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Stroke, rehabilitation

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https://www.readbyqxmd.com/read/29904048/responsiveness-and-predictive-validity-of-the-tablet-based-symbol-digit-modalities-test-in-patients-with-stroke
#1
Pei-Chi Hsiao, Wan-Hui Yu, Shih-Chieh Lee, Mei-Hsiang Chen, Ching-Lin Hsieh
BACKGROUND: The responsiveness and predictive validity of the Tablet-based Symbol Digit Modalities Test (T-SDMT) are unknown, which limits the utility of the T-SDMT in both clinical and research settings. AIM: The purpose of this study was to examine the responsiveness and predictive validity of the T-SDMT in inpatients with stroke. DESIGN: A follow-up, repeated-assessments design. SETTING: One rehabilitation unit at a local medical center...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29902469/acceptance-of-tele-rehabilitation-by-stroke-patients-perceived-barriers-and-facilitators
#2
Shilpa Tyagi, Daniel Sy Lim, Wilbert Hh Ho, Yun Qing Koh, Vincent Cai, Gerald Ch Koh, Helena Legido-Quigley
OBJECTIVE: To explore the perceived barriers and facilitators of tele-rehabilitation by stroke patients, caregivers and rehabilitation therapists in an Asian setting. DESIGN: Qualitative study involving semi-structured in-depth interviews and focus group discussions. SETTING: General community PARTICIPANTS: 37 participants including stroke patients, their caregivers and tele-therapists selected by purposive sampling. INTERVENTIONS: STARS trial...
June 11, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29902102/previous-experience-and-walking-capacity-predict-community-outings-after-stroke-an-observational-study
#3
Aspasia Karageorge, Janine Vargas, Louise Ada, Patrick J Kelly, Annie McCluskey
BACKGROUND: Following hospital discharge, stroke survivors may experience a decline in mobility, outings, and community participation. The aim of this study was to examine the relationship between demographic and clinical measures, and the level of participation by community-dwelling stroke survivors. METHODS: A prospective, multicenter, observational study was conducted. Participants were 83 community-dwelling stroke survivors with participation goals who were undergoing post-inpatient rehabilitation in Australia...
June 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29899719/combined-cognitive-motor-rehabilitation-in-virtual-reality-improves-motor-outcomes-in-chronic-stroke-a-pilot-study
#4
Ana L Faria, Mónica S Cameirão, Joana F Couras, Joana R O Aguiar, Gabriel M Costa, Sergi Bermúdez I Badia
Stroke is one of the most common causes of acquired disability, leaving numerous adults with cognitive and motor impairments, and affecting patients' capability to live independently. Virtual Reality (VR) based methods for stroke rehabilitation have mainly focused on motor rehabilitation but there is increasing interest toward the integration of cognitive training for providing more effective solutions. Here we investigate the feasibility for stroke recovery of a virtual cognitive-motor task, the Reh@Task, which combines adapted arm reaching, and attention and memory training...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29896436/frailty-in-older-adults-with-cardiovascular-disease-cause-effect-or-both
#5
Emma Ef Kleipool, Emiel O Hoogendijk, Marijke C Trappenburg, M Louis Handoko, Martijn Huisman, Mike Jl Peters, Majon Muller
Cardiovascular disease (CVD) has been associated with an increased risk of frailty, but the direction of the association remains unclear. This study set out to examine the bidirectional longitudinal association between CVD and frailty over an extended period of time. Data are from 1432 older adults (aged 65-88yrs) of the Longitudinal Aging Study Amsterdam (LASA), who were followed for 17 years. At baseline and follow-up, CVD was assessed through self-report, medication use and medical records, and classified as angina pectoris, myocardial infarction, heart failure (HF), stroke, and peripheral artery disease...
June 2018: Aging and Disease
https://www.readbyqxmd.com/read/29896082/machine-learning-classification-to-identify-the-stage-of-brain-computer-interface-therapy-for-stroke-rehabilitation-using-functional-connectivity
#6
Rosaleena Mohanty, Anita M Sinha, Alexander B Remsik, Keith C Dodd, Brittany M Young, Tyler Jacobson, Matthew McMillan, Jaclyn Thoma, Hemali Advani, Veena A Nair, Theresa J Kang, Kristin Caldera, Dorothy F Edwards, Justin C Williams, Vivek Prabhakaran
Interventional therapy using brain-computer interface (BCI) technology has shown promise in facilitating motor recovery in stroke survivors; however, the impact of this form of intervention on functional networks outside of the motor network specifically is not well-understood. Here, we investigated resting-state functional connectivity (rs-FC) in stroke participants undergoing BCI therapy across stages, namely pre- and post-intervention, to identify discriminative functional changes using a machine learning classifier with the goal of categorizing participants into one of the two therapy stages...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29894857/external-biomechanical-constraints-impair-maximal-voluntary-grip-force-stability-post-stroke
#7
Qian Ding, Carolynn Patten
BACKGROUND: Grip strength is frequently measured as a global indicator of motor function. In clinical populations, such as hemiparesis post-stroke, grip strength is associated with upper-extremity motor impairment, function, and ability to execute activities of daily living. However, biomechanical configuration of the distal arm and hand may influence the magnitude and stability of maximal voluntary grip force and varies across studies. The influence of distal arm/hand biomechanical configuration on grip force remains unclear...
June 5, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29894444/uncertainty-of-acute-stroke-patients-a-cross-sectional-descriptive-and-correlational-study
#8
Chunping Ni, Jing Peng, Yuanyuan Wei, Yan Hua, Xiaoran Ren, Xiangni Su, Ruijie Shi
BACKGROUND: Uncertainty is a chronic and pervasive source of psychological distress for patients and plays an important role in the rehabilitation of stroke survivors. Little is known about the level and correlates of uncertainty among patients in the acute phase of stroke. PURPOSE: The purposes of this study were to describe the uncertainty of patients in the acute phase of stroke and to explore characteristics of patients associated with that uncertainty. METHODS: A cross-sectional descriptive and correlational study was conducted with a convenience sample of 451 consecutive hospitalized acute stroke patients recruited from the neurology department of 2 general hospitals of China...
June 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29894410/experiences-of-stroke-survivors-their-families-and-unpaid-carers-in-goal-setting-within-stroke-rehabilitation-a-systematic-review-of-qualitative-evidence
#9
Anna Lloyd, Katrina Bannigan, Thavapriya Sugavanam, Jennifer Freeman
OBJECTIVE: The objective of the review was to synthesize the best available qualitative evidence regarding the experiences of stroke survivors, their families and unpaid carers, about goal setting within stroke rehabilitation. INTRODUCTION: Clinical guidelines recommend person-centered goal setting in stroke rehabilitation but many barriers exist to its implementation. Individual differences and preferences, of both the stroke survivor and practitioner, may influence involvement in goal setting...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29889570/longitudinal-changes-in-activity-participation-in-the-first-year-post-stroke-and-association-with-depressive-symptoms
#10
Tamara Tse, Thomas Linden, Leonid Churilov, Stephen Davis, Geoffrey Donnan, Leeanne M Carey
RESEARCH QUESTION: 1. Does activity participation improve over time in the first year after stroke? 2. What is the association of depressive symptoms on retained activity participation 12-months post-stroke adjusting for neurological stroke severity and age? 3. Is an improvement in activity participation associated with a decrease in depressive symptoms between 3- and 12-months post-stroke? DESIGN: Longitudinal observational study of activity participation and depressive symptoms in ischemic stroke survivors...
June 11, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29889087/translating-experimental-evidence-to-finding-novel-ways-to-promote-motor-recovery-in-stroke-patients-a-review
#11
Chuansheng Zhao, Mervi Könönen, Ritva Vanninen, Kauko Pitkänen, Sinikka Hiekkala, Jukka Jolkkonen
Recent advances in basic research have revealed the complex structural plasticity associated with the spontaneous motor recovery after stroke. Various rehabilitative interventions seem to act through the same repair mechanisms to further enhance recovery processes. In this review, we first summarize the current understanding on brain plasticity and repair after stroke. We then outline experimental approaches for studying stroke rehabilitation in rodents and review current rehabilitative practices in stroke patients...
June 6, 2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29888642/greater-cortical-thickness-is-associated-with-enhanced-sensory-function-after-arm-rehabilitation-in-chronic-stroke
#12
Svetlana Pundik, Aleka Scoco, Margaret Skelly, Jessica P McCabe, Janis J Daly
OBJECTIVE: Somatosensory function is critical to normal motor control. After stroke, dysfunction of the sensory systems prevents normal motor function and degrades quality of life. Structural neuroplasticity underpinnings of sensory recovery after stroke are not fully understood. The objective of this study was to identify changes in bilateral cortical thickness (CT) that may drive recovery of sensory acuity. METHODS: Chronic stroke survivors (n = 20) were treated with 12 weeks of rehabilitation...
June 1, 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29887923/comorbidity-and-intercurrent-diseases-in-geriatric-stroke-rehabilitation-a-multicentre-observational-study-in-skilled-nursing-facilities
#13
Anouk D Kabboord, Monica Van Eijk, Bianca I Buijck, Raymond T C M Koopmans, Romke van Balen, Wilco P Achterberg
Background: Older patients often have multiple comorbidities and are susceptible to develop intercurrent diseases during rehabilitation. This study investigates intercurrent diseases and associated factors in patients undergoing geriatric stroke rehabilitation, focussing on pre-existing comorbid conditions, overall comorbidity and baseline functional status. Materials and methods: This multicentre prospective cohort study included 15 skilled nursing facilities. Data were collected at baseline and at discharge...
2018: European Geriatric Medicine
https://www.readbyqxmd.com/read/29887534/-influence-of-pre-existing-cognitive-impairment-on-rehabilitation-outcomes-in-patients-with-cerebral-infarction
#14
Yuzo Araki, Masahiro Furuichi, Hiroaki Nokura, Tatsuo Iwata
BACKGROUND AND PURPOSE: The present study determined the effects of pre-existing cognitive impairment (PreCI) on the rehabilitation outcomes in patients with cerebral infarction. METHODS: From June 2013 to August 2015, we classified 52 patients with unilateral cerebral hemispheric infarction into the PreCI and non-PreCI group based on three-dimensional stereotactic surface projection (3D-SSP) cerebral blood flow (CBF) decrease images and the past history of dementia...
June 2018: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/29887364/a-case-for-telestroke-in-military-medicine-a-retrospective-analysis-of-stroke-cost-and-outcomes-in-u-s-military-health-care-system
#15
Ajal Dave, Kendra Cagniart, Matthew D Holtkamp
BACKGROUND: The development of primary stroke centers has improved outcomes for stroke patients. Telestroke networks have expanded the reach of stroke experts to underserved, geographically remote areas. This study illustrates the outcome and cost differences between neurology and primary care ischemic stroke admissions to demonstrate a need for telestroke networks within the Military Health System (MHS). MATERIALS AND METHODS: All adult admissions with a primary diagnosis of ischemic stroke in the MHS Military Mart database from calendar years 2010 to 2015 were reviewed...
June 7, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29886809/understanding-the-experience-of-compensatory-and-restorative-memory-rehabilitation-a-qualitative-study-of-stroke-survivors
#16
Toni D Withiel, Vanessa L Sharp, Dana Wong, Jennie L Ponsford, Narelle Warren, Renerus J Stolwyk
Memory impairment is common following stroke. Memory skills groups (MSGs) utilising compensatory strategies and computerised cognitive training (CCT) are two rehabilitation approaches available to improve memory function; however, there is no consensus as to which is more effective following stroke. This study aimed to explore and contrast the qualitative experiences of 20 stroke survivors (Mage  = 61.90, SD = 10.48, range: 34-77 years) who received six weeks' training in MSG (manualised memory skills group, n = 10) or individual-CCT (LumosityTM , n = 10)...
June 11, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29882010/sleep-during-low-frequency-repetitive-transcranial-magnetic-stimulation-is-associated-with-functional-improvement-in-upper-limb-hemiparesis-after-stroke
#17
Masachika Niimi, N Sasaki, C Kimura, T Hara, N Yamada, M Abo
Many studies have reported that repetitive transcranial magnetic stimulation (rTMS) is beneficial for post-stroke patients with upper limb hemiparesis. It was reported that application of rTMS during sleep could possibly strengthen neural plasticity. The purpose of this study was to investigate the relationship between sleep during low-frequency rTMS session and improvement of motor function in affected upper limb in post-stroke patients after inpatient rehabilitation combined with rTMS using the bispectral index (BIS) monitor...
June 7, 2018: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29880827/post-stroke-kinematic-analysis-in-rats-reveals-similar-reaching-abnormalities-as-humans
#18
Gustavo Balbinot, Clarissa Pedrini Schuch, Matthew S Jeffers, Matthew W McDonald, Jessica M Livingston-Thomas, Dale Corbett
A coordinated pattern of multi-muscle activation is essential to produce efficient reaching trajectories. Disruption of these coordinated activation patterns, termed synergies, is evident following stroke and results in reaching deficits; however, preclinical investigation of this phenomenon has been largely ignored. Furthermore, traditional outcome measures of post-stroke performance seldom distinguish between impairment restitution and compensatory movement strategies. We sought to address this by using kinematic analysis to characterize reaching movements and kinematic synergies of rats performing the Montoya staircase task, before and after ischemic stroke...
June 7, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29880211/tele-rehabilitation-after-stroke-an-updated-systematic-review-of-the-literature
#19
REVIEW
Fred S Sarfo, Uladzislau Ulasavets, Ohene K Opare-Sem, Bruce Ovbiagele
BACKGROUND: Tele-rehabilitation for stroke survivors has emerged as a promising intervention for remotely supervised administration of physical, occupational, speech, and other forms of therapies aimed at improving motor, cognitive, and neuropsychiatric deficits from stroke. OBJECTIVE: We aimed to provide an updated systematic review on the efficacy of tele-rehabilitation interventions for recovery from motor, higher cortical dysfunction, and poststroke depression among stroke survivors...
June 4, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29880003/reliability-validity-and-clinical-feasibility-of-a-rapid-and-objective-assessment-of-post-stroke-deficits-in-hand-proprioception
#20
Mike D Rinderknecht, Olivier Lambercy, Vanessa Raible, Imke Büsching, Aida Sehle, Joachim Liepert, Roger Gassert
BACKGROUND: Proprioceptive function can be affected after neurological injuries such as stroke. Severe and persistent proprioceptive impairments may be associated with a poor functional recovery after stroke. To better understand their role in the recovery process, and to improve diagnostics, prognostics, and the design of therapeutic interventions, it is essential to quantify proprioceptive deficits accurately and sensitively. However, current clinical assessments lack sensitivity due to ordinal scales and suffer from poor reliability and ceiling effects...
June 7, 2018: Journal of Neuroengineering and Rehabilitation
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