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Rehabilitation of stroke

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https://www.readbyqxmd.com/read/29243508/the-effectiveness-of-hydrokinesiotherapy-on-postural-balance-of-hemiplegic-patients-after-stroke-a-systematic-review-and-meta-analysis
#1
Georgia Iatridou, Henrietta-Syngliti Pelidou, Dimitrios Varvarousis, Alexandra Stergiou, Alexander Beris, Panagiotis Givissis, Avraam Ploumis
OBJECTIVE: To summarize evidence on the effects of hydrokinesiotherapy (HT) on postural balance in hemiplegic patients after stroke and compare them with conventional land therapy. DATA SOURCES: A literature search until October 2017 was conducted on CINAHL, PubMed, Cochrane EBM Reviews, Cochrane Clinical Trials, DARE, MEDLINE, Physiotherapy Evidence Database (PEDro), PsycInfo and Rehabilitation and Sports Medicine Source. REVIEW METHODS: Only randomized controlled trials with pre-intervention and post-intervention assessment on postural control have been included...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29241649/the-structure-of-the-mental-lexicon-what-primary-progressive-aphasias-reveal
#2
Clara Sanches, Alexandre Routier, Olivier Colliot, Marc Teichmann
Like recursive syntax, a structured mental lexicon is specific to the human species but its internal organization remains unclear. It is thought to contain information about the semantic, syntactic (e.g., gender) and formal (orthographic/phonological) features of a word. Previous studies suggested that these three components might be separated at the behavioral level and that they might be implemented by temporal cortices. However, the available investigations are based on case reports or small-cohort studies with patients demonstrating post-stroke aphasia, and they did not contrast the three lexical components in a directly comparable way...
December 11, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/29240533/investigation-of-perceptual-motor-behavior-across-the-expert-athlete-to-disabled-patient-skill-continuum-can-advance-theory-and-practical-application
#3
Sean Müller, Ann-Maree Vallence, Carolee Winstein
A framework is presented of how theoretical predictions can be tested across the expert athlete to disabled patient skill continuum. Common-coding theory is used as the exemplar to discuss sensory and motor system contributions to perceptual-motor behavior. Behavioral and neural studies investigating expert athletes and patients recovering from cerebral stroke are reviewed. They provide evidence of bi-directional contributions of visual and motor systems to perceptual-motor behavior. Majority of this research is focused on perceptual-motor performance or learning, with less on transfer...
December 14, 2017: Journal of Motor Behavior
https://www.readbyqxmd.com/read/29239328/leap-motion-based-virtual-reality-training-for-improving-motor-functional-recovery-of-upper-limbs-and-neural-reorganization-in-subacute-stroke-patients
#4
Zun-Rong Wang, Ping Wang, Liang Xing, Li-Ping Mei, Jun Zhao, Tong Zhang
Virtual reality is nowadays used to facilitate motor recovery in stroke patients. Most virtual reality studies have involved chronic stroke patients; however, brain plasticity remains good in acute and subacute patients. Most virtual reality systems are only applicable to the proximal upper limbs (arms) because of the limitations of their capture systems. Nevertheless, the functional recovery of an affected hand is most difficult in the case of hemiparesis rehabilitation after a stroke. The recently developed Leap Motion controller can track the fine movements of both hands and fingers...
November 2017: Neural Regeneration Research
https://www.readbyqxmd.com/read/29237339/multimodal-rehabilitation-in-the-late-phase-after-stroke-enhances-the-life-situation-of-informal-caregivers
#5
Lina Bunketorp-Käll, Åsa Lundgren-Nilsson, Michael Nilsson, Christian Blomstrand
Purpose The burden of caregiving for stroke survivors is well known, but the effect of late stroke rehabilitation on the life situation of informal caregivers is unknown. Here, we assessed changes in the life situation of informal caregivers of stroke survivors enrolled in a multimodal intervention trial. Methods This controlled study was a questionnaire-based survey accompanying a three-armed randomized controlled trial of 123 stroke survivors. The care recipients of 106 caregivers who chose to participate were assigned to rhythm-and-music-based therapy (R-MT; n = 37), horse-riding therapy (H-RT; n = 37), or delayed intervention (control group, n = 32)...
December 13, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29233831/the-efficacy-of-the-proprioceptive-neuromuscular-facilitation-pnf-approach-in-stroke-rehabilitation-to-improve-basic-activities-of-daily-living-and-quality-of-life-a-systematic-review-and-meta-analysis-protocol
#6
Francesc Xavier Guiu-Tula, Rosa Cabanas-Valdés, Mercè Sitjà-Rabert, Gerard Urrútia, Natàlia Gómara-Toldrà
INTRODUCTION: Proprioceptive neuromuscular facilitation (PNF) is a widely used rehabilitation concept, although its efficacy has not yet been demonstrated in stroke survivors. The aim of this systematic review is to identify, assess and synthesise the potential benefits of using PNF to improve the activities of daily living (ADL) and quality of life (QoL) of individuals with stroke. METHODS AND ANALYSIS: A systematic electronic search will be conducted in MEDLINE, Embase, CENTRAL and PEDro...
December 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29233087/stroke-prevention-rehabilitation-intervention-trial-of-exercise-sprite-a-randomised-feasibility-study
#7
Neil Heron, Frank Kee, Jonathan Mant, Philip M Reilly, Margaret Cupples, Mark Tully, Michael Donnelly
BACKGROUND: The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or minor stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease. We aimed to evaluate the feasibility of conducting a trial of an adapted home-based CR programme, 'The Healthy Brain Rehabilitation Manual', for patients following a TIA/minor stroke, participants' views on the intervention and, to identify the behaviour change techniques (BCTs) used...
December 12, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29233072/improving-the-development-monitoring-and-reporting-of-stroke-rehabilitation-research-consensus-based-core-recommendations-from-the-stroke-recovery-and-rehabilitation-roundtable
#8
Marion F Walker, Tammy C Hoffmann, Marian C Brady, Catherine M Dean, Janice J Eng, Amanda J Farrin, Cynthia Felix, Anne Forster, Peter Langhorne, Elizabeth A Lynch, Kathryn A Radford, Katharina S Sunnerhagen, Caroline L Watkins
Recent reviews have demonstrated that the quality of stroke rehabilitation research has continued to improve over the last four decades but despite this progress, there are still many barriers in moving the field forward. Rigorous development, monitoring and complete reporting of interventions in stroke trials are essential in providing rehabilitation evidence that is robust, meaningful and implementable. An international partnership of stroke rehabilitation experts committed to develop consensus-based core recommendations with a remit of addressing the issues identified as limiting stroke rehabilitation research in the areas of developing, monitoring and reporting stroke rehabilitation interventions...
October 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29233071/biomarkers-of-stroke-recovery-consensus-based-core-recommendations-from-the-stroke-recovery-and-rehabilitation-roundtable
#9
Lara A Boyd, Kathryn S Hayward, Nick S Ward, Cathy M Stinear, Charlotte Rosso, Rebecca J Fisher, Alexandre R Carter, Alex P Leff, David A Copland, Leeanne M Carey, Leonardo G Cohen, D Michele Basso, Jane M Maguire, Steven C Cramer
The most difficult clinical questions in stroke rehabilitation are "What is this patient's potential for recovery?" and "What is the best rehabilitation strategy for this person, given her/his clinical profile?" Without answers to these questions, clinicians struggle to make decisions regarding the content and focus of therapy, and researchers design studies that inadvertently mix participants who have a high likelihood of responding with those who do not. Developing and implementing biomarkers that distinguish patient subgroups will help address these issues and unravel the factors important to the recovery process...
October 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29233002/social-participation-following-a-stroke-an-assessment-in-accordance-with-the-international-classification-of-functioning-disability-and-health
#10
Soraia Micaela Silva, João Carlos Ferrari Corrêa, Gabriela Santos Pereira, Fernanda Ishida Corrêa
OBJECTIVE: Evaluate, code and qualify the participation of Brazilian stroke survivors based on the international classification of functioning, disability and health (ICF) and identify predictors of post-stroke participation. METHODS: An exploratory, observational, cross-sectional study was conducted involving 78 individuals with hemiparesis stemming from a stroke. The stroke specific quality of life (SS-QOL) was used to evaluate the participation component of the ICF...
December 13, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29232308/a-backward-walking-training-program-to-improve-balance-and-mobility-in-acute-stroke-a-pilot-randomized-controlled-trial
#11
Dorian K Rose, Lou DeMark, Emily J Fox, David J Clark, Peter Wludyka
BACKGROUND AND PURPOSE: Strategies to address gait and balance deficits early poststroke are minimal. The postural and motor control requirements of Backward Walking Training (BWT) may provide benefits to improve balance and walking speed in this population. This pilot study (1) determined the feasibility of administering BWT during inpatient rehabilitation and (2) compared the effectiveness of BWT to Standing Balance Training (SBT) on walking speed, balance, and balance-related efficacy in acute stroke...
January 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29232307/outcome-measure-scores-predict-discharge-destination-in-patients-with-acute-and-subacute-stroke-a-systematic-review-and-series-of-meta-analyses
#12
Emily R Thorpe, Katie B Garrett, Ashley M Smith, Jennifer C Reneker, Robert S Phillips
BACKGROUND AND PURPOSE: To identify the association between outcome measure score and discharge destination in adults following acute or subacute stroke in the United States. METHODS: A systematic literature search was performed in 3 databases using the PRISMA guidelines. Cohort studies were selected that included patients with acute or subacute stroke, which explored the relationship between scores on outcome measures and discharge destination. Four meta-analyses were performed...
January 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29231587/-clinical-study-of-post-stroke-upper-limb-spasmodic-hemiplegia-treated-with-jingou-diaoyu-needling-technique-and-bobath-therapy
#13
Runjie Sun, Liang Tian, Xiaoli Fang, Xiaozheng Du, Bowen Zhu, Zhongyang Song, Xuan Xu, Xiaoguang Qin
OBJECTIVE: To compare the difference in the clinical efficacy on post-stroke upper limb spasmodic hemiplegia between the combined therapy of jingou diaoyu needling technique and Bobath technology and simple Bobath technology. METHODS: Sixty patients were randomized into an observation group and a control group, 30 cases in each one. The usual medication of neurological internal medicine was used in the two groups. In the control group, Bobath facilitation technology was applied to the rehabilitation training...
April 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29231540/-acupuncture-combined-with-rehabilitation-training-for-the-limb-spasm-after-stroke
#14
Lei Xu, Min Wang, Fei Li, Jun Yang
OBJECTIVE: To observe the different clinical effects on the limb spasm after stroke among acupuncture mainly at governor vessel (GV) and Jiaji (EX-B 2) combined with rehabilitation training, simple acupuncture and simple rehabilitation training. METHODS: Ninety patients according to admission sequence were randomized into a combination group, an acupuncture group and a rehabilitation group, 30 cases in each one. The comprehensive treatment was applied in the combination group...
July 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29231539/-effects-of-gao-s-neck-acupuncture-on-swallowing-function-and-quality-of-life-in-patients-with-post-stroke-pseudobulbar-palsy-a-randomized-controlled-trial
#15
Jiamei Chu, Xiaoping Liu, Feiyu Chen, Feifei Hong, Yehua Bao
OBJECTIVE: To observe the effects of GAO's neck acupuncture combined with swallowing rehabilitation on swallowing function and quality of life in patients with post-stroke pseudobulbar palsy. METHODS: One hundred patients were randomly assigned in to an observation group and a control group, 50 cases in each one. The patients in the control group were treated with basic pharmaceutical treatment, including neurotrophy medication and free radical scavenging medication as well as swallowing rehabilitation; the patients in the observation group, on the basis of those in the control group, were treated with GAO's neck acupuncture at Fengchi (GB 20), Yiming (EX-HN 14), Gongxue (Extra), Lianquan (CV 23), Wai Jinjin Yuye (Extra), Tunyan (Extra), Zhiqiang (Extra), Fayin (Extra), once a day, five times a week for continuous eight weeks...
July 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29231485/-he-xingwei-s-exploration-and-experience-in-the-pathogenesis-and-treatment-of-motor-impairment-of-the-trunk-after-stroke
#16
Peng Zhang, Songfeng Hu, Fan He, Jinying Fang, Qiang Wang, Xingwei He
In the paper, it is introduced professor HE Xingwei's recognition on the pathogenesis and professor HE's experience in the treatment of the motor impairment of the trunk after stroke. Professor He believes that the motor impairment of the trunk after stroke is the essential factor affecting the rehabilitation in stroke. The motor impairment of the trunk after stroke results from brain marrow damage and spiritual impairment. Hence, regaining the consciousness and promoting the circulation of the governor vessel are the basic principles of the treatment, named regulating the mind and controlling qi, benefiting qi and warming yang, tonifying the kidney and filling up the essence, and promoting the circulation of the governor vessel...
February 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29231471/-penetration-acupuncture-at-baxie-ex-ue-9-combined-with-rehabilitation-for-swelling-hand-of-post-stroke-shoulder-hand-syndrome
#17
Chunshui Huang, Wenchao Fan, Ansheng Yu, Xiao Cui, Ji Wu
OBJECTIVE: To compare the effects between penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation and simple rehabilitation for swelling hand in post-stroke shoulder-hand syndrome. METHODS: Sixty patients were randomly assigned into an observation group and a control group,30 cases in each one. Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation were used in the observation group,and the acupoints were the affected Baxie (EX-UE 9) and Wailaogong (EX-UE 8)...
February 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29230275/the-efficacy-of-a-haptic-enhanced-virtual-reality-system-for-precision-grasp-acquisition-in-stroke-rehabilitation
#18
Shih-Ching Yeh, Si-Huei Lee, Rai-Chi Chan, Yi Wu, Li-Rong Zheng, Sheryl Flynn
Stroke is a leading cause of long-term disability, and virtual reality- (VR-) based stroke rehabilitation is effective in increasing motivation and the functional performance. Although much of the functional reach and grasp capabilities of the upper extremities were regained, the pinch movement remains impaired following stroke. In this study, we developed a haptic-enhanced VR system to simulate haptic pinch tasks to assist the recovery of upper-extremity fine motor function. We recruited 16 adults with stroke to verify the efficacy of this new VR system...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29230081/hand-rehabilitation-robotics-on-poststroke-motor-recovery
#19
REVIEW
Zan Yue, Xue Zhang, Jing Wang
The recovery of hand function is one of the most challenging topics in stroke rehabilitation. Although the robot-assisted therapy has got some good results in the latest decades, the development of hand rehabilitation robotics is left behind. Existing reviews of hand rehabilitation robotics focus either on the mechanical design on designers' view or on the training paradigms on the clinicians' view, while these two parts are interconnected and both important for designers and clinicians. In this review, we explore the current literature surrounding hand rehabilitation robots, to help designers make better choices among varied components and thus promoting the application of hand rehabilitation robots...
2017: Behavioural Neurology
https://www.readbyqxmd.com/read/29230011/pairing-sound-with-vagus-nerve-stimulation-modulates-cortical-synchrony-and-phase-coherence-in-tinnitus-an-exploratory-retrospective-study
#20
Sven Vanneste, Jeffrey Martin, Robert L Rennaker, Michael P Kilgard
Recent research has shown that vagus nerve stimulation (VNS) paired with tones or with rehabilitative training can help patients to achieve reductions in tinnitus perception or to expedite motor rehabilitation after suffering an ischemic stroke. The rationale behind this treatment is that VNS paired with experience can drive neural plasticity in a controlled and therapeutic direction. Since previous studies observed that gamma activity in the auditory cortex is correlated with tinnitus loudness, we assessed resting-state source-localized EEG before and after one to three months of VNS-tone pairing in chronic tinnitus patients...
December 11, 2017: Scientific Reports
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