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Change in agreement between stroke survivors and their significant others on the severity of restrictions of functioning in a 1-year follow-up
The aim of this study was to assess the agreement between stroke survivors and their significant others on the severity of restrictions of functioning and to investigate the change in this agreement in a 1-year follow-up. The 41 stroke survivors and their significant others assessed the severity of impairment at the end of in-patient interdisciplinary neurorehabilitation and 1 year later using a structured form based on International Classification of Functioning, Disability and Health (ICF). The main outcomes were as follows: (i) change in the severity score of each observer on a particular restriction (intraobserver chan...
Source: International Journal of Rehabilitation Research - November 4, 2015 Category: Rehabilitation Tags: Original articles Source Type: research

Intensive treadmill training in the acute phase after ischemic stroke
The aim of the study was to (a) assess the feasibility of intensive treadmill training in patients with acute ischemic stroke, (b) test whether physical activity of the legs during training increases with time, and (c) evaluate to what extent training sessions contribute toward the overall physical activity of these patients. Twenty hospitalized patients with acute ischemic stroke trained on a treadmill twice daily for 30 min for 5 days and on day 30. Physical activity was measured as activity counts (AC) from accelerometers. A total of 196 of 224 initiated training sessions were completed. Training started 41.5±14 h ...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Cardiorespiratory fitness and cognitive functioning following short-term interventions in chronic stroke survivors with cognitive impairment: a pilot study
This study, a quasi-experimental, one-group pretest–post-test design, evaluated the effects on cognitive functioning and cardiorespiratory fitness of 8-week interventions (aerobic exercise alone and aerobic exercise and cognitive training combined) in patients with chronic stroke and cognitive impairment living in the community (participants: n=14, 61.93±9.90 years old, 51.50±38.22 months after stroke, n=7 per intervention group). Cognitive functions and cardiorespiratory fitness were evaluated before and after intervention, and at a 3-month follow-up visit (episodic memory: revised-Hopkins Verbal Learning Test; workin...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Comparison of the effects of mirror therapy and electromyography-triggered neuromuscular stimulation on hand functions in stroke patients: a pilot study
To determine the effectiveness of mirror therapy and electromyography (EMG)-triggered neuromuscular stimulation on improvement of functions of the upper extremity in patients with subacute stroke in comparison with conventional therapy as well as to evaluate the advantage of each treatment over another, we conducted a prospective, randomized, and controlled trial involving 24 patients with ischemic stroke. The mean age and mean time since stroke of the patients were 58.79±11.49 years and 5.25±2.25 months. Patients were assigned randomly to a mirror therapy group (MT group, n=9), which consisted of therapy with a mirror b...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Robotic approaches for the rehabilitation of upper limb recovery after stroke: a systematic review and meta-analysis
This systematic review with a meta-analysis of studies was carried out to evaluate the effectiveness of robotic training (RT) and conventional training (CT) in improving the motor recovery of paretic upper limbs in stroke patients. Numerous electronic databases were searched from January 2000 to May 2016. Finally, 13 randomized-controlled trials fulfilled the inclusion criteria and were included in the three meta-analyses. The first meta-analysis carried out for those studies using RT for stroke patients indicated a significant improvement in the RT groups. The second meta-analysis suggested that the upper limb function (m...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Review articles Source Type: research

Overground gait training using a motorized assistive device in patients with severe disabilities after stroke
Regaining of the patient’s ability to walk after stroke is an important goal of rehabilitation programmes. The ultimate goal of gait rehabilitation is to empower patients for overground walking. We have previously developed a prototype of a therapist-controlled mobile platform with compliant pelvis support mechanism that enables balance training during overground walking (device E-go). The aim of this pilot randomized controlled study was to explore the usefulness of the E-go in reducing the number of therapists needed during walking training, and to explore the effectiveness of the E-go on walking abilities in severely ...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Usefulness of the prediction method based on a logarithmic model for functional recovery in stroke patients: in case of using the motor-Functional Independence Measure score
This study aimed to examine the predictive validity of motor items of Functional Independence Measure (motor-FIM) using the prediction method based on a logarithmic model. This prospective observational cohort study included 111 patients with subacute stroke (mean age: 67.0±13.8 years). The motor-FIM score was assessed at admission, 1 month after admission, and at discharge. We calculated the predictive value of motor-FIM scores at discharge using a logarithmic model, which used only motor-FIM scores at admission and 1 month after admission. The relationship between the actual motor-FIM score at discharge and the predicti...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Determining the benefits of transcranial direct current stimulation on functional upper limb movement in chronic stroke
Transcranial direct current stimulation (tDCS) has been proposed as a tool to enhance stroke rehabilitation; however, evidence to support its use is lacking. The aim of this study was to investigate the effects of anodal and cathodal tDCS on upper limb function in chronic stroke patients. Twenty five participants were allocated to receive 20 min of 1 mA of anodal, cathodal or sham cortical stimulation in a random, counterbalanced order. Patients and assessors were blinded to the intervention at each time point. The primary outcome was upper limb performance as measured by the Jebsen Taylor Test of Hand Function (total ...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Responsiveness of the functioning and disability parts of the International Classification of Functioning, Disability, and Health core sets in postacute stroke patients
To study the responsiveness of the International Classification of Functioning, Disability, and Health (ICF) core set with respect to human functioning and disability in stroke patients. Postacute stroke patients who were admitted to the convalescent rehabilitation wards were included in this observational cohort study. The comprehensive ICF core set for neurological conditions for postacute care and the ICF rehabilitation set were evaluated at admission and discharge using five-grade qualifiers. Extension indexes were calculated for entire two ICF core sets. Responsiveness was measured as change in the extension indexes i...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Executive functioning and daily living of individuals with chronic stroke: measurement and implications
The objectives of this study were (a) to characterize the EF and independence in daily living of community-dwelling individuals with chronic stroke by using pen-and-paper and performance-based EF assessments, (b) to explore correlations between scores detected by different EF assessments and (c) to assess the correlations between EF and independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADL). This cross-sectional study included 50 (30 men and 20 women) community-dwelling individuals [mean (SD) age 59.8 (9.3)] with chronic stroke. Participants were overall independent in ba...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

The effects of tongue pressure strength and accuracy training on tongue pressure strength, swallowing function, and quality of life in subacute stroke patients with dysphagia: a preliminary randomized clinical trial
Tongue pressure strength and accuracy training (TPSAT) has been proposed as an intervention to improve dysphagia. However, the effects of TPSAT on dysphagia in subacute stroke patients remain unclear. The aim of this study was to investigate the effects of TPSAT on tongue pressure strength, swallowing function, and quality of life in subacute stroke patients with dysphagia. Sixteen subacute stroke patients were assigned randomly to two groups: the TPSAT group (n=8) or the control group (n=8). In the former, both TPSAT and traditional dysphagia therapies were performed for 30 min each per day; in the latter, only traditio...
Source: International Journal of Rehabilitation Research - August 10, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

The regularity of orthosis use and the reasons for disuse in stroke patients
This is a Retrospective descriptive study. Orthoses and walking aids are used frequently in stroke rehabilitation to facilitate ambulation. The aim was to describe the regularity of orthosis use and the reasons for disuse in stroke after discharge from inpatient rehabilitation. The study included 64 (43 men, 21 women) subacute stroke patients who had been discharged from our clinic in the last 6 months. Demographic and clinical findings, proposed orthoses and walking aids, frequency of usage for the proposed orthoses, reasons for disuse, and the ambulation levels were recorded. A total of 54 (84.4%) patients had an ankle�...
Source: International Journal of Rehabilitation Research - August 10, 2018 Category: Rehabilitation Tags: Brief research reports Source Type: research

Manual function of the unaffected upper extremity can affect functional outcome after stroke
Traditionally, motor deficits of ipsilesional side, generally considered as the unaffected side, have been investigated less and the influence of the impairment is unknown. To evaluate the association between the manual function test (MFT) of nonparetic limb and poststroke functional outcome. We conducted a retrospective analysis of 71 hemiplegic patients with stroke. MFT on both sides was routinely measured at admission and 1 month later after admission by an experienced occupational therapist. The parameters of functional outcome after stroke were measured with the total score of functional independence measure (FIM) and...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Effects of functional electrical stimulation-cycling on shoulder pain and subluxation in patients with acute–subacute stroke: a pilot study
Functional electrical stimulation (FES)-cycling is a technique used to provide voluntary muscle contraction during a functional task. The aims were primarily to determine the effects of FES-cycling on shoulder pain and subluxation, and secondarily to evaluate the improvement of upper extremity motor function in patients with acute–subacute stroke patient. In this prospective trial, 21 patients with acute–subacute stroke, randomly assigned into the FES-cycling group or the standard rehabilitation program (control group). Analyses of shoulder subluxation were carried out by radiography. The numeric rating scale was used ...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Stroke survivor activity during subacute inpatient rehabilitation: how active are patients?
Being active following stroke is recommended, but inactivity is common. The current study aimed to observe stroke survivors physical, social and cognitive activities in a large regional inpatient rehabilitation centre. Patients were observed over 8 separate days at 10-min intervals between 8 a.m. and 8 p.m. Patients were engaged in any form of activity 59.9% of the time and in therapy 4.6% of the time. Patients were inactive and alone 34.3% of the time. Activity levels were weakly associated with patients’ functional abilities (Spearman’s ρ≤0.39). Independent walkers spent a higher proportion of the day physical...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Brief research reports Source Type: research

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