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Neurorehabilitation

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https://www.readbyqxmd.com/read/28102699/tracheostomy-weaning-outcomes-in-relation-to-the-site-of-acquired-brain-injury-a-retrospective-case-series
#1
Kay Mitton, Krystyna Walton, Manoj Sivan
OBJECTIVE: To analyse whether the outcome of tracheostomy weaning is influenced by the site of injury in acquired brain injury. METHODS: A retrospective case review of all the consecutive admissions to an acute neurorehabilitation unit in a 2-year period was performed. Patients with a diagnosis of acquired brain injury and tracheostomy in situ were included in this study. RESULTS: One hundred and six patients were included in the analysis...
January 19, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28094021/neuropsychological-characteristics-of-encephalopathy-in-susac-s-syndrome-case-report
#2
Magdalena Roessler-Górecka, Tadeusz Mendel, Justyna Wiśniowska, Joanna Seniów
Susac's Syndrome (SS) is a rare, autoimmune angiopathy characterized by hearing loss, retinal artery occlusions and encephalopathy, which is usually expressed in multifocal neurological signs and symptoms, confusion state and cognitive impairment. There have been few descriptions of neuropsychological assessment of SS. We present a case study of 29-year-old woman who developed full SS. During the post-acute stage of disease, she was admitted to neurorehabilitation ward to improve her cognitive-behavioral and motor functioning...
January 10, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28091936/task-specific-motor-rehabilitation-therapy-after-stroke-improves-performance-in-a-different-motor-task-translational-evidence
#3
M El Amki, P Baumgartner, O Bracko, A R Luft, S Wegener
While the stroke survivor with a motor deficit strives for recovery of all aspects of daily life movements, neurorehabilitation training is often task specific and does not generalize to movements other than the ones trained. In rodent models of post-stroke recovery, this problem is poorly investigated as the training task is often the same as the one that measures motor function. The present study investigated whether motor training by pellet reaching translates into enhancement of different motor functions in rats after stroke...
January 14, 2017: Translational Stroke Research
https://www.readbyqxmd.com/read/28050939/book-review-stroke-interventions-to-support-occupational-performance-neurorehabilitation-in-occupational-therapy-series-wolf-timothy-j-ed-2014-stroke-interventions-to-support-occupational-performance-neurorehabilitation-in-occupational-therapy-series-vol-2
#4
https://www.readbyqxmd.com/read/28009677/effectiveness-of-temporary-deafferentation-of-the-arm-on-somatosensory-and-motor-functions-following-stroke-a-systematic-review
#5
Emmanuelle Opsommer, Camille Zwissig, Natalya Korogod, Thomas Weiss
BACKGROUND: After stroke, regaining functional use of the upper limb can be challenging. Temporary deafferentation (TD) is a novel approach used in neurorehabilitation to voluntarily reduce the somatosensory input in a body part by temporary anesthesia; which has been shown to improve sensorimotor functions in the affected limb. OBJECTIVES: The primary objective of this systematic review was to present the best available evidence related to the effects of TD of the affected arm on the recovery of motor function and activity of the upper limb (arm and hand) following stroke...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28004991/bilateral-versus-ipsilesional-cortico-subcortical-activity-patterns-in-stroke-show-hemispheric-dependence
#6
A Cristina Vidal, Paula Banca, Augusto G Pascoal, Gustavo C Santo, João Sargento-Freitas, Ana Gouveia, Miguel Castelo-Branco
Background Understanding of interhemispheric interactions in stroke patients during motor control is an important clinical neuroscience quest that may provide important clues for neurorehabilitation. In stroke patients, bilateral overactivation in both hemispheres has been interpreted as a poor prognostic indicator of functional recovery. In contrast, ipsilesional patterns have been linked with better motor outcomes. Aim We investigated the pathophysiology of hemispheric interactions during limb movement without and with contralateral restraint, to mimic the effects of constraint-induced movement therapy...
January 2017: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27999522/effect-of-comorbidities-on-outcomes-of-neurorehabilitation-interventions-in-multiple-sclerosis-a-scoping-review
#7
Afolasade Fakolade, Etienne J Bisson, Julie Pétrin, Julie Lamarre, Marcia Finlayson
Background: Interest in comorbidities has increased in the past few years, but the effect of comorbidities on outcomes of multiple sclerosis (MS) neurorehabilitation interventions is unclear. The aim of this review was to identify and summarize the existing evidence regarding the effect of comorbidities on outcomes of neurorehabilitation interventions targeting people with MS. Methods: Five databases (Embase, MEDLINE through Ovid, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, and Web of Science) were searched using index terms and keywords relating to MS and a wide range of rehabilitation interventions...
November 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27993584/functional-independence-a-comparison-of-the-changes-during-neurorehabilitation-between-patients-with-non-traumatic-subarachnoid-hemorrhage-and-intracerebral-hemorrhage-or-acute-ischemic-stroke
#8
Henriette Holm Stabel, Asger Roer Pedersen, Søren Paaske Johnsen, Jørgen Feldbæk Nielsen
OBJECTIVE: To compare the changes in functional independence measured by the Functional Independence Measure (FIM) after specialized neurorehabilitation between patients with non-traumatic subarachnoid hemorrhage (SAH) and intracerebral hemorrhage or acute ischemic stroke (ICH/AIS). DESIGN: Historical cohort study comparing changes in functional independence between patients with SAH and ICH/AIS, using FIM scores from a local database, and clinical information from the Danish National Patient Registry...
December 16, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27988346/experiencing-a-reaching-task-passively-with-one-arm-while-adapting-to-a-visuomotor-rotation-with-the-other-can-lead-to-substantial-transfer-of-motor-learning-across-the-arms
#9
Shancheng Bao, Yuming Lei, Jinsung Wang
The extent of transfer following visuomotor adaptation across the arms is typically limited as compared to that within the same arm. However, we have demonstrated that interlimb transfer can occur nearly completely if one arm performs reaching movements associated with a desired trajectory repeatedly and actively during an initial training session in which the other arm adapts to a novel visuomotor adaptation. Based on that finding, we argued that the absence of instances associated with specific motor effectors is the major reason for limited interlimb transfer...
December 14, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27977515/the-new-nih-rehabilitation-research-plan-priorities-and-potential-for-progress-in-neurorehabilitation-research
#10
Edelle Edee Field-Fote
No abstract text is available yet for this article.
January 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/27976930/predicting-length-of-stay-in-specialist-neurological-rehabilitation
#11
Whitney Taiwo, Alexandra Wressle, Lloyd Bradley
AIMS: A retrospective case series was performed to determine which measures of complexity, dependency and function most accurately predict inpatient neurorehabilitation length of stay for individuals with post-acute neurological disorders. METHODS: Sociodemographic, medical and functional variables were extracted from data submitted to the UK Rehabilitation Outcomes Collaborative. Length of stay was calculated as the total number of inpatient days, functional status was measured using Barthel Index, rehabilitation complexity was measured using Extended Rehabilitation Complexity Scale, and nursing dependency was measured using the Northwick Park Dependency Scale...
December 15, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27965310/rare-cause-of-back-pain-staphylococcus-aureus-vertebral-osteomyelitis-complicated-by-recurrent-epidural-abscess-and-severe-sepsis
#12
Louise Dunphy, Shabnam Iyer, Christopher Brown
An epidural abscess represents a rare acute medical emergency, with a reported incidence of 2.5/10 000 hospital admissions annually. The clinical features include fever, spinal pain, radiating nerve root pain and leg weakness. When sepsis is present, prompt recognition is required to initiate appropriate antimicrobial therapy and surgical decompression. We present the case of a man aged 68 years presenting to the emergency department with a 3-day history of fever, low back, right hip and leg pain. He was hypoxic, tachycardic and hypotensive...
December 13, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27957487/effect-of-anodal-tdcs-on-event-related-potentials-a-controlled-study
#13
Ahmed Izzidien, Sriharasha Ramaraju, Mohammed Ali Roula, Peter W McCarthy
We aim to measure the postintervention effects of A-tDCS (anodal-tDCS) on brain potentials commonly used in BCI applications, namely, Event-Related Desynchronization (ERD), Event-Related Synchronization (ERS), and P300. Ten subjects were given sham and 1.5 mA A-tDCS for 15 minutes on two separate experiments in a double-blind, randomized order. Postintervention EEG was recorded while subjects were asked to perform a spelling task based on the "oddball paradigm" while P300 power was measured. Additionally, ERD and ERS were measured while subjects performed mental motor imagery tasks...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27942479/posterior-fossa-syndrome-a-narrative-review
#14
REVIEW
Salima S Wahab, Samantha Hettige, Kshtij Mankad, Kristian Aquilina
Posterior fossa syndrome (PFS), or cerebellar mutism syndrome (CMS), is a collection of neurological symptoms that occur following surgical resection of a posterior fossa tumour, and is characterised by either a reduction or an absence of speech. Some authors suggest that CM is only one symptom of the CMS complex that also includes ataxia, hypotonia and irritability as well as cranial nerve deficits, neurobehavioral changes and urinary retention or incontinence. It is seen almost exclusively in children. In 1985 Rekate et al...
October 2016: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/27932696/corpus-callosum-structural-integrity-is-associated-with-postural-control-improvement-in-persons-with-multiple-sclerosis-who-have-minimal-disability
#15
Daniel S Peterson, Geetanjali Gera, Fay B Horak, Brett W Fling
Background Improvement of postural control in persons with multiple sclerosis (PwMS) is an important target for neurorehabilitation. Although PwMS are able to improve postural performance with training, the neural underpinnings of these improvements are poorly understood. Objective To understand the neural underpinnings of postural motor learning in PwMS. Methods Supraspinal white matter structural connectivity in PwMS was correlated with improvements in postural performance (balancing on an oscillating surface over 25 trials) and retention of improvements (24 hours later)...
December 8, 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27931775/rhythmic-wrist-movements-facilitate-the-soleus-h-reflex-and-non-voluntary-air-stepping-in-humans
#16
Irina A Solopova, Victor A Selionov, Egor O Blinov, Dmitri S Zhvansky, Yury P Ivanenko
Neural coupling between the upper and lower limbs during human walking is supported by modulation of cross-limb reflexes and the presence of rhythmic activity in the proximal arm muscles. Nevertheless, the involvement of distal arm muscles in cyclic movements and sensorimotor neuromodulation is also suggested given their step-synchronized activation in many locomotor-related tasks (e.g., swimming, skiing, climbing, cycling, crawling, etc.). Here we investigated the effect of rhythmic wrist movements, separately and in conjunction with arm swinging, on the characteristics of non-voluntary cyclic leg movements evoked by muscle vibration in a gravity neutral position and on the soleus H-reflex of the stationary legs...
December 5, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27926448/increasing-self-directed-training-in-neurorehabilitation-patients-through-competition
#17
B Studer, H Van Dijk, R Handermann, S Knecht
This proof-of-concept study aimed to test whether competition could be a useful tool to increase intensity and amount of self-directed training in neurorehabilitation. Stroke patients undergoing inpatient neurorehabilitation (n=93) conducted self-directed endurance training on a (wheelchair-compatible) bicycle trainer under three experimental conditions: a "Competition" condition and two noncompetition control conditions (repeated randomized within-subject design). Training performance and perceived exertion were recorded and statistically analyzed...
2016: Progress in Brain Research
https://www.readbyqxmd.com/read/27925591/kinesthetic-feedback-during-2dof-wrist-movements-via-a-novel-mr-compatible-robot
#18
Andrew Erwin, Marcia O'Malley, David Ress, Fabrizio Sergi
We demonstrate the interaction control capabilities of the MR-SoftWrist, a novel MR-compatible robot capable of applying accurate kinesthetic feedback to wrist pointing movements executed during fMRI. The MR-SoftWrist, based on a novel design that combines parallel piezoelectric actuation with compliant force feedback, is capable of delivering 1.5 N·m of torque to the wrist of an interacting subject about the flexion/extension and radial/ulnar axes. The robot workspace, defined by admissible wrist rotation angles, fully includes a circle with a 20 deg radius...
December 1, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/27916853/a-pilot-study-of-individual-muscle-force-prediction-during-elbow-flexion-and-extension-in-the-neurorehabilitation-field
#19
Jiateng Hou, Yingfei Sun, Lixin Sun, Bingyu Pan, Zhipei Huang, Jiankang Wu, Zhiqiang Zhang
This paper proposes a neuromusculoskeletal (NMS) model to predict individual muscle force during elbow flexion and extension. Four male subjects were asked to do voluntary elbow flexion and extension. An inertial sensor and surface electromyography (sEMG) sensors were attached to subject's forearm. Joint angle calculated by fusion of acceleration and angular rate using an extended Kalman filter (EKF) and muscle activations obtained from the sEMG signals were taken as the inputs of the proposed NMS model to determine individual muscle force...
November 29, 2016: Sensors
https://www.readbyqxmd.com/read/27904913/statistical-process-control-a-feasibility-study-of-the-application-of-time-series-measurement-in-early-neurorehabilitation-after-acquired-brain-injury
#20
Gabriela Markovic, Marie-Louise Schult, Aniko Bartfai, Mattias Elg
BACKGROUND: Progress in early cognitive recovery after acquired brain injury is uneven and unpredictable, and thus the evaluation of rehabilitation is complex. The use of time-series measurements is susceptible to statistical change due to process variation. OBJECTIVE: To evaluate the feasibility of using a time-series method, statistical process control, in early cognitive rehabilitation. METHOD: Participants were 27 patients with acquired brain injury undergoing interdisciplinary rehabilitation of attention within 4 months post-injury...
November 30, 2016: Journal of Rehabilitation Medicine
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