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Stroke and Rehabilitation

Ana P Costa, Jakob S Møller, Helle K Iversen, Sadasivan Puthusserypady
This paper describes the implementation of a Brain Computer Interface (BCI) scheme using a common spatial patterns (CSP) filter in combination with a Recursive Least Squares (RLS) approach to iteratively update the coefficients of the CSP filter. The proposed adaptive CSP (ACSP) algorithm is made more robust by introducing regularization using Diagonal Loading (DL), and thus will be able to significantly reduce the length of training sessions when introducing new patients to the BCI system. The system is tested on a 4-class multi-limb motor imagery (MI) data set from the BCI competition IV (2a), and a more complex single limb 3-class MI dataset recorded in-house...
October 11, 2018: Computers in Biology and Medicine
A P Kovalenko, V K Misikov
AIM: To develop and test a method of examination of patients with lower limb spasticity, to describe lower limb spasticity patterns in patients with brain damage and to assess the efficacy of abobotulinumtoxin A (dysport) in the rehabilitation of patients with stroke. MATERIAL AND METHODS: Spasticity rating scales (MAS and Tardieu), the Barthel index, the Rankin scale , the Rivermead Mobility Index, the Hauser Ambulation Index, a comfortable walking test were used...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
E V Kovaleva, B M Doronin, V V Morozov, Yu V Seryapina, S G Markova
AIM: To examine an effect of polymorphisms of lipid peroxidation system genes on the risk of ischemic stroke as well as the prognosis of disease outcome after rehabilitation measures. MATERIAL AND METHODS: Seven hundred and forty-six patients with ischemic stroke and 500 patients of the control group were genotyped for 6 polymorphisms of lipid peroxidation system genes: HIF1a C1772T, ApoE Σ2/Σ3/Σ4, MnSOD C47T, GPX-1 C599T, BDNF G196T, p22phox C242T. RESULTS AND CONCLUSION: The HIF1a C1772T polymorphism was a significant risk factor for the development of ischemic stroke with the odds ratio 1...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Tong Zhang, Lixu Liu, Rong Xie, Ying Peng, Huifang Wang, Zhuoming Chen, Shizheng Wu, Chaomin Ni, Jiejiao Zheng, Xueping Li, Heyu Liu, Guangxu Xu, Jianzhong Fan, Yuhong Zhu, Fang Zhang, Yanhui Du, Xin Wang, Yulong Wang, Weimin Xiao, Ming Liu, Xiang Mou, Jun Zhao, Luping Song, Bingjie Li
This study aimed to evaluate the efficiency of the International Classification of Functioning, Disability, and Health (ICF) in stroke rehabilitation assessment in China and to identify correlations between the ICF and several commonly used clinical assessment instruments for stroke.In total, 52 hospitals and 5 premier rehabilitation and neurology research centers participated in this cross-sectional multicenter clinical study. A total of 2822 stroke patients admitted to a neurology or rehabilitation department of a participating medical center between July 2012 and June 2014 were included...
October 2018: Medicine (Baltimore)
F Noveletto, A V Soares, B A Mello, C N Sevegnani, F L F Eichinger, M da S Hounsell, P Bertemes-Filho
Hemiparetic stroke patients can have several muscular and postural disorders which compromise their balance. Serious Games (SG) emerged as a new approach to enhance conventional treatment by making it a motivating method to meet individual needs. This paper evaluated the therapeutic effects of a biomedical SG system developed for balance evaluation and training of hemiparetic stroke patients. The system consists of a balance board with inertial sensors and a computer system that runs the game. A novel scoring system for balance evaluation which extracts metric information regarding patients' performance while gaming was proposed...
October 18, 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Itaru Fukuzawa, Osamu Tokumaru, Nobuoki Eshima, Kira Bacal, Takaaki Kitano, Isao Yokoi
BACKGROUND/AIM: Re-employment is the goal of rehabilitation for many patients after stroke. This study retrospectively examined previously employed stroke survivors who were unable to return to work at time of discharge from hospital and identified factors which were correlated with successful re-employment following a rehabilitation programme involving occupational therapy at a support facility. Factors correlated with reactivation of drivers' licence after stroke were also investigated...
October 18, 2018: Australian Occupational Therapy Journal
Bernie Garrett, Tarnia Taverner, Diane Gromala, Gordon Tao, Elliott Cordingley, Crystal Sun
BACKGROUND: Virtual reality (VR) therapy has been explored as a novel therapeutic approach for numerous health applications, in which three-dimensional virtual environments can be explored in real time. Studies have found positive outcomes for patients using VR for clinical conditions such as anxiety disorders, addictions, phobias, posttraumatic stress disorder, eating disorders, stroke rehabilitation, and for pain management. OBJECTIVE: This work aims to highlight key issues in the implementation of clinical research for VR technologies...
October 17, 2018: JMIR Serious Games
Nergiz Turgut, Lisa Möller, Kerstin Dengler, Katrin Steinberg, Andreas Sprenger, Paul Eling, Andreas Kastrup, Helmut Hildebrandt
BACKGROUND: Visuospatial neglect is a disabling syndrome with serious consequences for activities in daily life. This study investigated the effect of adaptive cueing during a reading task as a possible treatment for neglect by including (1) a task relevant for the patient's daily life, (2) a fading out procedure to stimulate independent orientation to the left by self-cueing, and (3) a clear definition of neglect severity for the adaptive treatment protocol. METHODS: A randomized controlled crossover design was used, including 26 patients from an early rehabilitation unit with left-sided visuospatial neglect after stroke or hemorrhage...
October 17, 2018: Neurorehabilitation and Neural Repair
Olena G Filatova, Yuan Yang, Julius P A Dewald, Runfeng Tian, Pablo Maceira-Elvira, Yusuke Takeda, Gert Kwakkel, Okito Yamashita, Frans C T van der Helm
In hemiparetic stroke, functional recovery of paretic limb may occur with the reorganization of neural networks in the brain. Neuroimaging techniques, such as magnetic resonance imaging (MRI), have a high spatial resolution which can be used to reveal anatomical changes in the brain following a stroke. However, low temporal resolution of MRI provides less insight of dynamic changes of brain activity. In contrast, electro-neurophysiological techniques, such as electroencephalography (EEG), have an excellent temporal resolution to measure such transient events, however are hindered by its low spatial resolution...
2018: Frontiers in Neural Circuits
Ingrid van de Port, Michiel Punt, Jan Willem Meijer
BACKGROUND: Free-living walking activity and its contributing factors in ambulatory people with stroke is poorly investigated. OBJECTIVE: Evaluating free-living walking activity and identifying factors associated with free-living walking activity. METHODS: In this cross-sectional study, participants wore an accelerometer to measure their level of walking activity. They also completed the Berg Balance Scale (BBS) and the Timed Up and Go test for functional balance, the Falls Efficacy Scale, the 10-Metre Walk Test and the Geriatric Depression Scale to investigate the relation between the performance tests and walking activity...
October 16, 2018: Disability and Rehabilitation
Miriam Allein Zago Marcolino, Melina Hauck, Cinara Stein, Jociane Schardong, Aline de Souza Pagnussat, Rodrigo Della Méa Plentz
PURPOSE: To evaluate the effects and to compare transcutaneous electrical nerve stimulation protocols, alone or as additional therapy in chronic post-stroke spasticity through a systematic review and meta-analysis of randomized clinical trials. METHODS: Search was conducted in MEDLINE, Cochrane Library, EMBASE and Physiotherapy Evidence Database through November 2017 (CRD42015020146). Two independent reviewers performed articles selection, data extraction and methodological quality assessment using the Cochrane Collaboration's risk of bias tool...
October 16, 2018: Disability and Rehabilitation
JaYoung Kim, Dae Yul Kim, Min Ho Chun, Seong Woo Kim, Ha Ra Jeon, Chang Ho Hwang, Jong Kyoung Choi, Suhwan Bae
OBJECTIVE: To investigate the effects of Morning Walk® -assisted gait training for patients with stroke. DESIGN: Prospective randomized controlled trial. SETTING: Three hospital rehabilitation departments (two tertiary and one secondary). PATIENTS: We enrolled 58 patients with hemiparesis following a first-time stroke within the preceding year and with Functional Ambulation Category scores ⩾2. INTERVENTION: The patients were randomly assigned to one of two treatment groups: 30 minutes of training with Morning Walk® , a lower limb rehabilitation robot, plus 1 hour of conventional physiotherapy (Morning Walk® group; n = 28); or 1...
October 16, 2018: Clinical Rehabilitation
Maribeth Anne P Gelisanga, Edward James R Gorgon
BACKGROUND: Previous studies have distilled the Upright Motor Control Test Knee Extension and Knee Flexion subscales (UMCT-KE and UMCT-KF, respectively) from the original 6-item instrument and examined these as stand-alone rapid tests of voluntary movement control in the standing position. Systematic review evidence suggests that the UMCT-KE and UMCT-KF may have value in predicting walking ability after stroke. OBJECTIVE: To examine the interrater and intrarater reliability, and concurrent validity of the UMCT-KE and UMCT-KF, and associations with walking ability in adults with subacute stroke...
October 16, 2018: Topics in Stroke Rehabilitation
Ella Clark, Alison MacCrosain, Nick S Ward, Fiona Jones
PURPOSE: To assess the key features of group self-management interventions for stroke and explore the role of peer support in this setting. METHOD: A segregated mixed research synthesis was conducted. A literature search was performed in OvidSP, EMBASE, AMED and EBSCO (up to January 2018). Studies were included if they delivered group interventions containing self-management principles to stroke survivors on more than two consecutive occasions. The bias of included studies was assessed using NICE guidelines...
October 16, 2018: Disability and Rehabilitation
Sophie Lawrie, Yun Dong, Dax Steins, Zhidao Xia, Patrick Esser, Shanbin Sun, Fei Li, James D Amor, Christopher James, Hooshang Izadi, Yi Cao, Derick Wade, Nancy Mayo, Helen Dawes
Background: The majority of stroke patients are inactive outside formal therapy sessions. Tailored activity feedback via a smartwatch has the potential to increase inpatient activity. The aim of the study was to identify the challenges and support needed by ward staff and researchers and to examine the feasibility of conducting a randomised controlled trial (RCT) using smartwatch activity monitors in research-naive rehabilitation wards. Objectives (Phase 1 and 2) were to report any challenges and support needed and determine the recruitment and retention rate, completion of outcome measures, smartwatch adherence rate, (Phase 2 only) readiness to randomise, adherence to protocol (intervention fidelity) and potential for effect...
2018: Pilot and Feasibility Studies
Naohiko Okabe, Osamu Miyamoto
No abstract text is available yet for this article.
December 2018: Neural Regeneration Research
Won Hyuk Chang, Min A Shin, Ahee Lee, Heegoo Kim, Yun-Hee Kim
The aim of this preliminary study was to investigate the potential of serum brain-derived neurotrophic factor (BDNF) as a biomarker in poststroke depressive mood in subacute stroke patients. Thirty-eight subacute stroke patients were recruited in this study. All participants underwent the standard rehabilitation program that included 2 h of physical therapy daily and 1 h of occupational therapy five days a week. The rehabilitation period lasted two weeks during the subacute stroke phase. We measured the serum BDNF, proBDNF, and matrix metalloproteinase-9 before and one and two weeks after the standard rehabilitation program...
October 12, 2018: International Journal of Molecular Sciences
Marie-Eve Lamontagne, Carol Richards, Leila Azzaria, Mélany Rosa-Goulet, Louise Clément, France Pelletier
BACKGROUND: The unique perspectives of patients and caregivers on their experiences as users of rehabilitation services help identify areas for improvement for the continuum from acute care to community integration. OBJECTIVE: This study reports perceptions of persons with stroke and their caregivers in an existing continuum of stroke care, social services, and rehabilitation in the Province of Quebec. METHODS: A total of 10 focus groups were held, 5 with persons with stroke (n = 37, mean age 59...
October 15, 2018: Topics in Stroke Rehabilitation
Natalia Cichoń, Michał Bijak, Piotr Czarny, Elżbieta Miller, Ewelina Synowiec, Tomasz Sliwinski, Joanna Saluk-Bijak
Background: Neuroplasticity ensures the improvement of functional status in patients after stroke. The aim of this study was to evaluate the effect of extremely low-frequency electromagnetic field therapy (ELF-EMF) on brain plasticity in the rehabilitation of patients after stroke. Methods: Forty-eight patients were divided into two groups underwent the same rehabilitation program, but in the study group, the patients additionally were exposed to a standard series of 10 ELF-EMF treatments. To determine the level of neuroplasticity, we measured the plasma level of the brain-derived neurotrophic factor (BDNF), the vascular-endothelial growth factor, as well as BDNF mRNA expression...
2018: Frontiers in Aging Neuroscience
Jonas Schröder, Tamaya van Criekinge, Elissa Embrechts, Xanthe Celis, Jolien Van Schuppen, Steven Truijen, Wim Saeys
PURPOSE: A motivational surrounding is desirable in stroke rehabilitation considering the need to train repetitively to improve balance, even after discharge from rehabilitation facilities. This review aims to investigate whether it is feasible to combine virtual reality (VR) which allows exercising in game-like environments with tele-rehabilitation in a community-dwelling stroke population. METHODS: Literature searches were conducted in five databases, for example, PubMed and the Cochrane Library...
October 14, 2018: Disability and Rehabilitation. Assistive Technology
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