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https://www.readbyqxmd.com/read/27688152/a-modelling-tool-for-capacity-planning-in-acute-and-community-stroke-services
#1
Thomas Monks, David Worthington, Michael Allen, Martin Pitt, Ken Stein, Martin A James
BACKGROUND: Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year...
September 29, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27268564/efficacy-of-inpatient-rehabilitation-following-left-ventricular-assist-device-implantation
#2
Gardner Yost, Laura Coyle, Kristen Milkevitch, Roy Adair, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist devices (LVADs) have become an increasingly popular and effective means for treating advanced heart failure. LVAD implantation requires extensive surgery and postoperative rehabilitation. The functional independence measure (FIM) has been used to quantify functional gains in numerous patient populations including those with stroke and spinal cord injury. This study investigated functional improvements in patients undergoing left ventricular assist device implantation using the FIM score...
June 3, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27267889/post-discharge-stroke-patients-information-needs-as-input-to-proposing-patient-centred-ehealth-services
#3
Nadia Davoody, Sabine Koch, Ingvar Krakau, Maria Hägglund
BACKGROUND: Despite the potential of eHealth services to revolutionize the way healthcare and prevention is provided many applications developed for patients fail to deliver their promise. Therefore, the aim of this study is to use patient journey mapping to explore post-discharge stroke patients' information needs to propose eHealth services that meet their needs throughout their care and rehabilitation processes. METHODS: Three focus groups with younger (<65 years) and older (> = 65 years) stroke patients were performed...
2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27163250/mobile-game-based-virtual-reality-rehabilitation-program-for-upper-limb-dysfunction-after-ischemic-stroke
#4
Yoon-Hee Choi, Jeonghun Ku, Hyunmi Lim, Yeo Hyung Kim, Nam-Jong Paik
BACKGROUND: Virtual reality (VR) has the potential to provide intensive, repetitive, and task-oriented training, and game-based therapy can enhance patients' motivation and enjoyment. OBJECTIVE: The objective of the present study was to develop a mobile game-based upper extremity VR program for patients who have experienced stroke, and to evaluate the feasibility and effectiveness of the program. METHODS: This randomized, double-blind, controlled trial included 24 patients with ischemic stroke...
May 2, 2016: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/27029647/virtual-reality-gaming-in-the-rehabilitation-of-the-upper-extremities-post-stroke
#5
Michael Yates, Arpad Kelemen, Cecilia Sik Lanyi
BACKGROUND: Occurrences of strokes often result in unilateral upper limb dysfunction. Dysfunctions of this nature frequently persist and can present chronic limitations to activities of daily living. METHODS: Research into applying virtual reality gaming systems to provide rehabilitation therapy have seen resurgence. Themes explored in stroke rehab for paretic limbs are action observation and imitation, versatility, intensity and repetition and preservation of gains...
2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/26986120/what-do-stroke-patients-look-for-in-game-based-rehabilitation-a-survey-study
#6
Ya-Xuan Hung, Pei-Chen Huang, Kuan-Ta Chen, Woei-Chyn Chu
Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive and mundane nature of conventional rehabilitation exercises. Thus, to motivate stroke survivors to engage in monotonous rehabilitation is a significant issue in the therapy process. Game-based rehabilitation systems have the potential to encourage patients continuing rehabilitation exercises at home...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26920909/systemic-inflammatory-response-syndrome-and-outcomes-in-intracerebral-hemorrhage
#7
Amelia K Boehme, Angela N Hays, Kimberly P Kicielinski, Kanika Arora, Niren Kapoor, Michael J Lyerly, Alissa Gadpaille, Harn Shiue, Karen Albright, David Miller, Mitchell S V Elkind, Mark R Harrigan
BACKGROUND: To identify the patients at greatest odds for systemic inflammatory response syndrome (SIRS) and examine the association between SIRS and outcomes in patients presenting with intracerebral hemorrhage (ICH). METHODS: We retrospectively reviewed consecutive patients presenting to a tertiary care center from 2008 to 2013 with ICH. SIRS was defined according to standard criteria as 2 or more of the following: (1) body temperature <36 or >38 °C, (2) heart rate >90 beats per minute, (3) respiratory rate >20, or (4) white blood cell count <4000/mm(3) or >12,000/mm(3) or >10 % polymorphonuclear leukocytes for >24 h in the absence of infection...
August 2016: Neurocritical Care
https://www.readbyqxmd.com/read/26737156/monitoring-game-based-motor-rehabilitation-of-patients-at-home-for-better-plans-of-care-and-quality-of-life
#8
S Ponte, S Gabrielli, J Jonsdottir, M Morando, S Dellepiane
This paper describes the biomedical, remote monitoring infrastructure developed and currently tested in the EU REHAB@HOME project to support home rehabilitation of the upper extremity of persons post-stroke and in persons with other neurological disorders, such as Multiple Sclerosis patients, in order to track their progress over therapy and improve their Quality of Life. The paper will specifically focus on describing the initial testing of the tele-rehabilitation system's components for patients' biomedical monitoring over therapy, which support the delivery and monitoring of more personalized, engaging plans of care by rehabilitation centers and services...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/26726854/positive-psychotherapy-in-abi-rehab-popstar-a-pilot-randomised-controlled-trial
#9
Breda Cullen, Jaycee Pownall, Joanne Cummings, Satu Baylan, Niall Broomfield, Caroline Haig, Denyse Kersel, Heather Murray, Jonathan J Evans
Psychological distress is common following acquired brain injury (ABI), but the evidence base for psychotherapeutic interventions is small and equivocal. Positive psychotherapy aims to foster well-being by increasing experiences of pleasure, engagement and meaning. In this pilot trial, we investigated the feasibility and acceptability of brief positive psychotherapy in adults with ABI and emotional distress. Participants were randomised to brief positive psychotherapy plus usual treatment, or usual treatment only...
January 4, 2016: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/26542082/vagus-nerve-stimulation-during-rehabilitative-training-improves-forelimb-recovery-after-chronic-ischemic-stroke-in-rats
#10
Navid Khodaparast, Michael P Kilgard, Reema Casavant, Andrea Ruiz, Iqra Qureshi, Patrick D Ganzer, Robert L Rennaker, Seth A Hays
BACKGROUND AND OBJECTIVE: Stroke is a leading cause of long-term disability. Currently, there are no consistently effective rehabilitative treatments for chronic stroke patients. Our recent studies demonstrate that vagus nerve stimulation (VNS) paired with rehabilitative training improves recovery of function in multiple models of stroke. Here, we evaluated the ability of VNS paired with rehabilitative training to improve recovery of forelimb strength when initiated many weeks after a cortical and subcortical ischemic lesion in subjects with stable, chronic motor deficits...
August 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/26461879/the-influence-of-a-concurrent-cognitive-task-on-lower-limb-reaction-time-among-stroke-survivors-with-right-or-left-hemiplegia
#11
Tim Pauley, Chetan P Phadke, Adam Kassam, Farooq Ismail, Chris Boulias, Michael Devlin
OBJECTIVE: To determine the impact of cognitive interference on foot pedal reaction time among stroke survivors with right- (RH) or left-hemiplegia (LH). DESIGN: Cross-sectional comparison without randomization. SUBJECTS/PATIENTS: 10 patients post-stroke with RH, 10 with LH; 10 age-matched controls. METHODS: Foot pedal response times were measured using three different reaction time (RT) paradigms: simple RT, dual-task RT (counting backward by serial 3 seconds), and choice RT (correct response contingent on stimuli to eliminate pre-programing)...
October 2015: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/26445678/outcome-of-mechanical-thrombectomy-in-the-very-elderly-for-the-treatment-of-acute-ischemic-stroke-the-real-world-experience
#12
Chiu Yuen To, Sina Rajamand, Ratnesh Mehra, Stephanie Falatko, Yaser Badr, Boyd Richards, Omar Qahwash, Richard D Fessler
BACKGROUND: Although initial studies of neuroendovascular intervention did not review benefit over intravenous thrombolytics (iv r-tPA), recent studies have suggested otherwise. Elderly patients (age ≥80 years) are typically excluded from clinical trials. PURPOSE: To examine the utility of mechanical thrombectomy based on patient outcomes. MATERIAL AND METHODS: All stroke-alert activations at our health system from January 2011 to June 2014 were examined...
September 2015: Acta Radiologica Open
https://www.readbyqxmd.com/read/26241752/novel-self-assembled-nano-tubular-mixed-micelles-of-pluronics-p123-pluronic-f127-and-phosphatidylcholine-for-oral-delivery-of-nimodipine-in-vitro-characterization-ex-vivo-transport-and-in-vivo-pharmacokinetic-studies
#13
Emad B Basalious, Rehab N Shamma
Subarachnoid hemorrhage (SAH) is a major cause of death in patients suffering from stroke. Nimodipine (NM) is the only FDA-approved drug for treating SAH-induced vasospasm. However, NM suffers from poor oral bioavailability (5-13%) due to its low aqueous solubility, extensive first pass metabolism and short elimination half-life (1-2h). The objective of this study was to develop NM-loaded Pluronic/phosphatidylcholine/polysorbate 80 mixed micelles (PPPMM) that can solubilize NM in aqueous media even after dilution, prolong its circulation time, improve its bioavailability and eventually help in targeting it to the brain tissue...
September 30, 2015: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/26153769/inertial-sensing-based-assessment-methods-to-quantify-the-effectiveness-of-post-stroke-rehabilitation
#14
Hsin-Ta Li, Jheng-Jie Huang, Chien-Wen Pan, Heng-I Chi, Min-Chun Pan
In clinical settings, traditional stroke rehabilitation evaluation methods are subjectively scored by occupational therapists, and the assessment results vary individually. To address this issue, this study aims to develop a stroke rehabilitation assessment system by using inertial measurement units. The inertial signals from the upper extremities were acquired, from which three quantitative indicators were extracted to reflect rehabilitation performance during stroke patients' movement examination, i.e., shoulder flexion...
July 6, 2015: Sensors
https://www.readbyqxmd.com/read/26081864/rehab-let-touchscreen-tablet-for-self-training-impaired-dexterity-post-stroke-study-protocol-for-a-pilot-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Debbie Rand, Gabi Zeilig, Rachel Kizony
BACKGROUND: Impaired dexterity of the weaker upper extremity is common post stroke and it is recommended that these individuals practice many repetitions of movement to regain function. However, stroke rehabilitation methods do not achieve the required intensity to be effective. Touchscreen tablet technology may be used as a motivating tool for self-training impaired dexterity of the weaker upper extremity post stroke. METHODS/DESIGN: Rehab-let is a self-training protocol utilizing game apps on a touchscreen for practicing movement of the weaker upper extremity...
June 18, 2015: Trials
https://www.readbyqxmd.com/read/26063285/a-framework-for-tele-monitoring-of-rehabilitation-progress-in-stroke-patients
#16
Harald Jagos, Veronika David, Michael Haller, Stefan Kotzian, Manuela Hofmann, Stefan Schlossarek, Karoline Eichholzer, Manfred Winkler, Matthias Frohner, Martin Reichel, Winfried Mayr, Dietmar Rafolt
BACKGROUND: Preservation of mobility in conjunction with an independent life style is one of the major goals of rehabilitation after stroke. OBJECTIVES: The Rehab@Home framework shall support the continuation of rehabilitation in the domestic area. METHODS: The framework consists of instrumented insoles, connected wirelessly to a 3G ready tablet PC, a server and a web-interface for medical experts. The rehabilitation progress is estimated via automated analysis of movement data from standardized assessment tests which are executed via the tablet PC application designed according to the needs of stroke patients...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/26058501/vagus-nerve-stimulation-delivered-with-motor-training-enhances-recovery-of-function-after-traumatic-brain-injury
#17
David T Pruitt, Ariel N Schmid, Lily J Kim, Caroline M Abe, Jenny L Trieu, Connie Choua, Seth A Hays, Michael P Kilgard, Robert L Rennaker
Traumatic Brain Injury (TBI) is one of the largest health problems in the United States, and affects nearly 2 million people every year. The effects of TBI, including weakness and loss of coordination, can be debilitating and last years after the initial injury. Recovery of motor function is often incomplete. We have developed a method using electrical stimulation of the vagus nerve paired with forelimb use by which we have demonstrated enhanced recovery from ischemic and hemorrhagic stroke. Here we have tested the hypothesis that vagus nerve stimulation (VNS) paired with physical rehabilitation could enhance functional recovery after TBI...
May 1, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/25980890/tele-monitoring-of-the-rehabilitation-progress-in-stroke-patients
#18
Harald Jagos, Veronika David, Martin Reichel, Stefan Kotzian, Stefan Schlossarek, Michael Haller, Dietmar Rafolt
Preservation of mobility in conjunction with an independent life style is one of the major goals of rehabilitation after stroke. The Rehab@Home framework shall support the continuation of rehabilitation in the domestic area. The framework consists of instrumented insoles, wireless linked to a tablet PC, a server and a web-interface for medical experts. The rehabilitation progress is estimated via automated analysis of movement data from standardized assessment tests which are executed via the tablet PC application designed according to the needs of stroke patients...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/25972803/critical-periods-after-stroke-study-translating-animal-stroke-recovery-experiments-into-a-clinical-trial
#19
Alexander W Dromerick, Matthew A Edwardson, Dorothy F Edwards, Margot L Giannetti, Jessica Barth, Kathaleen P Brady, Evan Chan, Ming T Tan, Irfan Tamboli, Ruth Chia, Michael Orquiza, Robert M Padilla, Amrita K Cheema, Mark E Mapstone, Massimo S Fiandaca, Howard J Federoff, Elissa L Newport
INTRODUCTION: Seven hundred ninety-five thousand Americans will have a stroke this year, and half will have a chronic hemiparesis. Substantial animal literature suggests that the mammalian brain has much potential to recover from acute injury using mechanisms of neuroplasticity, and that these mechanisms can be accessed using training paradigms and neurotransmitter manipulation. However, most of these findings have not been tested or confirmed in the rehabilitation setting, in large part because of the challenges in translating a conceptually straightforward laboratory experiment into a meaningful and rigorous clinical trial in humans...
2015: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/25936545/the-impact-of-a-community-re-engagement-cue-to-action-trigger-tool-on-re-engaging-in-activities-post-stroke-a-mixed-methods-study
#20
Jocelyne McKellar, Donna Cheung, Maria Huijbregts, Jill Cameron
OBJECTIVES: This study evaluated the guided use of the Community Re-engagement Cue to Action Trigger Tool (CRCATT), a patient-mediated question prompt list, and its impact on self-reported re-engagement in activities post-stroke. METHODS: A multi-site, single-blind randomized controlled study in which 77 persons with stroke participated from three rehab organizations in Toronto, Canada. Of the 77 participants, a total 57 within the two groups completed the study and Reintegration to Normal Living Index (mailed response questionnaire) and a sub-set of all participants participated in qualitative interviews...
April 2015: Topics in Stroke Rehabilitation
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