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Group training and stroke

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https://www.readbyqxmd.com/read/28530452/overground-propulsion-kinematics-and-acceleration-in-elite-wheelchair-rugby
#1
David S Haydon, Ross A Pinder, Paul N Grimshaw, William S P Robertson
PURPOSE: Maximal acceleration from standstill has been identified as a key performance indicator in wheelchair rugby; however, the impact of classification and kinematic variables on performance has received limited attention. This study aimed to investigate kinematic variables during maximal acceleration, with level of activity limitation accounted for using sport classification scores. METHODS: 25 elite wheelchair rugby players were analysed in high-, mid-, and low-point groups based on their sporting classification score, which reflects the combined trunk, arm, and hand function, before completing five 5m sprints from a stationary position...
May 22, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28530142/a-targeted-self-management-approach-for-reducing-stroke-risk-factors-in-african-american-men-who-have-had-a-stroke-or-transient-ischemic-attack
#2
Martha Sajatovic, Curtis Tatsuoka, Elisabeth Welter, Kari Colon-Zimmermann, Carol Blixen, Adam T Perzynski, Shelly Amato, Jamie Cage, Johnny Sams, Shirley M Moore, Svetlana Pundik, Sophia Sundararajan, Charles Modlin, Cathy Sila
PURPOSE: This study compared a novel self-management (TargetEd MAnageMent Intervention [TEAM]) versus treatment as usual (TAU) to reduce stroke risk in African American (AA) men. DESIGN: Six-month prospective randomized controlled trial with outcomes evaluated at baseline, 3 months, and 6 months. SETTING: Academic health center. PARTICIPANTS: Thirty-eight (age < 65) AA men who had a stroke or transient ischemic attack and a Barthel index score of >60 were randomly assigned to TEAM (n = 19) or TAU (n = 19)...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28527229/effects-of-interactive-metronome-training-on-upper-extremity-function-adl-and-qol-in-stroke-patients
#3
Ga-Hui Yu, Jae-Shin Lee, Su-Kyoung Kim, Tae-Hyun Cha
BACKGROUND: Rhythm and timing training is stimulation that substitutes for a damaged function controls muscular movement or temporal element, which has positive impacts on the neurological aspect and movement of the brain. OBJECTIVE: This study is to assess the changes caused by rhythm and timing training using an interactive metronome (IM) on upper extremity function, ADL and QOL in stroke patients. METHODS: In order to assess the effects of IM training, a group experiment was conducted on 30 stroke patients...
May 19, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28520751/-do-it-yourself-home-blood-pressure-as-a-predictor-of-traditional-and-everyday-cognition-in-older-adults
#4
Sophie E Yeung, Wendy Loken Thornton
BACKGROUND: Hypertension guidelines recommend home blood pressure (HBP) monitoring in adjunct to office blood pressure (OBP) for its greater reproducibility and prognostic utility in the prevention of cardiovascular outcomes, especially stroke. To date, the relationship between HBP and cognitive function remains unexplored. METHODS: We examined HBP as a cognitive predictor in a multi-ethnic group of community-dwelling adults aged 60 and over (N = 133) using neuropsychological measures and analyzed the data using multiple regression analyses...
2017: PloS One
https://www.readbyqxmd.com/read/28514808/physiological-dynamic-apnea-responses-in-relation-to-apnea-capacity-in-triathletes
#5
Alexandre Guimard, Houssem Zorgati, Sylvain Brulaire, Virgile Amiot, Fabrice Prieur, Katia Collomp
The aim was to assess the cardiac, arterial oxygen saturation, lactate, hormonal and Borg rating of perceived exertion (RPE) responses to acute apnea in relation to apnea capacity in 18 middle-aged triathletes. Subjects were monitored while swimming two 50-m freestyle exercise trials with fins at maximal speed: with normal frequency breathing (NB) and with complete apnea (Ap); the latter was used to assess apnea capacity. The subjects with significant alteration in swimming performance inducing a time increase greater than 2...
May 17, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28506150/chronic-stroke-survivors-improve-reaching-accuracy-by-reducing-movement-variability-at-the-trained-movement-speed
#6
Ulrike Hammerbeck, Nada Yousif, Damon Hoad, Richard Greenwood, Jörn Diedrichsen, John C Rothwell
BACKGROUND: Recovery from stroke is often said to have "plateaued" after 6 to 12 months. Yet training can still improve performance even in the chronic phase. Here we investigate the biomechanics of accuracy improvements during a reaching task and test whether they are affected by the speed at which movements are practiced. METHOD: We trained 36 chronic stroke survivors (57.5 years, SD ± 11.5; 10 females) over 4 consecutive days to improve endpoint accuracy in an arm-reaching task (420 repetitions/day)...
June 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/28506002/transcranial-direct-current-stimulation-combined-with-visuo-motor-training-as-treatment-for-chronic-stroke-patients
#7
Elena L Pavlova, Påvel Lindberg, Amirah Khan, Sigurd Ruschkowski, Michael A Nitsche, Jörgen Borg
BACKGROUND: Recent studies exploring the combined effect of motor learning and transcranial direct current stimulation (tDCS) for stroke rehabilitation have shown partially conflicting results. OBJECTIVE: To test the efficacy of an optimized hand training approach combined with tDCS in stroke patients. METHODS: In the present pilot study we investigated motor effects of four-week training with a visuomotor grip force tracking task combined with tDCS in 11 chronic stroke patients...
May 9, 2017: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/28505988/intensive-seated-robotic-training-of-the-ankle-in-patients-with-chronic-stroke-differentially-improves-gait
#8
Johanna L Chang, Regina Y Lin, Maira Saul, Philip J Koch, Hermano Igo Krebs, Bruce T Volpe
BACKGROUND: Robotic driven treatment plans targeting isolated joints of the upper limb have improved the sensorimotor condition of patients with stroke. Similar intensive efforts to allay lower limb gait impairment have not been so successful. In patients with stroke, targeted robot assisted training of the ankle joint, in a seated position, has demonstrated significant alterations in ankle stiffness and foot-ankle orientation at foot strike which may provide a new treatment option for gait impairment...
May 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28499951/effects-of-task-specific-rehabilitation-training-on-tau-modification-in-rat-with-photothrombotic-cortical-ischemic-damage
#9
Kyung-Lim Joa, Sohee Moon, Ji-Hye Kim, Dong Wun Shin, Kyoung-Hee Lee, Seon Jung, Myeong-Ok Kim, Chang-Hwan Kim, Han-Young Jung, Ju-Hee Kang
Although stroke elicits progressive cognitive decline and is a leading cause of dementia, molecular interplay between stroke and Alzheimer's disease (AD) pathology has not been fully elucidated. Furthermore, studies on the effects of post-stroke rehabilitation on AD pathology are limited. We evaluated the acute effect of stroke on tau modification, and the molecular effects of task-specific training (TST) on tau modification using a model of photochemically-induced thrombosis (PIT)-induced cortical infarction...
May 9, 2017: Neurochemistry International
https://www.readbyqxmd.com/read/28499657/electrically-assisted-movement-therapy-in-chronic-stroke-patients-with-severe-upper-limb-paresis-a-pilot-single-blind-randomized-crossover-study
#10
Stefano Carda, Andrea Biasiucci, Andrea Maesani, Silvio Ionta, Julien Moncharmont, Stephanie Clarke, Micah M Murray, José Del R Millán
OBJECTIVE: To evaluate the effects of electrically assisted movement therapy (EAMT) in which patients use functional electrical stimulation, modulated by a custom device controlled through the patient's unaffected hand, to produce or assist task-specific upper limb movements, which enables them to engage in intensive goal-oriented training. DESIGN: Randomized, crossover, assessor-blinded, 5-week trial with follow-up at 18 weeks. SETTING: Rehabilitation university hospital...
May 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28488268/electromechanical-assisted-training-for-walking-after-stroke
#11
REVIEW
Jan Mehrholz, Simone Thomas, Cordula Werner, Joachim Kugler, Marcus Pohl, Bernhard Elsner
BACKGROUND: Electromechanical- and robotic-assisted gait-training devices are used in rehabilitation and might help to improve walking after stroke. This is an update of a Cochrane Review first published in 2007. OBJECTIVES: To investigate the effects of automated electromechanical- and robotic-assisted gait-training devices for improving walking after stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (last searched 9 August 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library 2016, Issue 8), MEDLINE in Ovid (1950 to 15 August 2016), Embase (1980 to 15 August 2016), CINAHL (1982 to 15 August 2016), AMED (1985 to 15 August 2016), Web of Science (1899 to 16 August 2016), SPORTDiscus (1949 to 15 September 2012), the Physiotherapy Evidence Database (PEDro) (searched 16 August 2016), and the engineering databases COMPENDEX (1972 to 16 November 2012) and Inspec (1969 to 26 August 2016)...
May 10, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28476696/clinical-research-of-the-five-needles-combined-with-rehabilitation-training-treatment-dysphagia-after-stroke
#12
Yanjie Li, Kun Ren, Ruoxing Xing, Junfeng Peng, Zhixin Zhang, Jing Zhao
To compare therapeutic effects of Five Needles of the Nape and routine acupuncture on treatment of pseudo bulbar paralysis dysphagia after Brain stroke. 60 patients were randomly divided into five key groups and routine acupuncture, and 30 cases in each group. The group of Five Needles of the Nape set points to take dumb door, Tianzhu, cure choke point with acupuncture treatment which cooperate with swallowing training . The group of routine acupuncture set points to take Lian Quan, Tong Li, Zhao Hai points with acupuncture treatment...
September 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28460597/boosting-the-traditional-physiotherapist-approach-for-stroke-spasticity-using-a-sensorized-ankle-foot-orthosis-a-pilot-study
#13
Federica Tamburella, Juan C Moreno, Marco Iosa, Iolanda Pisotta, Febo Cincotti, Donatella Mattia, José L Pons, Marco Molinari
BACKGROUND: Spasticity is a motor disorder that is commonly treated manually by a physical therapist (PhT) stretching the muscles. Recent data on learning have demonstrated the importance of human-to-human interaction in improving rehabilitation: cooperative motor behavior engages specific areas of the motor system compared with execution of a task alone. OBJECTIVES: We hypothesize that PhT-guided therapy that involves active collaboration with the patient (Pt) through shared biomechanical visual biofeedback (vBFB) positively impacts learning and performance by the Pt during ankle spasticity treatment...
May 1, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28451552/rehabilitation-nursing-for-cerebral-stroke-patients-within-a-suitable-recovery-empty-period
#14
Hu Zhiyan, Li Nin, Chen Baoyun, Gong Zunke, Wang Qinghong, Fan Lange
BACKGROUND: We aimed to research the value of extended nursing for cerebral stroke patients within a suitable recovery empty period. METHODS: Seventy-two cerebral stroke patients were randomized to a control group or treatment group at the recovery period at Xuzhou Recovery Hospital, China in 2016. A recovery guidance exercise was applied to the control group for a set time, while a recovery guidance exercise combined with functional training were applied to the treatment group within the recovery empty period (at 6:00-7:00 a...
February 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28450926/effects-of-weight-training-time-on-bone-mineral-density-of-patients-with-secondary-osteoporosis-after-hemiplegia
#15
Liang Han, Shu-Gang Li, Hong-Wei Zhai, Peng-Fei Guo, Wei Chen
The aim of the study was to investigate the effects of weight training time on bone mineral density (BMD) of patients with secondary osteoporosis after hemiplegia. A total of 129 hemiplegic patients with stroke, 75 males and 54 females, aged 50-75 years, were recruited in this study. Male patients were randomly divided into 3 groups (25 cases each) receiving 30 min (group M30), 60 min (group M60), or 90 min (group M90) daily upright bed weight training. Female patients were similarly randomly allocated into groups F30, F60 and F90 (18 cases each) with daily upright bed weight training for 30, 60 and 90 min, respectively...
March 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28446953/neuroprotective-effects-of-exercise-on-brain-edema-and-neurological-movement-disorders-following-the-cerebral-ischemia-and-reperfusion-in-rats
#16
Nabi Shamsaei, Soheila Erfani, Masoud Fereidoni, Ali Shahbazi
INTRODUCTION: Cerebral ischemia and reperfusion causes physiological and biochemical changes in the neuronal cells that will eventually lead to cell damage. Evidence indicates that exercise reduces the ischemia and reperfusion-induced brain damages in animal models of stroke. In the present study, the effect of exercise preconditioning on brain edema and neurological movement disorders following the cerebral ischemia and reperfusion in rats was investigated. METHODS: Twenty-one adult male wistar rats (weighing 260-300 g) were randomly divided into three groups: sham operated, exercise plus ischemia, and ischemia group (7 rats per group)...
January 2017: Basic and Clinical Neuroscience
https://www.readbyqxmd.com/read/28444320/complex-skill-training-transfers-to-improved-performance-and-control-of-simpler-tasks-after-stroke
#17
Shailesh S Kantak, Nazaneen Zahedi, Robert McGrath
Background: Given limited therapy time, it is important to practice tasks that optimize transfer to other tasks that cannot be practiced during therapy. However, little is known about how tasks can be selected for practice to optimize generalization. Objective: One dimension of task selection is the complexity of the task. The purpose of the current study was to test if learning of a complex motor skill with the paretic arm would transfer to simpler unpracticed goal-directed reaching task...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28438279/can-kinesio-tape-be-used-as-an-ankle-training-method-in-the-rehabilitation-of-the-stroke-patients
#18
Belma Fusun Koseoglu, Asuman Dogan, Hilmi Umut Tatli, Didem Sezgin Ozcan, Cemile Sevgi Polat
OBJECTIVE: To investigate the effects of the kinesio tape application to the tibialis anterior on rehabilitation outcomes of the stroke patients. DESIGN AND SETTING: Twenty patients with stroke were allocated into two groups: the first group of ten patients was assigned to receive kinesio tape in addition to the conventional rehabilitation program while a second group of 10 patients was assigned to receive a conventional rehabilitation program only. MAIN OUTCOME MEASURES: The clinical variables and health-related quality of life (HRQoL) were evaluated at baseline and at the end of the forth week...
May 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/28430704/functional-effects-of-treadmill-based-gait-training-at-faster-speeds-in-stroke-survivors-a-prospective-single-group-study
#19
Roghayeh Mohammadi, Navid Ershad, Marziyeh Rezayinejad, Elham Fatemi, Chetan P Phadke
To examine the functional effects of walking retraining at faster than self-selected speed (SSS). Ten individuals with chronic stroke participated in a 4-week training over a treadmill at walking speeds 40% faster than SSS, three times per week, 30 min/session. Outcome measures assessed before, after, and 2 months after the end of intervention were the Timed Up and Go, the 6-Minute Walk, the 10-Meter Walk test, the Modified Ashworth Scale, SSS, and fastest comfortable speed. After 4 weeks of training, all outcome measures showed clinically meaningful and statistically significant improvements (P<0...
April 20, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28427422/differences-in-muscle-activity-and-temporal-step-parameters-between-lokomat-guided-walking-and-treadmill-walking-in-post-stroke-hemiparetic-patients-and-healthy-walkers
#20
Klaske van Kammen, Anne M Boonstra, Lucas H V van der Woude, Heleen A Reinders-Messelink, Rob den Otter
BACKGROUND: The Lokomat is a robotic exoskeleton that can be used to train gait function in hemiparetic stroke. To purposefully employ the Lokomat for training, it is important to understand (1) how Lokomat guided walking affects muscle activity following stroke and how these effects differ between patients and healthy walkers, (2) how abnormalities in the muscle activity of patients are modulated through Lokomat guided gait, and (3) how temporal step characteristics of patients were modulated during Lokomat guided walking...
April 20, 2017: Journal of Neuroengineering and Rehabilitation
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