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N Karsan, P Prabhakar, P J Goadsby
BACKGROUND: The premonitory stage of migraine attacks, when symptomatology outside of pain can manifest hours to days before the onset of the headache, is well recognised. Such symptoms have been reported in adults in a number of studies, and have value in predicting an impending headache. These symptoms have not been extensively studied in children. We aimed to characterise which, if any, of these symptoms are reported in children seen within a Specialist Headache Service. METHODS: We reviewed clinic letters from the initial consultation of children and adolescents seen within the Specialist Headache Service at Great Ormond Street Hospital between 1999 and 2015 with migraine in whom we had prospectively assessed clinical phenotype data...
December 2016: Journal of Headache and Pain
Chang-Man An, Shin-Ok Jo
BACKGROUND AND OBJECTIVE: In general, adequate movement of the ankle joint is known to play an important role in functional activities. Stroke survivors frequently have limited range of motion of the ankle, leading to dysfunctional weight transfer toward the paretic lower limb during standing or gait. The purpose of this study was to investigate the effects of talocrural mobilization with movement (MWM) on ankle strength, dorsiflexion passive range of motion (DF-PROM), and weight-bearing ability on the paretic limb during standing or gait in stroke patients with limited ankle dorsiflexion...
October 17, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
(no author information available yet)
The above article, published online on 1 December 2000 in Wiley Online Library (, and in Volume 15, Issue 12, pages 2487-2494, has been retracted by agreement between the authors, the Journal Editor in Chief, Juliet Compston, and Wiley Periodicals, Inc. The retraction has been agreed due to concerns about the underlying data to which the authors have given no satisfactory response. Dr Sato acknowledges that his co-authors are named as such for honorary reasons and are not responsible for the content of the manuscript...
October 2016: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Suzie Noten, Filip Struyf, Enrique Lluch, Marika D'Hoore, Eveline Van Looveren, Mira Meeus
BACKGROUND: Shoulder pain is a common health problem in which changes in shoulder structure cannot always explain the patient's perceived pain. Central sensitization (CS) might play a role in a subgroup of these patients. METHODS: The literature was systematically reviewed to address the role of CS in patients with shoulder pain. Electronic databases PubMed and Web of Knowledge were searched for relevant studies. RESULTS: Eighteen full-text articles were included, methodological quality was scored, and information was extracted...
October 14, 2016: Pain Practice: the Official Journal of World Institute of Pain
Ronald Zielman, Rudmer Postma, Aswin Verhoeven, Floor Bakels, Willebrordus P J van Oosterhout, Axel Meissner, Arn M J M van den Maagdenberg, Gisela M Terwindt, Oleg A Mayboroda, Michel D Ferrari
BACKGROUND: Migraine is a common episodic brain disorder. Treatment options and diagnosis are hampered by an incomplete understanding of disease pathophysiology and the lack of objective diagnostic markers. The aim of this study was to identify biochemical differences characteristic for different subtypes of migraine in cerebrospinal fluid (CSF) of migraine patients using an exploratory (1)H-NMR-based metabolomics approach. METHODS: CSF was obtained, in between migraine attacks, via lumbar puncture from patients with hemiplegic migraine, migraine with aura, migraine without aura, and healthy controls...
October 13, 2016: Molecular BioSystems
Paul Rinne, Michael Mace, Tagore Nakornchai, Karl Zimmerman, Susannah Fayer, Pankaj Sharma, Jean-Luc Liardon, Etienne Burdet, Paul Bentley
Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months...
2016: PloS One
Songül Atasavun Uysal, Gül Baltaci
OBJECTIVE: This study aimed at assessing how the addition of Nintendo Wii(™) (NW) system to the traditional therapy influences occupational performance, balance, and daily living activities in children with spastic hemiplegic Cerebral Palsy (CP). MATERIALS AND METHODS: The present study is a single-blind and randomized trial involving 24 children aged 6-14 years, classified as level I or II on the Gross Motor Function Classification System. The children were allocated into two groups: an intervention and a control group, and their families participated in the study...
October 5, 2016: Games for Health
Woo-Sub Kim, Min Joo Kim
OBJECTIVE: Patients with post-stroke hemiplegia have difficulty with body weight support during walking. However, it is unclear which intra-limb strategy for body weight support tends to predominate, and how the intra-limb strategy is related to gait function. Support moment and individual joint contribution to support moment are the parameters that reflect intra-limb strategy for body weight supporting. The aim of this study was to test whether support moment and individual joint contributions differed between post-stroke subjects with different gait function...
August 12, 2016: Topics in Stroke Rehabilitation
Evren Yaşar, Emre Adigüzel, Serdar Kesikburun, Itır Yenihayat, Bilge Yılmaz, Rıdvan Alaca, Arif Kenan Tan
OBJECTIVES: Here we aimed to investigate the feasibility of sonoelastography to show muscle stiffness in post-stroke spasticity, and the relationship between sonoelastography findings and clinical spasticity scores in the spastic forearm muscles. METHODS: This study was carried out in a university rehabilitation center. 26 stroke patients with forearm muscle spasticity (≥ 1+ using the Modified Ashworth Scale score and ≥1 using the Tardieu scale) were included...
September 28, 2016: British Journal of Radiology
Thibault Pasquet, Florence Gaillard, Christopher John Newman, Marine Jequier Gygax, Caroline Le Cornec, Isabelle Bonan, Helene Rauscent
OBJECTIVE: In children with hemiplegic cerebral palsy (HCP), some studies have shown an improvement in manual function following a self-rehabilitation program by mirror therapy. However, adherence to this protocol has not been reported. So, we studied the feasibility and compliance of this self-rehabilitation program in the hemiplegic child. MATERIAL AND METHODS: The aim of this study was to evaluate the effect of mirror therapy on the upper limb of children with HCP...
September 2016: Annals of Physical and Rehabilitation Medicine
Nicolas Perret, Rolf Frischknecht, Stefano Carda, Françoise Sandoz, Aurelien Fauquex, Yannick Charrotton
OBJECTIVE: To study the effect of a robot assisted motor training program of the lower limbs on locomotor functioning of chronic stroke patients. MATERIALS/PATIENTS AND METHODS: After ethical committee approval, 5 women and 2 men with chronic hemiplegia 2, 20 years after stroke (1 right, 6 left), age 35 and 79, underwent a robot assisted training of their lower limbs twice a week for 6 weeks. During the 30's exercise sessions (leg press and cycling), the participants used an end effector type rehabilitation robot (Lambda Health System plc) and were asked to follow actively the robot-guided movements...
September 2016: Annals of Physical and Rehabilitation Medicine
Juliette Hurtier, Leh Van Dokkum, Sami Dalhoumi, Aodhan Coffey, Stéphane Perrey, Claire Jourdan, Gérard Dray, Tomas Ward, Jerôme Froger, Isabelle Laffont
OBJECTIVE: Rehabilitation of the upper-limb by means of a brain computer interface (BCI) is based on detecting an "intention to act" in the brain and transforming this intention into actual movement by using a motorized orthesis. The visual and proprioceptive feedback that results from the systems' generated movement following the subjects' captured intention, is thought to close the sensori-motor loop. Closing the loop is a key feature of BCI-systems that is thought to induce cerebral plasticity and thereby facilitating rehabilitation...
September 2016: Annals of Physical and Rehabilitation Medicine
Florence Gaillard, Hélène Rauscent, Armel Crétual, Caroline Le Cornec, Sébastien Cordillet, Isabelle Bonan
OBJECTIVE: Children with hemiplegic cerebral palsy (HCP) have upper limb deficiencies and movement abnormalities causing difficulties in bimanual activities. The objective of this study was to analyze the abnormalities of movement and the kinematic asymmetry of both upper limbs during a bimanual grasp task in children with HCP. PATIENTS AND METHODS: Seven hemiplegic children (mean age 13.7±2.4 years) were evaluated through 3D motion analysis during a bimanual and symmetrical grasp task...
September 2016: Annals of Physical and Rehabilitation Medicine
Oscar Aze, Étienne Odjardias, Xavier Devillard, Barnabé Akplogan, Paul Calmels, Pascal Giraux
OBJECTIVE: Corticospinal tract damage is responsible for motor function impairment after stroke. However, many processes seem to induce muscle damage, which may limit rehabilitation achievement. To achieve a systematic literature review of human muscular modifications due to post-strike hemiplegia. This review considers structural (histological, biochemical) and physiological modifications and their functional consequences over 1 year after stroke. MATERIAL/PATIENTS AND METHODS: Literature search on PubMed, Embase and Cochrane databases for papers published before February 2016 combining the following keywords cerebral stroke, hemiplegic, atrophy, muscle structure, paresis, skeletal muscle fiber type, motor unit, oxidative stress, strength, motor control led to select forty articles...
September 2016: Annals of Physical and Rehabilitation Medicine
Étienne Ojardias, Oscar Azeo, Diana Rimaud, Pascal Giraux
OBJECTIVE: Transcortical direct current stimulation (tDCS) is an emerging technique in the rehabilitation of hemiplegic patients after stroke, and has been mainly evaluated for the upper limb. The feasibility and tolerance of the use of repeated stimulations on the lower limb motor cortex require a clinical evaluation. OBSERVATIONS: A 72-year-old patient, who suffered from a first ischemic stroke in the left middle cerebral artery area, on July 2015, was admitted, 6 months post-stroke, to the PRM outpatient clinic of the university hospital of Saint-Étienne, for a motor training program combined with iterative tDCS stimulations...
September 2016: Annals of Physical and Rehabilitation Medicine
Sana Salah, Mariem Rekik, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: To assess the prevalence of sleep disorders (SD) in ischemic stroke (IS) patients followed in physical medicine and rehabilitation (PMR) and to compare this prevalence to that found in a control population. MATERIAL/PATIENTS AND METHODS: A cross-sectional study was conducted over a period of 8 months. We enrolled IS patients and case controls matched for age and sex and who met the inclusion criteria. The data studied were epidemiological and clinical...
September 2016: Annals of Physical and Rehabilitation Medicine
Siham Zahi, Laila Mahir, Herman Azanmasso, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Depression affects many people following their stroke (between 30 and 60%). It can occur in the days following the attack but several years later. Our objective was to investigate the incidence of depression and anxiety in our patients after stroke followed for post-stroke hemiplegia. MATERIAL/PATIENTS AND METHODS: Prospective study over 6 months from 10 September 2014 to 10 March 2015. It covered all cases of stroke supported the MPR service during this period were excluded patients with severe aphasia...
September 2016: Annals of Physical and Rehabilitation Medicine
Simon Butet, Clément Provost, Marylène Jousse, Leila Tlili, Victorine Quintaine, Isabelle Bonan, Alain Yelnik
OBJECTIVE: The positive effects on motor cortical excitability of stimulating proprioception with tendon vibration therapy have previously been reported in healthy individuals and in chronic stroke patient (Marconi et al., 2008 and 2011). The aim of this study is to evaluate the feasibility of a protocol of tendon vibration therapy in a neurorehabilitation service, with a view to proceeding to an efficacy study. MATERIAL/PATIENTS AND METHODS: We performed a prospective, single-centre study, including 11 patients, 8 men, mean age 61,7±10,6, with upper limb motor deficit secondary to a first stroke (5 ischaemic)...
September 2016: Annals of Physical and Rehabilitation Medicine
Sophie Larrazet, Romain Joste, Angélique Stefan, Anne Delaubier, André Gueyraud, Philippe Foucault, Claire Guillou, Thierry Dabbadie
OBJECTIVE: The aim of this study was to compare the analgesic effectiveness of 1 month injection after botulinum toxin in the pectoralis major muscle or subscapularis. MATERIAL/PATIENTS AND METHODS: In this prospective, comparative, randomized, multicenter trial, 21 patients with hemiplegic shoulder pain after a recent stroke (less 6 months) were screened at baseline, then postinjection (Botox(®) 150 units pectoralis major, 100 units subscaplaris) at 1, 4 and 12 weeks...
September 2016: Annals of Physical and Rehabilitation Medicine
Jeanne Montastruc, David Amarantini, Valérie Lambert, Evelyne Castel-Lacanal, Philippe Marque, David Gasq
OBJECTIVE: Weight-bearing asymmetry (WBA) at the expense of the paretic side concerns 60% of stroke patients. WBA is associated with poor functional prognosis especially in terms of gait performance [1,2]. The primary objective was to assess the determinants of WBA in stroke patients from clinical and instrumental data. MATERIAL/PATIENTS AND METHODS: The sensitivity (EmNSA), motricity (Fugl-Meyer motor), spatial neglect and visual perception of verticality (VPV) were evaluated in 20 stroke patients (age: 53...
September 2016: Annals of Physical and Rehabilitation Medicine
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