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Group training and stroke

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https://www.readbyqxmd.com/read/28632106/speed-interactive-treadmill-training-using-smartphone-based-motion-tracking-technology-improves-gait-in-stroke-patients
#1
Junyoung Lee, Kyeongjin Lee, Changho Song
This study was conducted to investigate the effects of speed-interactive treadmill training (SITT) using smartphone-based motion tracking technology on gait in stroke patients. Thirty-four chronic stroke patients were randomly divided into a SITT group (n = 18) and a standard treadmill training (control) group (n = 16). The SITT group underwent smartphone-based SSIT while the control group underwent standard treadmill training. Both groups performed the training for 35 min per session, 3 times per week, for 6 weeks...
March 2, 2017: Journal of Motor Behavior
https://www.readbyqxmd.com/read/28629270/a-randomized-controlled-trial-of-a-modified-wheelchair-arm-support-to-reduce-shoulder-pain-in-stroke-patients
#2
Ruihuan Pan, Mingchao Zhou, Hao Cai, Youhua Guo, Lechang Zhan, Mei Li, Zhijing Yang, Leying Zhu, Jie Zhan, Hongxia Chen
OBJECTIVE: To evaluate the effect of modified wheelchair arm-support to mitigate hemiplegic shoulder pain and reduce pain frequency in stroke patients. DESIGN: A single-blind randomized controlled trial using computer-generated simple randomization. SETTING: Participants recruited from inpatients at the Guangdong Provincial Hospital of Chinese Medicine. SUBJECTS: A total of 120 patients with stroke were divided into two groups...
June 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28627034/brief-mindfulness-meditation-group-training-in-aphasia-exploring-attention-language-and-psychophysiological-outcomes
#3
Rebecca Shisler Marshall, Jacqueline Laures-Gore, Kim Love
BACKGROUND: Stroke is currently the leading cause of long-term disability in adults in the United States. There is a need for accessible, low-cost treatments of stroke-related disabilities such as aphasia. AIMS: To explore an intervention for aphasia utilizing mindfulness meditation (MM). This preliminary study examines the feasibility of teaching MM to individuals with aphasia. Since physiological measures have not been collected for those with aphasia, the study was also an exploration of the potential attention, language and physiological changes after MM in adults with aphasia during a brief, daily group training...
June 19, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28626331/the-effects-of-training-using-emg-biofeedback-on-stroke-patients-upper-extremity-functions
#4
Ju-Hong Kim
[Purpose] While electromyography (EMG) biofeedback has been recently used in diverse therapeutic interventions for stroke patients, research on its effects has been lacking. Most existing studies are confined to functions of the lower extremities, and research on upper extremity functional recovery using EMG biofeedback training is limited. Therefore, this study examined the effects of training using EMG biofeedback on stroke patients' upper extremity functions. [Subjects and Methods] The subjects of this study included 30 hemiplegia patients whose disease duration was longer than six months...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28626306/effects-of-task-oriented-circuit-training-on-balance-and-gait-ability-in-subacute-stroke-patients-a-randomized-controlled-trial
#5
Kyoung Kim, Sang In Jung, Dong Kyu Lee
[Purpose] The aim of this study was to investigate the effects of the task-oriented circuit training on balance and gait ability in subacute patients with stroke. [Subjects and Methods] Participants were randomly allocated to two groups: group 1 (subjects who performed task-oriented circuit training) and group 2 (subjects who underwent conventional physical therapy). Berg balance scale, timed up and go test, functional ambulation category, 6-minute walk test were assessed before and after four weeks of training...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28623892/improving-transitions-in-acute-stroke-patients-discharged-to-home-the-michigan-stroke-transitions-trial-mistt-protocol
#6
Mathew J Reeves, Anne K Hughes, Amanda T Woodward, Paul P Freddolino, Constantinos K Coursaris, Sarah J Swierenga, Lee H Schwamm, Michele C Fritz
BACKGROUND: For some stroke patients and caregivers, navigating the transition between hospital discharge and returning home is associated with substantial psychosocial and health-related challenges. Currently, no evidence-based standard of care exists that addresses the concerns of stroke patients and caregivers during the transition period. Objectives of the Michigan Stroke Transitions Trial (MISTT) are to test the impact of a social worker home-based case management program, as well as an online information and support resource, on patient and caregiver outcomes after returning home...
June 17, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28621015/perturbation-based-balance-training-for-falls-reduction-among-older-adults-current-evidence-and-implications-for-clinical-practice
#7
REVIEW
Marissa H G Gerards, Christopher McCrum, Avril Mansfield, Kenneth Meijer
Falls are a leading cause of injury, hospitalization and even death among older adults. Although various strength and balance exercise interventions have shown moderate reductions in falls incidence among healthy older adults, no significant falls incidence improvements have been consistently seen in frail older adults or in patient groups with an increased falls risk (e.g. people with Parkinson's disease and stroke). This might be due to a lack of task specificity of previous exercise interventions to the recovery actions required to prevent a fall...
June 16, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28621012/supporting-people-with-aphasia-to-settle-into-a-new-way-to-be-speech-and-language-therapists-views-on-providing-psychosocial-support
#8
Sarah Northcott, Alan Simpson, Becky Moss, Nafiso Ahmed, Katerina Hilari
BACKGROUND: People with aphasia are at risk of becoming depressed and isolated. Online surveys have found that the majority of speech and language therapists (SLTs) lack confidence in addressing the psychological needs of people with aphasia. AIMS: To explore how SLTs conceptualize the scope of their role; barriers and facilitators to SLTs addressing psychosocial needs; and SLTs' experiences of specialist training and support, and working with mental health professionals (MHPs)...
June 16, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28618297/does-communication-partner-training-improve-the-conversation-skills-of-speech-language-pathology-students-when-interacting-with-people-with-aphasia
#9
Emma Finch, Ashley Cameron, Jennifer Fleming, Jennifer Lethlean, Kyla Hudson, Steven McPhail
BACKGROUND: Aphasia is a common consequence of stroke. Despite receiving specialised training in communication, speech-language pathology students may lack confidence when communicating with People with Aphasia (PWA). This paper reports data from secondary outcome measures from a randomised controlled trial. OBJECTIVE: The aim of the current study was to examine the effects of communication partner training on the communication skills of speech-language pathology students during conversations with PWA...
May 26, 2017: Journal of Communication Disorders
https://www.readbyqxmd.com/read/28606661/effects-of-virtual-reality-training-using-xbox-kinect-on-motor-function-in-stroke-survivors-a-preliminary-study
#10
Dae-Sung Park, Do-Gyun Lee, Kyeongbong Lee, GyuChang Lee
BACKGROUND: Although the Kinect gaming system (Microsoft Corp, Redmond, WA) has been shown to be of therapeutic benefit in rehabilitation, the applicability of Kinect-based virtual reality (VR) training to improve motor function following a stroke has not been investigated. This study aimed to investigate the effects of VR training, using the Xbox Kinect-based game system, on the motor recovery of patients with chronic hemiplegic stroke. METHODS: This was a randomized controlled trial...
June 9, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28606179/modifying-upper-limb-inter-joint-coordination-in-healthy-subjects-by-training-with-a-robotic-exoskeleton
#11
Tommaso Proietti, Emmanuel Guigon, Agnès Roby-Brami, Nathanaël Jarrassé
BACKGROUND: The possibility to modify the usually pathological patterns of coordination of the upper-limb in stroke survivors remains a central issue and an open question for neurorehabilitation. Despite robot-led physical training could potentially improve the motor recovery of hemiparetic patients, most of the state-of-the-art studies addressing motor control learning, with artificial virtual force fields, only focused on the end-effector kinematic adaptation, by using planar devices...
June 12, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28603356/effects-of-phase-proprioceptive-training-on-balance-in-patients-with-chronic-stroke
#12
Seung Hun Chae, You Lim Kim, Suk Min Lee
[Purpose] This study aimed to investigate the effect of phase proprioceptive training on balance in patients with chronic stroke. [Subjects and Methods] Participants included 30 patients with stroke who were randomly assigned to the proprioceptive training group (n=15) or control group (n=15). Participants in the proprioceptive training group underwent proprioceptive training and received general physical therapy each for a total of 20 thirty-minute sessions, five times per week, during a period of four weeks; the control group received general physical therapy for a total of 20 sixty-minute sessions, five times per week, during a period of four weeks...
May 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28602491/effect-of-visuospatial-neglect-on-spatial-navigation-and-heading-after-stroke
#13
Gayatri Aravind, Anouk Lamontagne
BACKGROUND: Visuospatial neglect (VSN) impairs the control of locomotor heading in post-stroke individuals, which may affect their ability to safely avoid moving objects while walking. OBJECTIVE: We aimed to compare VSN+ and VSN- stroke individuals in terms of changes in heading and head orientation in space while avoiding obstacles approaching from different directions and reorienting toward the final target. METHODS: Stroke participants with VSN (VSN+) and without VSN (VSN-) walked in a virtual environment avoiding obstacles that approached contralesionally, head-on or ipsilesionally...
June 8, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28597708/balance-and-walking-performance-are-improved-after-resistance-and-aerobic-training-in-persons-with-chronic-stroke
#14
Caroline Lund, Ulrik Dalgas, Therese Koops Grønborg, Henning Andersen, Kåre Severinsen, Morten Riemenschneider, Kristian Overgaard
PURPOSE: To investigate the effect of different types of physical training on balance performance and whether improved balance correlates with improved walking performance. METHODS: Forty eight participants with chronic stroke were randomly assigned to aerobic training on cycle ergometer (AT-group), resistance training of the lower extremities (RT-group), or sham training of upper extremities (ST-group). Participants exercised 3 d/week for 12 weeks. Balance (Berg Balance Scale), peak oxygen uptake rate, isometric knee extensor strength, maximal gait speed, and 6 minute walk test were measured at baseline and after 12 weeks...
June 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28592282/the-role-of-virtual-reality-in-improving-motor-performance-as-revealed-by-eeg-a-randomized-clinical-trial
#15
Rocco Salvatore Calabrò, Antonino Naro, Margherita Russo, Antonino Leo, Rosaria De Luca, Tina Balletta, Antonio Buda, Gianluca La Rosa, Alessia Bramanti, Placido Bramanti
BACKGROUND: Many studies have demonstrated the usefulness of repetitive task practice by using robotic-assisted gait training (RAGT) devices, including Lokomat, for the treatment of lower limb paresis. Virtual reality (VR) has proved to be a valuable tool to improve neurorehabilitation training. The aim of our pilot randomized clinical trial was to understand the neurophysiological basis of motor function recovery induced by the association between RAGT (by using Lokomat device) and VR (an animated avatar in a 2D VR) by studying electroencephalographic (EEG) oscillations...
June 7, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28583196/effects-of-unilateral-real-time-biofeedback-on-propulsive-forces-during-gait
#16
Christopher Schenck, Trisha M Kesar
BACKGROUND: In individuals with post-stroke hemiparesis, reduced push-off force generation in the paretic leg negatively impacts walking function. Gait training interventions that increase paretic push-off can improve walking function in individuals with neurologic impairment. During normal locomotion, push-off forces are modulated with variations in gait speed and slope. However, it is unknown whether able-bodied individuals can selectively modulate push-off forces from one leg in response to biofeedback...
June 6, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28582907/mining-association-rules-between-stroke-risk-factors-based-on-the-apriori-algorithm
#17
Qin Li, Yiyan Zhang, Hongyu Kang, Yi Xin, Caicheng Shi
BACKGROUND: Stroke is a frequently-occurring disease and is a severe threat to human health. OBJECTIVE: We aimed to explore the associations between stroke risk factors. METHODS: Subjects who were aged 40 or above were requested to do surveys with a unified questionnaire as well as laboratory examinations. The Apriori algorithm was applied to find out the meaningful association rules. Selected association rules were divided into 8 groups by the number of former items...
May 19, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/28580370/robotic-assist-as-needed-as-an-alternative-to-therapist-assisted-gait-rehabilitation
#18
Shraddha Srivastava, Pei Chun Kao, Darcy S Reisman, John P Scholz, Sunil K Agrawal, Jill S Higginson
OBJECTIVE: Body Weight Supported Treadmill Training (BWSTT) with therapists' assistance is often used for gait rehabilitation post-stroke. However, this training method is labor-intensive, requiring at least one or as many as three therapists at once for manual assistance. Previously, we demonstrated that providing movement guidance using a performance-based robot-aided gait training (RAGT) that applies a compliant, assist-as-needed force-field improves gait pattern and functional walking ability in people post-stroke...
October 2016: International Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28579506/does-perturbation-training-prevent-falls-after-discharge-from-stroke-rehabilitation-a-prospective-cohort-study-with-historical-control
#19
Avril Mansfield, Alison Schinkel-Ivy, Cynthia J Danells, Anthony Aqui, Raabeae Aryan, Louis Biasin, Vincent G DePaul, Elizabeth L Inness
BACKGROUND: Individuals with stroke fall frequently, and no exercise intervention has been shown to prevent falls post stroke. Perturbation-based balance training (PBT), which involves practicing reactions to instability, shows promise for preventing falls in older adults and individuals with Parkinson's disease. This study aimed to determine if PBT during inpatient stroke rehabilitation can prevent falls after discharge into the community. METHODS: Individuals with subacute stroke completed PBT as part of routine inpatient rehabilitation (n = 31)...
June 1, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28575054/hemorrhagic-versus-ischemic-stroke-who-can-best-benefit-from-blended-conventional-physiotherapy-with-robotic-assisted-gait-therapy
#20
Frédéric Dierick, Mélanie Dehas, Jean-Luc Isambert, Soizic Injeyan, Anne-France Bouché, Yannick Bleyenheuft, Sigal Portnoy
BACKGROUND: Contrary to common belief of clinicians that hemorrhagic stroke survivors have better functional prognoses than ischemic, recent studies show that ischemic survivors could experience similar or even better functional improvements. However, the influence of stroke subtype on gait and posture outcomes following an intervention blending conventional physiotherapy with robotic-assisted gait therapy is missing. OBJECTIVE: This study compared gait and posture outcome measures between ambulatory hemorrhagic patients and ischemic patients, who received a similar 4 weeks' intervention blending a conventional bottom-up physiotherapy approach and an exoskeleton top-down robotic-assisted gait training (RAGT) approach with Lokomat...
2017: PloS One
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