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Post-stroke spasticity and shoulder pain prevalence decrease over the last 15 years
Conclusions Disabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.
Source: Annals of Physical and Rehabilitation Medicine - March 29, 2018 Category: Rehabilitation Source Type: research

Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years
Conclusions Disabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.
Source: Annals of Physical and Rehabilitation Medicine - April 5, 2018 Category: Rehabilitation Source Type: research

Participation in work and leisure activities after stroke: A national study
Conclusions. Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke.
Source: Annals of Physical and Rehabilitation Medicine - May 14, 2019 Category: Rehabilitation Source Type: research

The outcomes of stroke patients in health territory
This study conduces us developing a repertoire of stroke patients and sharing follow-up consultations between the different operators on the heath territory. It is extended to the neighboring territory, around the Narbonne hospital, linked with the Perpignan one, into a hospital association (GHT).
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Between and within-day reliability of spatiotemporal gait parameters following stroke: Why measurement at maximal gait speed is required?
The objective of the study was to explore the relevance of gait assessment at maximal gait speed (MGS) rather than spontaneous gait speed (SGS) for post-stroke subjects through (1) the study of between and within-day reliability data of spatiotemporal gait parameters at SGS and MGS; and (2) a comparison of the direct measurement of velocity at MGS versus its estimate. It was also designed to (3) highlight the importance of considering the distribution of the random error to use an adequate expression of the measurement error (MErr). Material/patients and methods Spatiotemporal gait parameters – velocity, walk ratio, spa...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Validation of a French version of the upper limb Erasmus Modified Nottingham Sensory Assessment with stereognosis (EmNSA-S) component in patients with stroke
The objective was to develop a French version of the Erasmus modified Nottingham Sensory Assessment with stereognosis component (EmNSA-S) for evaluation of the UL among adults with stroke. Material/patients and methods It was a monocentric prospective observational cross-sectional design study. The study consisted of two phases including (i) instrument translation, and (ii) validation phase with establishment of the concurrent criterion-related validity, internal consistency, intra and inter-rater reliability and minimal detectable change with 95% confidence interval (MDC95). French version of the EmNSA-S for UL was develo...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Validation of French upper-limb Erasmus modified Nottingham Sensory Assessment in stroke
Conclusions The French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.
Source: Annals of Physical and Rehabilitation Medicine - April 14, 2018 Category: Rehabilitation Source Type: research

Validation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke
ConclusionsThe French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30 min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Botuloscope: 1-year follow-up of upper-limb post-stroke spasticity treated with botulinum toxin
Conclusion. This is the first long-term follow-up of BoNT-A treatment for upper-limb spasticity involving a large cohort independent of industry. Quality of life was improved by treating upper-limb spasticity with BoNT-A, even at 5 years post-stroke. Personalizing objectives of the treatment amplified its efficacy. BoNT-A was a powerful analgesic when pain was spasticity-related. Treating the spastic upper limb also improved balance and gait abilities.
Source: Annals of Physical and Rehabilitation Medicine - June 22, 2019 Category: Rehabilitation Source Type: research

Botuloscope: 1-year follow-up of upper limb post-stroke spasticity treated with botulinum toxin
ConclusionThis is the first long-term follow-up of BoNT-A treatment for upper limb spasticity involving a large cohort independent of industry. Quality of life was improved by treating upper limb spasticity with BoNT-A, even at 5 years post-stroke. Personalizing objectives of the treatment amplified its efficacy. BoNT-A was a powerful analgesic when pain was spasticity-related. Treating the spastic upper limb also improved balance and gait abilities.
Source: Annals of Physical and Rehabilitation Medicine - June 25, 2019 Category: Rehabilitation Source Type: research

Additional validation study and French cross-cultural adaptation of the Pediatric Stroke Outcome Measure–Summary of Impressions (PSOM-SOI)
Conclusion: The IRR of the French PSOM-SOI gave variable results depending on the item and rater’s experience, but the extent of disagreements was minor for individual items and total score. Additional prospective validation studies using the French PSOM-Short Neurological Exam to score the PSOM-SOI are needed. A dichotomized total score (cutoff ≤ 0.5) could be used to define normal function versus poor outcome.
Source: Annals of Physical and Rehabilitation Medicine - December 7, 2019 Category: Rehabilitation Source Type: research

New factors that affect quality of life in patients with aphasia
Conclusion: Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies.
Source: Annals of Physical and Rehabilitation Medicine - July 26, 2019 Category: Rehabilitation Source Type: research

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