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Identification of Disability Subgroups for Patients After Ischemic Stroke
CONCLUSION: Five disability subgroups were identified for patients after ischemic stroke. The disability subgroups provide a common language for clinicians to organize the heterogeneity of disability after stroke.IMPACT: Using the disability subgroups, the multidisciplinary team might be able to improve the accuracy and efficiency of care decisions. The number of current rehabilitation interventions is indeterminable; these subgroups may help to guide clinicians in selecting the most beneficial interventions for patients based on subgroup membership.PMID:37172127 | DOI:10.1093/ptj/pzad001
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Jessica Edelstein Adam R Kinney Tamra Keeney Amanda Hoffman James E Graham Matthew P Malcolm Source Type: research

Measurement Properties of the Patient-Specific Functional Scale in Rehabilitation for Patients With Stroke: A Prospective Observational Study
CONCLUSION: This study demonstrates satisfactory measurement properties for the PSFS in individuals undergoing inpatient stroke rehabilitation.IMPACT: This study supports the use of the PSFS to document and monitor patient-identified rehabilitation goals in patients receiving subacute stroke rehabilitation when applied using a shared decision approach.PMID:37140476 | PMC:PMC10158643 | DOI:10.1093/ptj/pzad014
Source: Physical Therapy - May 4, 2023 Category: Physiotherapy Authors: Janne Evensen Helene Lundgaard Soberg Unni Sveen Knut A Hestad Jennifer L Moore Berit Arnesveen Bronken Source Type: research

Gut microbiome plays a vital role in post-stroke injury repair by mediating neuroinflammation
In this study, we reviewed the role of the gut microbiome in cerebral stroke and the underlying mechanism of the AMPK signaling pathway in stroke. AMPK mediators in nerve repair and the regulation of intestinal microbial balance were also summarized.PMID:37031605 | DOI:10.1016/j.intimp.2023.110126
Source: Atherosclerosis - April 9, 2023 Category: Cardiology Authors: Airu Huang Ling Ji Yamei Li Yufeng Li Qian Yu Source Type: research

Efficacy and Dose of Rehabilitation Approaches for Severe Upper Limb Impairments and Disability During Early Acute and Subacute Stroke: A Systematic Review
CONCLUSION: Different rehabilitation approaches seem to improve severe upper limb impairments and disability in the subacute stage after stroke; however, they are not distinctly superior to standard care or other interventions provided at the same dosage.IMPACT: Robotic therapy and functional electrical stimulation add variety to rehabilitation programs, but their benefit has not been shown to exceed that of standard care. Further research is necessary to identify the impact of dosage parameters (eg, intensity) on severe upper limb motor impairments and function, especially in the acute stage.PMID:37014279 | DOI:10.1093/ptj/pzad002
Source: Physical Therapy - April 4, 2023 Category: Physiotherapy Authors: Steff Doumen Luca Sorba Peter Feys Lisa Tedesco Triccas Source Type: research

Effect of cyborg-type robot Hybrid Assistive Limb on patients with severe walking disability in acute stroke: A randomized controlled study
To investigate whether early gait training using Hybrid Assistive Limb (HAL) is feasible and improves walking and independency compared with conventional physical therapy (CPT) in patients with severe walking disability after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - January 24, 2023 Category: Neurology Authors: Chiaki Yokota, Kenta Tanaka, Katsuhiro Omae, Masatoshi Kamada, Hiroyasu Nishikawa, Masatoshi Koga, Masafumi Ihara, Yasuyuki Fujimoto, Yoshiyuki Sankai, Takashi Nakajima, Manabu Minami Source Type: research

Caregiver Perceptions of an Interdisciplinary Intensive Therapy Program: A Qualitative Study
CONCLUSIONS: Caregivers valued interdisciplinary intensive therapy. For children with complex rehabilitation needs, an interdisciplinary, intensive therapy program may be a viable alternative to traditional therapy models for service delivery.PMID:36637445 | DOI:10.1097/PEP.0000000000000994
Source: Physical Therapy - January 13, 2023 Category: Physiotherapy Authors: Jamie B Hall Dana Chole Taylor C Pruitt Kylie Linkeman Source Type: research

Sensors, Vol. 23, Pages 712: Perspectives of Motor Functional upper Extremity Recovery with the Use of Immersive Virtual Reality in Stroke Patients
ński Stroke is one of the leading causes of disability, including loss of hand manipulative skills. It constitutes a major limitation in independence and the ability to perform everyday tasks. Among the numerous accessible physiotherapeutic methods, it is becoming more common to apply Virtual Reality "VR”. The aim of this study was to establish whether immersive VR was worth considering as a form of physical therapy and the advisability of applying it in restoring post-stroke hand function impairment. A proprietary application Virtual Mirror Hand 1.0 was used in the research and its effectivenes...
Source: Sensors - January 8, 2023 Category: Biotechnology Authors: Pawe ł Sip Marta Koz łowska Dariusz Czysz Przemys ław Daroszewski Przemys ław Lisiński Tags: Article Source Type: research

COMIRESTROKE —A clinical study protocol for monitoring clinical effect and molecular biological readouts of COMprehensive Intensive REhabilitation program after STROKE: A four-arm parallel-group randomized double blinded controlled trial with a longitudinal design
In this study, four kinds of comprehensive inpatient rehabilitation with different management and content of physical therapy will be compared. Moreover, focus will be placed on the identification of novel biological molecules reflective of effective rehabilitation. Long non-coding RNAs (lncRNAs) are transcripts (>200 bps) of limited coding potential, which have recently been recognized as key factors in neuronal signaling pathways in ischemic stroke and as such, may provide a valuable readout of patient recovery and neuroprotection during therapeutic progression.Methods and analysisAdults after the first ischemic strok...
Source: Frontiers in Neurology - November 1, 2022 Category: Neurology Source Type: research

Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol
Introduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stroke survivors’ social participation. Recent advances in virtual reality technology may offer promising solutions, although the optimal approach to enhance social participation among stroke survivors is yet to be determined. This trial aims to develop and evaluate the effectiveness of a social participation-focused virtual r...
Source: BMJ Open - July 5, 2022 Category: General Medicine Authors: Chau, J. P. C., Lo, S. H. S., Lau, A. Y. L., Lee, V. W. Y., Choi, K. C., Kwok, E. C. F., Thompson, D. R. Tags: Open access, Rehabilitation medicine Source Type: research

Sex Differences in Functional Capacity in Older Adults with Stroke: an Analysis of Data from the National Health and Aging Trends Study
CONCLUSION: Older women with stroke have clinically meaningfully lower overall functional capacity as compared with older men but decline at a similar rate over time. Walking speed was lower among older women with stroke, but similar between sexes in 5XSST.IMPACT: Women with stroke have poorer functional capacity compared with men, which reinforces the importance of targeted stroke rehabilitation strategies to address these sex-specific disparities.PMID:35689806 | DOI:10.1093/ptj/pzac077
Source: Physical Therapy - June 11, 2022 Category: Physiotherapy Authors: Elise Wiley Kenneth S Noguchi Kevin Moncion Paul W Stratford Ada Tang Source Type: research

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