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Topics in Stroke Rehabilitation

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https://www.readbyqxmd.com/read/28107807/continuous-theta-burst-stimulation-may-improve-visuospatial-neglect-via-modulating-the-attention-network-a-randomized-controlled-study
#1
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
#2
Young-Hyeon Bae, Suck 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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28024459/post-acute-hospital-healthcare-services-for-people-with-mild-stroke-a-scoping-review
#7
Tenelle Hodson, Louise Gustafsson, Petrea Cornwell, Amanda Love
BACKGROUND: People with mild stroke comprise a significant proportion of the overall stroke population. Previously this population has been viewed as having limited impairments, receiving minimal services following hospital discharge. Recent findings demonstrate that the implications of mild stroke are more significant than originally comprehended, warranting further services. OBJECTIVES: To identify the evidence-base regarding services for people with mild stroke, post-acute hospital discharge, that target secondary prevention and/or changes following stroke...
December 26, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27998242/the-effect-of-isolating-the-paretic-limb-on-weight-bearing-distribution-and-emg-activity-during-squats-in-hemiplegic-and-healthy-individuals
#8
Dong-Kyu Lee, Duk-Hyun An, Won-Gyu Yoo, Byong-Yong Hwang, Tae-Ho Kim, Jae-Seop Oh
BACKGROUND: Neural reorganization for movement therapy after a stroke is thought to be an important mechanism that facilitates motor recovery. However, there is a lack of evidence for the effectiveness of exercise programs in improving the lower limbs. OBJECTIVE: We investigated the immediate effect of isolating the paretic limb using different foot positions ((i) foot parallel; both feet parallel, (ii) foot asymmetry; paretic foot backward by 10 cm, and (iii) foot lifting; nonparetic foot lifting by normalization to 25% of knee height) on weight-bearing distribution and electromyography (EMG) of the thigh muscle during squats...
December 21, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27996894/motivation-expectations-and-usability-of-a-driven-gait-orthosis-in-stroke-patients-and-their-therapists
#9
Eva Swinnen, Nina Lefeber, Ward Willaert, Fallon De Neef, Lyn Bruyndonckx, Annemie Spooren, Marc Michielsen, Tine Ramon, Eric Kerckhofs
BACKGROUND: In the development of efficacious driven gait orthoses (DGO), it is an added value to consider patients' and therapists' perspectives concerning robot-assisted gait training (RAGT). A better understanding of these issues may improve the process of care and outcome. OBJECTIVES: This study aimed to examine stroke patients' motivation and expectations of RAGT, and therapists' expectations and perspectives on the usability of RAGT. Additionally, the differences in expectations between stroke patients and their therapists were analyzed...
December 20, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27915583/the-six-minute-walk-test-predicts-cardiorespiratory-fitness-in-individuals-with-aneurysmal-subarachnoid-hemorrhage
#10
Wouter J Harmsen, Gerard M Ribbers, Jorrit Slaman, Majanka H Heijenbrok-Kal, Ladbon Khajeh, Fop van Kooten, Sebastiaan J C M M Neggers, Rita J van den Berg-Emons
BACKGROUND: Peak oxygen uptake (VO2peak) established during progressive cardiopulmonary exercise testing (CPET) is the "gold-standard" for cardiorespiratory fitness. However, CPET measurements may be limited in patients with aneurysmal subarachnoid hemorrhage (a-SAH) by disease-related complaints, such as cardiovascular health-risks or anxiety. Furthermore, CPET with gas-exchange analyses require specialized knowledge and infrastructure with limited availability in most rehabilitation facilities...
December 5, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27881044/promoting-physical-activity-in-hospitalized-patients-with-mild-ischemic-stroke-a-pilot-study
#11
Masashi Kanai, Masafumi Nozoe, Kazuhiro P Izawa, Yuka Takeuchi, Hiroki Kubo, Kyoshi Mase, Shinichi Shimada
BACKGROUND: Patients with acute stroke spend most of their hospital day inactive. However, a method to promote physical activity (PA) in stroke has not been established. OBJECTIVE: To evaluate the effectiveness of promoting PA by enhancing self-efficacy in hospitalized patients with mild ischemic stroke. DESIGN: Pre-post interventional study. METHODS: Hospitalized patients with mild ischemic stroke who could walk without assistance were recruited...
November 24, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27808012/the-effect-of-water-based-exercises-on-balance-in-persons-post-stroke-a-randomized-controlled-trial
#12
Kelvin Chan, Chetan P Phadke, Denise Stremler, Lynn Suter, Tim Pauley, Farooq Ismail, Chris Boulias
OBJECTIVE: Water-based exercises have been used in the rehabilitation of people with stroke, but little is known about the impact of this treatment on balance. This study examined the effect of water-based exercises compared to land-based exercises on the balance of people with sub-acute stroke. METHODS: In this single-blind randomized controlled study, 32 patients with first-time stroke discharged from inpatient rehabilitation at West Park Healthcare Centre were recruited...
November 3, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27796177/effects-of-virtual-reality-for-stroke-individuals-based-on-the-international-classification-of-functioning-and-health-a-systematic-review
#13
Gisele Carla Dos Santos Palma, Tatiana Beline Freitas, Giordano Márcio Gatinho Bonuzzi, Marcos Antonio Arlindo Soares, Paulo Henrique Wong Leite, Natália Araújo Mazzini, Murilo Ruas Groschitz Almeida, José Eduardo Pompeu, Camila Torriani-Pasin
OBJECTIVE: This review determines the effects of virtual reality interventions for stroke subjects based on the International Classification of Functioning, Disability,and Health (ICF) framework. Virtual reality is a promising tool for therapy for stroke rehabilitation, but the effects of virtual reality interventions on post-stroke patients based on the specific ICF domains (Body Structures, Body Functions, Activity, and Participation) have not been investigated. METHOD: A systematic review was conducted, including trials with adults with a clinical diagnosis of a chronic, subacute, or acute stroke...
October 31, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27322733/validating-accelerometry-as-a-measure-of-physical-activity-and-energy-expenditure-in-chronic-stroke
#14
Monica C Serra, Elizabeth Balraj, Beth L DiSanzo, Frederick M Ivey, Charlene E Hafer-Macko, Margarita S Treuth, Alice S Ryan
BACKGROUND: Accelerometers can objectively measure steps taken per day in individuals without gait deficits, but accelerometers also have the ability to estimate frequency, intensity, and duration of physical activity. However, thresholds to distinguish varying levels of activity intensity using the Actical brand accelerometer are standardized only for the general population and may underestimate intensity in stroke. OBJECTIVE: To derive Actical activity count thresholds specific to stroke disability for use in more accurately gauging time spent at differing activity levels...
January 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27145292/efficacy-of-transcranial-alternating-current-stimulation-over-bilateral-mastoids-tacsbm-on-enhancing-recovery-of-subacute-post-stroke-patients
#15
Jun-Fa Wu, Hai-Jue Wang, Yi Wu, Fang Li, Yu-Long Bai, Peng-Yu Zhang, Chetwyn C H Chan
BACKGROUND AND AIMS: Transcranial alternating current stimulation (tACS) offers another method of non-invasive brain stimulation in post-stroke rehabilitation. Because it is not known if tACS over bilateral mastoids (tACSbm) can promote the functional recovery in subacute post-stroke patients, we wish to learn the effect of tACSbm on improving neurological function and intracranial hemodynamics of subacute post-stroke patients. METHODS: Sixty subacute post-stroke patients (mean age: 65...
December 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/26431365/adding-transcutaneous-electrical-nerve-stimulation-to-visual-scanning-training-does-not-enhance-treatment-effect-on-hemispatial-neglect-a-randomized-controlled-double-blind-study
#16
Joanna Seniów, Katarzyna Polanowska, Marcin Leśniak, Anna Członkowska
BACKGROUND: Left-sided transcutaneous electrical nerve stimulation (TENS) increases right hemispheric activity, which may improve the rehabilitative outcome of hemispatial neglect. OBJECTIVE: To examine the behavioral effect of electrical stimulation of the nerve afferents of the left hand during early neuropsychological rehabilitation of post-stroke patients with hemispatial neglect. METHODS: This randomized, controlled, double-blind study included 29 patients (enrolled in the experimental or control group) with left hemispatial neglect after right hemispheric stroke...
December 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/26427599/contributions-of-voluntary-activation-deficits-to-hand-weakness-after-stroke
#17
Gilles Hoffmann, Megan O Conrad, Dan Qiu, Derek G Kamper
BACKGROUND: Hemiparetic stroke survivors often exhibit profound weakness in the digits of the paretic hand, but the relative contribution of potential biomechanical and neurological impairment mechanisms is not known. Establishing sources of impairment would help in guiding treatment. OBJECTIVE: The present study sought to quantify the role of diminished capacity to voluntarily active finger flexor and extensor muscles as one possible neurological mechanism. METHODS: Two groups of stroke survivors with "severe" (N = 9) or "moderate" (N = 9) hand impairment and one group of neurologically intact individuals (N = 9) participated...
December 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/26382725/objective-fall-risk-detection-in-stroke-survivors-using-wearable-sensor-technology-a-feasibility-study
#18
Ruth E Taylor-Piliae, M Jane Mohler, Bijan Najafi, Bruce M Coull
BACKGROUND: Stroke survivors often have persistent neural deficits related to motor function and sensation, which increase their risk of falling, most of which occurs at home or in community settings. The use of wearable technology to monitor fall risk and gait in stroke survivors may prove useful in enhancing recovery and/or preventing injuries. OBJECTIVE: Determine the feasibility of using wearable technology (PAMSys™) to objectively monitor fall risk and gait in home and community settings in stroke survivors...
December 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27760505/pilot-randomized-controlled-trial-to-assess-a-physical-therapy-program-on-upper-extremity-function-to-counteract-inactivity-in-chronic-stroke
#19
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
https://www.readbyqxmd.com/read/27098818/efficacy-of-a-virtual-reality-commercial-gaming-device-in-upper-limb-recovery-after-stroke-a-randomized-controlled-study
#20
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
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