The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial
The combined effect of task-oriented motor training and electromyography (EMG)-triggered electrical stimulation (ES) has been examined in chronic stroke, but there are no published reports in patients with early stroke. Therefore, the purpose of this study was to determine the short-term and long-term effects of task-oriented EMG-triggered ES on upper limb motor function in acute/subacute stroke. Twenty-seven patients with stroke within the first 3 months after stroke onset were randomly allocated to an experimental group and a control group. Twenty-three patients (12 patients in the experimental group and 11 patients in t...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Postural control skills, proprioception, and risk of fall in long-term survivor patients treated with knee rotationplasty
In conclusion, knee rotationplasty patients had very good postural control when standing on both limbs, whereas single stance on the operated limb was compromised, with particular involvement of the proprioceptive component. This may determine a higher risk of falling than their normal-age counterparts and rehabilitation intervention for prevention is indicated. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Development of a simplified Cold Intolerance Symptom Severity questionnaire in patients with peripheral nerve injury
In conclusion, the new simplified CISS-12 presents robust psychometric properties for measuring cold intolerance in patients with upper limb peripheral nerve injury and represents a solid basis for clinical studies aimed at a precise (interval level) measurement of cold-induced symptoms in these patients. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Cost-effectiveness of a high-intensity rapid access outpatient stroke rehabilitation program
A common strategy to improve cost-effectiveness in healthcare is to offer outpatient care instead of in-hospital care. Toronto Rehabilitation Institute developed an outpatient high-intensity fast-track (FT) stroke rehabilitation program aimed at discharging inpatient stroke rehabilitation patients earlier or bypassing inpatient rehabilitation altogether. This cost-effectiveness analysis compares FT rehabilitation within 1 week of discharge with no FT in a single healthcare payer system. Patient costs and outcomes over a 12-week time horizon were included. Using individual-level FT data from April 2015 to March 2016, increm...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Rhythmic robotic training enhances motor skills of both rhythmic and discrete upper-limb movements after stroke: a longitudinal pilot study
Discrete and rhythmic movements are two fundamental motor primitives being, at least partially, controlled by separate neural circuitries. After a stroke, both primitives may be impaired in the upper limb. Currently, intensive functional movement therapy is recommended after stroke, but it is mainly composed of discrete movements. No recommendation is made for the specific training of rhythmic movements. However, if they form two different primitives, both should receive a specific training to recover the complete motor repertoire, as many daily live movements integrate both of them. This paper reports the effects of a pur...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Combining Russian stimulation with isometric exercise improves strength, balance, and mobility in older people with falls syndrome
One of the main causes of falls in older people is muscle strength loss associated with aging. Russian stimulation can improve muscle strength in healthy individuals, but the effect has never been tested in older individuals with falls syndrome. The aim of this study was to evaluate the usefulness of Russian stimulation plus isometric exercise to improve muscular strength, balance, and mobility in older people with falls syndrome. The recruited participants (older than 60 years, at least one fall in the past year) were evaluated by a physiatrist, who collected clinical data and performed baseline and final evaluations (mus...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Effects of functional electrical stimulation-cycling on shoulder pain and subluxation in patients with acute–subacute stroke: a pilot study
Functional electrical stimulation (FES)-cycling is a technique used to provide voluntary muscle contraction during a functional task. The aims were primarily to determine the effects of FES-cycling on shoulder pain and subluxation, and secondarily to evaluate the improvement of upper extremity motor function in patients with acute–subacute stroke patient. In this prospective trial, 21 patients with acute–subacute stroke, randomly assigned into the FES-cycling group or the standard rehabilitation program (control group). Analyses of shoulder subluxation were carried out by radiography. The numeric rating scale was used ...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Clinical study of combined mirror and extracorporeal shock wave therapy on upper limb spasticity in poststroke patients
Mirror therapy is a simple, inexpensive, and patient-oriented method that has been shown to reduce phantom sensations and pain caused by amputation and improve range of motion, speed, and accuracy of arm movement and function. Extracorporeal shock wave therapy (ESWT) is a new, reversible, and noninvasive method for the treatment of spasticity after stroke. To investigate the therapeutic effect of the combination of mirror and extracorporeal shock wave therapy on upper limb spasticity in poststroke patients. We randomly assigned 120 patients into four groups: A, B, C, and D. All groups received conventional rehabilitation t...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Manual function of the unaffected upper extremity can affect functional outcome after stroke
Traditionally, motor deficits of ipsilesional side, generally considered as the unaffected side, have been investigated less and the influence of the impairment is unknown. To evaluate the association between the manual function test (MFT) of nonparetic limb and poststroke functional outcome. We conducted a retrospective analysis of 71 hemiplegic patients with stroke. MFT on both sides was routinely measured at admission and 1 month later after admission by an experienced occupational therapist. The parameters of functional outcome after stroke were measured with the total score of functional independence measure (FIM) and...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Turkish adaptation of Parkinson fatigue scale and investigating its psychometric properties
This study suggests that the Turkish version of PFS is valid and reliable. PFS is suitable for use by researchers and healthcare professionals to assess fatigue in Turkish-speaking patients with PD. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Smartphone applications validated for joint angle measurement: a systematic review
Mobile health apps are growing constantly in number and popularity. Some mobile apps are used for clinical assessment, and consequently need to be verified and validated appropriately, along with the mobile platform, to ensure their safe and effective operation. We review the current literature on available smartphone goniometric apps validated for joint angle measurement and their main psychometric characteristics. A literature search of Medline and Scopus databases was performed to select papers on smartphone commercial apps validated for joint angle measurement and relevant to Physical Medicine and Rehabilitation. A pla...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Review articles Source Type: research

Noninvasive neuromodulation techniques for the management of phantom limb pain: a systematic review of randomized controlled trials
Neuromodulation techniques work by modulating pain perception by inducing changes in polarity of the neuronal membrane and thereby cortical excitability. The aim of this review is to evaluate the efficiency and safety of noninvasive neuromodulation techniques for phantom limb pain (PLP). A systematic literature search in the PubMed, Scopus, Web of Science, and Cochrane Library databases was performed to identify studies investigating the effects of noninvasive neuromodulation for PLP. The included journal articles were assessed with Furlan et al.’s method for examining the risk of bias to assess methodologic quality, and...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Review articles Source Type: research

Longitudinal gait assessment in a stiff person syndrome
Stiff person syndrome (SPS) is an autoimmune disorder with multiple clinical presentations, all characterized by generalized or focal muscular stiffness leading to abnormal postures and movements. To date, no standardized treatments are available; also, the outcome measures are mainly clinical based and unstandardized, limiting the reliability of clinical trials. In this case study, we used the eight-camera motion capture system for gait analysis (GA) to outline the gait features and track the clinical evolution of a young patient with SPS receiving a personalized multimodal therapy. GA was accurate in reflecting clinical ...
Source: International Journal of Rehabilitation Research - November 10, 2018 Category: Rehabilitation Tags: Case reports Source Type: research

Is physical rehabilitation effective for Wernicke–Korsakoff syndrome? A case report
Wernicke–Korsakoff syndrome is a type of brain disorder caused by the lack of thiamine, most commonly because of chronic alcohol misuse. It consists of two separate conditions including Wernicke’s encephalopathy and Korsakoff syndrome. Various levels of cognitive impairments are associated with the severity of the syndrome. Although the effectiveness of thiamine replacement in the early phases of the syndrome is proven, the efficacy of subsequent treatments, which mainly include rehabilitation protocols after the development of Korsakoff syndrome, is not clear. This is the first report showing the positive effects of p...
Source: International Journal of Rehabilitation Research - November 10, 2018 Category: Rehabilitation Tags: Case reports Source Type: research

Mental health assessment in rehabilitation: a descriptive study through an international internet survey
This cross-sectional study assessed international rehabilitation practitioners’ views of mental health assessment (MHA), related specifically to assessment tools and needs in the field. We delivered an anonymous web-based survey capturing rehabilitation practioners’ perspectives on MHA practices, assessment tools, and needs through the American Congress of Rehabilitation Medicine in the USA and through national rehabilitation networks in Finland and Norway. Altogether, 355 rehabilitation professionals answered the survey. Unmet MHA needs, most often attributed to insufficient time (112/269 responders), were recognized ...
Source: International Journal of Rehabilitation Research - November 10, 2018 Category: Rehabilitation Tags: Brief research reports Source Type: research