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Specialty: Rehabilitation
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Total 2821 results found since Jan 2013.

Determinants influencing the implementation of home-based stroke rehabilitation: a systematic review.
Conclusion: A more complete and detailed overview of existing determinants of HBSR is needed to assist professionals and organizations in decision-making on HBSR implementation and development of suitable strategies for implementation. Implications for Rehabilitation Committed professionals and a smooth transfer to the home-environment are essential elements for home-based rehabilitation or early supported discharge. The determinants related to the client include age, needs, stability and severity of the stroke as well as the living conditions. Clients and care givers should be involved in the recovery process including th...
Source: Disability and Rehabilitation - February 13, 2014 Category: Rehabilitation Authors: Siemonsma P, Döpp C, Alpay L, Tak E, Meeteren NV, Chorus A Tags: Disabil Rehabil Source Type: research

The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial.
CONCLUSION: We conclude that mirror therapy may be beneficial in improving the effects of stroke on gait ability. PMID: 25023068 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 14, 2014 Category: Rehabilitation Authors: Ji SG, Kim MK Tags: Clin Rehabil Source Type: research

Facilitation of corticospinal excitability by virtual reality exercise following anodal transcranial direct current stimulation in healthy volunteers and subacute stroke subjects
Conclusions: The combined effect of VR motor training following tDCS was synergistic and short-term corticospinal facilitation was superior to the application of VR training, active motor training, or tDCS without exercise condition. These results support the concept of combining brain stimulation with VR motor training to promote recovery after a stroke.
Source: Journal of NeuroEngineering and Rehabilitation - August 18, 2014 Category: Rehabilitation Authors: Yeun KimJeonghun KuSangwoo ChoHyun KimYun ChoTeo LimYoun Kang Source Type: research

How the robotic training and the botolinum toxin could be combined in chronic post stroke upper limb spasticity? A pilot study.
CONCLUSIONS: The demonstrated improvement in motor function and in muscular activation pattern suggests how a short robotic training could be effective in chronic post stroke spasticity of upper limb and in less severe spasticity the only robotic treatment could be effective. CLINICAL REHABILITATION IMPACT: With the limits of small sample, the results showed some equivalence between these two approaches with respect to motor recovery and spasticity reduction suggesting that the cost effectiveness of each treatment may have an important role in this choice. PMID: 25358636 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - October 31, 2014 Category: Rehabilitation Authors: Pennati GV, Da Re C, Messineo I, Bonaiuti D Tags: Eur J Phys Rehabil Med Source Type: research

Do aerobic exercises really improve aerobic capacity of stroke survivors? A systematic review and meta-analysis.
CONCLUSION AND CLINICAL REHABILITATION IMPACT: There is strong evidence that aerobic training is capable of improving aerobic capacity of stroke survivors, supporting the routine recommendation for training after stroke. It is not known, if one type of training is more effective than others in stroke survivors. PMID: 25573602 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 9, 2015 Category: Rehabilitation Authors: Saltychev M, SjögrenT T, Bärlund E, Laimi K, Paltamaa J Tags: Eur J Phys Rehabil Med Source Type: research

What influences the implementation of the New Zealand stroke guidelines for physiotherapists and occupational therapists?
Conclusion Alignment to the guidelines in NZ is influenced both positively and negatively by a range of interacting factors, consistent with other studies. Alignment might be improved by the introduction of some relatively simple strategies, such as ring-fencing time for access to resources and training in the use of the guidelines. Many of the barriers and related interventions are likely to be more complex. Implications for rehabilitation Alignment with stroke guidelines has been shown to improve patient outcomes. Therapist alignment with the implementation of the New Zealand stroke guidelines is influenced by guideline ...
Source: Disability and Rehabilitation - March 4, 2016 Category: Rehabilitation Authors: Mudge S, Hart A, Murugan S, Kersten P Tags: Disabil Rehabil Source Type: research

Can pelvic floor muscle training improve quality of life in men with mild to moderate post-stroke and lower urinary tract symptoms? A randomised, controlled and single-blinded trial.
CONCLUSIONS: PFMT may improve the emotional health and vitality domains of QoL in men with mild to moderate post-stroke and LUTS; however the improvements in the treatment group were not significantly better than for the control group. PFMT did not improve nocturia-related QoL. CLINICAL REHABILITATION IMPACT: This study is the first to evaluate the effect of PFMT on QoL parameters in men with mild to moderate post-stroke and LUTS. The results indicate some short-term effect on SF-36 but none on N-QoL. However, further studies with larger sample sizes and with less restrictive inclusion and exclusion criteria are reque...
Source: European Journal of Physical and Rehabilitation Medicine - March 21, 2016 Category: Rehabilitation Authors: Tibaek S, Gard G, Dehlendorff C, Iversen H, Biering-Soerensen F, Jensen R Tags: Eur J Phys Rehabil Med Source Type: research

Development of network-based multichannel neuromuscular electrical stimulation system for stroke rehabilitation.
Abstract Neuromuscular electrical stimulation (NMES) is a promising assistive technology for stroke rehabilitation. Here we present the design and development of a multimuscle stimulation system as an emerging therapy for people with paretic stroke. A network-based multichannel NMES system was integrated based on dual bus architecture of communication and an H-bridge current regulator with a power booster. The structure of the system was a body area network embedded with multiple stimulators and a communication protocol of controlled area network to transmit muscle stimulation parameter information to individual s...
Source: J Rehabil Res Dev - May 7, 2016 Category: Rehabilitation Authors: Qu H, Xie Y, Liu X, He X, Hao M, Bao Y, Xie Q, Lan N Tags: J Rehabil Res Dev Source Type: research

Combined tDCS and Vision Restoration Training in Subacute Stroke Rehabilitation: A Pilot Study
Conclusion In this open-label pilot study, tDCS/VRT in sub-acute stroke was safe, with excellent applicability and acceptance of the treatment. Preliminary effectiveness calculations show that tDCS/VRT may be superior to standard vision training procedures. A confirmatory, larger-sample, controlled, randomized and double-blind trial is now underway to compare real- vs. sham-tDCS supported visual field training in the early vision rehabilitation phase.
Source: PMandR - January 7, 2017 Category: Rehabilitation Source Type: research

Wearable robotic exoskeleton for over-ground gait training in sub-acute and chronic hemiparetic stroke patients: preliminary results.
CONCLUSIONS: Twelve sessions of over-ground gait training using a powered wearable robotic exoskeleton improved ambulatory functions in sub-acute and chronic post-stroke patients. Large, randomized multicenter studies are needed to confirm these preliminary data. CLINICAL REHABILITATION IMPACT: To plan a completely new individual tailored robotic rehabilitation strategy after stroke, including task-oriented over-ground gait training. PMID: 28118698 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 23, 2017 Category: Rehabilitation Authors: Molteni F, Gasperini G, Gaffuri M, Colombo M, Giovanzana C, Lorenzon C, Farina N, Cannaviello G, Scarano S, Proserpio D, Liberali D, Guanziroli E Tags: Eur J Phys Rehabil Med Source Type: research

Clinician perspectives on cross-education in stroke rehabilitation.
CONCLUSIONS: Cross-education is paradoxical yet promising was the primary theme. This theme was elucidated by three descriptive categories: (1) therapists worked in a forced-use paradigm; (2) there was gap in current practice for those with more severe impairments in arm function; and (3) cross-education used as an adjunct could be useful within current practice for specific patients. Therapists suggested that educational materials for clinicians, patients, and patient families would be essential to the success of cross-education to explain training the less affected limb. This study provides important foundational informa...
Source: Disability and Rehabilitation - July 24, 2017 Category: Rehabilitation Authors: Russell W, Pritchard-Wiart L, Manns PJ Tags: Disabil Rehabil Source Type: research

A novel Robotic Gait Training System (RGTS) may facilitate functional recovery after stroke: A feasibility and safety study.
CONCLUSIONS: This study demonstrated that the novel RGTS designed was practical, safe, and suitable to use in substantial leg dysfunction with stroke. PMID: 28946579 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - September 29, 2017 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Six hours of task-oriented training optimizes walking competency post stroke: a randomized controlled trial in the public health-care system of South Africa.
CONCLUSION: Results support the efficacy of a minimal dose task-oriented circuit training program with caregiver help to enhance locomotor recovery and walking competency in these persons with stroke. PMID: 29529870 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 1, 2018 Category: Rehabilitation Authors: Knox M, Stewart A, Richards CL Tags: Clin Rehabil Source Type: research

Comparative effects of robotic-assisted gait training combined with conventional physical therapy on paretic hip joint stiffness and kinematics between subacute and chronic hemiparetic stroke.
CONCLUSIONS: RAGT combine with conventional physical therapy may be useful when selecting therapeutic interventions to improve the active torque, resistive torque, and stiffness in the paretic hip flexion phase in patients with chronic hemiparetic stroke who reached a plateau in the maximum locomotor recovery after conventional locomotor training. PMID: 29562554 [PubMed - in process]
Source: NeuroRehabilitation - March 28, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Recovery and compensation after robotic assisted gait training in chronic stroke survivors.
CONCLUSIONS: These results indicate that the proposed training induced mainly a functional change rather than an improvement of the quality of gait. Implication for Rehabilitation Gait re-education is a primary goal in stroke rehabilitation. Nowadays several robotic devices for gait rehabilitation are used in the clinical practice, but their effectiveness is controversial, especially for chronic survivors. After a 20-session training with an endpoint robot the chronic stroke survivors showed an improvement in overground gait speed. The increased gait speed was mainly due to functional changes of the temporal parameters and...
Source: Disability and Rehabilitation. Assistive Technology. - May 9, 2018 Category: Rehabilitation Authors: De Luca A, Vernetti H, Capra C, Pisu I, Cassiano C, Barone L, Gaito F, Danese F, Antonio Checchia G, Lentino C, Giannoni P, Casadio M Tags: Disabil Rehabil Assist Technol Source Type: research