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Neurorehabilition

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https://www.readbyqxmd.com/read/29036840/efficacy-of-memory-aids-after-traumatic-brain-injury-a-single-case-series
#1
Hannah R Bos, Duncan R Babbage, Janet M Leathem
BACKGROUND: Individuals living with traumatic brain injury commonly have difficulties with prospective memory- the ability to remember a planned action at the intended time. Traditionally a memory notebook has been recommended as a compensatory memory aid. Electronic devices have the advantage of providing a cue at the appropriate time to remind participants to refer to the memory aid and complete tasks. Research suggests these have potential benefit in neurorehabilitation. OBJECTIVE: This study aimed to investigate the efficacy of a memory notebook and specifically a smartphone as a compensatory memory aid...
October 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/29036838/neurosexuality-a-transdisciplinary-approach-to-sexuality-in-neurorehabilitation
#2
Alexander Moreno, Caron Gan, Nathan D Zasler
No abstract text is available yet for this article.
October 8, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/29020968/robot-assisted-assessment-of-muscle-strength
#3
REVIEW
Marco Toigo, Martin Flück, Robert Riener, Verena Klamroth-Marganska
Impairment of neuromuscular function in neurological disorders leads to reductions in muscle force, which may lower quality of life. Rehabilitation robots that are equipped with sensors are able to quantify the extent of muscle force impairment and to monitor a patient during the process of neurorehabilitation with sensitive and objective assessment methods. In this article, we provide an overview of fundamental aspects of muscle function and how the corresponding variables can be quantified by means of meaningful robotic assessments that are primarily oriented towards upper limb neurorehabilitation...
October 11, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29020472/effect-of-transcranial-direct-current-stimulation-combined-with-cognitive-training-on-cognitive-functioning-in-older-adults-with-hiv-a-pilot-study
#4
Pariya L Fazeli, Adam J Woods, Caitlin N Pope, David E Vance, Karlene K Ball
The objective of this study was to examine combination speed of processing (SOP) cognitive remediation therapy (CRT) and transcranial direct stimulation (tDCS) as neurorehabilitation in older HIV+ adults. Thirty-three HIV+ adults aged 50+ completed neurocognitive testing and were randomized to either active (n = 17) or sham (n = 16) tDCS. Both conditions received 10 1-hour sessions of SOP CRT, with either active or sham tDCS for the first 20 minutes. Participants then completed a posttest assessment...
October 11, 2017: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/29018503/parameters-influencing-tracheostomy-decannulation-in-patients-undergoing-rehabilitation-after-severe-acquired-brain-injury-sabi
#5
Cecilia Perin, Roberto Meroni, Vincenzo Rega, Giacomo Braghetto, Cesare Giuseppe Cerri
Introduction  Tracheostomy weaning in patients who suffered a severe acquired brain injury is often a challenge and decannulation failures are not uncommon. Objective  Our study objective is to describe the decannulation failure rate in patients undergoing rehabilitation following a severe acquired brain injury (sABI); to describe the factors associated with a successful tube weaning. Methods  We conduct a retrospective analysis of charts, consecutively retrieved considering a 3-year window. Variables analyzed were: age, sex, body mass index (BMI), Glasgow Coma Scale (GCS), cause of hospitalization (stroke, trauma, cardiac arrest), date of the pathological event, gap between the index event and the first day of hospitalization, duration of Neurorehabilitation Ward hospitalization, comorbidities, chest morphological alteration, kind of tracheostomy tube used (overall dimension, cap, fenestration), SpO2, presentation and quantification of pulmonary secretion, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), respiratory frequency and pattern, cardiac frequency, presence of spontaneous cough, cough strength, and blood gas analysis...
October 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28986411/virtual-reality-improves-embodiment-and-neuropathic-pain-caused-by-spinal-cord-injury
#6
Polona Pozeg, Estelle Palluel, Roberta Ronchi, Marco Solcà, Abdul-Wahab Al-Khodairy, Xavier Jordan, Ammar Kassouha, Olaf Blanke
OBJECTIVE: To investigate changes in body ownership and chronic neuropathic pain in patients with spinal cord injury (SCI) using multisensory own body illusions and virtual reality (VR). METHODS: Twenty patients with SCI with paraplegia and 20 healthy control participants (HC) participated in 2 factorial, randomized, repeated-measures design studies. In the virtual leg illusion (VLI), we applied asynchronous or synchronous visuotactile stimulation to the participant's back (either immediately above the lesion level or at the shoulder) and to the virtual legs as seen on a VR head-mounted display...
October 6, 2017: Neurology
https://www.readbyqxmd.com/read/28983676/the-effectiveness-of-robotic-training-depends-on-motor-task-characteristics
#7
Laura Marchal-Crespo, Nicole Rappo, Robert Riener
Previous research suggests that the effectiveness of robotic training depends on the motor task to be learned. However, it is still an open question which specific task's characteristics influence the efficacy of error-modulating training strategies. Motor tasks can be classified based on the time characteristics of the task, in particular the task's duration (discrete vs. continuous). Continuous tasks require movements without distinct beginning or end. Discrete tasks require fast movements that include well-defined postures at the beginning and the end...
October 5, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28980612/-topographical-disorientation-in-patients-with-brain-impairment
#8
V N Grigoryeva, G V Tikhomirov
Topographical disorientation refers to inability to recognize the environment, as well as to orient, to find the right way into a familiar or new environment and to use a map for the orientation. These functions are based on neuronal activity of posterior parietal cortex, retrosplenial cortex and the posterior part of cingular gyrus, medial temporal lobe, lingual gyrus and prefrontal cortex and are considered within egocentric or allocentric (exocentric) reference systems. Object locations in the egocentric system are evaluated with respect to the subject's body position while object locations in the allocentric reference frame are evaluated with respect to the object-to-object relations in the external environment...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28967438/identification-of-specific-gait-patterns-in-patients-with-cerebellar-ataxia-spastic-paraplegia-and-parkinson-s-disease-a-non-hierarchical-cluster-analysis
#9
Mariano Serrao, Giorgia Chini, Matteo Bergantino, Diego Sarnari, Carlo Casali, Carmela Conte, Alberto Ranavolo, Christian Marcotulli, Martina Rinaldi, Gianluca Coppola, Fabiano Bini, Francesco Pierelli, Franco Marinozzi
Patients with degenerative neurological diseases such as cerebellar ataxia, spastic paraplegia, and Parkinson's disease often display progressive gait function decline that inexorably impacts their autonomy and quality of life. Therefore, considering the related social and economic costs, one of the most important areas of intervention in neurorehabilitation should be the treatment of gait abnormalities. This study aims to determine whether an entire dataset of gait parameters recorded in patients with degenerative neurological diseases can be clustered into homogeneous groups distinct from each other and from healthy subjects...
September 26, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28966585/combination-treatment-of-low-frequency-repetitive-transcranial-magnetic-stimulation-and-intensive-occupational-therapy-for-ataxic-hemiparesis-due-to-thalamic-hemorrhage
#10
Naoki Urushidani, Takatsugu Okamoto, Shoji Kinoshita, Shingo Yamane, Hiroaki Tamashiro, Wataru Kakuda, Masahiro Abo
BACKGROUND: Both low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) and intensive occupational therapy (OT) are clinically beneficial for post-stroke patients with upper-limb hemiparesis. However, the usefulness of LF-rTMS and intensive OT for ataxic hemiparesis (AH) is unknown. METHODS: The study subjects included 7 patients with AH. All patients had ataxia and mild hemiparesis without a sensory disturbance that was due to thalamic hemorrhage...
May 2017: Case Reports in Neurology
https://www.readbyqxmd.com/read/28963668/assessing-and-treating-primary-headaches-and-cranio-facial-pain-in-patients-undergoing-rehabilitation-for-neurological-diseases
#11
Cristina Tassorelli, Marco Tramontano, Mariangela Berlangieri, Vittorio Schweiger, Mariagrazia D'Ippolito, Valerio Palmerini, Sara Bonazza, Riccardo Rosa, Rosanna Cerbo, Maria Gabriella Buzzi
BACKGROUND: Pain is a very common condition in patient undergoing rehabilitation for neurological disease; however the presence of primary headaches and other cranio-facial pains, particularly when they are actually or apparently independent from the disability for which patient is undergoing rehabilitation, is often neglected. Diagnostic and therapeutic international and national guidelines, as well as tools for the subjective measure of head pain are available and should also be applied in the neurorehabilitation setting...
September 29, 2017: Journal of Headache and Pain
https://www.readbyqxmd.com/read/28963057/timing-independent-spatial-motor-sequence-learning-is-preserved-in-left-hemisphere-stroke
#12
Anna Dovern, Eva Niessen, Jana M Ant, Jochen Saliger, Hans Karbe, Gereon R Fink, Iring Koch, Peter H Weiss
During neurorehabilitation, the re-learning of motor sequences is crucial for patients with motor deficits, enabling them to master again complex movements. A recent study showed that patients with left hemisphere (LH) stroke exhibited preserved motor sequence learning (as assessed by the serial reaction time (SRT) task) when the timing of the stimuli was comparable in the training and later test phase. However, patients showed significantly smaller learning scores as compared to healthy controls when the temporal delay between the patient's motor response and the following stimulus was randomized in the test phase...
September 26, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/28958737/changes-in-spectroscopic-biomarkers-after-transcranial-direct-current-stimulation-in-children-with-perinatal-stroke
#13
Helen L Carlson, Patrick Ciechanski, Ashley D Harris, Frank P MacMaster, Adam Kirton
BACKGROUND: Perinatal stroke causes lifelong motor disability, affecting independence and quality of life. Non-invasive neuromodulation interventions such as transcranial direct current stimulation (tDCS) combined with intensive therapy may improve motor function in adult stroke hemiparesis but is under-explored in children. Measuring cortical metabolites with proton magnetic resonance spectroscopy (MRS) can inform cortical neurobiology in perinatal stroke but how these change with neuromodulation is yet to be explored...
September 13, 2017: Brain Stimulation
https://www.readbyqxmd.com/read/28958616/effect-of-subtypes-of-neglect-on-functional-outcome-in-stroke-patients
#14
Simona Spaccavento, Fara Cellamare, Rosanna Falcone, Anna Loverre, Roberto Nardulli
OBJECTIVE: Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. METHODS: A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016...
September 22, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28956630/dynamics-of-clinical-recovery-during-the-early-phase-of-rehabilitation-in-patients-with-severe-traumatic-and-non-traumatic-brain-injury
#15
Lydia Oujamaa, Gilles Francony, Perrine Boucheix, Clotilde Schilte, Pierre Bouzat, Dominic Perennou, Jean-Francois Payen
PURPOSE: Our aim was to describe the changes in the functional outcome at the early phase of rehabilitation following severe brain injury and to identify the factors associated with faster recovery. METHODS: This retrospective analysis included 182 patients who were transferred from the intensive care unit (ICU) to a post-ICU neurorehabilitation unit following traumatic brain injury (TBI) (n = 82) or cerebrovascular accident (CVA) (n = 100). Admission, discharge and changes in scores were calculated for the Functional Independent Measurement (FIM) and the Wessex Head Injury Matrix (WHIM)...
September 28, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28955296/spinocerebellar-ataxia-type-2-clinicogenetic-aspects-mechanistic-insights-and-management-approaches
#16
REVIEW
Luis C Velázquez-Pérez, Roberto Rodríguez-Labrada, Juan Fernandez-Ruiz
Spinocerebellar ataxia type 2 (SCA2) is an autosomal dominant cerebellar ataxia that occurs as a consequence of abnormal CAG expansions in the ATXN2 gene. Progressive clinical features result from the neurodegeneration of cerebellum and extra-cerebellar structures including the pons, the basal ganglia, and the cerebral cortex. Clinical, electrophysiological, and imaging approaches have been used to characterize the natural history of the disease, allowing its classification into four distinct stages, with special emphasis on the prodromal stage, which is characterized by a plethora of motor and non-motor features...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28951736/classification-of-hand-grasp-kinetics-and-types-using-movement-related-cortical-potentials-and-eeg-rhythms
#17
Mads Jochumsen, Cecilie Rovsing, Helene Rovsing, Imran Khan Niazi, Kim Dremstrup, Ernest Nlandu Kamavuako
Detection of single-trial movement intentions from EEG is paramount for brain-computer interfacing in neurorehabilitation. These movement intentions contain task-related information and if this is decoded, the neurorehabilitation could potentially be optimized. The aim of this study was to classify single-trial movement intentions associated with two levels of force and speed and three different grasp types using EEG rhythms and components of the movement-related cortical potential (MRCP) as features. The feature importance was used to estimate encoding of discriminative information...
2017: Computational Intelligence and Neuroscience
https://www.readbyqxmd.com/read/28946588/changing-the-culture-of-neurodisability-through-language-and-sensitivity-of-providers-creating-a-safe-place-for-lgbtqia-people
#18
Alexander Moreno, Ari Laoch, Nathan D Zasler
BACKGROUND: There is an increasing interest in sexual and gender diversity in neurorehabilitation. Healthcare professionals wanting to improve their practice know the importance of understanding the needs and expectations of specific communities. OBJECTIVE: To critically review the literature about neurological disorders in people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+)...
September 16, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28946586/unexpected-recovery-from-a-vegetative-state-or-misdiagnosis-lesson-learned-from-a-case-report
#19
Antonino Naro, Rocco Salvatore Calabrò, Patrizia Pollicino, Carmen Lombardo, Placido Bramanti
BACKGROUND: Growing research is focusing on the identification of markers predicting recovery and demonstrating covert awareness in patients with chronic disorders of consciousness (DOC). Herein, we describe the case of a woman who emerged from unresponsive wakefulness syndrome (UWS) after four years, in whom an experimental protocol assessing brain connectivity predicted her awareness recovery, indicating a functional locked-in syndrome (FLIS) diagnosis. CASE DESCRIPTION: A 68-year-old woman was admitted to our institute in 2012 in a UWS secondary to a severe brain hemorrhage, with a Coma Recovery Scale-Revised score of five...
September 16, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28934918/standardized-measurement-of-sensorimotor-recovery-in-stroke-trials-consensus-based-core-recommendations-from-the-stroke-recovery-and-rehabilitation-roundtable
#20
Gert Kwakkel, Natasha A Lannin, Karen Borschmann, Coralie English, Myzoon Ali, Leonid Churilov, Gustavo Saposnik, Carolee Winstein, Erwin E H van Wegen, Steven L Wolf, John W Krakauer, Julie Bernhardt
Finding, testing and demonstrating efficacy of new treatments for stroke recovery is a multifaceted challenge. We believe that to advance the field, neurorehabilitation trials need a conceptually rigorous starting framework. An essential first step is to agree on definitions of sensorimotor recovery and on measures consistent with these definitions. Such standardization would allow pooling of participant data across studies and institutions aiding meta-analyses of completed trials, more detailed exploration of recovery profiles of our patients and the generation of new hypotheses...
September 2017: Neurorehabilitation and Neural Repair
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