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Rehabilitation of stroke

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https://www.readbyqxmd.com/read/29684462/a-comparison-of-seven-different-dti-derived-estimates-of-corticospinal-tract-structural-characteristics-in-chronic-stroke-survivors
#1
Bokkyu Kim, Beth E Fisher, Nicolas Schweighofer, Richard M Leahy, Justin P Haldar, Soyoung Choi, Dorsa B Kay, James Gordon, Carolee J Winstein
BACKGROUND: Different diffusion tensor imaging (DTI) has been used to estimate corticospinal tract (CST) structure in the context of stroke rehabilitation research. However, there is no gold standard for the estimate of CST structure in chronic stroke survivors. This study aims to determine the most accurate DTI-derived CST estimate that is associated with a clinical motor outcome measure. METHODS: We obtained imaging and behavioral data from a phase-I stroke rehabilitation clinical trial...
April 20, 2018: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/29678195/does-sensorimotor-upper-limb-therapy-post-stroke-alter-behavior-and-brain-connectivity-differently-compared-to-motor-therapy-protocol-of-a-phase-ii-randomized-controlled-trial
#2
Nele De Bruyn, Bea Essers, Liselot Thijs, Annick Van Gils, Lisa Tedesco Triccas, Sarah Meyer, Kaat Alaerts, Geert Verheyden
BACKGROUND: The role of somatosensory feedback in motor performance has been warranted in the literature. Although sensorimotor deficits are common after stroke, current rehabilitation approaches primarily focus on restoring upper limb motor ability. Evidence for integrative sensorimotor rehabilitation approaches is scarce, as is knowledge about neural correlates of somatosensory impairments after stroke and the effect of rehabilitation on brain connectivity level. Therefore, we aim to investigate changes in sensorimotor function and brain connectivity following a sensorimotor therapy program compared to an attention-matched motor therapy program for the upper limb after stroke...
April 20, 2018: Trials
https://www.readbyqxmd.com/read/29677663/haptic-based-perception-empathy-biofeedback-system-for-balance-rehabilitation-in-patients-with-chronic-stroke-concepts-and-initial-feasibility-study
#3
Kazuhiro Yasuda, Kenta Saichi, Naomi Kaibuki, Hiroaki Harashima, Hiroyasu Iwata
BACKGROUND: Most individuals have sensory disturbances post stroke, and these deficits contribute to post-stroke balance impairment. The haptic-based biofeedback (BF) system appears to be one of the promising tools for balance rehabilitation in patients with stroke, and the BF system can increase the objectivity of feedback and encouragement than that provided by a therapist. RESEARCH QUESTION: Studies in skill science indicated that feedback or encouragement from a coach or trainer enhances motor learning effect...
April 14, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29676956/high-intensity-interval-training-after-stroke-an-opportunity-to-promote-functional-recovery-cardiovascular-health-and-neuroplasticity
#4
Jennifer Crozier, Marc Roig, Janice J Eng, Marilyn MacKay-Lyons, Joyce Fung, Michelle Ploughman, Damian M Bailey, Shane N Sweet, Nicholas Giacomantonio, Alexander Thiel, Michael Trivino, Ada Tang
INTRODUCTION: Stroke is the leading cause of adult disability. Individuals poststroke possess less than half of the cardiorespiratory fitness (CRF) as their nonstroke counterparts, leading to inactivity, deconditioning, and an increased risk of cardiovascular events. Preserving cardiovascular health is critical to lower stroke risk; however, stroke rehabilitation typically provides limited opportunity for cardiovascular exercise. Optimal cardiovascular training parameters to maximize recovery in stroke survivors also remains unknown...
April 1, 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29676780/retrospective-evaluation-of-a-restrictive-transfusion-strategy-in-older-adults-with-hip-fracture
#5
Lorene Zerah, Lucile Dourthe, Judith Cohen-Bittan, Marc Verny, Mathieu Raux, Anthony Mézière, Frédéric Khiami, Cendrine Tourette, Christian Neri, Yannick Le Manach, Bruno Riou, Hélène Vallet, Jacques Boddaert
OBJECTIVES: To compare the association between a restrictive transfusion strategy and cardiovascular complications during hospitalization for hip fracture with the association between a liberal transfusion strategy and cardiovascular complications, accounting for all transfusions from the emergency department to postacute rehabilitation settings. DESIGN: Retrospective study. SETTING: Perioperative geriatric care unit. PARTICIPANTS: All individuals aged 70 and older admitted to the emergency department for hip fracture and hospitalized in our perioperative geriatric care unit (N=667; n=193 in the liberal transfusion group, n=474 in the restrictive transfusion group) from July 2009 to April 2016...
April 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29676493/the-physical-environment-and-patients-activities-and-care-a-comparative-case-study-at-three-newly-built-stroke-units
#6
Anna Anåker, Lena Von Koch, Christina Sjöstrand, Ann Heylighen, Marie Elf
AIM: To explore and compare the impact of the physical environment on patients' activities and care at three newly built stroke units. BACKGROUND: Receiving care in a stroke unit instead of in a general ward reduces the odds of death, dependency and institutionalized care. In stroke units, the design of the physical environment should support evidence-based care. Studies on patients' activities in relation to the design of the physical environment of stroke units are scarce...
April 20, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29672185/living-and-ageing-with-stroke-an-exploration-of-conditions-influencing-participation-in-social-and-leisure-activities-over-15-years
#7
Anna Norlander, Susanne Iwarsson, Ann-Cathrin Jönsson, Arne Lindgren, Eva Månsson Lexell
OBJECTIVE: To explore conditions influencing long-term participation in social and leisure activities among people who have had a stroke. METHODS: This study had a qualitative design, using a grounded theory methodology. Data collection was based on in-depth interviews performed 15 years after a first-ever stroke with 10 persons recruited from a population-based stroke cohort in Sweden. The study also included four family members. FINDINGS: Over time, the stroke meant a changed but gradually normalised life situation...
April 19, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29668613/brain-mapping-for-long-term-recovery-of-gait-after-supratentorial-stroke-a-retrospective-cross-sectional-study
#8
Dae Hyun Kim, Sunghyon Kyeong, Kyung Hee Do, Seong Kyu Lim, Hyong Keun Cho, Suk Jung, Hye Won Kim
The recovery of independent gait after stroke is a main goal of patients and understanding the relationship between brain lesions and the recovery of gait can help physicians set viable rehabilitation plans. Our study investigated the association between variables of gait parameters and brain lesions.Fifty poststroke patients with a mean age of 67.5 ± 1.3 years and an average duration after onset of 62.2 ± 7.9 months were included. Three-dimensional gait analysis and magnetic resonance imaging were conducted for all patients...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29668611/the-effect-and-biomechanical-mechanisms-of-intradermal-needle-for-post-stroke-hemiplegia-recovery-study-protocol-for-a-randomized-controlled-pilot-trial
#9
RANDOMIZED CONTROLLED TRIAL
Ruyu Yan, Yong Zhang, Jingyang Lim, Fan Yang, Li Zhou, Diyang Lyu, Yahui Wang, Yihuai Zou, Zongheng Li
The incidence of stroke has increased significantly in recent years. Post-stroke hemiplegia is a common stroke complication with long-term negative consequences. Several studies have suggested that acupuncture could be an effective intervention for the rehabilitation of post-stroke hemiplegia. Intradermal needling is a kind of acupuncture which is widely used in clinical settings. This study attempts to investigate the biomechanical effects of intradermal needle for post-stroke hemiplegia recovery.This proposed study is a single-centered, prospective, single-blinded (patient-assessor-blinded), randomized clinical pilot trial involving 40 patients with post-stroke hemiplegia...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29668582/bilateral-visual-loss-and-cerebral-infarction-after-spleen-embolization-in-a-trauma-patient-with-idiopathic-thrombocytopenic-purpura-a-case-report
#10
Wei-Ting Wang, Yu-Yu Li, Wan-Ching Lin, Jen-Yin Chen, Kuo-Mao Lan, Cheuk-Kwan Sun, Kuo-Chuan Hung
RATIONALE: Splenic artery embolization (SAE) is a common procedure in trauma patients with blunt splenic injuries. We report a case of acute ischemic stroke following orthopedic surgery in a patient with post-SAE reactive thrombocytosis. PATIENT CONCERNS: A 37-year-old woman with idiopathic thrombocytopenic purpura (ITP) suffered from multiple trauma scheduled for open reduction and internal fixation for right tibial and left radius fracture five days after SAE...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29668401/phase-ii-randomized-controlled-trial-of-constraint-induced-movement-therapy-in-multiple-sclerosis-part-2-effect-on-white-matter-integrity
#11
Ameen Barghi, Jane B Allendorfer, Edward Taub, Brent Womble, Jarrod M Hicks, Gitendra Uswatte, Jerzy P Szaflarski, Victor W Mark
BACKGROUND: Constraint-induced movement therapy (CIMT) is a method of physical rehabilitation that has demonstrated clinical efficacy in patients with chronic stroke, cerebral palsy, and multiple sclerosis (MS). OBJECTIVE: This pilot randomized controlled trial tested whether CIMT can also induce increases in white matter integrity in patients with MS. METHODS: Twenty adults with chronic hemiparetic MS were randomized to receive either CIMT or complementary and alternative medicine (CAM) treatment (reported in the first article of this pair)...
March 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29667440/time-use-and-physical-activity-in-a-specialised-brain-injury-rehabilitation-unit-an-observational-study
#12
Leanne Hassett, Siobhan Wong, Emma Sheaves, Maysaa Daher, Andrew Grady, Cara Egan, Carol Seeto, Talia Hosking, Anne Moseley
OBJECTIVES: To determine what is the use of time and physical activity in people undertaking inpatient rehabilitation in a specialised brain injury unit. To determine participants' level of independence related to the use of time and physical activity. METHODS: Design: Cross-sectional observation study. PARTICIPANTS: Fourteen people [mean (SD) age 40 (15) years] with brain injuries undertaking inpatient rehabilitation. PROCEDURE: Participants were observed every 12 minutes over 5 days (Monday to Friday from 7:30 am until 7:30 pm) using a behaviour mapping tool...
April 18, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29666575/combining-mental-training-and-physical-training-with-goal-oriented-protocols-in-stroke-rehabilitation-a-feasibility-case-study
#13
Xin Zhang, Ahmed M Elnady, Bubblepreet K Randhawa, Lara A Boyd, Carlo Menon
Stroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetitions and as such may provide an alternative, or an adjunct, to conventional rehabilitation therapy. Brain-computer interfaces (BCI) could augment neuroplasticity by introducing mental training. However, mental training alone is not enough; but combining mental with physical training could boost outcomes...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29665842/sensory-re-learning-of-the-upper-limb-after-stroke-sensupp-study-protocol-for-a-pilot-randomized-controlled-trial
#14
Håkan Carlsson, Birgitta Rosén, Hélène Pessah-Rasmussen, Anders Björkman, Christina Brogårdh
BACKGROUND: Many stroke survivors suffer from sensory impairments of their affected upper limb (UL). Although such impairments can affect the ability to use the UL in everyday activities, very little attention is paid to sensory impairments in stroke rehabilitation. The purpose of this trial is to investigate if sensory re-learning in combination with task-specific training may prove to be more effective than task-specific training alone to improve sensory function of the hand, dexterity, the ability to use the hand in daily activities, perceived participation, and life satisfaction...
April 17, 2018: Trials
https://www.readbyqxmd.com/read/29664359/stroke-care-in-africa-a-systematic-review-of-the-literature
#15
Gerard Urimubenshi, Dominique A Cadilhac, Jeanne N Kagwiza, Olivia Wu, Peter Langhorne
Background Appropriate systems of stroke care are important to manage the increasing death and disability associated with stroke in Africa. Information on existing stroke services in African countries is limited. Aim To describe the status of stroke care in Africa. Summary of review We undertook a systematic search of the published literature to identify recent (1 January 2006-20 June 2017) publications that described stroke care in any African country. Our initial search yielded 838 potential papers, of which 38 publications were eligible representing 14/54 African countries...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29663857/adherence-of-stroke-patients-with-an-online-brain-training-program-the-role-of-health-professionals-support
#16
M M Wentink, J Meesters, M A M Berger, A J de Kloet, E Stevens, G P H Band, C H Kromme, R Wolterbeek, P H Goossens, T P M Vliet Vlieland
Background Computer-based cognitive rehabilitation is used to improve cognitive functioning after stroke. However, knowledge on adherence rates of stroke patients is limited. Objective To describe stroke patients' adherence with a brain training program using two frequencies of health professionals' supervision. Methods This study is part of a randomized controlled trial comparing the effect of the brain training program (600 min playtime with weekly supervision) with a passive intervention in patients with self-perceived cognitive impairments after stroke...
April 17, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29661237/evaluating-the-effects-of-delivering-integrated-kinesthetic-and-tactile-cues-to-individuals-with-unilateral-hemiparetic-stroke-during-overground-walking
#17
Muhammad Raheel Afzal, Sanghun Pyo, Min-Kyun Oh, Young Sook Park, Jungwon Yoon
BACKGROUND: Integration of kinesthetic and tactile cues for application to post-stroke gait rehabilitation is a novel concept which needs to be explored. The combined provision of haptic cues may result in collective improvement of gait parameters such as symmetry, balance and muscle activation patterns. Our proposed integrated cue system can offer a cost-effective and voluntary gait training experience for rehabilitation of subjects with unilateral hemiparetic stroke. METHODS: Ten post-stroke ambulatory subjects participated in a 10 m walking trial while utilizing the haptic cues (either alone or integrated application), at their preferred and increased gait speeds...
April 16, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29661038/valued-activities-and-informal-caregiving-in-stroke-a-scoping-review
#18
Sandra Jellema, Mandy A M Wijnen, Esther M J Steultjens, Maria W G Nijhuis-van der Sanden, Rob van der Sande
PURPOSE: Map the literature about valued activities and informal caregiving post stroke and determine the nature, extent, and consequences of caregivers' activity changes. METHODS: A scoping review was undertaken, searching Pubmed, Cinahl, PsycInfo, and Google Scholar. Two researchers independently identified relevant articles, extracted study characteristics and findings, and assigned codes describing the topics and outcomes. Using thematic analysis, the main study topics and study outcomes were described...
April 17, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29660954/usability-of-the-thera-band%C3%A2-to-improve-foot-drop-in-stroke-survivors
#19
SunHae Song, JungHee Park, GyuDong Song, SeulGi Lee, YoHan Jo, MinKyung Jin, DongGeon Lee, SunHye Jung, SoungKyun Hong, SeungHoo Lee, SeungHyeon Pyo, GyuChang Lee
BACKGROUND: Stroke survivors show "foot drop", dragging their toes on the ground in the swing phase of gait. Ineffective ankle dorsiflexion may result in an abnormal gait pattern. OBJECTIVE: The purpose of this study was to investigate the effect of ankle Thera-Band® use on gait patterns in stroke survivors. METHODS: Gait data were collected in eight subjects who had had strokes using gait analysis system, both with and without the Thera-Band®...
April 7, 2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29660950/impact-of-balance-on-functional-independence-after-stroke-a-cross-sectional-study-at-rehabilitation-settings-in-nigeria
#20
Grace Vincent-Onabajo, Emmanuel Joseph, Hadiza Yakubu Musa
BACKGROUND: Functional independence is often compromised after stroke and restoring it is one of the goals of stroke rehabilitation. OBJECTIVE: This study assessed the impact of balance on functional independence after stroke. METHODS: Ninety-five stroke patients undergoing physical rehabilitation at two health institutions in Nigeria participated in the study. Balance and functional independence were respectively assessed with the Berg Balance Scale and the Barthel Index...
April 7, 2018: NeuroRehabilitation
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