Game-Based Stroke Rehab From Home On Par with Clinic
(MedPage Today) -- Arm motor function recovery was noninferior in randomized trial
This study determines acute changes in start-up wheelchair propulsion biomechanics at the end of a fatiguing propulsion protocol. DESIGN: Quasi-experimental one-group pretest-postest design. SETTING: Biomechanics laboratory. PARTICIPANTS: Twenty-six wheelchair users with spinal cord injury (age: 35.5 ± 9.8 years, sex: 73% males and 73% with a paraplegia). INTERVENTIONS: Protocol of 15 min including maximum voluntary propulsion, right- and left turns, full stops, start-up propulsion, and rests. OUTCOME MEASURES: Maximum resultant force, maximum rate of rise of applied force, mean vel...
Results of this study indicate that adults with history of stroke had higher odds of not engaging in healthy behaviors than their counterparts without a history of stroke.Preventing Chronic Disease
CONCLUSIONS: Both the tablet-based tool and the custom PMDD performed better than manual assessment. The PMDD may be useful when the deficit is mild or assessment of dynamic proprioception is desired. As the tablet-based measure does not have the ceiling effect that is associated with the PMDD, it may be useful with any level of proprioceptive impairment, and may be preferable if testing or clinician training time needs to be minimized, or pain or spasticity is present.Video Abstract available for more insights from the authors (see the Video, Supplementary Digital Content 1, available at: http://links.lww.com/JNPT/A256). ...
Commentary on: "Practice Structure and Locomotor Learning After Stroke". J Neurol Phys Ther. 2019 Apr;43(2):94-95 Authors: Leech KA, Holleran CL PMID: 30883496 [PubMed - in process]
CONCLUSIONS: The results suggest that variable practice utilizing alternating belt speed ratios does not influence the ability of those with chronic stroke to adapt and retain a novel locomotor pattern. The effects of other forms of variable practice within other locomotor learning paradigms should be explored in those with chronic hemiparesis after stroke.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A257). PMID: 30883495 [PubMed - in process]
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