Dance-based exergaming for upper extremity rehabilitation and reducing fall-risk in community-dwelling individuals with chronic stroke. A preliminary study.
This study primarily aims to quantify the effect of dance-based exergaming (DBExG) intervention on improving paretic UE movement control. The secondary aim is to assess if these improvements in UE movement control if observed, could partially account for improved fall-risk. Methods: Thirteen adults with chronic stroke received DBExG training using the commercially available Kinect dance gaming "Just Dance 3". Surface electromyography of shoulder muscle activity during the stand-reaching task and UE shoulder kinematics for a dance trial were recorded. Changes in balance control were determined using the Activities...
Source: Topics in Stroke Rehabilitation - October 2, 2019 Category: Neurology Authors: Subramaniam S, Bhatt T Tags: Top Stroke Rehabil Source Type: research

Oral health in patients with stroke: a meta-analysis of comparative studies.
Abstract Objective: This meta-analysis systematically analyzed and compared oral health between stroke patients and controls. Data source: The electronic databases of PubMed, EMBASE, PsycINFO, Medline and Web of Science were independently searched by two authors from their inception to 14 June 2018. Study selection: Eleven studies comparing oral health between stroke patients (n = 1,742) and controls (n = 1,193) were analyzed. Data extraction: The full texts of the 11 studies were independently reviewed. Data on oral health were independently extracted by two authors. Data synthesis: Mean differences (MD) and 95% ...
Source: Topics in Stroke Rehabilitation - September 28, 2019 Category: Neurology Authors: Zeng LN, Rao WW, Luo SH, Zhang QE, Hall BJ, Ungvari GS, Chen LG, Xiang YT Tags: Top Stroke Rehabil Source Type: research

Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study.
Conclusions: The 10-year post-stroke follow-up showed that transferring patients to the rehabilitation ward is more cost effective than rehabilitation without transfer to the rehabilitation ward and no rehabilitation. PMID: 31535585 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - September 19, 2019 Category: Neurology Authors: Chen CM, Yang YH, Lee M, Chen KH, Huang SS Tags: Top Stroke Rehabil Source Type: research

Relationship between upper limb function and functional neural connectivity among motor related-areas during recovery stage after stroke.
Abstract Backgrounds: Neural biomarkers to predict motor recovery have been used in the field of rehabilitation. Functional connectivity (FC) among the brain regions recorded by functional magnetic resonance imaging systems have been reported, but convenient method to estimate FC for clinical situation has not been established. Objectives: This observational study investigated the relationship between neural functional connectivity obtained by electroencephalography (EEG) and the upper limb function in patients during recovery stage after stroke. Methods: Twenty-four patients in the recovery stage between 4 and 8 ...
Source: Topics in Stroke Rehabilitation - September 19, 2019 Category: Neurology Authors: Hoshino T, Oguchi K, Inoue K, Hoshino A, Hoshiyama M Tags: Top Stroke Rehabil Source Type: research

Effect of proprioceptive stimulation induced by footplate during center of pressure movement tracking training on the balance abilities of patients with chronic hemiplegic stroke: a randomized, controlled, pilot study.
Conclusion: COP movement tracking training in dynamic mode was found to be a more effective intervention for improving the static balancing abilities of stroke patients than training in static mode. PMID: 31480897 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - September 4, 2019 Category: Neurology Authors: Cha JH, Kim NH, Cha YJ Tags: Top Stroke Rehabil Source Type: research

The effect of using Gait Exercise Assist Robot (GEAR) on gait pattern in stroke patients: a cross-sectional pilot study.
Abstract Background: The Gait Exercise Assist Robot (GEAR) has been developed to support gait training for stroke patients. The GEAR can assist paretic lower limb swing and stance stability, which make it possible to practice walking without excessive compensation movements. However, there are no studies to-date that investigate the effect of the GEAR on gait pattern. Objectives: The purpose of this study was to clarify the effect of gait training on gait pattern using the GEAR for rehabilitation in stroke patients. Methods: Fifteen hemiplegic patients who received gait training using the GEAR were recruited (GEAR...
Source: Topics in Stroke Rehabilitation - September 4, 2019 Category: Neurology Authors: Katoh D, Tanikawa H, Hirano S, Mukaino M, Yamada J, Sasaki S, Ohtsuka K, Katoh M, Saitoh E Tags: Top Stroke Rehabil Source Type: research

Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study.
Conclusions: Higher rates of healthcare utilization by SSs with engaged CGs may be driven by greater stroke severity and greater need for services. Interestingly, the presence of an engaged CG did not facilitate more care for the SS after adjusting for stroke severity. PMID: 31483738 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - September 4, 2019 Category: Neurology Authors: Liu C, Marino V, Sheehan OC, Huang J, Roth DL, Haley WE Tags: Top Stroke Rehabil Source Type: research

Acute changes in cortical activation during active ankle movement after whole-body vibration for spasticity in hemiplegic legs of stroke patients: a functional near-infrared spectroscopy study.
Conclusions: In patients with stroke-related spastic-hemiplegic legs, WBV might result not only in clinical improvement but also in acute increase in sensorimotor cortical activation. PMID: 31483746 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - September 4, 2019 Category: Neurology Authors: Miyara K, Kawamura K, Matsumoto S, Ohwatashi A, Itashiki Y, Uema T, Noma T, Ikeda K, Shimodozono M Tags: Top Stroke Rehabil Source Type: research

Non-pharmacological interventions for post-stroke emotionalism (PSE) within inpatient stroke settings: a theory of planned behavior survey.
Conclusions: Our survey data reveal that stroke clinicians report regular use of non-pharmacological interventions for PSE. There is a pressing need for well-conducted clinical trials to evaluate the effectiveness of these approaches. PMID: 31461389 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 28, 2019 Category: Neurology Authors: Gillespie DC, Cadden AP, West RM, Broomfield NM Tags: Top Stroke Rehabil Source Type: research

The quantification of task-difficulty of upper limb motor function skill based on Rasch analysis.
Conclusion: The therapist can confirm items that the patient can or cannot perform. By understanding the level of difficulty of each item, the most appropriate functional skill to focus on acquiring next can be identified. PMID: 31433271 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 21, 2019 Category: Neurology Authors: Miyasaka H, Kondo I, Yamamura C, Fujita N, Orand A, Sonoda S Tags: Top Stroke Rehabil Source Type: research

The reliability and validity of the Turkish version of Brunel Balance Assessment (BBA-T).
Conclusions: The results of our study indicate that the Turkish version of BBA-T is a reliable and valid balance and mobility scale that can be used in the rehabilitation of stroke patients. PMID: 31430231 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 20, 2019 Category: Neurology Authors: Aydoğan Arslan S, Yakut H, Demirci CS, Sertel M, Kutluhan S Tags: Top Stroke Rehabil Source Type: research

Daytime physical activity at admission is associated with improvement of gait independence 1 month later in people with subacute stroke: a longitudinal study.
Abstract Background: Little is known about the benefits of daytime physical activity on gait ability in subacute stroke. Objectives: We investigated association between daytime physical activity at hospital admission and improvement of gait independence 1 month later in subacute stroke. Methods: Thirty-four participants with subacute stroke who could not walk independently were assessed. An accelerometer (HJA 350-IT, OMRON) was used to record the mean duration of light-intensity physical activity (LIPA) and moderate-to-vigorous-intensity physical activity (MVPA). LIPA and MVPA were recorded for 12 h per day for 7 ...
Source: Topics in Stroke Rehabilitation - August 12, 2019 Category: Neurology Authors: Shimizu N, Hashidate H, Ota T, Yatsunami M Tags: Top Stroke Rehabil Source Type: research

The post-stroke upper limb improvement effort survey (IMPETUS): asurvey of individuals with chronic stroke.
The objective of this study was to examine the perceptions of individuals with stroke about arm/hand function and training devices. METHODS: A 69-item survey was developed addressing: activity before and after stroke, involved arm/hand function, willingness to use a training device, and important device characteristics. The survey included items from the Hand Function and Strength Subscales of the Stroke Impact Scale (SIS). Face validity was established by physical therapists and individuals with stroke. The survey was administered via phone and online. RESULTS: 852 registry participants were recruited. Ninety-se...
Source: Topics in Stroke Rehabilitation - August 6, 2019 Category: Neurology Authors: Sullivan JE, Drogos J, Carmona C, Yao J Tags: Top Stroke Rehabil Source Type: research

Impact of transitional care for discharged elderly stroke patients in China: an application of the Integrated Behavioral Model.
Conclusions: This study provided evidence of concurrent self-reported and objective clinical indicators in discharged elderly stroke patients for the impact of the IBM-based 3-month TC intervention, which can be recommended for clinical practice. PMID: 31369355 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 1, 2019 Category: Neurology Authors: Geng G, He W, Ding L, Klug D, Xiao Y Tags: Top Stroke Rehabil Source Type: research

Audiovisual speech segmentation in post-stroke aphasia: a pilot study.
Conclusion: Our findings show that speech segmentation disorder may exist in PWA. This points to the importance of assessing and training speech segmentation after stroke. Further studies should investigate the characteristics of PWA who use visual speech cues during sentence processing. PMID: 31369358 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 1, 2019 Category: Neurology Authors: Basirat A, Allart É, Brunellière A, Martin Y Tags: Top Stroke Rehabil Source Type: research

Very early cognitive screening and return to work after stroke.
Conclusions: Screening for cognitive impairments at 36-48-h post stroke is apparently too early for predicting RTW, and thus cannot be the sole basis for discharge planning after stroke. Additional research is needed to further analyze cognitive function early after stroke and RTW. PMID: 31369365 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 1, 2019 Category: Neurology Authors: Westerlind E, Abzhandadze T, Rafsten L, Persson HC, Sunnerhagen KS Tags: Top Stroke Rehabil Source Type: research

Ankle torque steadiness and gait speed after a single session of robot therapy in individuals with chronic hemiparesis: a pilot study.
Conclusion:  People with chronic hemiparesis presented short-term performance gains in torque steadiness, especially during dorsiflexion, after a single robotic therapy session. The robotic therapy did not influence the walking speed, although low to moderate correlations between torque steadiness variables and walking speed were observed. PMID: 31369366 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - August 1, 2019 Category: Neurology Authors: Silva-Couto MA, Siqueira AAG, Santos GL, Russo TL Tags: Top Stroke Rehabil Source Type: research

Motor imagery as a complementary technique for functional recovery after stroke: a systematic review.
Conclusions: The use of MI combined with conventional rehabilitation is an effective method for the recovery of functionality after stroke. Due to the great heterogeneity in the scientific literature available, new lines of research are necessary, in order to include well-designed studies of good methodological quality and to establish a consensus regarding the most appropriate protocols. PMID: 31347992 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 26, 2019 Category: Neurology Authors: López ND, Monge Pereira E, Centeno EJ, Miangolarra Page JC Tags: Top Stroke Rehabil Source Type: research

Improving balance with wobble board exercises in stroke patients: single-blind, randomized clinical trial.
Conclusions: Wobble board exercises, when combined with the conventional physiotherapy, are safe and effective in restoring functional balance in patients with hemiplegia following ischemic strokes. PMID: 31348727 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 26, 2019 Category: Neurology Authors: Madhuranga PVH, Mathangasinghe Y, Anthony DJ Tags: Top Stroke Rehabil Source Type: research

Community cycling exercise for stroke survivors is feasible and acceptable.
Conclusion: A cycling-based exercise program delivered through local leisure center staff and facilities was shown to be feasible and acceptable for people living with stroke. PMID: 31327311 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 20, 2019 Category: Neurology Authors: Kerr A, Cummings J, Barber M, McKeown M, Rowe P, Mead G, Doucet A, Berlouis K, Grealy M Tags: Top Stroke Rehabil Source Type: research

A follow-up study of the effect of training using the Hybrid Assistive Limb on Gait ability in chronic stroke patients.
Abstract Objectives: Recently, use of the Hybrid Assistive Limb (HAL) that is effective for improvement of gait ability in chronic stroke patients has been reported. However, how long the effects are maintained remains unknown. The purpose of the present study was to investigate whether the effect of gait training using the HAL on gait ability was maintained for 3 months after the intervention. Methods: A longitudinal, observational study with an intervention for a single group that adhered to the STROBE guidelines was performed. Nine chronic stroke patients were enrolled in this study. The patients performed...
Source: Topics in Stroke Rehabilitation - July 18, 2019 Category: Neurology Authors: Tanaka H, Nankaku M, Nishikawa T, Yonezawa H, Mori H, Kikuchi T, Nishi H, Takagi Y, Miyamoto S, Ikeguchi R, Matsuda S Tags: Top Stroke Rehabil Source Type: research

Clinical application of backward walking training to improve walking function, balance, and fall-risk in acute stroke: a case series.
Abstract Background: With limited inpatient rehabilitation (IR) length of stays for patients post-stroke, it is critical to maximize the effectiveness of interventions to address their balance and gait speed deficits. Backward walking (BW) is an emerging training approach; however, its application to patient populations consistent with those in IR is limited. Objectives: To describe the effects of an additional BW training program to standard IR care on balance, walking ability and fall-risk in a heterogenic caseload of adults
Source: Topics in Stroke Rehabilitation - July 16, 2019 Category: Neurology Authors: DeMark L, Fox EJ, Spigel PM, Osborne J, Rose DK Tags: Top Stroke Rehabil Source Type: research

Long-term effects on body functions, activity and participation of hemiplegic patients in equino varus foot deformity surgical correction followed by immediate rehabilitation. A prospective observational study.
Abstract Background: Functional surgery is an effective approach in the treatment of the rigid equinovarus foot deformity (EVFD). This must be associated with early rehabilitation treatments (ERTs) to prevent muscle rearrangements due to immobilization. Objectives: To assess the effects of EVFD surgical correction in adult stroke patients, when assessed according to the ICF domains. Methods: Variables from 24 adult chronic stroke survivors with EVFD surgical correction followed by ERT, age 55 ± 13 years, affected side 12L/12R, time from lesion 5 ± 4 years were analyzed. Body function domain: pain (NP...
Source: Topics in Stroke Rehabilitation - July 16, 2019 Category: Neurology Authors: Mazzoli D, Giannotti E, Rambelli C, Zerbinati P, Galletti M, Mascioli F, Prati P, Merlo A Tags: Top Stroke Rehabil Source Type: research

Associations between characteristics of stroke survivors and caregiver depressive symptoms: a critical review.
Conclusions: Health-care providers should be aware that depressive symptoms in one member of a stroke survivor-caregiver dyad may indicate risk for depressive symptoms in the other. Screening both individuals may lead to earlier detection and provide information to guide interventions. Knowing risk factors for stroke caregiver depression may improve prevention/management, but further investigation is needed. PMID: 31303131 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 14, 2019 Category: Neurology Authors: Hultman MT, Everson-Rose SA, Tracy MF, Lindquist R, Hadidi NN Tags: Top Stroke Rehabil Source Type: research

The effect of electrical stimulation on impairment of the painful post-stroke shoulder.
Conclusion: This pilot study is the first to measure pain-free passive range of motion during electrical stimulation. Our findings demonstrate the lack of an acute effect of TENS and t-NMES on pain reduction. PMID: 31298627 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 12, 2019 Category: Neurology Authors: Whitehair VC, Chae J, Hisel T, Wilson RD Tags: Top Stroke Rehabil Source Type: research

Swallowing progression during the acute phase of cortical and subcortical ischemic stroke and its association with the extension of brain damage and cognitive impairment.
Conclusion: Dysphagia is a common complication in the acute phase of stroke, and is associated with the extension of brain damage and cognitive impairment. PMID: 31287384 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 9, 2019 Category: Neurology Authors: Mourão AM, Vicente LCC, Abreu MNS, Tatiana Simões C, Romeu Vale S, De Souza LC, Teixeira AL Tags: Top Stroke Rehabil Source Type: research

Efficacy of motor imagery additional to motor-based therapy in the recovery of motor function of the upper limb in post-stroke individuals: a systematic review.
Conclusion. There is evidence showing that MI associated with motor-based therapy is an effective tool in improving the motor function of upper limbs of post-stroke individuals. However, more studies are needed to establish criteria for frequency and duration of intervention, and what better type of MI should be used. PMID: 31264520 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - July 2, 2019 Category: Neurology Authors: Machado TC, Carregosa AA, Santos MS, Ribeiro NMDS, Melo A Tags: Top Stroke Rehabil Source Type: research

Psychosocial interventions for stroke survivors, carers and survivor-carer dyads: a systematic review and meta-analysis.
Conclusion: Psychosocial interventions reduced depressive symptoms in stroke survivors and their carers. There was limited evidence that such interventions reduced anxiety symptoms, or improved quality of life and coping for stroke survivors and carers and no evidence that they improved self-efficacy, carer strain or carer satisfaction. PMID: 31258017 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 30, 2019 Category: Neurology Authors: Minshall C, Pascoe MC, Thompson DR, Castle DJ, McCabe M, Chau JPC, Jenkins Z, Cameron J, Ski CF Tags: Top Stroke Rehabil Source Type: research

Cross-sectional study of quadriceps properties and postural stability in patients with chronic stroke and limited vs. non-limited community ambulation.
pez GV, Pérez-Alenda S Abstract Background: Changes in the paretic-side metabolism post-stroke and quadriceps muscle mechanical properties favour muscle wasting, affecting postural instability and walking impairment. Further clarification is needed in subjects post-stroke who show limited or non-limited community ambulation. Objectives: To analyze between-limb differences in quadriceps muscle thickness, strength and thigh cutaneous temperature, as well as investigate postural stability in subjects with chronic stroke and limited vs. non-limited community ambulation and compared against healthy controls. Met...
Source: Topics in Stroke Rehabilitation - June 27, 2019 Category: Neurology Authors: Sánchez-Sánchez ML, Ruescas-Nicolau MA, Carrasco JJ, Espí-López GV, Pérez-Alenda S Tags: Top Stroke Rehabil Source Type: research

Association of renal function with ambulation in mild acute stroke patients.
Conclusion: The eGFR based on creatinine levels of acute stroke patients may be important factor to predict the walking endurance in mild acute stroke patients. PMID: 31246156 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 27, 2019 Category: Neurology Authors: Kubo H, Nozoe M, Kanai M, Yamamoto M, Kamo A, Noguchi M, Mase K, Shimada S Tags: Top Stroke Rehabil Source Type: research

Clinical factors associated with the development of nonuse learned after stroke: a prospective study.
Abstract Background: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavioral phenomenon called learned nonuse. Objective: The aim of this study was to evaluate which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. Methods: This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscula...
Source: Topics in Stroke Rehabilitation - June 22, 2019 Category: Neurology Authors: Molle Da Costa RD, Luvizutto GJ, Martins LG, Thomaz De Souza J, Regina Da Silva T, Alvarez Sartor LC, Winckler FC, Modolo GP, Molle ERDSD, Dos Anjos SM, Bazan SGZ, Cuadrado LM, Bazan R Tags: Top Stroke Rehabil Source Type: research

Psychometric properties of an Arabic version of the fatigue severity scale in patients with stroke.
Conclusions: The FSS-A showed good psychometric properties suggesting its usefulness as a fatigue evaluation tool in patients diagnosed with stroke. PMID: 31189456 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 12, 2019 Category: Neurology Authors: Abdulla FA, Al-Khamis FA, Alsulaiman AA, Alshami AM Tags: Top Stroke Rehabil Source Type: research

Surviving a stroke in South Africa: outcomes of home-based care in a low-resource rural setting.
Conclusions: Clinical practice pathways and referral guidelines should be developed for the HCBC platform. Specific training of CHWs, focusing on how to educate, support and train family caregivers, provide assistive devices and refer to health services is needed. PMID: 31169468 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 6, 2019 Category: Neurology Authors: Scheffler E, Mash R Tags: Top Stroke Rehabil Source Type: research

Nuanced effects of music interventions on rehabilitation outcomes after stroke: a systematic review.
Conclusion: Focusing on high to moderate level evidence, our review highlighted that rhythmic auditory stimulation has a positive effect on gait and balance; that receptive music therapy improves mood as well as some cognitive functions; that there is not enough evidence to determine the effectiveness of active music therapy and melodic intonation therapy. High-quality trials with large samples would be necessary to further assess and/or recommend these interventions. PMID: 31170034 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 6, 2019 Category: Neurology Authors: Le Perf G, Donguy AL, Thebault G Tags: Top Stroke Rehabil Source Type: research

The use of carer perspectives and expert consensus to define key components of a biopsychosocial support intervention for stroke carers.
Conclusions: Themes from the informal carer focus groups, and ranked priority areas will inform the development of a biopsychosocial support intervention for stroke carers to be tested in a feasibility randomized controlled trial. PMID: 31170035 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 6, 2019 Category: Neurology Authors: Condon L, Benford P, Kontou E, Thomas S, Walker M Tags: Top Stroke Rehabil Source Type: research

Sound design for auditory biofeedback and motor performance in participants with stroke: a pilot study.
Conclusions: The Full ABF was less effective than the Error ABF, probably because the VBF was present, and the information provided by the Full ABF was therefore redundant. PMID: 31170036 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 6, 2019 Category: Neurology Authors: Iguchi M, Nakagawa R, Terasawa H Tags: Top Stroke Rehabil Source Type: research

Development and feasibility of a sedentary behavior intervention for stroke: a case series.
Conclusions: The ABLE intervention was tolerable and safe. The intervention protocol was refined to enhance reliability and acceptability. Future studies should estimate the effects of the ABLE intervention. PMID: 31170037 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 6, 2019 Category: Neurology Authors: Kringle EA, Campbell G, McCue M, Barone Gibbs B, Terhorst L, Skidmore ER Tags: Top Stroke Rehabil Source Type: research

Relationship between pharyngeal response time and lateralized brain lesion in stroke.
Conclusion: No relationship between PRT and lateralization of brain lesion was observed with respect to subject age and to the swallowing of different food consistencies. PMID: 31154954 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - June 3, 2019 Category: Neurology Authors: Alves TC, Cola PC, Jorge AG, Gatto AR, Da Silva RG Tags: Top Stroke Rehabil Source Type: research

A short bout of high-intensity exercise alters ipsilesional motor cortical excitability post-stroke.
The objective of this study was to investigate whether a short, clinically-feasible high-intensity exercise protocol can increase motor cortical excitability in non-exercised muscles of chronic stroke survivors. Methods: Thirteen participants with chronic, unilateral stroke participated in two sessions, at least one week apart, in a crossover design. In each session, they underwent either high-intensity lower extremity exercise or quiet rest. Motor cortical excitability of the extensor carpi radialis muscles was measured bilaterally with transcranial magnetic stimulation before and immediately after either exercise or rest...
Source: Topics in Stroke Rehabilitation - May 30, 2019 Category: Neurology Authors: Li X, Charalambous CC, Reisman DS, Morton SM Tags: Top Stroke Rehabil Source Type: research

Gait quality and velocity influences activity tracker accuracy in individuals post-stroke.
Abstract Objective: Fitbit Zip™ (FBZ) is a low-cost user-friendly device that could help motivate individuals post-stroke to increase their physical activity. However, inaccuracy in step counts from altered gait variables could cause dissatisfaction and reduce compliance. The aim of this study was to determine the influence of gait variables on the concurrent validity of the FBZ. Method: In a cross-sectional study, 19 community-dwelling stroke survivors (mean 66 (SD 8) years)  wore a FBZ at the non-paretic hip, and were videoed completing a six minute walk test (6MWT). Steps recorded by the FBZ were com...
Source: Topics in Stroke Rehabilitation - May 29, 2019 Category: Neurology Authors: Clay L, Webb M, Hargest C, Adhia DB Tags: Top Stroke Rehabil Source Type: research

Stigma experienced by Chinese patients with stroke during inpatient rehabilitation and its correlated factors: a cross-sectional study.
Abstract BACKGROUND: Stroke-related stigma can have a negative effect on patients, and is associated with stereotyping, prejudice, and discrimination; however, the exact stigma experienced by patients remains ambiguous. OBJECTIVES: To evaluate the stigma experienced by patients with stroke, determine associated factors, and explore relationships between stigma and early rehabilitation. METHODS: Overall, we examined 288 patients with stroke. Patient characteristics were determined through medical records and investigations, while stigma status (comprising total stigma, internalized stigma, and enacted sti...
Source: Topics in Stroke Rehabilitation - May 19, 2019 Category: Neurology Authors: Zhu M, Zhou H, Zhang W, Deng Y, Wang X, Zhang X, Yang L, Li M, Bai X, Lin Z Tags: Top Stroke Rehabil Source Type: research

Assessment of backward walking unmasks mobility impairments in post-stroke community ambulators.
Abstract BACKGROUND: While over half of stroke survivors recover the ability to walk without assistance, deficits persist in the performance of walking adaptations necessary for safe home and community mobility. One such adaptation is the ability to walk or step backward. Post-stroke rehabilitation rarely includes backward walking (BW) assessment and BW deficits have not been quantified in post-stroke community ambulators. OBJECTIVE: To quantify spatiotemporal and kinematic BW characteristics in post-stroke community ambulators and compare their performance to controls. METHODS: Individuals post-stroke (...
Source: Topics in Stroke Rehabilitation - May 12, 2019 Category: Neurology Authors: Hawkins KA, Balasubramanian CK, Vistamehr A, Conroy C, Rose DK, Clark DJ, Fox EJ Tags: Top Stroke Rehabil Source Type: research

Methodological considerations for kinematic analysis of upper limbs in healthy and poststroke adults Part II: a systematic review of motion capture systems and kinematic metrics.
CONCLUSION: Most articles used optoelectronic systems with markers; however, the presentation of laboratory and task-specific errors is missing. Markerless systems, used in some studies, seem to be promising alternatives for implementation of kinematic analysis in hospitals and clinics, but the literature proving their validity is scarce. Most articles analyzed "joint kinematics" and "end-point kinematics," mainly related with reaching. The different stroke locations of the samples were not considered in their analysis and only three articles described their psychometric properties. Implication of key f...
Source: Topics in Stroke Rehabilitation - May 8, 2019 Category: Neurology Authors: Mesquita IA, Fonseca PFPD, Pinheiro ARV, Velhote Correia MFP, Silva CICD Tags: Top Stroke Rehabil Source Type: research

Walking speed as a predictor of community mobility and quality of life after stroke.
er BC Abstract BACKGROUND: Community mobility (CM) is considered a part of community reintegration that enhances Quality of Life (QoL). Achieving an appropriate gait speed is essential in attaining an independent outdoor ambulation and satisfactory CM. OBJECTIVE: The aim of this study was to identify whether gait speed is a predictor of CM and QoL in patients with stroke following a multimodal rehabilitation program (MRP). METHODS: This was a baseline control trial with 6-months follow-up in an outpatient rehabilitation setting at a university hospital. Twenty-six stroke survivors completed the MRP (24 s...
Source: Topics in Stroke Rehabilitation - May 7, 2019 Category: Neurology Authors: Grau-Pellicer M, Chamarro-Lusar A, Medina-Casanovas J, Serdà Ferrer BC Tags: Top Stroke Rehabil Source Type: research

The trunk control: Which scale is the best in very acute stroke patients?
CONCLUSIONS: Four scales investigated in this study can also be used to evaluate the patients with very acute stroke. On the other hand, the advantages and disadvantages of the scales should be thoroughly assessed and researchers can use one of four scales considering their aim, patient populations and clinical characteristics of patients. PMID: 31044664 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - May 2, 2019 Category: Neurology Authors: Fil Balkan A, Salcı Y, Keklicek H, Çetin B, Adın RM, Armutlu K Tags: Top Stroke Rehabil Source Type: research

Cryotherapy reduces muscle hypertonia, but does not affect lower limb strength or gait kinematics post-stroke: a randomized controlled crossover study.
CONCLUSIONS: The findings of this study suggest that cryotherapy applied to the calf muscles of subjects with chronic hemiparesis reduces muscle hypertonia but does not improve dorsiflexors and plantarflexors performance and gait parameters. PMID: 31012824 [PubMed - in process] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - April 25, 2019 Category: Neurology Authors: Alcantara CC, Blanco J, De Oliveira LM, Ribeiro PFS, Herrera E, Nakagawa TH, Reisman DS, Michaelsen SM, Garcia LC, Russo TL Tags: Top Stroke Rehabil Source Type: research

Inter-rater reliability of the Swedish modified version of the Postural Assessment Scale for Stroke Patients (SwePASS) in the acute phase after stroke.
CONCLUSIONS: The SwePASS shows an acceptable inter-rater reliability, albeit with potential for improvement. The reliability can be improved by a consensus how to interpret the scale between the raters prior to implementation in the clinic. PMID: 30983553 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - April 14, 2019 Category: Neurology Authors: Bergqvist GM, Nasic S, U Persson C Tags: Top Stroke Rehabil Source Type: research

Factors associated with quality of life early after ischemic stroke: the role of resilience.
DISCUSSION: Resilience was an independent predictor of quality of life beyond anxiety and depression in patients with ischemic stroke. Interventions aimed at improving resilience at acute hospitalization might be a worthwhile addition to improve quality of life early after stroke. PMID: 30957683 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - April 8, 2019 Category: Neurology Authors: Liu Z, Zhou X, Zhang W, Zhou L Tags: Top Stroke Rehabil Source Type: research

Systematic review of orthoses for stroke-induced upper extremity deficits.
CONCLUSION: Future studies should aim to utilize homogenous outcome measures while exploring variability in dosage and level of upper extremity impairment upon initiation. Additionally, universal guidelines for initiation period, duration, and type of orthosis for patients post-stroke need to be established. PMID: 30955481 [PubMed - as supplied by publisher] (Source: Topics in Stroke Rehabilitation)
Source: Topics in Stroke Rehabilitation - April 7, 2019 Category: Neurology Authors: Pritchard K, Edelstein J, Zubrenic E, Tsao L, Pustina K, Berendsen M, Wafford E Tags: Top Stroke Rehabil Source Type: research

Depressive symptoms in caregivers immediately after stroke.
We examined characteristics of caregivers and stroke survivors associated with caregivers' depressive symptoms in the early poststroke period. METHODS: We conducted a prospective, longitudinal exploratory observational study with a convenience sample of 63 caregivers of older adult (≥ 65 years) stroke survivors recruited from urban acute-care settings. We enrolled caregivers by 2 weeks poststroke (T1) and revisited them 4 weeks later (T2). Depressive symptoms were measured using the Patient Health Questionnaire-9. A separate unadjusted linear mixed model was computed to explore significant associatio...
Source: Topics in Stroke Rehabilitation - April 1, 2019 Category: Neurology Authors: Byun E, Evans L, Sommers M, Tkacs N, Riegel B Tags: Top Stroke Rehabil Source Type: research