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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
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...
May 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
Jonas Schröder, Steven Truijen, Tamaya Van Criekinge, Wim Saeys
Purpose It is hypothesized that peripheral somatosensory stimulation (PSS) can promote postural recovery after stroke by increasing afferent input and postural contribution of the paretic leg. Therefore, this systematic review aims to investigate which PSS approaches are documented and investigated on effectiveness. Methods Five databases (PubMed, Web of Science, PEDro, Cochrane Library Trials, RehabData) have been searched on clinical studies in stroke rehabilitation, investigating PSS, which is defined as a non-motor and focal stimulation to the paretic leg aiming an increase in somatosensory input...
May 2018: Topics in Stroke Rehabilitation
Gunhild Mo Hansen, Susanne Wulff Svendsen, Iris Brunner, Jørgen Feldbæk Nielsen
Background Several predictors have been associated with upper extremity (UE) recovery after stroke, but characteristics that predict shoulder function after constraint-induced movement therapy (CIMT) have not yet been identified. Objectives To identify predictors associated with satisfactory shoulder function in patients with reduced shoulder function at admission to CIMT. Methods One hundred and seventy five patients were treated using CIMT while in a specialized inpatient hospital. Satisfactory shoulder function was defined according to the functional ability scale of the Wolf Motor Function test...
May 2018: Topics in Stroke Rehabilitation
Kimberly Hreha, Glen Gillen, Natalia Noce, Dawn Nilsen
Background Strokes resulting in cognitive and motor problems can be debilitating and prolong recovery. Risk of a second stroke occurs for 40% of all first-time stroke survivors within five years. Prism adaptation treatment (PAT) may simultaneously improve functions of both spatial and motor systems. This has not been studied with a cohort comprised of multiple strokes nor measured change using specific motor outcomes. Objectives To determine the feasibility and effectiveness of using PAT to improve spatial and motor functions in stroke survivors with multiple strokes...
May 2018: Topics in Stroke Rehabilitation
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