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Neurorehabilition

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https://www.readbyqxmd.com/read/29664451/outcomes-of-patients-with-multiple-sclerosis-at-a-neurorehabilitation-unit-in-saudi-arabia
#1
Abdulaziz M Al Mosallam, Ahmad Z Qureshi, Abdussalam A Alshehri, Fayez M Alshehri, Sami Ullah
OBJECTIVE: To assess the impact of inpatient multidisciplinary rehabilitation on a Saudi Arabian population of patients with multiple sclerosis (MS). METHODS: We retrospectively analyzed the data of patients with MS who underwent inpatient rehabilitation between 2009 and 2015 at King Fahad Medical City (KFMC). Differences in Functional Independence Measure (FIM) scores (used in rehabilitation settings to assess the functional independence of patients) and length of stay (LOS) were measured between patients of different ages, sexes, and types of MS and analyzed using the independent t-test...
April 2018: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
https://www.readbyqxmd.com/read/29652735/nursing-sensitive-outcomes-after-severe-traumatic-brain-injury-a-nationwide-study
#2
Lene Odgaard, Lena Aadal, Marianne Eskildsen, Ingrid Poulsen
BACKGROUND: Complications such as infections and conditions after immobilization are frequent after severe traumatic brain injury (TBI) due to compromised bodily functions. Traditionally, bodily functions are core elements in nursing, and therefore nurses in the rehabilitation departments are pivotal in the prevention of complications. Hence, the frequency of complications is an indicator of nursing care quality, which can be included in nursing-sensitive outcome indicators. To do so, it is necessary to know the frequency of the selected complications...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29627940/effects-of-motor-rehabilitation-on-mobility-and-brain-plasticity-in-multiple-sclerosis-a-structural-and-functional-mri-study
#3
Eleonora Tavazzi, Niels Bergsland, Davide Cattaneo, Elisa Gervasoni, Maria Marcella Laganà, Ottavia Dipasquale, Cristina Grosso, Francesca Lea Saibene, Francesca Baglio, Marco Rovaris
BACKGROUND: Rehabilitation seems to promote brain plasticity, but objective measures of efficacy are lacking and there is a limited understanding of the mechanisms underlying functional recovery. OBJECTIVE: To study functional and structural brain changes induced by gait rehabilitation. METHODS: We enrolled MS inpatients (EDSS 4.5-6.5) undergoing a 4-week neurorehabilitation. Several clinical measures were obtained, including: 2-min walk test (2MWT), dynamic gait index (DGI), Berg balance scale (BBS)...
April 7, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29618291/bilateral-versus-ipsilesional-cortico-subcortical-activity-patterns-in-stroke-show-hemispheric-dependence
#4
Ana C Vidal, Paula Banca, Augusto G Pascoal, Gustavo Cordeiro, 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 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29615367/boosting-the-ltp-like-plasticity-effect-of-intermittent-theta-burst-stimulation-using-gamma-transcranial-alternating-current-stimulation
#5
Andrea Guerra, Antonio Suppa, Matteo Bologna, Valentina D'Onofrio, Edoardo Bianchini, Peter Brown, Vincenzo Di Lazzaro, Alfredo Berardelli
BACKGROUND: Transcranial Alternating Current Stimulation (tACS) consists in delivering electric current to the brain using an oscillatory pattern that may entrain the rhythmic activity of cortical neurons. When delivered at gamma frequency, tACS modulates motor performance and GABA-A-ergic interneuron activity. OBJECTIVE: Since interneuronal discharges play a crucial role in brain plasticity phenomena, here we co-stimulated the primary motor cortex (M1) in healthy subjects by means of tACS during intermittent theta-burst stimulation (iTBS), a transcranial magnetic stimulation paradigm known to induce long-term potentiation (LTP)-like plasticity...
March 24, 2018: Brain Stimulation
https://www.readbyqxmd.com/read/29611464/evaluation-of-functional-outcomes-in-traumatic-spinal-cord-injury-with-rehabilitation-acquired-urinary-tract-infections-a-retrospective-study
#6
Argyrios Stampas, Elizabeth Dominick, Liang Zhu
Objective The objective of this study was to evaluate the impact of urinary tract infections (UTIs) acquired during acute inpatient traumatic Spinal Cord Injury (tSCI) rehabilitation on Functional Independence Measure (FIM) gains. Design Retrospective chart review of consecutive patients with tSCI admitted to an acute rehabilitation facility from 2007-2012. The primary outcome was FIM scores and the association with UTI. Results The sample included 110 patients and 70 acquired UTIs. No demographic differences were observed between groups with and without UTI...
April 3, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29600688/early-robot-assisted-gait-retraining-in-non-ambulatory-patients-with-stroke-a-single-blind-randomized-controlled-trial
#7
Andreas Mayr, Ellen Quirbach, Alessandro Picelli, Markus Kofler, Nicola Smania, Leopold Saltuari
BACKGROUND: Restoration of walking function is a primary concern of neurorehabilitation with respect to the aspired social and vocational reintegration. To date, the best practice for improving gait early after stroke is still object of debate. On one hand, repetitive task-specific approaches with higher intensities of walking have been observed to result in greater improvements of gait after stroke. Conversely there is some evidence that conventional gait training would be more effective for facilitating walking ability after stroke...
March 29, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29595683/mapping-the-human-brain-during-a-specific-vojta-s-tactile-input-the-ipsilateral-putamen-s-role
#8
Ismael Sanz-Esteban, Cesar Calvo-Lobo, Marcos Ríos-Lago, Juan Álvarez-Linera, Daniel Muñoz-García, David Rodríguez-Sanz
A century of research in human brain parcellation has demonstrated that different brain areas are associated with functional tasks. New neuroscientist perspectives to achieve the parcellation of the human brain have been developed to know the brain areas activation and its relationship with different stimuli. This descriptive study aimed to compare brain regions activation by specific tactile input (STI) stimuli according to the Vojta protocol (STI-group) to a non-STI stimulation (non-STI-group). An exploratory functional magnetic resonance imaging (fMRI) study was performed...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29566710/assessment-of-user-voluntary-engagement-during-neurorehabilitation-using-functional-near-infrared-spectroscopy-a-preliminary-study
#9
Chang-Hee Han, Han-Jeong Hwang, Jeong-Hwan Lim, Chang-Hwan Im
BACKGROUND: Functional near infrared spectroscopy (fNIRS) finds extended applications in a variety of neuroscience fields. We investigated the potential of fNIRS to monitor voluntary engagement of users during neurorehabilitation, especially during combinatory exercise (CE) that simultaneously uses both, passive and active exercises. Although the CE approach can enhance neurorehabilitation outcome, compared to the conventional passive or active exercise strategies, the active engagement of patients in active motor movements during CE is not known...
March 23, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29562563/association-between-paroxysmal-sympathetic-hyperactivity-and-tracheostomy-weaning-in-traumatic-brain-injury
#10
Hollie Ringrose, Mary Brown, Krystyna Walton, Manoj Sivan
BACKGROUND: Rehabilitation following severe Traumatic Brain Injury (TBI) often involves the use of temporary tracheostomies. Tracheostomy weaning is influenced by physiological parameters, which are abnormal in the concomitant complication of Paroxysmal Sympathetic Hyperactivity (PSH). OBJECTIVE: To investigate the association between PSH and tracheostomy weaning in severe TBI. METHODS: This was a retrospective cohort study of consecutive patients with TBI and tracheostomy admitted to a Hyper-Acute Neurorehabilitation Unit over a 34-month period...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29562559/occupational-therapists-perspectives-on-binocular-diplopia-in-neurorehabilitation-a-national-survey
#11
Gillian Burgess, Vanessa D Jewell
BACKGROUND: Oculomotor dysfunction affects a significant number of adults with neurological conditions and binocular diplopia is a common symptom which impacts an individual's ability to participate in meaningful daily activities. Occupational therapists use partial and complete occlusion to minimize binocular diplopia, however a review of the literature reflected a lack of standardized protocol for each intervention technique. The purpose of this study was to examine occupational therapists' perspectives on the use of partial and complete occlusion and the clinical reasoning process used...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29562554/comparative-effects-of-robotic-assisted-gait-training-combined-with-conventional-physical-therapy-on-paretic-hip-joint-stiffness-and-kinematics-between-subacute-and-chronic-hemiparetic-stroke
#12
Ji-Ho Park, Yong-Il Shin, Joshua Sung H You, Min Su Park
BACKGROUND: Robotic-assisted gait training (RAGT) has been proposed as a novel, promising intervention paradigm to improve gait function in subacute or chronic stroke neurorehabilitation. However, the benefits of RAGT combined with conventional physical therapy for gait recovery in patients with subacute and chronic hemiparetic stroke remain unclear. OBJECTIVES: The aim of the present study was to compare the effect of RAGT combine with conventional physical therapy on hip joint kinetics, kinematics, and clinical function characteristics between subacute and chronic hemiparetic stroke...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29560322/pharmacotherapy-prescription-trends-for-cognitive-behavioral-disorder-in-patients-with-brain-injury-in-korea
#13
Sungchul Huh, Tae Wan Kim, Jung Hyun Yang, Myung Hoon Moon, Soo-Yeon Kim, Hyun-Yoon Ko
Objective: To investigate the current status of pharmacotherapy prescribed by physiatrists in Korea for cognitive-behavioral disorder. Methods: A cross-sectional study was performed by mailing questionnaires to 289 physiatrists working at teaching hospitals. Items on the questionnaire evaluated prescribing patterns of 16 drugs related to cognitive-behavioral therapy, the status of combination pharmacotherapy, and tools for assessing target symptoms. Results: Fifty physiatrists (17...
February 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29556211/deficits-in-visuo-motor-temporal-integration-impacts-manual-dexterity-in-probable-developmental-coordination-disorder
#14
Satoshi Nobusako, Ayami Sakai, Taeko Tsujimoto, Takashi Shuto, Yuki Nishi, Daiki Asano, Emi Furukawa, Takuro Zama, Michihiro Osumi, Sotaro Shimada, Shu Morioka, Akio Nakai
The neurological basis of developmental coordination disorder (DCD) is thought to be deficits in the internal model and mirror-neuron system (MNS) in the parietal lobe and cerebellum. However, it is not clear if the visuo-motor temporal integration in the internal model and automatic-imitation function in the MNS differs between children with DCD and those with typical development (TD). The current study aimed to investigate these differences. Using the manual dexterity test of the Movement Assessment Battery for Children (second edition), the participants were either assigned to the probable DCD (pDCD) group or TD group...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29544391/special-issue-on-technology-and-neuropsychological-rehabilitation-overview-and-reflections-on-ways-to-conduct-future-studies-and-support-clinical-practice
#15
Nathalie Bier, Juliette Sablier, Catherine Briand, Stéphanie Pinard, Vincent Rialle, Sylvain Giroux, Hélène Pigot, Lisa Quillion Dupré, Jeremy Bauchet, Emmanuel Monfort, Esther Bosshardt, Laetitia Courbet
In this editorial, we wish to highlight and reflect on research advances presented in the articles comprising this special issue on technology and neuropsychological rehabilitation, which happens to be published more than a decade after the first special issue on the subject. In 2004, the journal recognised the great potential of information technology for increasing the support provided to people with cognitive deficits, and published emerging state-of-the art practices in the field. Since that time, research and technology have made tremendous progress, and the influence of information technology on research methods has transformed the field of neurorehabilitation...
March 16, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29538218/neurorehabilitation-of-saccadic-ocular-movement-in-a-patient-with-a-homonymous-hemianopia-postgeniculate-caused-by-an-arteriovenous-malformation-a-case-report
#16
Mirna Pineda-Ortíz, Gustavo Pacheco-López, Moisés Rubio-Osornio, Carmen Rubio, Juan Valadez-Rodríguez
RATIONALE: Visual therapy, which includes a restorative and compensatory approach, seems to be a viable treatment option for homonymous defects of the visual field in patients with postgeniculate injury of the visual pathway, due to occipital arteriovenous malformation (AVM). Until now, the Mexican population suffering from homonymous hemianopia did not have health services that provided any type of visual therapy for their condition. PATIENT CONCERNS: A 31-year-old patient, who underwent a surgical procedure for resection of the AVM, was referred with posterior low vision on the left side...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29529919/effects-of-kinect-based-virtual-reality-game-training-on-upper-extremity-motor-recovery-in-chronic-stroke
#17
Ayhan Aşkın, Emel Atar, Hikmet Koçyiğit, Aliye Tosun
BACKGROUND: Therapeutic benefits of Kinect-based virtual reality (VR) game training in rehabilitation encourage its use to improve motor function. OBJECTIVE: To assess the effects of Kinect-based VR training on motor recovery of the upper extremity and functional outcomes in patients with chronic stroke. METHODS: In this randomized controlled trial, group A received 20 sessions of physical therapy (PT) + 20 sessions of Kinect-based VR training and group B received only 20 sessions of PT...
March 13, 2018: Somatosensory & Motor Research
https://www.readbyqxmd.com/read/29527200/whole-genome-sequence-analysis-of-ctx-m-15-producing-klebsiella-isolates-allowed-dissecting-a-polyclonal-outbreak-scenario
#18
Laura Becker, Stephan Fuchs, Yvonne Pfeifer, Torsten Semmler, Tim Eckmanns, Gerit Korr, Dagmar Sissolak, Michael Friedrichs, Edith Zill, Mei-Lin Tung, Christian Dohle, Martin Kaase, Sören Gatermann, Holger Rüssmann, Matthias Steglich, Sebastian Haller, Guido Werner
Extended-spectrum β-lactamase (ESBL) producing Klebsiella pneumoniae pose an important threat of infection with increased morbidity and mortality, especially for immunocompromised patients. Here, we use the rise of multidrug-resistant K. pneumoniae in a German neurorehabilitation center from April 2015 to April 2016 to dissect the benefit of whole genome sequencing (WGS) for outbreak analyses. In total, 53 isolates were obtained from 52 patients and examined using WGS. Two independent analysis strategies (reference-based and -free) revealed the same distinct clusters of two CTX-M-15 producing K...
2018: Frontiers in Microbiology
https://www.readbyqxmd.com/read/29521735/are-you-there-the-growing-need-to-get-the-right-diagnosis-in-disorder-of-consciousness
#19
Michele Torrisi, Adriana Piccolo, Rosaria De Luca, Matteo Berenati, Antonella Olivo, Giuseppa Maresca, Antonino Naro, Rocco Salvatore Calabrò
Disorder of consciousness (DOC) can be either an acute and reversible condition or a chronic condition, including vegetative state or minimally conscious state. Herein, we describe a patient who has unexpectedly recovered consciousness after being in a misdiagnosed vegetative state for a long period. A 63-year-old woman was admitted to our rehabilitation center in vegetative state (Coma Recovery Scale-Revised score, 6) and treated with a standard rehabilitation program, including physical therapy and multisensory stimulation, besides psychoactive drugs...
April 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29513682/single-session-tdcs-over-the-dominant-hemisphere-affects-contralateral-spectral-eeg-power-but-does-not-enhance-neurofeedback-guided-event-related-desynchronization-of-the-non-dominant-hemisphere-s-sensorimotor-rhythm
#20
Valeria Mondini, Anna Lisa Mangia, Angelo Cappello
BACKGROUND AND OBJECTIVE: Transcranial direct current stimulation (tDCS) and neurofeedback-guided motor imagery (MI) have attracted considerable interest in neurorehabilitation, given their ability to influence neuroplasticity. As tDCS has been shown to modulate event-related desynchronization (ERD), the neural signature of motor imagery detected for neurofeedback, a combination of the techniques was recently proposed. One limitation of this approach is that the area targeted for stimulation is the same from which the signal for neurofeedback is acquired...
2018: PloS One
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