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Effectiveness of music-based interventions on motricity or cognitive functioning in neurological populations: a systematic review.
CONCLUSIONSː Variety of modalities using music-based interventions has been identified and grouped into four clusters. Effects of interventions demonstrate an improvement in the domains assessed. Evidence is most available for improving motricity in stroke. More studies are warranted to investigate cognition as well as motor and cognition dysfunctions in combination. CLINICAL IMPLICATIONS: Instrument-based music interventions can improve fine motor dexterity and gross motor functions in stroke. Rhythm-based music interventions can improve gait parameters of velocity and cadence in stroke, Parkinson's disease and mult...
Source: European Journal of Physical and Rehabilitation Medicine - November 22, 2016 Category: Rehabilitation Authors: Moumdjian L, Sarkamo T, Leone C, Leman M, Feys P Tags: Eur J Phys Rehabil Med Source Type: research

Vibration therapy role in neurological diseases rehabilitation: an umbrella review of systematic reviews
CONCLUSION: WBV and FMV appear to play a considerable role in reducing spasticity and improving gait, balance, and motor function in stroke patients. By contrast, vibration therapy seems to be unable to reduce spasticity in multiple sclerosis and cerebral palsy. Also, correct use parameters for this therapy could not be defined.IMPLICATIONS FOR REHABILITATIONBased on the growing number of systematic reviews, this umbrella review aimed to summarize the findings and evaluate the role of vibration therapy in the rehabilitation of neurological diseases.Whole-body vibration and focal muscle vibration appear to play a considerab...
Source: Disability and Rehabilitation - July 6, 2021 Category: Rehabilitation Authors: Lucrezia Moggio Alessandro de Sire Nicola Marotta Andrea Demeco Antonio Ammendolia Source Type: research

Bridging the goal intention-action gap in rehabilitation: a study of if-then implementation intentions in neurorehabilitation.
Conclusion: If-then plans were feasible and acceptable in bridging the goal intention-action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. Implications for Rehabilitation Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. Th...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Kersten P, McPherson KM, Kayes NM, Theadom A, McCambridge A Tags: Disabil Rehabil Source Type: research

“Effects of Functional Electrical Stimulation on Reducing Falls and Improving Gait Parameters in Multiple Sclerosis and Stroke”
Conclusions The use of FES had an impact on gait, specifically reducing the number of falls and improving walking. A specific effect at the ankle joint was observed, increasing foot clearance during the swing phase of gait. This effect was not accompanied with a reduction in the energetic expenditure during walking in subjects with multiple sclerosis and stroke.
Source: PMandR - November 4, 2016 Category: Rehabilitation Source Type: research

Technologically-advanced assessment of upper-limb spasticity: a pilot study.
CONCLUSIONS: By using the robotic device some spasticity parameters can be continuously recorded during the rehabilitation treatment in order to objectively measure the effectiveness of the interventions provided. CLINICAL REHABILITATION IMPACT: The standardized evaluation parameters recorded using robotic devices may provide several advantages: 1) the measures for spasticity assessment can be monitored during every rehabilitation session (even during each movement), 2) these measurements are able to highlight even small changes, 3) the recovery plateau can be detected early thus avoiding further rehabilitation sessio...
Source: European Journal of Physical and Rehabilitation Medicine - September 4, 2017 Category: Rehabilitation Authors: Posteraro F, Crea S, Mazzoleni S, Berteanu M, Ciobanu I, Vitiello N, Cempini M, Gervasio S, Mrachacz-Kersting N Tags: Eur J Phys Rehabil Med Source Type: research

Virtual reality during gait training: does it improve gait function in persons with central nervous system movement disorders? A systematic review and meta-analysis.
CONCLUSION: VR-enhanced gait training is an effective method to improve spatiotemporal and functional parameters in persons with CNS movement disorders. Current evidence supports that, in comparison to training without VR, for people post-stroke VR-enhanced gait training is more effective to improve gait function. Future research regarding other outcome measures and other CNS movement disorders is necessary. PMID: 30814368 [PubMed - in process]
Source: NeuroRehabilitation - March 4, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

The reliability and validity of the Timed Up and Go as a clinical tool in individuals with and without disabilities across a lifespan: a systematic review.
Conclusions: Based on the literature assessed, the Timed Up and Go is clinically applicable and reliable across multiple populations. The Timed Up and Go has a wide variety of clinical use making it a diverse measure that should be considered when choosing an outcome an activity based outcome measure. However, there are some limitations in the validity of the utilization of the Timed Up and Go to some populations due to a lack of data and/or poor choice of comparison outcome measures when assessing validity. Additional research is needed for young to middle aged adults. IMPLICATIONS FOR REHABILITATION Outcome measures are ...
Source: Disability and Rehabilitation - October 25, 2019 Category: Rehabilitation Authors: Christopher A, Kraft E, Olenick H, Kiesling R, Doty A Tags: Disabil Rehabil Source Type: research

The effects of aquatic therapy on mobility of individuals with neurological diseases: A systematic review.
CONCLUSION: Our synthesis showed "fair" evidence supporting the use of aquatic therapy to improve dynamic balance and gait speed in adults with certain neurological conditions. PMID: 25394397 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Marinho-Buzelli AR, Bonnyman AM, Verrier MC Tags: Clin Rehabil Source Type: research

Effects of whole body vibration on muscle spasticity for people with central nervous system disorders: A systematic review.
CONCLUSION: Whole-body vibration may be useful in reducing leg muscle spasticity in cerebral palsy but this needs to be verified by future high quality trials. There is insufficient evidence to support or refute the notion that whole-body vibration can reduce spasticity in stroke, spinocerebellar ataxia or multiple sclerosis. PMID: 26658333 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 11, 2015 Category: Rehabilitation Authors: Huang M, Liao LR, Pang MY Tags: Clin Rehabil Source Type: research

Similar barriers and facilitators to physical activity across different clinical groups experiencing lower limb spasticity.
Conclusions In this population, participation in physical activity includes activities such as housework which are different than what is typically considered as physical activity. Further, the presence of similar barriers and facilitators across the groups suggests that support and services to promote valued forms of physical activity could be organised and delivered based on limitations in mobility and functioning rather than clinical diagnosis. Implications for rehabilitation Physical activity is of utmost importance in maintaining health and wellness in clinical populations. This research highlights the desired and act...
Source: Disability and Rehabilitation - January 4, 2016 Category: Rehabilitation Authors: Hundza S, Quartly C, Kim JM, Dunnett J, Dobrinsky J, Loots I, Choy K, Chow B, Hampshire A, Temple VA Tags: Disabil Rehabil Source Type: research

Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions.
CONCLUSIONS: Spasticity is associated with worse health status, however its relationship with overall QOL is not established. The relationship between spasticity and QOL is confounded by other impairments and requires multivariate analysis. Implications for Rehabilitation Effective management of spasticity may result in significant improvements in HRQOL. It is important to address multiple factors in the management of spasticity including pain, bladder problems, fatigue and sleep, as the interplay of these may have significant negative effects on HRQOL. Clinician-administered methods for measuring spasticity, such as the A...
Source: Disability and Rehabilitation - December 29, 2015 Category: Rehabilitation Authors: Milinis K, Young CA, Trajectories of Outcome in Neurological Conditions (TONiC) study Tags: Disabil Rehabil Source Type: research

Comparison of seating, powered characteristics and functions and costs of electrically powered wheelchairs in a general population of users.
CONCLUSIONS: This is the first large study of a general EPW user population using a seating classification. Significant differences were found between diagnostic groups; nevertheless, there was also high diversity within each group. The differences in provision and the equipment costs across diagnostic groups can be used to improve service planning. Implications for Rehabilitation At a service planning level, knowledge of a population's diagnostic group and age distribution can be used to inform decisions about the number of required EPWs and equipment costs and specialised seating (including review) clinics. At a user lev...
Source: Disability and Rehabilitation. Assistive Technology. - October 26, 2017 Category: Rehabilitation Authors: Dolan MJ, Bolton MJ, Henderson GI Tags: Disabil Rehabil Assist Technol Source Type: research

Safety, Tolerability, and Effectiveness of Dextromethorphan/Quinidine for Pseudobulbar Affect Among Study Participants With Traumatic Brain Injury: Results From the PRISM-II Open Label Study
Conclusions DM/Q was well tolerated and significantly reduced PBA episodes in study participants with TBI. Changes in CNS-LS and PBA episode count were similar to changes with DM/Q in phase 3 trials.
Source: PMandR - February 23, 2018 Category: Rehabilitation Source Type: research

Effectiveness of external cues to facilitate task performance in people with neurological disorders: a systematic review and meta-analysis.
CONCLUSION: Providing cues to encourage successful task performance is a core component of rehabilitation, however there is limited evidence on the type of cueing or which tasks benefit most from external cueing. Low-quality evidence suggests there may be a beneficial effect of cueing (any type) on walking speed. Sufficiently powered randomised controlled trials are needed to inform therapists of the most effective cueing strategies to improve activity performance in populations with a neurological disorder. Implications for rehabilitation Providing cues is a core component of rehabilitation and may improve successful task...
Source: Disability and Rehabilitation - March 9, 2018 Category: Rehabilitation Authors: Harrison SL, Laver KE, Ninnis K, Rowett C, Lannin NA, Crotty M Tags: Disabil Rehabil Source Type: research

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