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Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Early Mobilization After Stroke: Do Clinical Practice Guidelines Support Clinicians' Decision-Making?
Conclusions: The lack of specificity, clinical applicability, and adaptability of current CPGs to effectively respond to the heterogeneous clinical stroke context has provided a clear direction for improvement.
Source: Frontiers in Neurology - February 5, 2021 Category: Neurology Source Type: research

Effectiveness of autogenic relaxation training in addition to usual physiotherapy on emotional state and functional independence of stroke survivors
Discussion: The expected main study outcome is an enhanced evidence-based physiotherapy program that may be used by physiotherapists in the rehabilitation of stroke patients with emotional disturbances. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12619001664134 (last updated on 28/11/2019).
Source: Medicine - August 20, 2021 Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research

Strength training to improve walking after stroke: how physiotherapist, patient and workplace factors influence exercise prescription.
Conclusions: Implementation of strength training to improve walking after stroke was diverse. Therapist-related barriers to the implementation of effective strength training programs highlight the need for improved knowledge, training and research engagement. Limited resourcing demonstrates the need for organizational prioritization of stroke education and skill development. Narrowing the evidence-practice gap remains a challenge. PMID: 33210574 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - November 19, 2020 Category: Physiotherapy Authors: Tole G, Raymond MJ, Williams G, Clark RA, Holland AE Tags: Physiother Theory Pract Source Type: research

Dose and setting of rehabilitation received after stroke in Queensland, Australia: a prospective cohort study.
CONCLUSION: Amount of therapy varied widely between rehabilitation pathways. Amount of therapy and chance of improvement in function were highest with inpatient rehabilitation. PMID: 32389061 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 10, 2020 Category: Rehabilitation Authors: Grimley RS, Rosbergen IC, Gustafsson L, Horton E, Green T, Cadigan G, Kuys S, Andrew NE, Cadilhac DA Tags: Clin Rehabil Source Type: research

Previous experience and walking capacity predict community outings after stroke: An observational study.
CONCLUSION: The strongest predictors of community participation were the number of outings early post-inpatient rehabilitation, walking capacity, and age. The only significant modifiable predictor was walking capacity. PMID: 29902102 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - June 14, 2018 Category: Physiotherapy Authors: Karageorge A, Vargas J, Ada L, Kelly PJ, McCluskey A Tags: Physiother Theory Pract Source Type: research

Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12  months of a stroke in Western Australian.
CONCLUSION: Rehabilitation Indices are associated with a MTF within 12 months poststroke. PMID: 30806020 [PubMed - as supplied by publisher]
Source: Australasian Journal on Ageing - February 25, 2019 Category: Geriatrics Authors: David SM, Chan K, Inderjeeth C, Raymond WD Tags: Australas J Ageing Source Type: research

Additional early active repetitive motor training did not prevent contracture in adults receiving task-specific upper limb training after stroke: a randomised trial
ConclusionIn adults who are already receiving task-specific motor training for upper limb rehabilitation following stroke, 5 weeks of up to 1 hour of additional daily active repetitive motor training using the SMART Arm device did not prevent or reduce contracture in upper limb muscles.Trial registrationACTRN12614001162606.
Source: Journal of Physiotherapy - March 23, 2019 Category: Physiotherapy Source Type: research

Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus
Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
Source: BMJ Open - January 6, 2022 Category: General Medicine Authors: Mahmood, A., Deshmukh, A., Natarajan, M., Marsden, D., Vyslysel, G., Padickaparambil, S., TS, S., Direito, A., Kumaran, S., N, G., Sachdev, H., Kumar Veluswamy, S., Karthikbabu, S., Unnikrishnan, B., English, C., Solomon, J. M. Tags: Open access, Neurology Source Type: research

Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
Conclusion Robotic therapy has matured and represents an embodiment of a paradigm shift in neurorehabilitation following a stroke: instead of focusing on compensation, it affords focus in ameliorating the impaired limb in line with concepts of neuroplasticity. This technology-based treatment provides intensity, interactivity, flexibility, and adaptiveness to patient's performance and needs. Furthermore, it increases the productivity of rehabilitation care. Of course, efficiency must be discussed within a local perspective. For example, following the cost containment shown in the VA ROBOTICS study (46), the UK Nati...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Motor Abilities in Adolescents Born Preterm Are Associated With Microstructure of the Corpus Callosum
Conclusions: Impairments in motor abilities are present in preterm born adolescents without major neuromotor impairment and in the absence of focal brain injury. Altered microstructure of the corpus callosum microstructure appears a crucial factor, in particular for movement quality. Introduction Very preterm birth (birth <32 weeks of gestation) is associated with high risk of impaired neurodevelopment. Rates of severe neuromotor impairment, i.e., Cerebral Palsy (CP), are decreasing, in particular in those preterm children born with moderately low and very low birth weight (1). However, in a substantial propo...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

Exploring functional outcomes and allied health staffing levels in an inpatient paediatric rehabilitation unit.
CONCLUSIONS: This review from a tertiary hospital-based inpatient paediatric rehabilitation service provides information regarding the length of stay, functional change and allied health workload for children and adolescents on active inpatient rehabilitation programs. As expected, total and rehabilitation episode length of stay, functional improvement and allied health contact and input varied according to diagnostic groups. This information is likely to be of value to other Paediatric Rehabilitation Medicine inpatient units when developing staffing for services and benchmarking service delivery. Implications for Rehabili...
Source: Disability and Rehabilitation - October 10, 2017 Category: Rehabilitation Authors: Ireland PJ, Francis A, Jackman S, McLennan K Tags: Disabil Rehabil Source Type: research

What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
ConclusionDespite there being recommendations of best practice for the assessment of specific domains of somatosensation in children with cerebral palsy, current practice does not yet mirror these recommendations. Additionally, therapists have low satisfaction and confidence with what they are currently using, highlighting the need for a comprehensive and standardised assessment of somatosensation for use in children with neurological disorders.
Source: Australian Occupational Therapy Journal - December 1, 2017 Category: Occupational Health Authors: Corrin Walmsley, Susan Taylor, Timothy Parkins, Leeanne Carey, Sonya Girdler, Catherine Elliott Tags: Feature Article Source Type: research

Home exercise programs supported by video and automated reminders for patients with stroke: A qualitative analysis
Australian Occupational Therapy Journal, EarlyView.
Source: Australian Occupational Therapy Journal - March 11, 2018 Category: Occupational Health Authors: Kellie B. EmmersonBOT , Katherine E. HardingBOT(hons), MPH and PhD , Kylee J. LockwoodBOT and MOT , Nicholas F. TaylorBSc, BAppSc (Physio) and PhD Source Type: research

Using functional electrical stimulation with stroke survivors: A survey of Victorian occupational therapists and physiotherapists
Australian Occupational Therapy Journal, EarlyView.
Source: Australian Occupational Therapy Journal - May 31, 2018 Category: Occupational Health Authors: Owen HowlettBOT, MOT , Carol McKinstryPhD, BAppSc (OT), MHlth Sc, GCert Higher Ed , Natasha A. LanninPhD, BSc(OT), Grad Dip (Case Management) Source Type: research