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Randomized Trial of Peripheral Nerve Stimulation to Enhance Modified Constraint-Induced Therapy After Stroke
This study aims to determine the effects of peripheral nerve stimulation paired with a modified form of constraint-induced therapy on upper extremity movement function after stroke. Nineteen adult stroke survivors with mild-to-moderate hemiparesis more than 12 mo after stroke received 2 hours of either active (n = 10) or sham (n = 9) peripheral nerve stimulation preceding 4 hours of modified constraint-induced therapy (10 sessions). Results: Active peripheral nerve stimulation enhanced modified constraint-induced therapy more than sham peripheral nerve stimulation (significance at P
Source: American Journal of Physical Medicine and Rehabilitation - May 21, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 6 Source Type: research

Corticomotor Excitability Effects of Peripheral Nerve Electrical Stimulation to the Paretic Arm in Stroke
Conclusions: A 1-hr PNS alone to the paretic arm could increase corticomotor excitability in both hemispheres, together with hand dexterity improvement in people presented with mild-to-moderate motor impairment in the paretic upper limb after stroke. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the readers should be able to: (1) Understand the effects of a stroke on the corticomotor excitability of the lesioned and intact hemisphere; (2) Describe the effect of peripheral nerve electrical stimulati...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2017 Category: Rehabilitation Tags: Original Research Articles CME Article . 2017 Series . Number 13 Source Type: research

Acute Phase Predictors of 6-Month Functional Outcome in Italian Stroke Patients Eligible for In-Hospital Rehabilitation
Conclusions According to the Barthel Index and modified Rankin Scale, early mobilization is an early predictor of favorable outcome. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Incorporate prognostic factors of good clinical outcomes after stroke in developing treatment plans for patients admitted to rehabilitation; (2) Identify acute phase indicators associated with favorable 6-mo outcome after stroke; and (3) Recognize the cut-off for early mobilization link...
Source: American Journal of Physical Medicine and Rehabilitation - June 20, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 7 Source Type: research

Smartphone-Based Visual Feedback Trunk Control Training Using a Gyroscope and Mirroring Technology for Stroke Patients: Single-blinded, Randomized Clinical Trial of Efficacy and Feasibility
Objective: The purpose of this study was to assess the preliminary efficacy and feasibility of smartphone-based visual feedback trunk control training (SPVFTCT) for improving balance and trunk performance in stroke patients. Design: Twenty-four patients who had experienced a stroke more than 6 months previously and could sit and walk independently participated in the study. The participants were allocated to a SPVFTCT (n = 12) or to a control group (n = 12). Both groups completed five 80-minute sessions per week of conventional rehabilitation for 4 weeks. The SPVFTCT group additionally received three 20-minute sessions pe...
Source: American Journal of Physical Medicine and Rehabilitation - April 19, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 5 Source Type: research

Improving Walking with an Implanted Neuroprosthesis for Hip, Knee, and Ankle Control After Stroke
Conclusions: These data suggest that a multijoint approach to implanted neuroprostheses can provide clinically relevant improvements in gait after stroke. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the reader should be able to do the following: (1) Describe the rationale for evaluating a multijoint implanted neuroprosthesis to improvewalkingafter stroke; (2)Understand the study design and conclusions that can be inferred as a result of the design; and (3) Discuss the statistical significance and...
Source: American Journal of Physical Medicine and Rehabilitation - November 19, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 13 Source Type: research

Effects of Repetitive Transcranial Magnetic Stimulation on Walking and Balance Function after Stroke: A Systematic Review and Meta-Analysis
Conclusion These results suggest that rTMS, particularly ipsilesional stimulation, significantly improves walking speed. Future studies with larger sample sizes and an adequate follow-up period are required to further understand the effects of rTMS on lower limb function and its relationship with changes in cortical excitability with the help of functional neuroimaging techniques. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: 1) Understand the potential neurophysiol...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 11 Source Type: research

Gait Velocity and Joint Power Generation After Stroke: Contribution of Strength and Balance
Conclusions Ankle plantar flexor and hip flexor strength had the largest contribution to gait velocity. Future research may wish to refocus strength assessment and treatment to target the ankle plantar flexors and hip flexors. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Differentiate the contribution that lower limb strength of each muscle group has on gait velocity after stroke; (2) Appraise the relationship between isometric strength and joint power generati...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2019 Category: Rehabilitation Tags: CME Article . 2019 Series . Number 10 Source Type: research

How Do Recurrent and First-Ever Strokes Differ in Rehabilitation Outcomes?
Conclusions: Recurrent stroke patients made less functional gains compared to first-ever stroke patients. However, improvements were still significant and these patients should be offered comprehensive inpatient rehabilitation to optimize outcomes. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the learner will be able to: (1) Describe unique demographics, and characteristics of recurrent stroke patients admitted for inpatient rehabilitation; (2) Differentiate functional outcomes between first-ever ...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 10 Source Type: research

How We Assess Spatial Neglect Matters: Prevalence of Spatial Neglect as Measured by the Catherine Bergego Scale and Impact on Rehabilitation Outcomes
Conclusions Using a sensitive measure, the CBS, rates of spatial neglect are extremely high in right hemisphere stroke patients entering inpatient rehabilitation. Both identification and determination of neglect severity are extremely important given their significant relationship to rehabilitation outcomes and discharge destinations. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to (1) describe why carefully assessing spatial neglect in right hemisphere strok...
Source: American Journal of Physical Medicine and Rehabilitation - April 18, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 5 Source Type: research