Commentary on: “Increased Sensorimotor Cortex Activation With Decreased Motor Performance During Functional Upper Extremity Tasks Poststroke”
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - June 27, 2019 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Increased Sensorimotor Cortex Activation With Decreased Motor Performance During Functional Upper Extremity Tasks Poststroke
Conclusions: Stroke leads to significantly larger sensorimotor activation during functional reaching and gripping despite poorer performance. This may indicate an increased sense of effort, decreased efficiency, or increased difficulty after stroke. fNIRS can be used for assessing differences in brain activation during movements in functional positions after stroke. This can be a promising tool for investigating possible neuroplastic changes associated with functional rehabilitation interventions in the stroke population. Video Abstract available for more insights from the authors (see Video Abstract, Supplemental Digit...
Source: Journal of Neurologic Physical Therapy - June 27, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Fake News in Science
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - June 27, 2019 Category: Physiotherapy Tags: Editor's Note Source Type: research

JNPT Congratulates the Members Honored With the 2019 Academy of Neurologic Physical Therapy Awards
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Thank You to Our JNPT 2018 Editorial Board and Reviewers
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Departments Source Type: research

Cardiometabolic Challenges Provided by Variable Assisted Exoskeletal Versus Overground Walking in Chronic Motor-incomplete Paraplegia: A Case Series
Discussion: The participant with lower walking capacity experienced a higher cardiometabolic challenge and was able to sustain exercise efforts for longer period with OBA versus overground walking. Therefore, OBA presents a superior alternative to overground training for cardiometabolic conditioning and associated health benefits in this participant. For the participant with higher walking capacity, OBA represented a lower challenge and appears to be an inferior cardiometabolic training option to overground walking. The cardiometabolic response to OBA differs depending on functional capacity; OBA warrants study as an app...
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Case Report Source Type: research

Minimal Detectable Change for Gait Speed Depends on Baseline Speed in Individuals With Chronic Stroke
Background and Purpose: Given the heterogeneity of mobility outcomes after stroke, the purpose of this study was to examine how the minimal detectable change (MDC) for gait speed varies based on an individual's baseline walking speed. Methods: Seventy-six participants with chronic stroke and able to walk without therapist assistance participated in 2 visits to record overground self-selected comfortable gait speed (CGS) and fast gait speed (FGS). Based on the CGS at visit 1, participants were assigned to 1 of 3 speed groups: low (0.8 m/s; n = 15). Participants were then reclassified using updated gait speed cutoffs of...
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Validity and Responsiveness of the Visual Vertigo Analogue Scale
Background and Purpose: People with visual vertigo have dizziness provoked by visual stimulation. We have developed a Visual Vertigo Analogue Scale (VVAS) to evaluate their symptoms and response to rehabilitation. Our goal was to validate the VVAS against the Situation Characteristics Questionnaire (SITQ) score and determine its responsiveness to treatment. Methods: Participants (n = 115) completed 3 questionnaires: Dizziness Handicap Inventory (DHI), VVAS, and the SITQ at their initial and final sessions of vestibular rehabilitation. The SITQ was analyzed using the Space Motion Discomfort (SMD1) outcome measure and b...
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

A Tablet-Based Tool for Accurate Measurement of Hand Proprioception After Stroke
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/A25...
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Trunk Exercises Improve Balance in Parkinson Disease: A Phase II Randomized Controlled Trial
Conclusions: The results of this study suggest that exercise-based interventions targeting trunk strength, endurance, and mobility may be effective for improving quiet-standing balance in people with PD. However, additional research is needed to determine whether these improvements are sufficient to reduce falls risk. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A254). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Commentary on: “Practice Structure and Locomotor Learning After Stroke”
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Practice Structure and Locomotor Learning After Stroke
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). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Mediators and Moderators, Confounders and Covariates: Exploring the Variables That Illuminate or Obscure the “Active Ingredients” in Neurorehabilitation
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Editor's Note Source Type: research

Academy of Neurologic Physical Therapy 2019 Combined Sections Meeting Poster Presentations: Titles and Authors: Poster presentations are grouped by content: Searchable Poster Abstracts are published on-line in PDF format at: www.JNPT.org
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Auditory Cueing for Gait Impairment in Persons With Parkinson Disease: A Pilot Study of Changes in Response With Disease Progression
Conclusions: This pilot study indicates that people with early PD have small benefits from auditory cues and the benefit increases as disease progresses. Early in disease the benefit of cue may come at the cost of increased variability. Therefore, the time to introduce an auditory cue in PD rehabilitation may be important to optimize therapeutic effect. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A243). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research