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Topics in Stroke Rehabilitation

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https://www.readbyqxmd.com/read/29334344/content-validity-and-satisfaction-with-a-caregiver-integrated-web-based-rehabilitation-intervention-for-persons-with-stroke
#1
Sarah Blanton, Sandra Dunbar, Patricia C Clark
Background Family members provide valuable contributions during rehabilitation after stroke, but frequently report higher incidences of burden, depression, and social isolation during caregiving. Thus, effective interventions to reduce stroke impact on the family are needed. Objectives To evaluate the content validity and satisfaction of a caregiver-focused web-based intervention designed to improve stroke survivor physical function while reducing caregiver negative outcomes. Methods Caregivers of individuals with stroke (N = 6) and expert rehabilitation researchers (N = 4) were presented with a novel, web-based intervention (CARE-CITE) designed to foster problem-solving and skill-building while facilitating caregiver involvement during constraint-induced movement therapy...
January 15, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29334332/quantifying-lower-extremity-and-trunk-function-for-dressing-in-stroke-patients-a-retrospective-observational-study
#2
Takaaki Fujita, Atsushi Sato, Kazuaki Iokawa, Kazuhiro Yamane, Yuichi Yamamoto, Yoko Ohira, Koji Otsuki, Fusae Tozato
Background Dressing performance relates strongly with balance function, and it is mainly influenced by the motor functions of the affected and unaffected lower extremity and trunk function in stroke patients. For the remedial approach to be effective, ascertaining the degree of function needed in the affected and unaffected lower extremities and trunk to achieve balance function requisite for dressing is necessary. Objectives This study aimed to elucidate standards of lower extremity and trunk function necessary for stroke patients to gain balance requisite for dressing...
January 15, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29334331/transport-mobility-5%C3%A2-years-after-stroke-in-an-urban-setting
#3
Hanna C Persson, Helena Selander
Background People after stroke may have residual problems with mobility that can affect their independence and mode of transport. However, there is limited knowledge about transport mobility several years after stroke. Objective The objective was to survey the outdoor mobility and transportation in an urban setting five years post-stroke. Method This cross-sectional study was based on a mail survey focusing on long-term consequences after stroke. The survey comprises a set of self-evaluated questionnaires and was sent to 457 persons, of whom 281 responded (61...
January 15, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29322885/analysis-of-a-15-years-experience-in-including-shoulder-muscles-when-treating-upper-limb-spasticity-post-stroke-with-botulinum-toxin-type-a
#4
Maria Pais de Carvalho, Daniela Pinto, Melissa Gorayeb, Jorge Jacinto
Background Botulinum toxin type-A (BoNTA) is a recognized treatment for upper limb spasticity (ULS) after stroke, but there aren't many studies analyzing its effect in shoulder muscles. Objective To evaluate the efficacy of BoNTA injections for ULS, when shoulder muscles are included. Methods A cross-sectional study. Data from clinical forms of outpatients, treated at a Rehabilitation Center (2001-2016). Analyzes: goals of treatment; demographic characteristics/goal; treatment success, using Goal Attainment Scaling...
January 11, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29322861/community-mobility-after-stroke-a-systematic-review
#5
Steven Wesselhoff, Timothy A Hanke, Christian C Evans
Background Stroke is the leading cause of severe disability and many survivors report long-term physical or cognitive impairments that may impact their ability to achieve community mobility (CM). PURPOSE: To determine the extent to which people with chronic stroke achieve CM compared to age-matched norms or non-neurologically impaired controls. Methods The StrokEDGE outcome measures were searched to identify validated tools that included >25% of items addressing CM. MEDLINE, CINAHL, Google Scholar, PubMed, PEDro and the Cochrane databases were searched from 2001 to 2015 with the identified outcome measures cross-referenced against search terms related to stroke and CM...
January 11, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29237339/multimodal-rehabilitation-in-the-late-phase-after-stroke-enhances-the-life-situation-of-informal-caregivers
#6
Lina Bunketorp-Käll, Åsa Lundgren-Nilsson, Michael Nilsson, Christian Blomstrand
Purpose The burden of caregiving for stroke survivors is well known, but the effect of late stroke rehabilitation on the life situation of informal caregivers is unknown. Here, we assessed changes in the life situation of informal caregivers of stroke survivors enrolled in a multimodal intervention trial. Methods This controlled study was a questionnaire-based survey accompanying a three-armed randomized controlled trial of 123 stroke survivors. The care recipients of 106 caregivers who chose to participate were assigned to rhythm-and-music-based therapy (R-MT; n = 37), horse-riding therapy (H-RT; n = 37), or delayed intervention (control group, n = 32)...
December 13, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29226780/individuals-perception-about-upper-limb-influence-on-participation-after-stroke-an-observational-study
#7
Renata Morales Banjai, Sandra Maria Sbeghen Ferreira de Freitas, Flavia Paiva da Silva, Sandra Regina Alouche
Background Stroke can compromise upper limb performance and influence the individual's participation in real life situations. Objective To investigate how components of body function and activity affect the individuals' self-perception of their participation after stroke. Methods In this observational study, the International Classification of Functioning, Disability and Health was used as model. Body function was assessed by palmar grip and pinch strength; Ashworth modified scale; Fugl-Meyer scale; and Motor-Free Visual Perception Test...
December 10, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29216792/quadriceps-muscle-thickness-changes-in-patients-with-aneurysmal-subarachnoid-hemorrhage-during-the-acute-phase
#8
Masafumi Nozoe, Masashi Kanai, Hiroki Kubo, Miki Kobayashi, Miho Yamamoto, Shinichi Shimada, Kyoshi Mase
Background Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition that often leads to severe disability in relatively young and healthy people. This disability is physical in many aSAH survivors, so muscle dysfunction may be an important factor in the functional level of these patients. Thus, measuring muscle thickness represents a suitable method for determining muscle function in patients with acute aSAH, because the disordered consciousness often experienced during the acute phase causes active movement to be difficult for these patients...
December 8, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29157174/erratum
#9
(no author information available yet)
No abstract text is available yet for this article.
November 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29130404/differences-in-neural-pathways-are-related-to-the-short-or-long-term-benefits-of-constraint-induced-movement-therapy-in-patients-with-chronic-stroke-and-hemiparesis-a-pilot-cohort-study
#10
Takashi Takebayashi, Kohei Marumoto, Kayoko Takahashi, Kazuhisa Domen
Background No previous studies have determined how the post-stroke integrity of non-corticospinal neural pathways relates to the efficacy of constraint-induced movement therapy (CIMT). Objectives We aimed to clarify the relationship between several non-corticospinal neural pathway integrities and the short- and long-term benefits of CIMT. Methods This was a pilot cohort study (UMIN registration number: R00027136UMIN000023566), for which we enrolled 13 patients with chronic stroke and hemiparesis who had undergone CIMT...
November 13, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29105605/the-feasibility-of-an-acute-high-intensity-exercise-bout-to-promote-locomotor-learning-after-stroke
#11
Charalambos C Charalambous, Erin E Helm, Kristin A Lau, Susanne M Morton, Darcy S Reisman
BACKGROUND: People post-stroke can learn a novel locomotor task but require more practice to do so. Implementing an approach that can enhance locomotor learning may therefore improve post-stroke locomotor recovery. In healthy adults, an acute high-intensity exercise bout before or after a motor task may improve motor learning and has thus been suggested as a method that could be used to improve motor learning in neurorehabilitation. However, it is unclear whether an acute high-intensity exercise bout, which stroke survivors can feasibly complete in neurorehabilitation session, would generate comparable results...
November 5, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29105582/rating-of-perceived-exertion-with-borg-scale-in-stroke-over-two-common-activities-of-the-daily-living
#12
Maxence Compagnat, Jean Yves Salle, Stephane Mandigout, Justine Lacroix, Nicolas Vuillerme, Jean Christophe Daviet
Background The Borg Scale for the rating of perceived exertion (RPE) is recommended to measure the intensity of physical exercise during stroke rehabilitation, but its reliability in activities of daily living is not explored. Objective To evaluate the correlation between the RPE using the Borg Scale (6-20) and the intensity of effort as measured by the Total Energy Expenditure per minute (TEE.min(-1)) in a post-stroke population for two tasks: walking at spontaneous comfortable speed and walking up and down stairs...
November 5, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29105618/hemispatial-neglect-following-right-hemisphere-stroke-clinical-course-and-sensitivity-of-diagnostic-tasks
#13
Marianne E Klinke, Haukur Hjaltason, Guðný Berg F Ra Tryggvadóttir, Helga Jónsdóttir
Background Stroke patients with severe symptoms of hemispatial neglect (HN) are known to experience a weaker recovery than those less affected from the outset. Correct identification of HN is therefore important throughout the course of rehabilitation. Objectives To explore: (i) the course of clinical symptoms in stroke patients with moderate/severe HN from acute setting to home, (ii) changes in sensitivity of diagnostic tasks over time, and (iii) agreement between the researcher's and patients' HN assessments...
November 4, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29105583/the-economic-cost-of-stroke-associated-pneumonia-in-a-uk-setting
#14
A N Ali, J Howe, A Majid, J Redgrave, S Pownall, A H Abdelhafiz
Introduction Stroke-associated pneumonia (SAP) is common, however, data on the economic impact of SAP are scarce. This study aimed to prospectively evaluate the impact of SAP on acute stroke care costs in a UK setting. Methods Prospective cohort study of 213 consecutive patients with stroke (196 ischemic, 17 hemorrhagic) was admitted to a UK hospital over 1 year. Socio demographic and clinical characteristics were recorded along with all treatments and rehabilitation activity. Patients were classified as having SAP if they fulfilled criteria for "probable" or "definite" respiratory tract infection according to the Centres for Disease Control and Prevention definition, within the first seven days following stroke...
November 4, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29078743/biofeedback-vs-game-scores-for-reducing-trunk-compensation-after-stroke-a-randomized-crossover-trial
#15
Bulmaro A Valdés, H F Machiel Van der Loos
Background Compensatory movements are commonly employed by stroke survivors, and their use can have negative effects on motor recovery. Current practices to reduce them rely on strapping a person to a chair. The use of technology to substitute or supplement this methodology has not being thoroughly investigated. Objective To compare the use of Scores + Visual + Force and Visual + Force feedback for reducing trunk compensation. Methods Fourteen hemiparetic stroke survivors performed bimanual reaching movements while receiving feedback on trunk compensation...
October 27, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29078742/a-single-session-of-moderate-intensity-walking-increases-brain-derived-neurotrophic-factor-bdnf-in-the-chronic-post-stroke-patients
#16
Viviane Aparecida Carvalho de Morais, Marina Ferreira da Silva Tourino, Ana Carolina de Souza Almeida, Thaís Bueno Dias Albuquerque, Roberta Castro Linhares, Paulo Pereira Christo, Patrícia Massara Martinelli, Paula Luciana Scalzo
Background Aerobic exercise, even for short durations, may promote an increase in serum concentrations of brain-derived neurotrophic factor (BDNF). However, it is necessary to determine the optimal exercise types and intensities to increase BDNF levels. Objectives This aim of this study was investigate the effects of mild and moderate intensity acute aerobic exercise on serum BDNF levels in patients in the chronic post-stroke phase. Methods The participants answered a socio-demographic questionnaire, cognitive assessment (Mini Mental State Examination), assessment of depressive symptoms (Hamilton Depression Scale), fatigue (Fatigue Severity Scale) and functional capacity (6-minute walk test)...
October 27, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29073830/beneficial-falls-in-stroke-patients-evaluation-using-a-mixed-method-design
#17
Takayuki Watabe, Hisayoshi Suzuki, Yusuke Konuki, Keiichiro Aoki, Jun Nagashima, Rikitaro Sako
Purpose To use a mixed method design to evaluate how clinicians judge falls in stroke patients as a beneficial event, and to identify patient-specific characteristics associated with beneficial falls. Methods The definition of beneficial falls was based on interviews with six experienced clinicians in stroke rehabilitation. Interview data were analyzed using the grounded theory approach, with outcomes used to develop a checklist to judge falls as beneficial. We subsequently used the checklist to identify falls sustained by patients in our rehabilitation unit as beneficial events...
October 26, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29072540/cognitive-performance-and-aphasia-recovery
#18
José Fonseca, Ana Raposo, Isabel Pavão Martins
Objectives This study assessed cognitive performance of subjects with aphasia during the acute stage of stroke and evaluated how such performance relates to recovery at 3 months. Materials & methods Patients with aphasia following a left hemisphere stroke were evaluated during the first (baseline) and the fourth-month post onset. Assessment comprised non-verbal tests of attention/processing speed (Symbol Search, Cancelation Task), executive functioning (Matrix Reasoning, Tower of Hanoi, Clock Drawing, Motor Initiative), semantic (Camel and Cactus Test), episodic and immediate memory (Memory for Faces Test, 5 Objects Memory Test, and Spatial Span...
October 26, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29061084/the-improvement-in-respiratory-function-by-inspiratory-muscle-training-is-due-to-structural-muscle-changes-in-patients-with-stroke-a-randomized-controlled-pilot-trial
#19
Ji-Eun Cho, Hwang-Jae Lee, Min-Kyu Kim, Wan-Hee Lee
BACKGROUND: The changes effected by the inspiratory muscle training (IMT) on the structure of inspiratory muscles such as on the diaphragm, in patients with stroke, is unclear. OBJECTIVE: To investigate the effect of IMT on inspiratory function, diaphragm thickness, walking endurance, and fatigue in patients with stroke. METHODS: A total of 30 patients with stroke were randomized to either the experimental group or the control group. The experimental group (n = 15) underwent inspiratory muscle training with resistance adjusted to 30% of maximal inspiratory pressure, 90 breaths a day, 5 times a week for 6 weeks...
October 24, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29050540/somatosensory-stimulation-to-improve-hand-and-upper-limb-function-after-stroke-a-systematic-review-with-meta-analyses
#20
Virginia Marie Grant, Alison Gibson, Nora Shields
Background Somatosensory stimulation may have a positive impact on recovery of motor function by maintaining cortical representation of the hand and acting to prime the motor system for movement. Objective Determine the efficacy of somatosensory stimulation on upper limb motor function after stroke. Methods Five electronic databases (MEDLINE, CINAHL, Embase, PEDro and OT Seeker) were searched from inception to October 2016. Included studies were English-language randomized controlled trials where a sensory intervention was applied below the elbow to improve upper limb motor control of adults after stroke...
October 20, 2017: Topics in Stroke Rehabilitation
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