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Neurorehabilitation

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https://www.readbyqxmd.com/read/27916853/a-pilot-study-of-individual-muscle-force-prediction-during-elbow-flexion-and-extension-in-the-neurorehabilitation-field
#1
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
#2
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
https://www.readbyqxmd.com/read/27884966/setting-up-a-neuroscience-stroke-and-rehabilitation-centre-in-brunei-darussalam-by-a-transcontinental-on-site-and-telemedical-cooperation
#3
U Meyding-Lamadé, B Bassa, E Craemer, C Jacobi, C Chan, W Hacke, B Kress
Due to the world-wide aging population, there is a need for specialist neurological knowledge, treatment and care. Stroke treatment is effective in reducing mortality and disability, but it is still not available in many areas of the world. We describe the set-up process of a specialized Neuroscience, Stroke and Rehabilitation Centre in Brunei Darussalam (BNSRC) in cooperation with a German hospital. This study details the setup of a stroke-, neurological intensive care- and neurorehabilitation unit, laboratories and a telemedical network to perform all evidence-based stroke treatments...
November 24, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27875927/what-is-being-trained-how-divergent-forms-of-plasticity-compete-to-shape-locomotor-recovery-after-spinal-cord-injury
#4
J Russell Huie, Kazuhito Morioka, Jenny Haefeli, Adam R Ferguson
Spinal cord injury (SCI) is a devastating syndrome that produces dysfunction in motor and sensory systems, manifesting as chronic paralysis, sensory changes, and pain disorders. The multifaceted and heterogeneous nature of SCI has made effective rehabilitative strategies challenging. Work over the last 40 years has aimed to overcome these obstacles by harnessing the intrinsic plasticity of the spinal cord to improve functional locomotor recovery. Intensive training after SCI facilitates lower extremity function and has shown promise as a tool for retraining the spinal cord by engaging innate locomotor circuitry in the lumbar cord...
November 22, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27871449/botulinum-toxin-as-early-intervention-for-spasticity-after-stroke-or-non-progressive-brain-lesion-a-meta-analysis
#5
Raymond L Rosales, Fran Efendy, Ericka Sa Teleg, Mary Md Delos Santos, Mary Ce Rosales, Marc Ostrea, Michelle J Tanglao, Arlene R Ng
Spasticity is a functionally limiting disorder that commonly occurs following stroke or severe brain injury, and may lead to disability and pain. In tandem with neurorehabilitation, botulinum toxin type A (BoNT-A) is the recommended first-line treatment for spasticity and, to date, the majority of trials have reported BoNT-A use in patients >6months after ictus. The present meta-analysis aimed to evaluate the effects of early BoNT-A injection for post-stroke spasticity on improvements in hypertonicity, disability, function and associated pain...
December 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27867664/the-case-for-musical-instrument-training-in-cerebral-palsy-for-neurorehabilitation
#6
REVIEW
Ana Alves-Pinto, Varvara Turova, Tobias Blumenstein, Renée Lampe
Recent imaging studies in cerebral palsy (CP) have described several brain structural changes, functional alterations, and neuroplastic processes that take place after brain injury during early development. These changes affect motor pathways as well as sensorimotor networks. Several of these changes correlate with behavioral measures of motor and sensory disability. It is now widely acknowledged that management of sensory deficits is relevant for rehabilitation in CP. Playing a musical instrument demands the coordination of hand movements with integrated auditory, visual, and tactile feedback, in a process that recruits multiple brain regions...
2016: Neural Plasticity
https://www.readbyqxmd.com/read/27861901/chloride-co-transporters-as-possible-therapeutic-targets-for-stroke
#7
REVIEW
Miguel A S Martín-Aragón Baudel, Amy V Poole, Mark G Darlison
Stroke is one of the major causes of death and disability worldwide. The major type of stroke is an ischaemic one, which is caused by a blockage that interrupts blood flow to the brain. There are currently very few pharmacological strategies to reduce the damage and social burden triggered by this pathology. The harm caused by the interruption of blood flow to the brain unfolds in the subsequent hours and days, so it is critical to identify new therapeutic targets that could reduce neuronal death associated with the spread of the damage...
November 15, 2016: Journal of Neurochemistry
https://www.readbyqxmd.com/read/27858095/-new-aspects-of-neurorehabilitation-motor-and-language
#8
J Liepert, C Breitenstein
Advancements in medical care over the last decades have contributed to a continuous decline in immediate post-stroke mortality. The flipside of this development is that patients surviving the initial stroke are forced to live with sometimes extreme functional motor and/or language limitations for the remaining life span. The following overview presents evidence-based neurorehabilitative interventions to promote motor and language recovery in the acute and chronic post-stroke stages. Therapeutic approaches comprise intensive training, neuropharmacological drugs and non-invasive brain stimulation techniques, such as transcranial magnetic stimulation (TMS) or direct current stimulation (tDCS)...
December 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27853449/peripheral-inflammatory-markers-and-antioxidant-response-during-the-post-acute-and-chronic-phase-after-severe-traumatic-brain-injury
#9
Federico Licastro, Silvana Hrelia, Elisa Porcellini, Marco Malaguti, Cristina Di Stefano, Cristina Angeloni, Ilaria Carbone, Laura Simoncini, Roberto Piperno
Traumatic brain injury (TBI) is a mechanical insult to the brain caused by external forces and associated with inflammation and oxidative stress. The patients may show different profiles of neurological recovery and a combination of oxidative damage and inflammatory processes can affect their courses. It is known that an overexpression of cytokines can be seen in peripheral blood in the early hours/days after the injury, but little is known about the weeks and months encompassing the post-acute and chronic phases...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27847494/enactive-approach-and-dual-tasks-for-the-treatment-of-severe-behavioral-and-cognitive-impairment-in-a-person-with-acquired-brain-injury-a-case-study
#10
David Martínez-Pernía, David Huepe, Daniela Huepe-Artigas, Rut Correia, Sergio García, María Beitia
One of the most important sequela in persons who suffer from acquired brain injury is a behavioral disorder. To date, the primary approaches for the rehabilitation of this sequela are Applied Behavior Analysis, Cognitive-Behavior Therapy, and Comprehensive-Holistic Rehabilitation Programs. Despite this theoretical plurality, none of these approaches focuses on rehabilitating behavioral disorders considering the relation between affordance and environmental adaptation. To introduce this therapeutic view to neurorehabilitation, we apply the theoretical tenets of the enactive paradigm to the rehabilitation of a woman with severe behavioral and cognitive impairment...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27846623/paracrine-mechanisms-of-intravenous-bone-marrow-derived-mononuclear-stem-cells-in-chronic-ischemic-stroke
#11
Ashu Bhasin, M V Padma Srivastava, Sujata Mohanty, Sivasubramaniam Vivekanandhan, Sakshi Sharma, Senthil Kumaran, Rohit Bhatia
BACKGROUND: The emerging role of stem cell technology and transplantation has helped scientists to study their potential role in neural repair and regeneration. The fate of stem cells is determined by their niche, consisting of surrounding cells and the secreted trophic growth factors. This interim report evaluates the safety, feasibility and efficacy (if any) of bone marrow-derived mononuclear stem cells (BM-MNC) in chronic ischemic stroke by studying the release of serum vascular endothelial growth factor (VEGF) and brain-derived neurotrophic growth factor (BDNF)...
October 19, 2016: Cerebrovascular Diseases Extra
https://www.readbyqxmd.com/read/27834472/diagnosis-and-treatment-of-pain-in-plexopathy-radiculopathy-peripheral-neuropathy-and-phantom-limb-pain-evidence-and-recommendations-from-the-italian-consensus-conference-on-pain-on-neurorehabilitation
#12
Francesco Ferraro, Marco Jacopetti, Vincenza Spallone, Luca Padua, Marco Traballesi, Stefano Brunelli, Cristina Cantarella, Cristina Ciotti, Daniele Coraci, Elena Dalla Toffola, Silvia Mandrini, Giovanni Morone, Costanza Pazzaglia, Marcello Romano, Angelo Schenone, Rossella Togni, Stefano Tamburin
Pain may affect all aspects of social life and reduce the quality of life. Neuropathic pain (NP) is common in patients affected by plexopathy, radiculopathy, mononeuropathy, peripheral neuropathy. Phantom limb pain (PLP) is a painful sensation that is common after amputation, and its pathophysiological mechanisms involve changes in the peripheral and central nervous system. Given the lack of conclusive evidence and specific guidelines on these topics, the aim of the Italian Consensus Conference on Pain on Neurorehabilitation (ICCPN) was to collect evidence and offer recommendations to answer currently open questions on the assessment and treatment of NP associated with the above conditions and PLP...
November 11, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27832594/high-frequency-neuromuscular-electrical-stimulation-modulates-interhemispheric-inhibition-in-healthy-humans
#13
Nicolas Gueugneau, Sidney Grosprêtre, Paul J Stapley, Romuald Lepers
High frequency neuromuscular electrical stimulation (HF NMES) induces muscular contractions through neural mechanisms that partially match physiological motor control. Indeed, a portion of the contraction arises from central mechanisms, whereby spinal motoneurons are recruited through the evoked sensory volley. However, the involvement of supraspinal centers of motor control during such a stimulation remained poorly understood. Therefore, we tested whether a single HF NMES session applied to the upper limb influences interhemispheric inhibition (IHI) from left to right motor cortex (M1)...
November 9, 2016: Journal of Neurophysiology
https://www.readbyqxmd.com/read/27830925/headache-low-back-pain-other-nociceptive-and-mixed-pain-conditions-in-neurorehabilitation-evidence-and-recommendations-from-the-italian-consensus-conference-on-pain-in-neurorehabilitation
#14
Alessandro Picelli, Maria G Buzzi, Carlo Cisari, Marialuisa Gandolfi, Daniele Porru, Silvia Bonadiman, Annalisa Brugnera, Roberto Carone, Rosanna Cerbo, Ubaldo Del Carro, Raffaele Gimigliano, Marco Invernizzi, Danilo Miotti, Rossella Nappi, Stefano Negrini, Vittorio Schweiger, Cristina Tassorelli, Stefano Tamburin
Pain is a disabling symptom and is often the foremost symptom of conditions for which patients undergo neurorehabilitation. We systematically searched the PubMed and Embase electronic databases for current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacological treatment of pain in patients with headache, craniofacial pain, low back pain, failed back surgery syndrome, osteoarticular pain, myofascial pain syndrome, fibromyalgia, and chronic pelvic pain. Despite the heterogeneity of published data, consensus was reached on pain assessment and management of patients with these conditions and on the utility of a multidisciplinary approach to pain therapy that combines the benefits of pharmacological therapy, physiotherapy, neurorehabilitation, and psychotherapy...
November 10, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27826223/self-paced-reaching-after-stroke-a-quantitative-assessment-of-longitudinal-and-directional-sensitivity-using-the-h-man-planar-robot-for-upper-limb-neurorehabilitation
#15
Asif Hussain, Aamani Budhota, Charmayne Mary Lee Hughes, Wayne D Dailey, Deshmukh A Vishwanath, Christopher W K Kuah, Lester H L Yam, Yong J Loh, Liming Xiang, Karen S G Chua, Etienne Burdet, Domenico Campolo
Technology aided measures offer a sensitive, accurate and time-efficient approach for the assessment of sensorimotor function after neurological insult compared to standard clinical assessments. This study investigated the sensitivity of robotic measures to capture differences in planar reaching movements as a function of neurological status (stroke, healthy), direction (front, ipsilateral, contralateral), movement segment (outbound, inbound), and time (baseline, post-training, 2-week follow-up) using a planar, two-degrees of freedom, robotic-manipulator (H-Man)...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27820871/consent-refusal-and-waivers-in-patient-centered-dysphagia-care-using-law-ethics-and-evidence-to-guide-clinical-practice
#16
Jennifer Horner, Maria Modayil, Laura Roche Chapman, An Dinh
Purpose: When patients refuse medical or rehabilitation procedures, waivers of liability have been used to bar future lawsuits. The purpose of this tutorial is to review the myriad issues surrounding consent, refusal, and waivers. The larger goal is to invigorate clinical practice by providing clinicians with knowledge of ethics and law. This tutorial is for educational purposes only and does not constitute legal advice. Method: The authors use a hypothetical case of a "noncompliant" individual under the care of an interdisciplinary neurorehabilitation team to illuminate the ethical and legal features of the patient-practitioner relationship; the elements of clinical decision-making capacity; the duty of disclosure and the right of informed consent or informed refusal; and the relationship among noncompliance, defensive practices, and iatrogenic harm...
November 1, 2016: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/27818001/simultaneous-eeg-fnirs-reveals-how-age-and-feedback-affect-motor-imagery-signatures
#17
Catharina Zich, Stefan Debener, Ann-Kathrin Thoene, Ling-Chia Chen, Cornelia Kranczioch
Stroke frequently results in motor impairment. Motor imagery (MI), the mental practice of movements, has been suggested as a promising complement to other therapeutic approaches facilitating motor rehabilitation. Of particular potential is the combination of MI with neurofeedback (NF). However, MI NF protocols have been largely optimized only in younger healthy adults, although strokes occur more frequently in older adults. The present study examined the influence of age on the neural correlates of MI supported by electroencephalogram (EEG)-based NF and on the neural correlates of motor execution...
October 15, 2016: Neurobiology of Aging
https://www.readbyqxmd.com/read/27800189/paired-stimulation-to-promote-lasting-augmentation-of-corticospinal-circuits
#18
REVIEW
Noam Y Harel, Jason B Carmel
After injury, electrical stimulation of the nervous system can augment plasticity of spared or latent circuits through focal modulation. Pairing stimulation of two parts of a spared circuit can target modulation more specifically to the intended circuit. We discuss 3 kinds of paired stimulation in the context of the corticospinal system, because of its importance in clinical neurorehabilitation. The first uses principles of Hebbian plasticity: by altering the stimulation timing of presynaptic neurons and their postsynaptic targets, synapse function can be modulated up or down...
2016: Neural Plasticity
https://www.readbyqxmd.com/read/27790612/muscle-synergies-facilitate-computational-prediction-of-subject-specific-walking-motions
#19
Andrew J Meyer, Ilan Eskinazi, Jennifer N Jackson, Anil V Rao, Carolynn Patten, Benjamin J Fregly
Researchers have explored a variety of neurorehabilitation approaches to restore normal walking function following a stroke. However, there is currently no objective means for prescribing and implementing treatments that are likely to maximize recovery of walking function for any particular patient. As a first step toward optimizing neurorehabilitation effectiveness, this study develops and evaluates a patient-specific synergy-controlled neuromusculoskeletal simulation framework that can predict walking motions for an individual post-stroke...
2016: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/27789239/minimal-clinically-important-difference-of-berg-balance-scale-in-people-with-multiple-sclerosis
#20
Elisa Gervasoni, Johanna Jonsdottir, Angelo Montesano, Davide Cattaneo
OBJECTIVE: To identify the Minimal Clinically Important Difference (MCID) to define clinically meaningful patient's improvement on the Berg Balance Scale (BBS) in People with Multiple Sclerosis (PwMS) in response to rehabilitation. DESIGN: Cohort study SETTING: Neurorehabilitation institute. PARTICIPANTS: 110 PwMS participated in this study. INTERVENTIONS: This study is comprised of inpatients and outpatients that participated in research on balance and gait rehabilitation...
October 24, 2016: Archives of Physical Medicine and Rehabilitation
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