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Stroke rehabilitation

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https://www.readbyqxmd.com/read/28222555/effects-of-scapulohumeral-rehabilitation-protocol-on-trunk-control-recovery-in%C3%A2-patients-with-subacute-stroke-a%C3%A2-pilot%C3%A2-randomized-controlled-trial
#1
Dell'Uomo Daniela, Morone Giovanni, Centrella Antonio, Paolucci Stefano, Caltagirone Carlo, Grasso Maria Grazia, Traballesi Marco, Iosa Marco
BACKGROUND: Despite upper limb rehabilitation is widely investigated in patients with stroke, the effects of rehabilitation of scapulohumeral on trunk stabillization are mainly unknown. OBJECTIVE: To test the effects of scapulohumeral rehabilitation protocol on trunk control recovery in patients with subacute stroke. METHODS: A pilot randomized controlled trial with two groups of 14 patients each one performing 20 minutes per day, 5 days a week, for 6 weeks in add on to standard therapy...
February 8, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28222551/the-top-100-cited-neurorehabilitation-papers
#2
Jeffrey S Kreutzer, Amma A Agyemang, David Weedon, Nathan Zasler, Melissa Oliver, Aaron A Sorensen, Saskia van Wijngaarden, Eileen Leahy
BACKGROUND: Neurorehabilitation covers a large range of disorders, treatment approaches and methods. There have been previous citation analyses of rehabilitation and of its subfields. However, there has never been a comprehensive citation analysis in neurorehabilitation. OBJECTIVE: The present study reports findings from a citation analysis of the top 100 most cited neurorehabilitation papers to describe the research trends in the field. METHODS: A de-novo keyword search of papers indexed in the Web of Science Core Collection database yielded 52,581 papers...
January 7, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28222546/recovering-functional-independence-after-a-stroke-through-modified-constraint-induced-therapy
#3
A Doussoulin, M Arancibia, J Saiz, A Silva, M Luengo
BACKGROUND: Population ageing and changes in the epidemiological profile of neurological pathologies has resulted in an increase in patients with disabilities. Rehabilitation strategies such as Modified Constraint-Induced Movement Therapy (CIMTm) play a key role in treating patients with neurologic deficiencies and motor impairments. This intervention is intended to mitigate disability, promote maximum functional independence, and optimize social and economic participation of patients with upper extremity weakness...
January 31, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28222545/effect-of-medical-complications-on-the-after-stroke-rehabilitation-outcome
#4
Barbara Janus-Laszuk, Dagmara Mirowska-Guzel, Iwona Sarzynska-Dlugosz, Anna Czlonkowska
BACKGROUND: Post-stroke rehabilitation should begin immediately and continue while improvement is seen. After stroke, patients are at risk of developing medical complications, which can hinder optimal recovery. OBJECTIVE: We aimed to determine the incidence of complications occurring during early inpatient rehabilitation and to assess their influence on patients' functionality. METHODS: For 1075 patients (585 men), we recorded neurological deficits, activities of everyday living, functionality before and after rehabilitation, and the incidence of complications...
January 31, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28220928/malt-combined-motor-and-language-therapy-tool-for-brain-injury-patients-using-kinect
#5
Maitreyee Wairagkar, Rachel McCrindle, Holly Robson, Lotte Meteyard, Malcom Sperrin, Andy Smith, Moyra Pugh
BACKGROUND: The functional connectivity and structural proximity of elements of the language and motor systems result in frequent co-morbidity post brain injury. Although rehabilitation services are becoming increasingly multidisciplinary and "integrated", treatment for language and motor functions often occurs in isolation. Thus, behavioural therapies which promote neural reorganisation do not reflect the high intersystem connectivity of the neurologically intact brain. As such, there is a pressing need for rehabilitation tools which better reflect and target the impaired cognitive networks...
February 21, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28220927/evaluation-results-of-an-ontology-based-design-model-of-virtual-environments-for-upper-limb-motor-rehabilitation-of-stroke-patients
#6
Cristina Ramírez-Fernández, Alberto L Morán, Eloísa García-Canseco, Jorge R Gómez-Montalvo
OBJECTIVES: 1) To enhance the content of an ontology for designing virtual environments (VEs) for upper limb motor rehabilitation of stroke patients according to the suggestions and comments of rehabilitation specialists and software developers, 2) to characterize the perceived importance level of the ontology, 3) to determine the perceived usefulness of the ontology, and 4) to identify the safety characteristics of the ontology for VEs design according to the rehabilitation specialists...
February 21, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28220715/a-systematic-review-of-mechanisms-of-gait-speed-change-post-stroke-part-1-spatiotemporal-parameters-and-asymmetry-ratios
#7
Elizabeth C Wonsetler, Mark G Bowden
BACKGROUND: In walking rehabilitation trials, self-selected walking speed (SSWS) has emerged as the dominant outcome measure to assess walking ability. However, this measure cannot differentiate between recovery of impaired movement and compensation strategies. Spatiotemporal variables and asymmetry ratios are frequently used to quantify gait deviations and are hypothesized markers of recovery. OBJECTIVES: The purpose of this review is to investigate spatiotemporal variables and asymmetry ratios as mechanistic recovery measures in physical therapy intervention studies post-stroke...
February 21, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218343/immediate-affective-responses-of-gait-training-in-neurological-rehabilitation-a-randomized-crossover-trial
#8
Martin Niedermeier, Larissa Ledochowski, Andreas Mayr, Leopold Saltuari, Martin Kopp
OBJECTIVE: To examine the immediate effects of physical therapy and robotic-assisted gait training on affective responses of gait training in neurological rehabilitation. DESIGN: Randomized crossover trial with blinded observers. PATIENTS: Sixteen patients with neurological disorders (stroke, traumatic brain injury, spinal cord injury, multiple sclerosis). METHODS: All patients underwent 2 single treatment sessions: physical therapy and robotic-assisted gait training...
February 16, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28218342/depression-is-an-independent-determinant-of-life-satisfaction-early-after-stroke
#9
Daniëlla M Oosterveer, Radha Rambaran Mishre, Andrea van Oort, Karin Bodde, Leo A Aerden
OBJECTIVE: Life satisfaction is reduced in stroke patients. However, as a rule, rehabilitation goals are not aimed at life satisfaction, but at activities and participation. In order to optimize life satisfaction in stroke patients, rehabilitation should take into account the determinants of life satisfaction. The aim of this study was therefore to determine what factors are independent determinants of life satisfaction in a large group of patients early after stroke. METHODS: Stroke-surviving patients were examined by a specialized nurse 6 weeks after discharge from hospital or rehabilitation setting...
February 17, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28218334/early-clinical-predictors-of-motor-function-in-the-upper-extremity-one-month-post-stroke
#10
Jenny Snickars, Hanna C Persson, Katharina S Sunnerhagen
OBJECTIVE: To investigate factors within 3 days post-stroke that could predict severe impairment in motor function in the upper extremity at one month post-stroke. METHODS: This cross-sectional study included 104 patients with first-ever stroke and impaired motor function in the upper extremity. Initial impairment in motor function, demographic data, type of stroke and stroke risk factors were chosen as possible predictors. Severe impairment in motor function was defined as ≤ 31p according to the Fugl-Meyer Assessment for Upper Extremity (FMA-UE)...
February 16, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28218021/a-systematic-review-of-mechanisms-of-gait-speed-change-post-stroke-part-2-exercise-capacity-muscle-activation-kinetics-and-kinematics
#11
Elizabeth C Wonsetler, Mark G Bowden
BACKGROUND: Regaining locomotor ability is a primary goal in stroke rehabilitation and is most commonly measured using changes in self-selected walking speed. However, walking speed cannot identify the mechanisms by which an individual recovers. Laboratory-based mechanistic measures such as exercise capacity, muscle activation, force production, and movement analysis variables may better explain neurologic recovery. OBJECTIVES: The objectives of this systematic review are to examine changes in mechanistic gait outcomes and describe motor recovery as quantified by changes in laboratory-based mechanistic variables in rehabilitation trials...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218020/stroke-rehabilitation-evidence-and-comorbidity-a-systematic-scoping-review-of-randomized-controlled-trials
#12
Michelle L A Nelson, Kaileah A McKellar, Juliana Yi, Linda Kelloway, Sarah Munce, Cheryl Cott, Ruth Hall, Martin Fortin, Robert Teasell, Renee Lyons
BACKGROUND: Most strokes occur in the context of other medical diagnoses. Currently, stroke rehabilitation evidence reviews have not synthesized or presented evidence with a focus on comorbidities and correspondingly may not align with current patient population. The purpose of this review was to determine the extent and nature of randomized controlled trial stroke rehabilitation evidence that included patients with multimorbidity. METHODS: A systematic scoping review was conducted...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28218007/cognitive-communication-disorder-following-right-hemisphere-stroke-exploring-rehabilitation-access-and-outcomes
#13
Ronelle Hewetson, Petrea Cornwell, David Shum
BACKGROUND: Rehabilitation positively influences return to activities and social roles in people with aphasia. The cognitive-communication disorder (CCD) found following a right hemisphere stroke has been less extensively researched with rehabilitation access and outcomes yet to be determined. OBJECTIVES: To document rehabilitation access and outcomes for people with CCD post-stroke; and compare outcomes based on presence (viz CCD; aphasia) or absence of communication impairment...
February 20, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28217267/results-of-the-belgian-sentinel-network-of-general-practitioners-on-the-involvement-of-therapists-in-stroke-rehabilitation
#14
Silke Francois, Viviane Van Casteren, Katrien Vanthomme, Liesbeth Borgermans, Dirk Devroey
This study examines which therapists are involved in the rehabilitation of stroke survivors in Belgium at different points in time. A nationwide registration of stroke patients was provided by 199 and 189 family physicians working in sentinel practices for the years 2009 and 2010 respectively. 326 patients who were diagnosed with stroke were included. Patients with paralysis/paresis received significant more physiotherapy after one month (63%) compared to non-paralysed patients (38%) (P = 0.005). Residing in a nursing home was associated with higher proportions of patients receiving physiotherapy, both after one (P = 0...
November 2, 2016: Neurology International
https://www.readbyqxmd.com/read/28211822/robot-assisted-end-effector-based-gait-training-in-chronic-stroke-patients-a%C3%A2-multicentric-uncontrolled-observational-retrospective-clinical-study
#15
Stefano Mazzoleni, Antonella Focacci, Marco Franceschini, Andreas Waldner, Chiara Spagnuolo, Elena Battini, Donatella Bonaiuti
BACKGROUND: Until now studies report inconclusive results as regards the effectiveness of exclusive use of robot-assisted training and clinical indications in stroke patients. OBJECTIVE: To evaluate if the only robot-assisted end-effector-based gait training can be feasible in chronic stroke subjects in terms of gait recovery. METHODS: Five rehabilitation centers participated and one hundred chronic post-stroke patients were recruited. Patients underwent a robot-assisted end-effector-based gait training as only rehabilitation treatment...
February 15, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28211821/progressive-intervention-strategy-for-the-gait-of-sub-acute-stroke-patient-using-the-international-classification-of-functioning-disability-and-health-tool
#16
Tae-Woo Kang, Heon-Seok Cynn
BACKGROUND: The International Classification of Functioning, Disability, and Health (ICF) provides models for functions and disabilities. The ICF is presented as a frame that enables organizing physical therapists' clinical practice for application. OBJECTIVE: The purpose of the present study was to describe processes through which stroke patients are assessed and treated based on the ICF model. METHODS: The patient was a 65-year-old female diagnosed with right cerebral artery infarction with left hemiparesis...
February 15, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28211819/improved-functions-and-reduced-length-of-stay-after-inpatient-rehabilitation-programs-in-older-adults-with-stroke-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#17
Saad M Bindawas, Vishal Vennu, Emad Moftah
BACKGROUND: to examine the effects of inpatient rehabilitation programs on function and length of stay in older adults with strokeMETHODS: A total of five electronic databases were searched for relevant randomized controlled trials that examined the effects of inpatient rehabilitation programs on functional recovery, as measured by the functional independence measure and length of stay, which was measured in days. We included full-text articles written in English, and no time limit. The methodological quality and risk of bias were assessed using the Physiotherapy Evidence Database Scale and the Cochrane collaboration tools respectively...
February 15, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28207854/recumbent-stepper-submaximal-test-response-is-reliable-in-adults-with-and-without-stroke
#18
David R Wilson, Anna E Mattlage, Nicole M Seier, Jonathan D Todd, Brian G Price, Sarah J Kwapiszeski, Rakesh Vardey, Sandra A Billinger
PURPOSE: The purpose of the present study was to determine the reliability of the exercise response (predicted peak VO2) using the total body recumbent stepper (TBRS) submaximal exercise test in: 1) healthy adults 20-70 years of age and 2) adults participating in inpatient stroke rehabilitation. We hypothesized that the predicted peak VO2 (Visit 1) would have an excellent relationship (r > 0.80) to predicted peak VO2 (Visit 2). We also wanted to test whether the exercise response at Visit 1 and Visit 2 would be significantly different...
2017: PloS One
https://www.readbyqxmd.com/read/28207603/needs-of-stroke-survivors-as-perceived-by-their-caregivers-a-scoping-review
#19
Shilpa Krishnan, Monique R Pappadis, Susan C Weller, Marsja Stearnes, Amit Kumar, Kenneth J Ottenbacher, Timothy A Reistetter
OBJECTIVE: Caregivers usually are not involved while planning the stroke survivor's medical and rehabilitation goals and interventions. This review aimed to identify the needs of stroke survivors as perceived by their caregivers. DESIGN: A literature search from 2003 to 2014 was conducted using Medline, CINAHL, PsychINFO, and Google Scholar. Sixty-six studies were included. Most studies excluded did not encompass caregivers' perspectives. Four reviewers screened the titles, abstracts, and full texts of the articles for inclusion...
February 16, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28207526/restoration-of-the-ascending-reticular-activating-system-compressed-by-hematoma-in-a-stroke-patient
#20
Sung Ho Jang, Jeong Pyo Seo
RATIONALE: We report on restoration of the ascending reticular activating system (ARAS), compressed by an intracerebral hematoma and perihematomal edema following a stroke. The restoration of the ARAS was demonstrated by diffusion tensor tractography (DTT). PATIENT CONCERNS: In a 60-year-old male, a brain MRI taken at 2 weeks after the surgery showed a hematoma and perihematomal edema in the left posterolateral pons and cerebellum, which were markedly resolved on a brain MRI after 5 weeks...
February 2017: Medicine (Baltimore)
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