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Effects of neurorehabilitation with and without dry needling technique on muscle thickness, reflex torque, spasticity and functional performance in chronic ischemic stroke patients with spastic upper extremity muscles: a blinded randomized sham-controlled clinical trial
CONCLUSIONS: Dry needling plus neurorehabilitation could decrease muscle thickness, spasticity and reflex torque and improve upper-extremity motor performance and dexterity in chronic stroke patients. These changes were lasted one-month after treatment.Trial Registration Number: IRCT20200904048609N1IMPLICATION FOR REHABILITATIONUpper extremity spasticity is one of the stroke consequences which interfere with motor function and dexterity of patient hand in activity of daily livingApplying the dry needling accompanied with neurorehabilitation program in post-stroke patients with muscle spasticity can reduce the muscle thickn...
Source: Disability and Rehabilitation - March 27, 2023 Category: Rehabilitation Authors: Fatemeh Panahi Samaneh Ebrahimi Zahra Rojhani-Shirazi Alireaza Shakibafard Ladan Hemmati Source Type: research

Validity, Intra-Rater Reliability and Normative Data of the Neuroflexor ™ Device to Measure Spasticity of the Ankle Plantar Flexors after Stroke
CONCLUSION: The NeuroFlexor may offer a clinically feasible and non-invasive way to objectively quantify lower limb spasticity.PMID:36867093 | DOI:10.2340/jrm.v54.2067
Source: Journal of Rehabilitation Medicine - March 3, 2023 Category: Rehabilitation Authors: Gaia Valentina Pennati Lo ïc Carment Alison K Godbolt Jeanette Plantin J örgen Borg P åvel G Lindberg Source Type: research

Heart Failure in Cardiac Rehabilitation: A REVIEW AND PRACTICAL CONSIDERATIONS
Purpose: Exercise cardiac rehabilitation (CR) represents an evidence-based therapy for patients with heart failure with reduced ejection fraction (HFrEF) and this article provides a concise review of the relevant exercise testing and CR literature, including aspects unique to their care. Clinical Considerations: A hallmark feature of HFrEF is exercise intolerance (eg, early-onset fatigue). Drug therapies for HFrEF target neurohormonal pathways to blunt negative remodeling of the cardiac architecture and restore favorable loading conditions. Guideline drug therapy includes β-adrenergic blocking agents; blockade ...
Source: Journal of Cardiopulmonary Rehabilitation - September 1, 2022 Category: Rehabilitation Tags: Invited Reviews Source Type: research

The effect of a home-based coaching program on heart rate variability in subacute stroke patients: a randomized controlled trial
Autonomic imbalance in stroke is characterized by increased sympathetic activity and reduced vagal nerve activity. Physical activity could be a strategy to counteract autonomic control impairments after a stroke. The aim of the study was to evaluate the effect on heart rate variability of a 6-month coaching program in a home setting in subacute stroke patients. Eighty-four stroke patients participated in the study. They were randomly assigned to the experimental group or the control group. The intervention was a coaching program, consisting of physical activity, home visits and a weekly phone call. Patients were evaluated ...
Source: International Journal of Rehabilitation Research - August 11, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Heart Failure in Cardiac Rehabilitation: A REVIEW AND PRACTICAL CONSIDERATIONS
J Cardiopulm Rehabil Prev. 2022 Jul 14. doi: 10.1097/HCR.0000000000000713. Online ahead of print.ABSTRACTPURPOSE: Exercise cardiac rehabilitation (CR) represents an evidence-based therapy for patients with heart failure with reduced ejection fraction (HFrEF) and this article provides a concise review of the relevant exercise testing and CR literature, including aspects unique to their care.CLINICAL CONSIDERATIONS: A hallmark feature of HFrEF is exercise intolerance (eg, early-onset fatigue). Drug therapies for HFrEF target neurohormonal pathways to blunt negative remodeling of the cardiac architecture and restore favorable...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - July 15, 2022 Category: Rehabilitation Authors: Steven J Keteyian Alexander Michaels Source Type: research

Effects of Dry Needling on Spinal Reflexes: The Hoffman-reflex
Spasticity can lead to changes in spinal and supraspinal pathways which can lead to decreased function and quality of life in persons with stroke. Physical therapists worldwide have been administering trigger point deep dry needling (DDN) to treat post-stroke spasticity. Yet, currently, effects of DDN on spinal somatosensory processing are not well understood. To understand the neurophysiological mechanisms of DDN, we are currently investigating the effects of DDN on spinal somatosensory pathways in persons with and without stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 28, 2021 Category: Rehabilitation Authors: Gretchen Seif, Alan Phipps, Anna Zuloaga, Rachel McLaughlin, Blair Dellenbach, Aiko Thompson Tags: Research Poster 1709913 Source Type: research

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