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Stroke neurorehabilitation

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https://www.readbyqxmd.com/read/29791947/global-burden-of-stroke
#1
Mira Katan, Andreas Luft
Stroke is the second leading cause of death and a major cause of disability worldwide. Its incidence is increasing because the population ages. In addition, more young people are affected by stroke in low- and middle-income countries. Ischemic stroke is more frequent but hemorrhagic stroke is responsible for more deaths and disability-adjusted life-years lost. Incidence and mortality of stroke differ between countries, geographical regions, and ethnic groups. In high-income countries mainly, improvements in prevention, acute treatment, and neurorehabilitation have led to a substantial decrease in the burden of stroke over the past 30 years...
April 2018: Seminars in Neurology
https://www.readbyqxmd.com/read/29786569/-an-assessment-of-the-functional-status-in-the-neurorehabilitation-of-patients-after-ischemic-stroke
#2
Paulina Klimkiewicz, Robert Klimkiewicz, Agnieszka Jankowska, Anna Kubsik, Patrycja Widłak, Adam Łukasiak, Katarzyna Janczewska, Natalia Kociuga, Tomasz Nowakowski, Marta Woldańska-Okońska
OBJECTIVE: Introduction: In this article, the authors focused on the symptoms of ischemic stroke and the effect of neurorehabilitation methods on the functional status of patients after ischemic stroke. The aim of the study was to evaluate and compare the functional status of patients after ischemic stroke with improved classic kinesiotherapy, classic kinesiotherapy and NDT-Bobath and classic kinesiotherapy and PNF. PATIENTS AND METHODS: Materials and methods: The study involved 120 patients after ischemic stroke...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29766355/early-functional-mri-activation-predicts-motor-outcome-after-ischemic-stroke-a-longitudinal-multimodal-study
#3
Juan Du, Fang Yang, Zhiqiang Zhang, Jingze Hu, Qiang Xu, Jianping Hu, Fanyong Zeng, Guangming Lu, Xinfeng Liu
An accurate prediction of long term outcome after stroke is urgently required to provide early individualized neurorehabilitation. This study aimed to examine the added value of early neuroimaging measures and identify the best approaches for predicting motor outcome after stroke. This prospective study involved 34 first-ever ischemic stroke patients (time since stroke: 1-14 days) with upper limb impairment. All patients underwent baseline multimodal assessments that included clinical (age, motor impairment), neurophysiological (motor-evoked potentials, MEP) and neuroimaging (diffusion tensor imaging and motor task-based fMRI) measures, and also underwent reassessment 3 months after stroke...
May 15, 2018: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/29760552/patients-receiving-chiropractic-care-in-a-neurorehabilitation-hospital-a-descriptive-study
#4
Robert D Vining, Stacie A Salsbury, W Carl Cooley, Donna Gosselin, Lance Corber, Christine M Goertz
Objectives: Individuals rehabilitating from complex neurological injury require a multidisciplinary approach, which typically does not include chiropractic care. This study describes inpatients receiving multidisciplinary rehabilitation including chiropractic care for brain injury, spinal cord injury (SCI), stroke, and other complex neurological conditions. Design: Chiropractic services were integrated into Crotched Mountain Specialty Hospital (CMSH) through this project...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29752242/automated-fes-for-upper-limb-rehabilitation-following-stroke-and-spinal-cord-injury
#5
Edmund F Hodkin, Yuming Lei, Jonathan Humby, Isabel S Glover, Supriyo Choudhury, Hrishikesh Kumar, Monica A Perez, Helen Rodgers, Andrew Jackson
Neurorehabilitation aims to induce beneficial neural plasticity in order to restore function following injury to the nervous system. There is an increasing evidence that appropriately timed functional electrical stimulation (FES) can promote associative plasticity, but the dosage is critical for lasting functional benefits. Here, we present a novel approach to closed-loop control of muscle stimulation for the rehabilitation of reach-to-grasp movements following stroke and spinal cord injury (SCI). We developed a simple, low-cost device to deliver assistive stimulation contingent on users' self-initiated movements...
May 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29691951/physiotherapy-based-on-problem-solving-in-upper-limb-function-and-neuroplasticity-in-chronic-stroke-patients-a-case-series
#6
Raquel Carvalho, Elsa Azevedo, Paulo Marques, Nuno Dias, João José Cerqueira
RATIONALE, AIMS, AND OBJECTIVES: Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes. METHODS: A small sample research design with a n of 3 using a pre-post test design was carried out...
April 25, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29618291/bilateral-versus-ipsilesional-cortico-subcortical-activity-patterns-in-stroke-show-hemispheric-dependence
#7
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/29600688/early-robot-assisted-gait-retraining-in-non-ambulatory-patients-with-stroke-a-single-blind-randomized-controlled-trial
#8
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/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
#9
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/29529919/effects-of-kinect-based-virtual-reality-game-training-on-upper-extremity-motor-recovery-in-chronic-stroke
#10
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 2018: Somatosensory & Motor Research
https://www.readbyqxmd.com/read/29499712/pilot-testing-of-the-spring-operated-wearable-enhancer-for-arm-rehabilitation-springwear
#11
Ji Chen, Peter S Lum
BACKGROUND: Robotic devices for neurorehabilitation of movement impairments in persons with stroke have been studied extensively. However, the vast majority of these devices only allow practice of stereotyped components of simulated functional tasks in the clinic. Previously we developed SpringWear, a wearable, spring operated, upper extremity exoskeleton capable of assisting movements during real-life functional activities, potentially in the home. SpringWear assists shoulder flexion, elbow extension and forearm supination/pronation...
March 2, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29465895/-clinical-neurophysiological-methods-in-diagnosis-and-treatment-of-cerebrovascular-diseases
#12
REVIEW
Ildikó Nagy, Dániel Fabó
Neurophysiological methods are gaining ground in the diagnosis and therapy of cerebrovascular disease. While the role of the EEG (electroencephalography) in the diagnosis of post-stroke epilepsy is constant, quantitative EEG para-meters, as new indicators of early efficiency after thrombolysis or in prognosis of patient's condition have proved their effectiveness in several clinical studies. In intensive care units, continuous EEG monitoring of critically ill patients became part of neurointenzive care protocols...
January 30, 2018: Ideggyógyászati Szemle
https://www.readbyqxmd.com/read/29442072/cortical-excitability-correlates-with-the-event-related-desynchronization-during-brain-computer-interface-control
#13
Ian Daly, Caroline Blanchard, Nicholas P Holmes
OBJECTIVE: Brain-computer interfaces (BCIs) based on motor control have been suggested as tools for stroke rehabilitation. Some initial successes have been achieved with this approach, however the mechanism by which they work is not yet fully understood. One possible part of this mechanism is a, previously suggested, relationship between the strength of the event-related desynchronization (ERD), a neural correlate of motor imagination and execution, and corticospinal excitability. Additionally, a key component of BCIs used in neurorehabilitation is the provision of visual feedback to positively reinforce attempts at motor control...
April 2018: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29439361/voluntary-contraction-enhances-spinal-reciprocal-inhibition-induced-by-patterned-electrical-stimulation-in-patients-with-stroke
#14
Yoko Takahashi, Toshiyuki Fujiwara, Tomofumi Yamaguchi, Hikaru Matsunaga, Michiyuki Kawakami, Kaoru Honaga, Katsuhiro Mizuno, Meigen Liu
BACKGROUND: Reciprocal inhibition (RI) may be important for recovering locomotion after stroke. Patterned electrical stimulation (PES) can modulate RI in a manner that could be enhanced by voluntary muscle contraction (VC). OBJECTIVE: To investigate whether VC enhances the PES-induced spinal RI in patients with stroke. METHODS: Twelve patients with chronic stroke underwent three 20 min tasks, each on different days: (1) PES (10 pulses, 100 Hz every 2 s) applied to the common peroneal nerve; (2) VC consisting of isometric contraction of the affected-side tibialis anterior muscle; (3) PES combined with VC (PES + VC)...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29420360/effectiveness-of-a-single-session-of-dual-transcranial-direct-current-stimulation-in-combination-with-upper-limb-robotic-assisted-rehabilitation-in-chronic-stroke-patients-a-randomized-double-blind-cross-over-study
#15
Stéphanie Dehem, Maxime Gilliaux, Thierry Lejeune, Emmanuelle Delaunois, Paul Mbonda, Yves Vandermeeren, Christine Detrembleur, Gaëtan Stoquart
The impact of transcranial direct current stimulation (tDCS) is controversial in the neurorehabilitation literature. It has been suggested that tDCS should be combined with other therapy to improve their efficacy. To assess the effectiveness of a single session of upper limb robotic-assisted therapy (RAT) combined with real or sham-tDCS in chronic stroke patients. Twenty-one hemiparetic chronic stroke patients were included in a randomized, controlled, cross-over double-blind study. Each patient underwent two sessions 7 days apart in a randomized order: (a) 20 min of real dual-tDCS associated with RAT (REAL+RAT) and (b) 20 min of sham dual-tDCS associated with RAT (SHAM+RAT)...
June 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29407275/influence-of-non-contextual-auditory-stimuli-on-navigation-in-a-virtual-reality-context-involving-executive-functions-among-patients-after-stroke
#16
Mélanie Cogné, Marie-Hélène Violleau, Evelyne Klinger, Pierre-Alain Joseph
BACKGROUND: Topographical disorientation is frequent among patients after a stroke and can be well explored with virtual environments (VEs). VEs also allow for the addition of stimuli. A previous study did not find any effect of non-contextual auditory stimuli on navigational performance in the virtual action planning-supermarket (VAP-S) simulating a medium-sized 3D supermarket. However, the perceptual or cognitive load of the sounds used was not high. OBJECTIVE: We investigated how non-contextual auditory stimuli with high load affect navigational performance in the VAP-S for patients who have had a stroke and any correlation between this performance and dysexecutive disorders...
January 31, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29366374/poststroke-depressive-symptoms-are-associated-with-increased-oxidative-deoxyribonucleic-acid-damage
#17
Chung-Yao Chen, Chia-Ling Chen, Yao-Hung Yang, Chien-Hui Ho, Wen-Chun Tseng
Poststroke depression is independently associated with poor health outcomes, such as increased mortality, disability, anxiety, and lower quality of life. Identifying the potential biomarkers and detailed mechanisms of poststroke depression may improve the effectiveness of therapeutic intervention. In this cross-sectional study, the authors recruited patients with subacute ischemic stroke who were consecutively admitted for neurorehabilitation. Depression was assessed with the Patient Health Questionnaire-9 (PHQ-9), with a cutoff based on a summed-items score of 10...
2018: Journal of Neuropsychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29362596/cerebrolysin-and-early-neurorehabilitation-in-patients-with-acute-ischemic-stroke-a-prospective-randomized-placebo-controlled-clinical-study
#18
RANDOMIZED CONTROLLED TRIAL
A Stan, C Birle, A Blesneag, M Iancu
Background - Stroke represents one of the most important causes of permanent physical or mental disability. A number of recent advances in recovery have reinforced the idea that pharmacological intervention combined with a specific rehabilitation therapy can reduce disability after stroke. Objective - The aim of this trial was to demonstrate the hypothesis that the association of pharmacological treatment with Cerebrolysin to early physical therapy can significantly stimulate the endogenous processes underlying the recovery after an ischemic stroke...
October 2017: Journal of Medicine and Life
https://www.readbyqxmd.com/read/29361937/changing-practice-in-the-assessment-and-treatment-of-somatosensory-loss-in-stroke-survivors-protocol-for-a-knowledge-translation-study
#19
Liana S Cahill, Natasha A Lannin, Yvonne Y K Mak-Yuen, Megan L Turville, Leeanne M Carey
BACKGROUND: The treatment of somatosensory loss in the upper limb after stroke has been historically overshadowed by therapy focused on motor recovery. A double-blind randomized controlled trial has demonstrated the effectiveness of SENSe (Study of the Effectiveness of Neurorehabilitation on Sensation) therapy to retrain somatosensory discrimination after stroke. Given the acknowledged prevalence of upper limb sensory loss after stroke and the evidence-practice gap that exists in this area, effort is required to translate the published research to clinical practice...
January 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29338060/biofeedback-effect-of-hybrid-assistive-limb-in-stroke-rehabilitation-a-proof-of-concept-study-using-functional-near-infrared-spectroscopy
#20
Kazuya Saita, Takashi Morishita, Hisatomi Arima, Koichi Hyakutake, Toshiyasu Ogata, Kenji Yagi, Etsuji Shiota, Tooru Inoue
INTRODUCTION: Robot-assisted rehabilitation has been increasingly drawing attention in the field of neurorehabilitation. The hybrid assistive limb (HAL) is an exoskeleton robot developed based on the "interactive biofeedback" theory, and several studies have shown its efficacy for patients with stroke. We aimed to investigate the mechanisms of the facilitative effect of neurorehabilitation using a single-joint HAL (HAL-SJ) and functional near-infrared spectroscopy (fNIRS). MATERIALS AND METHODS: Subacute stroke patients admitted to our hospital were assessed in this study for HAL eligibility...
2018: PloS One
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