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Group training and stroke

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https://www.readbyqxmd.com/read/28931620/effects-of-physical-activity-on-poststroke-cognitive-function-a-meta-analysis-of-randomized-controlled-trials
#1
Lauren E Oberlin, Aashna M Waiwood, Toby B Cumming, Anna L Marsland, Julie Bernhardt, Kirk I Erickson
BACKGROUND AND PURPOSE: Despite the social, health, and economic burdens associated with cognitive impairment poststroke, there is considerable uncertainty about the types of interventions that might preserve or restore cognitive abilities. The objective of this systematic review and meta-analysis was to evaluate the effects of physical activity (PA) training on cognitive function poststroke and identify intervention and sample characteristics that may moderate treatment effects. METHODS: Randomized controlled trials examining the association between structured PA training and cognitive performance poststroke were identified using electronic databases EMBASE and MEDLINE...
September 20, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28928708/neural-patterns-of-reorganization-after-intensive-robot-assisted-virtual-reality-therapy-and-repetitive-task-practice-in-patients-with-chronic-stroke
#2
Soha Saleh, Gerard Fluet, Qinyin Qiu, Alma Merians, Sergei V Adamovich, Eugene Tunik
Several approaches to rehabilitation of the hand following a stroke have emerged over the last two decades. These treatments, including repetitive task practice (RTP), robotically assisted rehabilitation and virtual rehabilitation activities, produce improvements in hand function but have yet to reinstate function to pre-stroke levels-which likely depends on developing the therapies to impact cortical reorganization in a manner that favors or supports recovery. Understanding cortical reorganization that underlies the above interventions is therefore critical to inform how such therapies can be utilized and improved and is the focus of the current investigation...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28928706/early-stroke-rehabilitation-of-the-upper-limb-assisted-with-an-electromyography-driven-neuromuscular-electrical-stimulation-robotic-arm
#3
Qiuyang Qian, Xiaoling Hu, Qian Lai, Stephanie C Ng, Yongping Zheng, Waisang Poon
BACKGROUND: Effective poststroke motor rehabilitation depends on repeated limb practice with voluntary efforts. An electromyography (EMG)-driven neuromuscular electrical stimulation (NMES)-robot arm was designed for the multi-joint physical training on the elbow, the wrist, and the fingers. OBJECTIVES: To investigate the training effects of the device-assisted approach on subacute stroke patients and to compare the effects with those achieved by the traditional physical treatments...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28914232/combined-rtms-and-virtual-reality-brain-computer-interface-training-for-motor-recovery-after-stroke
#4
Nessa N Johnson, James Carey, Bradley Edelman, Alexander Doud, Andrew Grande, Kamakshi Lakshminarayan, Bin He
OBJECTIVE: Combining repetitive transcranial magnetic stimulation (rTMS) with brain-computer interface (BCI) training can address motor impairment after stroke by down-regulating exaggerated inhibition from the contralesional hemisphere and encouraging ipsilesional activation. The objective was to evaluate the efficacy of combined rTMS+BCI, compared to sham rTMS+BCI, on motor recovery after stroke in subjects with lasting motor paresis. APPROACH: Three stroke subjects approximately one year post-stroke participated in three weeks of combined rTMS (real or sham) and BCI, followed by three weeks of BCI alone...
September 15, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28899418/the-effect-of-a-national-web-course-help-brain-heart-as-a-supplemental-learning-tool-before-cpr-training-a-cluster-randomised-trial
#5
Anette Nord, Leif Svensson, Andreas Claesson, Johan Herlitz, Håkan Hult, Susanne Kreitz-Sandberg, Lennart Nilsson
BACKGROUND: The effectiveness of cardiopulmonary resuscitation (CPR) learning methods is unclear. Our aim was to evaluate whether a web course before CPR training, teaching the importance of recognition of symptoms of stroke and acute myocardial infarction (AMI) and a healthy lifestyle, could influence not only theoretical knowledge but also practical CPR skills or willingness to act in a cardiac arrest situation. METHODS: Classes with 13-year-old students were randomised to CPR training only (control) or a web course plus CPR training (intervention)...
September 12, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28898133/differential-impact-of-treadmill-training-on-stroke-induced-neurological-disorders
#6
Rasoul Rezaei, Maryam Nourshahi, Fariba Khodagholi, Abbas Haghparast, Sanaz Nasoohi, Mohammadreza Bigdeli, Ghorbangol Ashabi
OBJECTIVE: Physical exercise contributes to improving stability against nerve injury caused by ischaemic stroke. Here we aimed to preliminarily investigate the effects of continuous endurance training (CET) and high-intensity interval training (HIT) on stroke-associated anxiety, locomotion, neurological assessments and P70S6 Kinase (P70S6K) activation as well. To do this, rats were trained according to HIT and CET protocols for 2 months prior to being subject to middle cerebral artery occlusion surgery...
September 12, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28882693/different-effects-of-running-wheel-exercise-and-skilled-reaching-training-on-corticofugal-tract-plasticity-in-hypertensive-rats-with-cortical-infarctions
#7
ChanJuan Zhang, Yan Zou, Kui Li, Chao Li, YingPing Jiang, Ju Sun, Ruifang Sun, HongMei Wen
The approaches that facilitate white matter plasticity may prompt functional recovery after a stroke. The effects of different exercise methods on motor recovery in stroke rats have been investigated. However, it is not clear whether their effects on axonal plasticity different. The aim of this study was to compare the effects of the forced running wheel exercise (RWE) and skilled reaching training (SRT) on axonal plasticity and motor recovery. Cortical infarctions were generated in stroke-prone renovascular hypertensive rats...
September 4, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28873878/assessing-gait-impairments-based-on-auto-encoded-patterns-of-mahalanobis-distances-from-consecutive-steps
#8
Mario Muñoz-Organero, Richard Davies, Sue Mawson
Insole pressure sensors capture the force distribution patterns during the stance phase while walking. By comparing patterns obtained from healthy individuals to patients suffering different medical conditions based on a given similarity measure, automatic impairment indexes can be computed in order to help in applications such as rehabilitation. This paper uses the data sensed from insole pressure sensors for a group of healthy controls to train an auto-encoder using patterns of stochastic distances in series of consecutive steps while walking at normal speeds...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28873036/the-effect-of-action-observation-training-on-balance-and-sit-to-walk-in-chronic-stroke-a-crossover-randomized-controlled-trial
#9
Jin-Cheol Kim, Hyun-Min Lee
The aim of this study was to investigate the effects of an action observation training on balance and sit to walk in chronic stroke. Twenty-four chronic stroke patients participated in this study. Participants were randomly allocated to either the landscape imagery observation physical training group (LIOPT) or the action observation physical training group (AOPT). LIOPT observed a landscape picture for 2 min 30 s while the AOPT group observed related video recording. Both groups underwent a physical training session after the observation session for 12 min 30 s and the sessions were repeated twice a day, 3 times a week for 6 weeks...
September 5, 2017: Journal of Motor Behavior
https://www.readbyqxmd.com/read/28870554/effectiveness-of-speech-language-therapy-either-alone-or-with-add-on-computer-based-language-therapy-software-malayalam-version-for-early-post-stroke-aphasia-a-feasibility-study
#10
Praveen Kesav, S L Vrinda, Sajith Sukumaran, P S Sarma, P N Sylaja
CONTEXT AND AIMS: This study aimed to assess the feasibility of professional based conventional speech language therapy (SLT) either alone (Group A/less intensive) or assisted by novel computer based local language software (Group B/more intensive) for rehabilitation in early post stroke aphasia. SETTINGS AND DESIGN: Comprehensive Stroke Care Center of a tertiary health care institute situated in South India, with the study design being prospective open randomised controlled trial with blinded endpoint evaluation...
September 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28869405/a-telehealth-intervention-to-promote-healthy-lifestyles-after-stroke-the-stroke-coach-protocol
#11
Brodie M Sakakibara, Scott A Lear, Susan I Barr, Oscar Benavente, Charlie H Goldsmith, Noah D Silverberg, Jennifer Yao, Janice J Eng
Rationale Recurrent stroke is prevalent and associated with high mortality rates, disability, and social and economic costs. Adequate management of risk factors may reduce recurrent stroke; however, many stroke survivors have poor control of risk factors. We have developed a theoretically sound and evidence-based lifestyle modification program called the Stroke Coach, a telephone-based self-management program to improve control of risk factors. Hypothesis Individuals who participate in Stroke Coach will achieve more lifestyle improvements than individuals in an attention controlled Memory Training Program...
January 1, 2017: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/28859664/synergistic-effects-of-aerobic-exercise-and-cognitive-training-on-cognition-physiological-markers-daily-function-and-quality-of-life-in-stroke-survivors-with-cognitive-decline-study-protocol-for-a-randomized-controlled-trial
#12
Ting-Ting Yeh, Ching-Yi Wu, Yu-Wei Hsieh, Ku-Chou Chang, Lin-Chien Lee, Jen-Wen Hung, Keh-Chung Lin, Ching-Hung Teng, Yi-Han Liao
BACKGROUND: Aerobic exercise and cognitive training have been effective in improving cognitive functions; however, whether the combination of these two can further enhance cognition and clinical outcomes in stroke survivors with cognitive decline remains unknown. This study aimed to determine the treatment effects of a sequential combination of aerobic exercise and cognitive training on cognitive function and clinical outcomes. METHODS/DESIGN: Stroke survivors (n = 75) with cognitive decline will be recruited and randomly assigned to cognitive training, aerobic exercise, and sequential combination of aerobic exercise and cognitive training groups...
August 31, 2017: Trials
https://www.readbyqxmd.com/read/28859603/effects-of-constraint-induced-movement-therapy-for-lower-limbs-on-measurements-of-functional-mobility-and-postural-balance-in-subjects-with-stroke-a-randomized-controlled-trial
#13
Emília Márcia Gomes de Souza E Silva, Tatiana Souza Ribeiro, Tállyta Camyla Chaves da Silva, Mayara Fabiana Pereira Costa, Fabrícia Azevedo da Costa Cavalcanti, Ana Raquel Rodrigues Lindquist
Abstrato Background: Constraint-induced movement therapy (CIMT) is suggested to reduce functional asymmetry between the upper limbs after stroke. However, there are few studies about CIMT for lower limbs. OBJECTIVE: To examine the effects of CIMT for lower limbs on functional mobility and postural balance in subjects with stroke. METHODS: A 40-day follow-up, single-blind randomized controlled trial was performed with 38 subacute stroke patients (mean of 4.5 months post-stroke)...
August 31, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28857950/effects-of-walking-trainings-on-walking-function-among-stroke-survivors-a-systematic-review
#14
Daudet Ilunga Tshiswaka, Crystal Bennett, Cheyanne Franklin
Physical function is often compromised as a result of stroke event. Although interventions propose different strategies that seek to improve stroke survivors' physical function, a need remains to evaluate walking training studies aimed at improving such physical function. The aim of this review was to assess the available literature that highlights the impact of walking training on enhancing walking for stroke survivors. We performed a systematic literature review of online databases - Google Scholar, PubMed, CINHAL, Cochrane Library, Scopus, and EBSCO - with the following inclusion criteria: manuscript published from 2005 to 2016, written in English, with treatment and control groups, for walking training studies aimed at improving physical function among stroke survivors...
August 29, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28843352/effects-of-rehabilitation-training-on-apoptosis-of-nerve-cells-and-the-recovery-of-neural-and-motor-functions-in-rats-with-ischemic-stroke-through-the-pi3k-akt-and-nrf2-are-signaling-pathways
#15
Xiao-Fei Jin, Shan Wang, Min Shen, Xin Wen, Xin-Rui Han, Jun-Chang Wu, Gao-Zhuo Tang, Dong-Mei Wu, Jun Lu, Yuan-Lin Zheng
This study was designed in order to investigate the effects between rehabilitation training on the apoptosis of nerve cells and the recovery of neural and motor functions of rats with ischemic stroke by way of the phosphatidylinositol 3-kinase/protein kinase B (PI3K/Akt) and nuclear factor E2-related factor 2/antioxidant responsive element (Nrf2/ARE) signaling pathways. In total, 110 healthy adult male Sprague-Dawley (SD) rats were selected in order to take part in this study. Ninety SD rats were used in order to establish the middle cerebral artery occlusion (MCAO), among which 80 rats were randomly assigned as part of the natural recovery, natural recovery+Rp-PI3K (the rats injected with PI3K/Akt inhibitor LY294002), rehabilitation training, and rehabilitation training+Rp-PI3K groups...
August 24, 2017: Brain Research Bulletin
https://www.readbyqxmd.com/read/28842388/exergames-encouraging-exploration-of-hemineglected-space-in-stroke-patients-with-visuospatial-neglect-a-feasibility-study
#16
Bernadette C Tobler-Ammann, Elif Surer, Eling D de Bruin, Marco Rabuffetti, N Alberto Borghese, Renato Mainetti, Michele Pirovano, Lia Wittwer, Ruud H Knols
BACKGROUND: Use of exergames can complement conventional therapy and increase the amount and intensity of visuospatial neglect (VSN) training. A series of 9 exergames-games based on therapeutic principles-aimed at improving exploration of the neglected space for patients with VSN symptoms poststroke was developed and tested for its feasibility. OBJECTIVES: The goal was to determine the feasibility of the exergames with minimal supervision in terms of (1) implementation of the intervention, including adherence, attrition and safety, and (2) limited efficacy testing, aiming to document possible effects on VSN symptoms in a case series of patients early poststroke...
August 25, 2017: JMIR Serious Games
https://www.readbyqxmd.com/read/28835651/brain-plasticity-following-mi-bci-training-combined-with-tdcs-in-a-randomized-trial-in-chronic-subcortical-stroke-subjects-a-preliminary-study
#17
Xin Hong, Zhong Kang Lu, Irvin Teh, Fatima Ali Nasrallah, Wei Peng Teo, Kai Keng Ang, Kok Soon Phua, Cuntai Guan, Effie Chew, Kai-Hsiang Chuang
Brain-computer interface-assisted motor imagery (MI-BCI) or transcranial direct current stimulation (tDCS) has been used in stroke rehabilitation, though their combinatory effect is unknown. We investigated brain plasticity following a combined MI-BCI and tDCS intervention in chronic subcortical stroke patients with unilateral upper limb disability. Nineteen patients were randomized into tDCS and sham-tDCS groups. Diffusion and perfusion MRI, and transcranial magnetic stimulation were used to study structural connectivity, cerebral blood flow (CBF), and corticospinal excitability, respectively, before and 4 weeks after the 2-week intervention...
August 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28820891/scene-text-detection-via-extremal-region-based-double-threshold-convolutional-network-classification
#18
Wei Zhu, Jing Lou, Longtao Chen, Qingyuan Xia, Mingwu Ren
In this paper, we present a robust text detection approach in natural images which is based on region proposal mechanism. A powerful low-level detector named saliency enhanced-MSER extended from the widely-used MSER is proposed by incorporating saliency detection methods, which ensures a high recall rate. Given a natural image, character candidates are extracted from three channels in a perception-based illumination invariant color space by saliency-enhanced MSER algorithm. A discriminative convolutional neural network (CNN) is jointly trained with multi-level information including pixel-level and character-level information as character candidate classifier...
2017: PloS One
https://www.readbyqxmd.com/read/28815562/treadmill-training-and-body-weight-support-for-walking-after-stroke
#19
REVIEW
Jan Mehrholz, Simone Thomas, Bernhard Elsner
BACKGROUND: Treadmill training, with or without body weight support using a harness, is used in rehabilitation and might help to improve walking after stroke. This is an update of the Cochrane review first published in 2003 and updated in 2005 and 2014. OBJECTIVES: To determine if treadmill training and body weight support, individually or in combination, improve walking ability, quality of life, activities of daily living, dependency or death, and institutionalisation or death, compared with other physiotherapy gait-training interventions after stroke...
August 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28813943/conjunctive-rehabilitation-of-multiple-cognitive-domains-for-chronic-stroke-patients-in-virtual-reality
#20
Martina Maier, Nuria Leiva Banuelos, Belen Rubio Ballester, Esther Duarte, Paul F M J Verschure
Classically, cognitive deficits have been studied and treated in isolation from each other. A stroke patient is classified as being memory impaired, having executive dysfunction or showing attentional deficits after which a dedicated rehabilitation therapy is given. Studies seldom looked at the relationship between these different cognitive domains and syndromes, although, there is evidence that they might share common neuronal substrates and do not occur in isolation. Here, we propose a novel rehabilitation method in virtual reality to treat cognitive deficits in conjunction and report the preliminary results of an ongoing randomized controlled clinical trial...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
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