Exercise-Induced Brain Excitability Changes in Progressive Multiple Sclerosis: A Pilot Study
Background and Purpose: Even a single bout of aerobic exercise (AE) enhances corticospinal excitability (CSE), a biomarker of neuroplasticity. Because neurodegeneration limits capacity for neuroplasticity, it is not clear whether AE would induce CSE changes in people with progressive multiple sclerosis (MS). Methods: People with progressive MS (n = 10) requiring ambulatory assistive devices completed a graded maximal exercise test. Dual-energy x-ray absorptiometry was used to quantify body fat and lean mass. Before and following one 40-minute AE session using body weight–supported ( (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Prefrontal Cortical Activation With Open and Closed-Loop Tactile Cueing When Walking and Turning in Parkinson Disease: A Pilot Study
Conclusions: Our preliminary results indicate that both open- and closed-loop cueing can improve gait without additional burden to the PFC beyond usual walking. However, turning while walking slowed with cueing with no PFC activity change. Further investigations are necessary to establish these findings in a larger cohort. Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, the Video, available at: http://links.lww.com/JNPT/A280). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Harnessing Neuroplasticity for Functional Recovery
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - March 24, 2020 Category: Physiotherapy Tags: Editor's Note Source Type: research

Academy of Neurologic Physical Therapy CSM 2020 Poster Presentations: Note: Posters titles and presenters are organized by Special Interest Group classification. Abstracts are published on-line at: www.JNPT.org
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Academy of Neurologic Physical Therapy CSM 2020 Platform Presentations: Note: Abstracts are published online at: www.JNPT.org
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Academy of Neurologic Physical Therapy CSM 2020 Programming
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Journal of Neurologic Physical Therapy Names George D. Fulk Deputy Editor
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Departments Source Type: research

Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury
Discussion: The collective findings suggest that large amounts of task-specific (ie, locomotor) practice may be critical for improvements in walking function, although only at higher cardiovascular intensities or with augmented feedback to increase patient's engagement. Lower-intensity walking interventions or impairment-based training strategies demonstrated equivocal or limited efficacy. Limitations: As walking speed and distance were primary outcomes, the research participants included in the studies walked without substantial physical assistance. This guideline may not apply to patients with limited ambulatory fun...
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Clinical Practice Guidelines Source Type: research

Central Drive to the Paretic Ankle Plantarflexors Affects the Relationship Between Propulsion and Walking Speed After Stroke
This study sought to elucidate the relationship between the neuromuscular function of the paretic plantarflexor muscles and propulsion deficits across individuals with different walking speeds. Methods: For 40 individuals poststroke, we used instrumented gait analysis and dynamometry coupled with supramaximal electrostimulation to study the interplay between limb kinematics, the neuromuscular function of the paretic plantarflexors (ie, strength capacity and central drive), propulsion, and walking speed. Results: The strength capacity of the paretic plantarflexors was not independently related to paretic propulsion. R...
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Differentiating Parkinson Disease Subtypes Using Clinical Balance Measures
Conclusions: The 360° turn test requires minimal time to administer and may be useful in mild-moderate PD for distinguishing PIGD from TD subtypes. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A295). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Commentary on: “Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue”
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue
Conclusions: A telephone-delivered exercise intervention that targets MS-related fatigue is both feasible and acceptable. Primary and secondary outcome measures signaled that telephone-delivered exercise may be an effective mode of delivery that overcomes barriers to care in persons with MS and warrants testing in larger efficacy trials. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A293). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Outcome Evaluation of Highly Challenging Balance Training for People With Parkinson Disease: A Multicenter Effectiveness-Implementation Study
Background and Purpose: In order for people with Parkinson disease (PwPD) to benefit from neurorehabilitation research, interventions tested in research settings require assessment in real-world clinical practice. There is little evidence for whether efficacious exercise interventions for PwPD remain effective when transferred to standard clinical settings. The aim of this study was to assess the clinical effectiveness of the adapted HiBalance program on balance control and gait among PwPD. Methods: Participants (n = 117) with mild-moderate Parkinson disease were consecutively included into either the 10-week HiBalanc...
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Upper Limb Robotic Rehabilitation After Stroke: A Multicenter, Randomized Clinical Trial
Conclusions: Robotic treatment using a set of 4 devices significantly improved UL motor function, activities, and participation in subjects with subacute stroke to the same extent as a similar amount of conventional therapy. Video Abstract is available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A291). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Applauding Our Peer Reviewers—the Unsung Heroes of Science
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - December 17, 2019 Category: Physiotherapy Tags: Editor's Note Source Type: research