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Therapy: Physical Therapy

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Total 69 results found since Jan 2013.

Explicit versus implicit lower extremity sensory retraining for post-stroke chronic sensory deficits: a randomized controlled trial
CONCLUSIONS: Sensory rehabilitation treatment by either ESR or IRE led to similar clinically significant changes in the performance of the lower extremity and participation in subjects with sensory loss post-stroke. Both treatment protocols are easy to implement in an outpatient clinic. .CLINICALTRIALS.GOV REGISTRATION: NCT01988220. Implications for rehabilitationStandardized, structured, sensory-focused training can improve balance and gait in subjects with chronic post-stroke sensory impairment.Both explicit and implicit learning-based sensory protocols focused on the lower extremity effectively improved balance, mobilit...
Source: Disability and Rehabilitation - June 1, 2022 Category: Rehabilitation Authors: Hadas Ofek Mordechai Alperin Tsipi Knoll Daphna Livne Yocheved Laufer Source Type: research

Genetic Variation and Neuroplasticity: Role in Rehabilitation After Stroke.
Abstract BACKGROUND AND PURPOSE: In many neurologic diagnoses, significant interindividual variability exists in the outcomes of rehabilitation. One factor that may impact response to rehabilitation interventions is genetic variation. Genetic variation refers to the presence of differences in the DNA sequence among individuals in a population. Genetic polymorphisms are variations that occur relatively commonly and, while not disease-causing, can impact the function of biological systems. The purpose of this article is to describe genetic polymorphisms that may impact neuroplasticity, motor learning, and recovery a...
Source: Physical Therapy - June 20, 2017 Category: Physiotherapy Authors: Stewart JC, Cramer SC Tags: J Neurol Phys Ther Source Type: research

Considerations in the Efficacy and Effectiveness of VR Interventions for Stroke Rehabilitation: Moving the Field Forward.
Abstract In the past 2 decades, researchers have demonstrated the potential for virtual reality (VR) technologies to provide engaging and motivating environments for stroke rehabilitation interventions.(1) Much of the research has been focused on the Exploratory Phase and jumps to Intervention Efficacy trials and Scale Up Evaluation have been made with limited understanding of the active ingredients in a VR intervention for stroke.(2,3) The rapid pace of technology development is an additional challenge for this emerging field, providing a moving target for researchers developing and evaluating potential VR techno...
Source: Physical Therapy - October 24, 2014 Category: Physiotherapy Authors: Proffitt R, Lange B Tags: Phys Ther Source Type: research

Effect of the use of a body weight-supported walker on gait parameters in hemiplegic stroke patients
Conclusion] Using a BWS walker may help hemiplegic stroke patients learn to walk more efficiently in terms of their gait speed.PMID:34083884 | PMC:PMC8165362 | DOI:10.1589/jpts.33.434
Source: Physical Therapy - June 4, 2021 Category: Physiotherapy Authors: Hiroo Koshisaki Shota Nagai Source Type: research

Sport simulation as a form of implicit motor training in a geriatric athlete after stroke: a case report.
DISCUSSION: Implicit motor learning techniques were incorporated through sport and job task simulation activities along with task-oriented neuromuscular reeducation. The patient demonstrated improvements with gait, balance, gross motor function, and decreased fall risk. PMID: 29939811 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - June 25, 2018 Category: Physiotherapy Authors: Young SN, VanWye WR, Wallmann HW Tags: Physiother Theory Pract Source Type: research

Practice Structure and Locomotor Learning After Stroke.
CONCLUSIONS: The results suggest that variable practice utilizing alternating belt speed ratios does not influence the ability of those with chronic stroke to adapt and retain a novel locomotor pattern. The effects of other forms of variable practice within other locomotor learning paradigms should be explored in those with chronic hemiparesis after stroke.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A257). PMID: 30883495 [PubMed - in process]
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Helm EE, Pohlig RT, Kumar DS, Reisman DS Tags: J Neurol Phys Ther Source Type: research

The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke
CONCLUSIONS: Specific functional task-oriented MP, when added to conventional PT, led to improvements in motor imagery abilities combined with increases in the AOU and QOM in daily functions, manual dexterity, and gait speed.
Source: Revista Brasileira de Fisioterapia - December 17, 2013 Category: Physiotherapy Source Type: research

Interdisciplinary Concepts for Design and Implementation of Mixed Reality Interactive Neurorehabilitation Systems for Stroke.
We present key interactive computing, motor learning and media arts concepts utilized by an interdisciplinary group to develop adaptive, mixed reality (MR) INR systems for upper extremity therapy of patients with stroke. Two example INR systems are used to show how the concepts can be applied within a: small INR clinical study that achieved integrated improvement of movement quality and functionality through continuously supervised therapy; and pilot study that achieved improvement of clinical scores with minimal supervision. The notion is proposed that some of the successful approaches developed and tested within these sy...
Source: Physical Therapy - November 25, 2014 Category: Physiotherapy Authors: Baran M, Lehrer N, Duff M, Venkataraman V, Turaga P, Ingalls T, Rymer WZ, Wolf SL, Rikakis T Tags: Phys Ther Source Type: research

Effectiveness of motor imagery or mental practice in functional recovery after stroke: a systematic review
Conclusions MP is effective when used in conjunction with conventional physical therapy for functional rehabilitation of both upper and lower limbs, as well as for the recovery of daily activities and skills. Owing to the heterogeneity of the studies with regard to the intervention protocol, specific imagery technique, time spent practicing, patient characteristics, etc., more studies are needed in order to determine the optimal treatment protocol and patient profile.
Source: Neurologia - January 13, 2016 Category: Neurology Source Type: research

Can Motor Recovery in Stroke Be Improved by Non-invasive Brain Stimulation?
Authors: Rothwell JC Abstract At the present time, there is enormous interest in methods of non-invasive brain stimulation. These interact with ongoing neural activity, mainly in cerebral cortex, and have measureable effects on behaviours in healthy people. More intriguingly, they appear to have effects on synaptic plasticity that persist even after stimulation has ceased. This has led, as might be expected, to the proposal that brain stimulation methods might be therapeutically useful in rehabilitation. The rationale is that physical therapy involves learning new patterns of activity to compensate for those lost t...
Source: Advances in Experimental Medicine and Biology - January 1, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research

Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study
Publication date: Available online 12 May 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Wanalee Klomjai, Benchaporn Aneksan, Anuchai Pheungphrarattanatrai, Thanwarat Chantanachai, Nattha Choowong, Soontaree Bunleukhet, Paradee Auvichayapat, Yongchai Nilanon, Vimonwan HiengkaewAbstractAnodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes wer...
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Practice Structure and Locomotor Learning After Stroke
Conclusions: The results suggest that variable practice utilizing alternating belt speed ratios does not influence the ability of those with chronic stroke to adapt and retain a novel locomotor pattern. The effects of other forms of variable practice within other locomotor learning paradigms should be explored in those with chronic hemiparesis after stroke. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A257).
Source: Journal of Neurologic Physical Therapy - March 28, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

AI-Based Stroke Rehab System Shown to Be as Effective as One-on-One Therapy
The idea that the brain is capable of rewiring after a stroke is not new, but the therapy needed to achieve this is cumbersome at best. “Studies show that neuroplasticity requires hundreds to thousands of hours of repetition of focused, concentrated training to get the brain to have those functional changes,” said David Wu, Motus Nova’s CEO, in an interview with MD+DI. But he explained that those many hours of therapy with a clinician are not always feasible for patients, because of concerns about time and logistics, cost, and sometimes even a lack of motivation. So, Mo...
Source: MDDI - June 1, 2019 Category: Medical Devices Authors: Susan Shepard Tags: Digital Health Source Type: news