keyword
https://read.qxmd.com/read/38419818/design-and-assessment-of-a-reconfigurable-behavioral-assistive-robot-a-pilot-study
#21
JOURNAL ARTICLE
Enming Shi, Wenzhuo Zhi, Wanxin Chen, Yuhang Han, Bi Zhang, Xingang Zhao
INTRODUCTION: For patients with functional motor disorders of the lower limbs due to brain damage or accidental injury, restoring the ability to stand and walk plays an important role in clinical rehabilitation. Lower limb exoskeleton robots generally require patients to convert themselves to a standing position for use, while being a wearable device with limited movement distance. METHODS: This paper proposes a reconfigurable behavioral assistive robot that integrates the functions of an exoskeleton robot and an assistive standing wheelchair through a novel mechanism...
2024: Frontiers in Neurorobotics
https://read.qxmd.com/read/38419706/case-report-intrathecal-baclofen-therapy-improved-gait-pattern-in-a-stroke-patient-with-spastic-dystonia
#22
Kyung Min Kim, Tae Kwon Lee, Su Min Lee, Won Seok Chang, Su Ji Lee, Jihye Hwang, Sung-Rae Cho
BACKGROUND: Intrathecal baclofen (ITB) therapy, a viable alternative for unsuitable candidates of conventional spasticity medications, is a preferred method of administration over the oral route. Owing to its enhanced bioavailability, ITB ensures a more effective delivery at the target site. OBJECTIVE: There is a lack of conclusive evidence regarding the use of ITB treatment in managing ambulatory patients with spastic dystonia. Before ITB pump implantation, patients commonly undergo an ITB bolus injection trial to rule out potential adverse reactions and verify the therapeutic effects on hypertonic issues...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38415207/pairing-tavns-and-cimt-is-feasible-and-may-improve-upper-extremity-function-in-infants
#23
JOURNAL ARTICLE
Kelly McGloon, Elizabeth Humanitzki, Julia Brennan, Philip Summers, Alyssa Brennan, Mark S George, Bashar W Badran, Anne R Cribb, Dorothea Jenkins, Patricia Coker-Bolt
In this study we combined non-invasive transcutaneous auricular vagal nerve stimulation (taVNS) with 40 h of constraint induced movement therapy (CIMT) in infants. All infants completed the full intervention with no adverse events. Therapists were able to maintain high treatment fidelity and reported high ratings for ease of use and child tolerance. Preliminary results show promising gains on motor outcomes: Mean QUEST increase 19.17 (minimal clinically important difference, MCID 4.89); Mean GMFM increase 13...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38406317/cerebral-hyperperfusion-syndrome-after-endovascular-reperfusion-therapy-for-medium-vessel-occlusion-a-case-report
#24
Hideki Endo, Kohei Ishikawa, Ryota Nomura, Daishi Yamaguchi, Koichiro Shindo, Koji Oka, Hirohiko Nakamura
Cerebral hyperperfusion syndrome is a rare but serious complication after revascularization procedures for cerebrovascular diseases. Cerebral hyperperfusion syndrome can develop after treatment of acute ischemic stroke, including intravenous thrombolysis and endovascular treatment of large vessel occlusion. However, to the best of our knowledge, there are no previous reports describing cerebral hyperperfusion syndrome after endovascular treatment of medium vessel occlusion (eg, anterior cerebral artery A2/3 segment)...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38405404/case-report-late-onset-type-3-hemiplegic-migraine-with-permanent-neurologic-sequelae-after-attacks
#25
Mantas Jokubaitis, Givi Lengvenis, Birutė Burnytė, Eglė Audronytė, Kristina Ryliškienė
This case study describes a 57-year-old woman with a six-year history of recurrent episodes characterized by visual, sensory, speech disturbances, hemiparesis and severe one-sided headaches accompanied by fever and altered consciousness. Initially misdiagnosed as a stroke, the atypical disease course and MRI findings led to additional genetic testing which revealed a sodium voltage-gated channel gene mutation (T1174S), confirming a diagnosis of sporadic hemiplegic migraine. The migraine prophylaxis showed some improvement in episode frequency and severity...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38404657/embolization-of-infective-endocarditis-vegetation-causes-intracranial-hemorrhage-with-hemorrhagic-transformation-after-ischemic-stroke
#26
Averina O Aslani, Zahran Haryawan, Tania A Sabrawi, Robin H Wibowo, Aprilianasary U Dewi
BACKGROUND: Infective endocarditis (IE) is a rare, but potentially fatal, infectious disease. One of the common complications of IE is the embolization of endocardial vegetation with subsequent intracerebral artery obstruction that causes acute ischemic stroke. Herein, we present a case report of a patient presenting with a neurological manifestation that turned out to be a complication of IE. CASE ILLUSTRATION: We present the case of a patient with a chief complaint of left-sided hemiplegia...
January 3, 2024: Global Cardiology Science & Practice
https://read.qxmd.com/read/38398408/risk-factor-analysis-of-complications-and-mortality-following-coil-procedures-in-patients-with-intracranial-unruptured-aneurysms-using-a-nationwide-health-insurance-database
#27
JOURNAL ARTICLE
So Yeon Park, So An Kim, Yu Hyeon An, Sang Won Kim, Saeyoon Kim, Jae Min Lee, Youngjin Jung
(1) Background: Unruptured intracranial aneurysm (UIA) occurs in 1-2% of the population and is being increasingly detected. Patients with UIA are treated with close observation, endovascular coiling or surgical clipping. The proportion of endovascular coiling has been rising. However, complications such as cerebral infarction (CI), intracranial hemorrhage (ICRH), and death remain crucial issues after coil treatment. (2) Methods: We analyzed the incidence and risk factors of complications after the use of coil in patients with UIA based on the patients' characteristics...
February 15, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38397324/efficacy-of-lower-limb-orthoses-in-the-rehabilitation-of-children-affected-by-cerebral-palsy-a-systematic-review
#28
REVIEW
Sandra Miccinilli, Fabio Santacaterina, Rebecca Della Rocca, Silvia Sterzi, Federica Bressi, Marco Bravi
Lower limb orthoses are frequently used in children suffering from cerebral palsy (CP) alongside rehabilitation. The aim of this study was to analyze the effectiveness of ankle-foot orthosis (AFO) and knee-ankle-foot orthosis (KAFO) in walking, balance maintenance, spasticity, and quality of life improvement during rehabilitation in children affected by CP. The hypothesis was that the use of orthoses could improve the parameters compared to non-use. A systematic review was conducted in the main databases, including English language RCTs published about the use of AFO and KAFO in combination or not with rehabilitation methods in children affected by CP and studies mentioning walking, balance, muscle length, and quality of life as outcomes...
February 6, 2024: Children
https://read.qxmd.com/read/38393863/influence-of-hyperbaric-oxygen-therapy-specialized-care-on-limb-motor-function-and-mental-state-of-cerebral-infarction-patients-with-hemiplegia
#29
JOURNAL ARTICLE
Yi Sun, Tao Ren, Xueli Ji
BACKGROUND: Currently, cerebral infarction (CI) is mainly treated by emergency craniotomy or conservative treatment. However, some studies have questioned the functional recovery of patients after hyperbaric oxygen therapy (HBOT)-specialized care. OBJECTIVE: This paper mainly explores the influence of HBOT-specialized care on limb motor function (LMF) and mental state of CI patients with hemiplegia. METHODS: The medical records of 113 CI patients with hemiplegia treated in our hospital from March 2020 to March 2022 were collected...
February 3, 2024: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38390596/exergames-as-a-rehabilitation-tool-to-enhance-the-upper-limbs-functionality-and-performance-in-chronic-stroke-survivors-a-preliminary-study
#30
JOURNAL ARTICLE
Luca Vismara, Claudia Ferraris, Gianluca Amprimo, Giuseppe Pettiti, Francesca Buffone, Andrea Gianmaria Tarantino, Alessandro Mauro, Lorenzo Priano
INTRODUCTION: Post-stroke hemiplegia commonly occurs in stroke survivors, negatively impacting the quality of life. Despite the benefits of initial specific post-acute treatments at the hospitals, motor functions, and physical mobility need to be constantly stimulated to avoid regression and subsequent hospitalizations for further rehabilitation treatments. METHOD: This preliminary study proposes using gamified tasks in a virtual environment to stimulate and maintain upper limb mobility through a single RGB-D camera-based vision system (using Microsoft Azure Kinect DK)...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38388007/therapeutic-hypothermia-after-perinatal-asphyxia-in-vietnam-medium-term-outcomes-at-18-months-a-prospective-cohort-study
#31
JOURNAL ARTICLE
Hang Thi Thanh Tran, Ha Thi Le, Dien Minh Tran, Giang Thi Huong Nguyen, Lena Hellström-Westas, Tobias Alfven, Linus Olson
AIM: To determine neurodevelopmental outcome at 18 months after therapeutic hypothermia for hypoxic-ischaemic encephalopathy (HIE) infants in Vietnam, a low-middle-income country. METHOD: Prospective cohort study investigating outcomes at 18 months in severely asphyxiated outborn infants who underwent therapeutic hypothermia for HIE in Hanoi, Vietnam, during the time period 2016-2019. Survivors were examined at discharge and at 6 and 18 months by a neonatologist, a neurologist and a rehabilitation physician, who were blinded to the infants' clinical severity during hospitalisation using two assessment tools: the Ages and Stages Questionnaire (ASQ) and the Hammersmith Infant Neurological Examination (HINE), to detect impairments and promote early interventions for those who require it...
February 21, 2024: BMJ Paediatrics Open
https://read.qxmd.com/read/38383331/effect-of-repetitive-transcranial-magnetic-stimulation-assisted-training-on-lower-limb-motor-function-in-children-with-hemiplegic-cerebral-palsy
#32
JOURNAL ARTICLE
Yan He, Qi Zhang, Ting-Ting Ma, Yan-Hua Liang, Rong-Rong Guo, Xiao-Song Li, Qian-Jin Liu, Tian-Yang Feng
OBJECTIVE: To explore the effect of repetitive transcranial magnetic stimulation (rTMS)-assisted training on lower limb motor function in children with hemiplegic cerebral palsy (HCP). METHOD: Thirty-one children with HCP who met the inclusion criteria were selected and randomly divided into a control group (n = 16) and an experimental group (n = 15). The control group received routine rehabilitation treatment for 30 min each time, twice a day, 5 days a week for 4 weeks...
February 22, 2024: BMC Pediatrics
https://read.qxmd.com/read/38379707/familial-hemiplegic-migraine-type-2-a-case-report-of-an-adolescent-with-atp1a2-mutation
#33
Hui Zhang, Li Jiang, Yuqi Xian, Sen Yang
This study presents a case report of a male adolescent diagnosed with familial hemiplegic migraine type 2 (FHM2), an autosomal dominant inheritance disorder caused by ATP1A2 mutation. We report the patient who presented with headache, aphasia, and left-sided weakness. Cerebrovascular disease and various infectious agents were unremarkable during the patient's extended hospital stay. Our case revealed that brain hyperperfusion in familial hemiplegic migraine (FHM) persists over an extended duration, and despite the disease being in a state of recovery, enhanced brain magnetic resonance imaging (MRI) continues to exhibit hyperperfusion...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38375803/a-study-on-the-four-phase-design-and-development-process-of-3d-printed-foot-operated-safety-nail-clipper-for-people-with-stroke-hemiplegia
#34
JOURNAL ARTICLE
Pyeong Ho Lee, Myung-Joon Lim, Seon Deok Eun
PURPOSE: Cutting nails is an essential activity of daily living. In this study, a foot-operated safety nail clipper for people with stroke hemiplegia was developed in four phases using three-dimensional (3D) printing technology. MATERIALS AND METHODS: A user was identified to develop a foot-operated, safe nail clipper for people with stroke hemiplegia (Phase 1). A single user repeatedly used the technology to determine necessary improvements (Phase 2). Then, the usability was evaluated by four people with disabilities (Phase 3) before the clipper was manufactured at multiple institutions to determine its reproducibility (Phase 4)...
February 20, 2024: Disability and Rehabilitation. Assistive Technology
https://read.qxmd.com/read/38375076/effectivity-of-virtual-reality-to-improve-balance-motor-function-activities-of-daily-living-and-upper-limb-function-in-children-with-cerebral-palsy-a-systematic-review-and-meta-analysis
#35
REVIEW
Maria Komariah, Shakira Amirah, Muhammad Fahd Abdurrahman, Mohammad Farrel Shaquille Handimulya, Hesti Platini, Sidik Maulana, Annisa Dewi Nugrahani, Aep Maulid Mulyana, Shurouq Ghalib Qadous, Henny Suzana Mediani, Arpit Mago
BACKGROUND: Cerebral palsy (CP) is the most common motor disorder in childhood. CP limits movement, which can interfere with children's daily activities. As a technology that provides intensive mass practice to children, virtual reality (VR) can create an interactive and motivating environment. With the intensity set by the therapist and feedback that can be used to produce individualized therapy, VR has great potential to improve CP patients' quality of life, especially in a safe, enjoyable, and playful environment...
2024: Therapeutics and Clinical Risk Management
https://read.qxmd.com/read/38373015/the-effect-of-vestibular-and-somatosensory-rehabilitation-in-addition-to-early-rehabilitation-on-balance-after-stroke-a-randomized-controlled-trial
#36
JOURNAL ARTICLE
Elisa Calisgan, Burcu Talu
BACKGROUND: The goal of post-stroke early rehabilitation is to regain ambulation, standing and balance. OBJECTIVE: The purpose of this study was to investigate the effects of vestibular and somatosensory rehabilitation in addition to early rehabilitation on balance in patients with early subacute stroke. DESIGN AND SETTING: A randomized controlled trial was conducted at a university hospital. METHODS: The study was included 52 hemiplegic hospitalized early suacute stroke patients...
February 19, 2024: Topics in Stroke Rehabilitation
https://read.qxmd.com/read/38372396/patterns-and-assessment-of-spastic-hemiplegic-gait
#37
JOURNAL ARTICLE
Sheng Li
Hemiparetic gait disorders are common in stroke survivors. A circumductory gait is often considered the typical hemiparetic gait. In clinical practice, a wide spectrum of abnormal gait patterns is observed, depending on the severity of weakness and spasticity, and the anatomical distribution of spasticity. Muscle strength is the key determinant of gait disorders in hemiparetic stroke survivors. Spasticity and its associated involuntary activation of synergistic spastic muscles often alter posture of involved joint(s) and subsequently the alignment of hip, knee, and ankle joints, resulting in abnormal gait patterns...
February 19, 2024: Muscle & Nerve
https://read.qxmd.com/read/38371035/alien-hand-syndrome-unveiled-in-a-patient-with-right-middle-cerebral-artery-stroke
#38
Ghada Rashwan, Sara Elagha, Tahani Aldaham, Liza Thomas
Alien hand syndrome (AHS) is a rare but significant disorder, characterized by involuntary and often complex movements of one's hand. These movements seem to occur independently and unconsciously, separate from a person's intended actions.  We report a case of a 70-year-old male who presented to the emergency department with left sided hemiplegia following a stroke in the right middle cerebral artery (MCA) that affected the right temporal, parietal and internal capsule region. Upon additional inquiry, the patient reported experiencing involuntary, abrupt movements in his left upper and lower limbs particularly while attempting voluntary movements...
January 2024: Curēus
https://read.qxmd.com/read/38370433/variation-in-brain-connectivity-during-motor-imagery-and-motor-execution-in-stroke-patients-based-on-electroencephalography
#39
JOURNAL ARTICLE
Dongju Guo, Jinglu Hu, Dezheng Wang, Chongfeng Wang, Shouwei Yue, Fangzhou Xu, Yang Zhang
OBJECTIVE: The objective of this study was to analyze the changes in connectivity between motor imagery (MI) and motor execution (ME) in the premotor area (PMA) and primary motor cortex (MA) of the brain, aiming to explore suitable forms of treatment and potential therapeutic targets. METHODS: Twenty-three inpatients with stroke were selected, and 21 right-handed healthy individuals were recruited. EEG signal during hand MI and ME (synergy and isolated movements) was recorded...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38369326/-cilostazol-was-effective-for-capsular-warning-syndrome-during-anticoagulant-therapy-a-case-report
#40
JOURNAL ARTICLE
Ayane Kawatake, Hiroyuki Kawano, Yuko Honda, Yoshiko Unno, Teruyuki Hirano
An 88-year-old woman with atrial fibrillation was admitted to our hospital due to the right hemiplegia and aphasia. MRA shows the left middle cerebral artery M2 occlusion. After intravenous rt-PA, her symptoms improved. She was diagnosed with cardioembolic stroke, and was treated with direct oral anticoagulation therapy. However, she had repeated stereotypical transient right hemiparesis a week after index stroke. Her symptoms were considered capsular warning syndrome (CWS). After cilostazol was administered, no further transient neurological deteriorations occurred...
February 17, 2024: Rinshō Shinkeigaku, Clinical Neurology
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