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Knowledge, Motivation and Sustainability: Divergent Effects of a Staff Training Program on Residents and Specialists in Acute Stroke Care
Background: To improve the clinical efficiency of acute stroke management, we implemented a new staff training intervention. The training consisted of a case-based discussion of recent thrombolysis cases with the entire neurologic staff for 1 year. Here, we sought to determine whether the effects of this training were sustained after the discontinuation of the intervention. Methods: All thrombolysis cases prior to the intervention (2015, 2016), during the time of training (2017) and after the discontinuation of the training (2018) were recorded and compared.
Source: Journal of Stroke and Cerebrovascular Diseases - April 4, 2020 Category: Neurology Authors: Caroline C. Klingner, Albrecht G ünther, Stefan Brodoehl, Otto W. Witte, Carsten M. Klingner Source Type: research

Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial
Early rehabilitation has been proved very important for stroke patients. However, the effective model of transitioning from early in-hospital rehabilitation to discharge rehabilitation using the collaborative remote rehabilitation nursing model has not been thoroughly studied.
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2020 Category: Neurology Authors: Zhishui Wu, Jingjuan Xu, Chunxian Yue, Yi Li, Yongchun Liang Source Type: research

The Effects of Combining Transcranial Direct Current Stimulation and Gait Training with Functional Electrical Stimulation on Trunk Acceleration During Walking in Patients with Subacute Stroke
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation method that can improve walking function in hemiplegia patients. A meta-analysis of non-invasive brain stimulation demonstrated the beneficial effects of tDCS, such as improving mobility and lower extremity muscle strength in post-stroke patients.1 In particular, applying anodal tDCS over the lower extremity area of the primary motor cortex can significantly improve force steadiness2, as well as motor cortex excitability and function.
Source: Journal of Stroke and Cerebrovascular Diseases - January 28, 2021 Category: Neurology Authors: Tsubasa Mitsutake, Maiko Sakamoto, Hisato Nakazono, Etsuo Horikawa Source Type: research

Home-Based Interventions may Increase Recruitment, Adherence, and Measurement of outcomes in Clinical Trials of Stroke Rehabilitation
This study aimed to investigate the completion rates of a home-based randomized trial, which examined home-based high-intensity respiratory muscle training after stroke compared with sham intervention.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2021 Category: Neurology Authors: K ênia Kiefer Parreiras de Menezes, Louise Ada, Luci Fuscaldi Teixeira-Salmela, Aline Alvim Scianni, Patrick Roberto Avelino, Christina Danielli Coelho de Morais Faria, Lucas Rodrigues Nascimento Tags: Short Communication Source Type: research

Towards a Clinical Decision-Making Algorithm Guiding Locomotor Therapy Modality in Subacute Stroke: An Exploratory Study
To propose a clinical decision-making algorithm guiding modality choice and transition from the Lokomat ® robotic to body-weight supported treadmill training in subacute stroke, due to current evidence being limited, making clinical decisions difficult.
Source: Journal of Stroke and Cerebrovascular Diseases - September 30, 2021 Category: Neurology Authors: Nicole Prideaux, Christopher Barr, Claire Drummond, Maayken van den Berg Source Type: research

A feasibility study to assess the effectiveness of Muvity: A telerehabilitation system for chronic post-stroke subjects
The first three months after a cerebrovascular accident are crucial for the recovery process of survivors. In this period, the natural physiological response of the tissue to injury facilitates increased neuroplasticity and, consequently, improved functional gains.1 Public health systems typically offer rehabilitative care during this phase as part of the treatment for stroke. However, this is not where the subject's journey ends. Despite diminishing returns in recovery during the later chronic phase, keeping up training is still important to prevent function deterioration.
Source: Journal of Stroke and Cerebrovascular Diseases - September 23, 2022 Category: Neurology Authors: Andr és Garcia, Berta Mayans, Carles Margelí, Ariadna Pamplona, Cristina Molas, Júlia Monràs, Francesc Alpiste, Jordi Torner, Gil Serrancolí 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

How little is enough? The feasibility of conducting a dose-escalation study for exercise training in people with stroke
Is it feasible and safe to conduct an exercise dose-finding study in people with stroke? Is it possible to determine a minimal dose of exercise required to see clinically meaningful improvements in cardiorespiratory fitness?
Source: Journal of Stroke and Cerebrovascular Diseases - May 20, 2023 Category: Neurology Authors: Margaret Galloway, Dianne L Marsden, Robin Callister, Kirk I Erickson, Michael Nilsson, Coralie English Source Type: research

Predicting 10-day Mortality in Patients with Strokes Using Neural Networks and Multivariate Statistical Methods
Conclusions: Training and test performances yielded different results for ischemic and hemorrhagic groups. MLP method was most successful for the training phase, whereas LRA and MDA methods were successful for the test phase. In the hemorrhagic group, higher prediction performances were achieved for both training and testing phases.
Source: Journal of Stroke and Cerebrovascular Diseases - March 27, 2014 Category: Neurology Authors: Güner Çelik, Ömer K. Baykan, Yakup Kara, Hülya Tireli Tags: Original Articles Source Type: research

Effect of Functional Electrical Stimulation with Mirror Therapy on Upper Extremity Motor Function in Poststroke Patients
Background: Motor recovery of the upper extremity in stroke patients is an important goal of rehabilitation. In particular, motor recovery can be accelerated when physical and cognitive interventions are combined. Thus, the aim of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy (MT) on motor function of upper extremity in stroke patients.Methods: Twenty-seven stroke patients were recruited, and the 23 subjects who met the inclusion criteria were randomly allocated into 2 groups: the experimental group (n = 12) and the control group (n = 11). Both groups received conv...
Source: Journal of Stroke and Cerebrovascular Diseases - July 17, 2013 Category: Neurology Authors: HyunJin Kim, GyuChang Lee, ChangHo Song Tags: Original Articles Source Type: research

Effectiveness of Bilateral Arm Training for Improving Extremity Function and Activities of Daily Living Performance in Hemiplegic Patients
Bilateral movement therapy, which encourages simultaneous use of the limbs on both the affected and nonaffected sides, is known to help in motor function recovery in hemiplegic patients. However, studies on the effectiveness of bilateral arm training for improving upper limb function and activities of daily living (ADL) performance in hemiplegic stroke patients are lacking. The present study investigated the effectiveness of bilateral arm training for improving upper limb function and ADL performance in hemiplegic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - February 1, 2017 Category: Neurology Authors: Min-Jae Lee, Jung-Hoon Lee, Hyun-Mo Koo, Sun-Min Lee Source Type: research

Cardiovascular Responses Associated with the Moving Beans Task: Influence of Psychological Characteristics
High blood pressure (BP) after stroke is associated with a poor outcome. However, exercise training or speech therapy for patients with stroke can raise the BP. The aim of this study was to examine cardiovascular responses during the moving beans task (MBT) used in occupational therapy and to study the influence of psychological characteristics on cardiovascular responses during this task in healthy subjects.
Source: Journal of Stroke and Cerebrovascular Diseases - June 27, 2017 Category: Neurology Authors: Kazuaki Iokawa, Masanori Munakata, Tomomi Hattori, Shuko Saiki, Toshimasa Sone, Masahiro Kohzuki Source Type: research

Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial
Poststroke gait disorders negatively impact activities of daily living. Rehabilitation for stroke patients is aimed at improving their walking ability, balance, and quality of life. Robot-assisted gait training (RAGT) is associated with an increased number of task-specific exercises, which may benefit poststroke motor learning. We investigated the effects of RAGT using Stride Management Assist (SMA, which increases walk ratio by inducing hip-joint flexion and extension) in subacute stroke patients with hemiplegia.
Source: Journal of Stroke and Cerebrovascular Diseases - November 9, 2018 Category: Neurology Authors: Naojiro Tanaka, Shinro Matsushita, Yasushi Sonoda, Yoshikatsu Maruta, Yuta Fujitaka, Masashi Sato, Miki Simomori, Rhyuki Onaka, Keiji Harada, Takashi Hirata, Shoji Kinoshita, Takatsugu Okamoto, Hitoshi Okamura Source Type: research

Toward Improving Poststroke Aphasia: A Pilot Study on the Growing Use of Telerehabilitation for the Continuity of Care
Background: Aphasia is a quite common and very disabling symptom following stroke, negatively affecting patient's quality of life. Aim of the study is to evaluate the effectiveness of a rehabilitation training for aphasia that employ a touch-screen tablet using a virtual reality rehabilitation system (VRRS-Tablet). Material and Methods: Thirty patients with aphasia due to ischemic or hemorrhagic stroke were randomized into either the control or the experimental group and assessed by means of a specific neuropsychological evaluation.
Source: Journal of Stroke and Cerebrovascular Diseases - July 28, 2019 Category: Neurology Authors: Giuseppa Maresca, Maria Grazia Maggio, Desiree Latella, Antonino Cannav ò, Maria Cristina De Cola, Simona Portaro, Maria Chiara Stagnitti, Giuseppe Silvestri, Michele Torrisi, Alessia Bramanti, De Luca Rosaria, Rocco Salvatore Calabrò Source Type: research

Usefulness of Ice Massage in Triggering the Swallow Reflex
In Japan, ice massage is widely used as the prefeeding technique to facilitate dry swallowing, to improve swallowing apraxia for initiating the swallowing action, and in daily swallowing training. In a crossover study, we evaluated the usefulness of ice massage for eliciting the swallowing response. The subjects were 24 dysphagic patients with stroke and cerebrovascular disease. We measured the latency between the command of dry swallowing and the triggering of the swallow reflex by videofluoroscopic examination of swallowing, with and without ice massage. When a subject could not swallow all the 4 trials we recorded wheth...
Source: Journal of Stroke and Cerebrovascular Diseases - November 7, 2011 Category: Neurology Authors: Tomoyuki Nakamura, Ichiro Fujishima Tags: Original Articles Source Type: research

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