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Topics in Stroke Rehabilitation

M Luz Sánchez-Sánchez, Maria-Arántzazu Ruescas-Nicolau, José-Antonio Pérez-Miralles, Elena Marqués-Sulé, Gemma-Victoria Espí-López
BACKGROUND: In chronic stroke, feasible physical therapy (PT) programs are needed to promote function throughout life. OBJECTIVE: This randomized controlled pilot trial investigated the feasibility and effect of a PT program composed of strengthening exercises with elastic bands and bimanual functional training, with clearly defined doses based on the rate of perceived exertion (Borg scale), to counteract inactivity in chronic stroke. METHODS: Fifteen subjects > 6 month post-stroke were randomized to three-month of UE function training (UE group), or to lower extremity function training (LE group)...
October 19, 2016: Topics in Stroke Rehabilitation
Dimitrios Theofanidis
BACKGROUND: Improving stroke outcomes by educating nurses in state-of-the-art stroke nursing skills is essential, but unfortunately, to date, there are limited validated stroke assessment scales for routine clinical and research use in Greece. OBJECTIVE: The aim of this paper is to validate and culturally adapt three internationally recognised stroke scales for use in Greece. METHODS: A critical appraisal of the international literature was undertaken to identify suitable scales to assess stroke impact: neurological, functional status and level of dependence...
September 29, 2016: Topics in Stroke Rehabilitation
Fumihiro Matsuda, Masahiko Mukaino, Kei Ohtsuka, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Toshio Teranishi, Yoshikiyo Kanada, Hitoshi Kagaya, Eiichi Saitoh
BACKGROUND: The toe clearance of a paretic limb in the swing phase of gait is related to tripping, which is considered a major cause of falls. The biomechanical factors for obtaining toe clearance are more complicated in hemiparetic gait than that in normal gait because of the compensatory movements during swing phase. Understanding the biomechanical factors should help in targeting the point for rehabilitative interventions. OBJECTIVE: To clarify the biomechanical factors behind toe clearance during swing phase in hemiparetic gait...
September 27, 2016: Topics in Stroke Rehabilitation
V Prakash, Mohan Ganesan, R Vasanthan, K Hariohm
OBJECTIVES: In India, post-stroke outcomes are determined using functional outcome measures (FOMs), the contents of which have not been validated for their relevance to the Indian population. In this study, we aimed to evaluate the cultural validity of five frequently used stroke-specific FOMs by comparing their contents with the problems reported by patients with stroke in India. METHODS: Face-to-face structured interviews were conducted with 152 patients diagnosed with stroke in India...
September 27, 2016: Topics in Stroke Rehabilitation
Ashlee Dunn, Dianne L Marsden, Paulette Van Vliet, Neil J Spratt, Robin Callister
BACKGROUND: Most exercise interventions for stroke survivors are designed for those who have substantial motor and functional disabilities. There remains a group of well-recovered stroke survivors who have yet to be investigated in terms of their physical capacity and fitness levels. OBJECTIVE: To assess and compare the physical capacities of independently ambulant, community-dwelling stroke survivors to age- and gender-matched comparison participants. METHODS: Data were obtained from 17 stroke survivors participating in the How FITSS? Trial, all with functional ambulatory category of ≥4 and a self-selected walking speed ≥0...
September 27, 2016: Topics in Stroke Rehabilitation
Camila Caminha Caro, Paulo Vinicius Braga Mendes, Jacqueline Denubila Costa, Lauren Jane Nock, Daniel Marinho Cezar da Cruz
BACKGROUND: Stroke is a chronic disease responsible for changes in the functional capacity of the patients. Patient care is usually provided by family caregivers, but with great burden and negative impact on their quality of life. OBJECTIVES: (1) To investigate whether a correlation existed between the levels of independence and cognition in stroke patients and the burden and quality of life of their caregivers; (2) to assess whether periods of injury, rehabilitation and care, and age of the stroke patients interfered with these correlations...
September 19, 2016: Topics in Stroke Rehabilitation
Chieh Grace Lau, Wai Kwong Tang, Xiang Xin Liu, Hua Jun Liang, Yan Liang, Adrian Wong, Vincent Mok, Gabor S Ungvari, Ka Sing Wong, Jong S Kim, Sergio Paradiso
BACKGROUND AND OBJECTIVE: Aggression and agitation are common after a stroke. The association between agitation/aggression following stroke and Health-Related Quality of Life (HRQoL) in stroke survivors is unknown. This study aimed to examine the association between agitation/aggression and HRQoL in Chinese stroke survivors. METHODS: Three hundred and twenty-four stroke patients entered this cross-sectional study. Agitation/aggression was assessed using the Chinese version of Neuropsychiatric Inventory (CNPI)...
September 7, 2016: Topics in Stroke Rehabilitation
Woo-Sub Kim, Min Joo Kim
OBJECTIVE: Patients with post-stroke hemiplegia have difficulty with body weight support during walking. However, it is unclear which intra-limb strategy for body weight support tends to predominate, and how the intra-limb strategy is related to gait function. Support moment and individual joint contribution to support moment are the parameters that reflect intra-limb strategy for body weight supporting. The aim of this study was to test whether support moment and individual joint contributions differed between post-stroke subjects with different gait function...
August 12, 2016: Topics in Stroke Rehabilitation
M M Xiaolin Gu
OBJECTIVE: The study aimed to evaluate potential risk factors of sleep disorder in stroke patients by conducting a meta-analysis. METHODS: Relevant articles were searched in PubMed, Medline, Springer, Elsevier, Science Direct, Cochrane Library, and Google scholar database up to May 2014. The effect size of risk factors, including gender, hypertension, diabetes mellitus, dyslipidemia, smoking, alcohol use, previous stroke, chronic obstructive pulmonary disease (COPD), and habitual snoring were measured by odds ratio (OR) and corresponding 95% confidence interval (95% CI)...
August 12, 2016: Topics in Stroke Rehabilitation
Zachary C Merz, Ryan Van Patten, Kyler Mulhauser, Robert Fucetola
BACKGROUND: The reintegration to normal living index (RNLI) is a global assessment of patient quality of life often utilized in stroke populations. Previous studies in various general disability samples have consistently reported a two-factor solution for the RNLI. Despite its common use with stroke patients, the RNLI has not been psychometrically evaluated in an exclusively stroke sample. This study is believed to represent the first factor analysis of the RNLI using a sample comprised exclusively of individuals who have survived cerebral infarct...
August 3, 2016: Topics in Stroke Rehabilitation
Elizabeth L Hoover, David N Caplan, Gloria S Waters, Anne Carney
BACKGROUND: Intensive Comprehensive Aphasia Programs (ICAPs) have developed in response to a growing need for treatments which produce changes in language function in people with aphasia, especially in the chronic phase of recovery. ICAPs are growing in number and several papers have presented preliminary results of their use, but little data exist about their efficacy or effectiveness. OBJECTIVE: This paper explores the communication effects of an ICAP program that incorporated evidenced-based individual and group treatment in an interprofessional program...
July 26, 2016: Topics in Stroke Rehabilitation
Pierce Boyne, Darcy Reisman, Michael Brian, Brian Barney, Ava Franke, Daniel Carl, Jane Khoury, Kari Dunning
BACKGROUND: After stroke, aerobic deconditioning can have a profound impact on daily activities. This is usually measured by the peak oxygen consumption rate achieved during exercise testing (VO2-peak). However, VO2-peak may be distorted by motor function. The oxygen uptake efficiency slope (OUES) and VO2 at the ventilatory threshold (VO2-VT) could more specifically assess aerobic capacity after stroke, but this has not been tested. OBJECTIVES: To assess the differential influence of motor function on three measures of aerobic capacity (VO2-peak, OUES, and VO2-VT) and to evaluate the inter-rater reliability of VO2-VT determination post-stroke...
July 25, 2016: Topics in Stroke Rehabilitation
Keng-He Kong, Yong-Joo Loh, Ernest Thia, Audrey Chai, Chwee-Yin Ng, Yan-Ming Soh, Shirlene Toh, Soon-Yin Tjan
OBJECTIVE: To compare the efficacy of a virtual reality commercial gaming device, Nintendo wii (NW) with conventional therapy and customary care in facilitating upper limb recovery after stroke. DESIGN: Randomized, controlled, single-blinded study. SETTING: Tertiary rehabilitation center. PARTICIPANTS: 105 subjects admitted to in inpatient rehabilitation program within 6 weeks of stroke onset. INTERVENTIONS: Subjects were randomly assigned to one of three groups of upper limb exercises: (1) NW gaming; (2) conventional therapy; (3) control...
October 2016: Topics in Stroke Rehabilitation
Eun-Ju Kuk, Jong-Man Kim, Duck-Won Oh, Han-Jeong Hwang
BACKGROUND: Previous reports have suggested that action observation training (AOT) is beneficial in enhancing the early learning of new motor tasks; however, EEG-based investigation has received little attention for AOT. OBJECTIVE: The purpose of this study was to illustrate the effects of AOT on hand dexterity and cortical activation in patients with post-stroke hemiparesis. METHOD: Twenty patients with post-stroke hemiparesis were randomly divided into either the experimental group (EG) or control group (CG), with 10 patients in each group...
October 2016: Topics in Stroke Rehabilitation
Stephen L Parsons, Avril Mansfield, Elizabeth L Inness, Kara K Patterson
OBJECTIVES: Stroke rehabilitation best practices recommend interventions to address individual deficits, guided by a comprehensive assessment to identify specific impairments. The relationship of motor impairments to balance has been well investigated, but the role of impaired plantar cutaneous sensation is less understood, despite the fact that 41% of individuals post-stroke have this deficit. The study objectives were to (1) characterize the relationship between plantar sensation and measures of standing balance control and (2) determine the threshold of sensory impairment related to balance impairment post-stroke...
October 2016: Topics in Stroke Rehabilitation
Hiroki Tanikawa, Kei Ohtsuka, Masahiko Mukaino, Keisuke Inagaki, Fumihiro Matsuda, Toshio Teranishi, Yoshikiyo Kanada, Hitoshi Kagaya, Eiichi Saitoh
BACKGROUND: Gait assessment is important to determine the most effective strategy to regain gait function during stroke rehabilitation. To understand the mechanisms that cause abnormal gait patterns, it is useful to objectively identify and quantify the abnormal gait patterns. Objective assessment also helps evaluate the efficacy of treatments and can be used to provide suggestions for treatment. OBJECTIVE: To evaluate the validity of quantitative indices for retropulsion of the hip, excessive hip external rotation, and excessive lateral shift of the trunk over the unaffected side in hemiplegic patients...
October 2016: Topics in Stroke Rehabilitation
Karen Salter, Amie Musovic, Nicholas F Taylor
BACKGROUND Progressive resistance training (PRT) can improve strength and function in people with chronic stroke, but less is known about whether this intervention is safe and beneficial during the first 3 months following stroke. OBJECTIVE To systematically review the evidence about the safety and effectiveness of PRT to improve activity in people within the first 3 months after stroke. METHODS After database searching and selection of studies a risk of bias assessment was conducted. Data for the primary outcome of safety was synthesised descriptively and meta-analyses for other outcomes were conducted using a random effects model...
October 2016: Topics in Stroke Rehabilitation
Grace Oluwatitofunmi Vincent-Onabajo, Louis Oselene Ihaza, Muhammad Usman Ali, Mamman Ali Masta, Rebecca Majidadi, Ali Modu, Chuka Umeonwuka
BACKGROUND: Participation which entails involvement in life situations and represents a higher level of functioning can be severely restricted after a stroke. This study investigated the impact of social support on participation of stroke survivors in Nigeria. METHODS: Ninety-six community-residing stroke survivors were recruited from physiotherapy outpatient departments of two tertiary care hospitals in Northern Nigeria. Socio-demographic, clinical, participation (London Handicap Scale), and social support (Multidimensional Scale of Perceived Social Support) data were obtained...
October 2016: Topics in Stroke Rehabilitation
Susan K Ward, Alyna Turner, John A Hambridge, Sean A Halpin, Megan E Valentine, Anne L Sweetapple, Jennifer H White, Maree L Hackett
BACKGROUND: Depression in stroke survivors is common, leads to poorer outcomes and often not treated. A group cognitive behavioural therapy (CBT) program (Brainstorm) for stroke survivors with depression, and their carers has been running as part of usual care since 2007. OBJECTIVE: To evaluate the implementation and acceptability of Brainstorm, a closed group intervention consisting of up to 10 sessions of education, activity planning, problem solving and thought challenging...
October 2016: Topics in Stroke Rehabilitation
Ganesh M Babulal, Lisa Tabor Connor
OBJECTIVES: The purpose of this paper is to present the development and psychometric properties of a new environmental measure that identifies barriers and facilitators in receptivity, physical environment and communication for post-stroke populations, including survivors with aphasia. METHODS: The Measure of Stroke Environment (MOSE) was developed using information from semi-structured interviews and three pilot studies. Reliability and validity were assessed in 43 post-stroke participants...
October 2016: Topics in Stroke Rehabilitation
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