relations between neuropsychological performance post-stroke and white matter microstructure measures derived from diffusion tensor imaging (DTI), including changes after 6 weeks of working memory training...
May 2018: Topics in Stroke Rehabilitation
Margaret A French, Susanne M Morton, Ryan T Pohlig, Darcy S Reisman
Background A single nucleotide polymorphism, Val66Met, in the Brain Derived Neurotrophic Factor (BDNF) gene has been studied for its role in recovery following stroke. Despite this work, the role of BDNF genotype on long-term recovery is unclear. Additionally, no study has examined its impact on functional mobility. As a result, the purpose of this study was to examine the relationship between BDNF genotype and functional mobility in chronic stroke survivors by first accounting for factors related to the Val66Met polymorphism and post-stroke recovery...
May 2018: Topics in Stroke Rehabilitation
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