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Attentional demands of cane-free walking and cane walking in subacute stroke patients who have just learned to walk without a cane
In conclusion, experience with cane-free walking leads to increased attentional demand for cane walking. In subacute stroke patients weaning use of a cane, the attentional demand for cane-free walking decreases to less than that of cane walking. During both cane and cane-free walking, the older the participant, the more the walking performance deteriorated due to dual-tasking.
Source: International Journal of Rehabilitation Research - November 8, 2021 Category: Rehabilitation Tags: Brief research report Source Type: research

Predictors of nasogastric tube removal in patients with stroke and dysphagia
In this study, we developed a model to predict the outcome of dysphagia in patients with stroke. A retrospective study was performed from May 2015 to December 2018. We reviewed the medical charts of all patients with a diagnosis of stroke receiving nasogastric tube feeding. Patients were divided into weaned and nonweaned groups to compare baseline characteristics and functional status. The weaned and nonweaned groups comprised 55 and 65 patients, respectively. In the final logistic regression analysis model, the Barthel index at admission, lip closing status, ability to answer simple questions and functional independence b...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Reliability and validity of the Korean version of the Caregiver Burden Inventory
In conclusion, the CBI has proven its reliability, construct validity and concurrent validity for caregivers of disabled people and has shown its advantage as a multidimensional measure.
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Functional recovery of patients with intracerebral haemorrhage and cerebral infarction after rehabilitation
To investigate potential differences in functional recovery after rehabilitation between intracerebral haemorrhage and cerebral infarction, we retrospectively compared the outcomes of patients with intracerebral haemorrhage (N = 208) and cerebral infarction (N = 480) who were consecutively discharged from our convalescent rehabilitation hospital between January 2013 and December 2018. Functional improvement was estimated by functional independence effectiveness measurements (proportion of potential for improvement achieved) upon discharge. Univariate analysis showed no significant differences in functional improvement betw...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Single-session training on an ascending treadmill slope: effects on gait parameters in persons with stroke. A pilot study
This study aimed to determine the effects of a treadmill single-session training with a 10% upward incline on biomechanical gait parameters in persons with stroke. Methods Fifteen persons with stroke-related hemiparesis performed a 20-min treadmill training session with a 10% ascending incline in this interventional pilot study. Spatiotemporal, kinematic and kinetic parameters were evaluated, overground, with a tridimensional optoelectronic system, before the session, immediately after and after a 20-min rest period. Results The single-session training on a treadmill with a 10% incline has significantly incre...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Sarcopenia in patients following stroke: an overlooked problem
Our aim was to investigate the prevalence of sarcopenia in stroke patients, the relationship between sarcopenia detected with different low muscle mass (LMM) adjustment methods, and between stroke-related parameters. Eighty-one patients with chronic stroke who underwent inpatient rehabilitation were included. Spasticity was evaluated by modified Ashworth scale, Brunnstrom staging approach was used for motor function evaluation, physical independence was evaluated using Barthel Index, quality-of-life was evaluated by EQ-5D-3L, and the Cumulative Illness Rating Scale was used to measure multimorbidity. Muscle strength was ev...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Toward improving the specificity of perturbation-based training through assessment of dynamic balancing responses: a series of N-of-1 studies in subacute stroke
Perturbation-based balance training (PBT) has been shown to improve reactive balancing abilities in chronic stroke. To inform future investigations in the subacute phase of stroke, the objective of this series of N-of-1 studies was to investigate the range of balancing responses to unexpected mechanical perturbations applied to the pelvis during walking on an instrumented treadmill before and after PBT training. Three subacute stroke subjects were assessed on each occasion with clinical tests and biomechanical measurements following perturbations applied in forward, backward, inward and outward directions. After 15 daily s...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Brief Research Reports Source Type: research

Sedentary time and physical activity patterns of stroke survivors during the inpatient rehabilitation week
Physical activity is recommended after stroke. However, the rehabilitation day is largely spent sedentary. Understanding patterns of physical activity across the rehabilitation week may help identify opportunities to improve participation. We aimed to examine: (1) differences between weekday and weekend sedentary time and physical activity, (2) the pattern of 24-h rehabilitation activity. Participants with stroke (n = 29) wore an activity monitor continuously during the final 7-days of inpatient rehabilitation. Linear mixed models (adjusted for waking hours) were performed with activity (sedentary, steps per day, walki...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Immediate effects of stance and swing phase training on gait in patients with stroke
To compare the effects of gait trainings targeting the stance (stance training) and the swing phases (swing training) among the subjects with stroke, and quantify the characteristics in the subjects who benefitted from either the stance training or the swing training. Sixteen subjects with stroke performed the stance training, which focused on the center of pressure to move from the heel to the forefoot, and the swing training, which focused on the improvement of hip flexion in the swing phase. To investigate the immediate effects of the stance training and the swing training, the instrumented gait analysis was performed b...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Content validity of the Brief and Comprehensive ICF Core Sets for common disabling conditions in a developing country
The International Classification of Functioning, Disability and Health (ICF) features associated tools, the Brief and Comprehensive ICF Core Sets. These are designed to be universally applicable, but have limited evidence of content validity (i.e. comprehensiveness and relevance) in low income, non-Western countries. In this cross-sectional study, we aimed to assess the content validity of the ICF Core Sets in Nepal. We interviewed 161 participants with stroke, spinal cord injury (SCI), chronic obstructive pulmonary disease (COPD), and musculoskeletal conditions and asked them to identify activities they had difficulty per...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Analysing the Action Research Arm Test (ARAT): a cautionary tale from the RATULS trial
This report describes an issue encountered when analysing the ARAT subscales in a trial of upper limb therapies after stroke. The subscales of the ARAT at three months followed a ‘U-shaped’ distribution, and therefore, comparing means or medians was not appropriate. A simple alternative approach was chosen that dichotomised the subscales. When analysing the ARAT, the shape of the distributions must be checked in order to choose the most appropriate descriptive and inferential statistical techniques. In particular, if the data follows a ‘U-shaped’ distribution, a simple dichotomising or a more sophisticated approach...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Brief Research Reports Source Type: research

Neglect syndrome in post-stroke conditions: assessment and treatment (scoping review)
There is no consensus about the definition or most effective treatment for neglect syndrome. The aim of this review was therefore to evaluate the results of trials that investigated different treatment methods for neglect syndrome. A systematic literature search in PubMed and Web of Science databases was performed to identify studies that investigated the effects of neglect therapies. Authors followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Studies were selected by two assayers, and disagreement was resolved by a third reviewer. The literature search identified 202 articles: 19 met the...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Review Articles Source Type: research

Effect of constraint-induced movement therapy on persons-reported outcomes of health status after stroke: a systematic review and meta-analysis
Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke. The aim of this review was to investigate its effect on persons-reported outcomes of health status (PROsHS) compared with conventional therapy. The study was a systematic review and meta-analysis registered in PROSPERO (CRD42019142279). Five databases PubMED, PEDro, OTSeeker, CENTRAL and Web of Science were searched. Randomized controlled trials were included if they assessed PROsHS. Mean scores of PROsHS, sample size and dose of CIMT and control groups interventions were extracted. The result was analyzed using qualit...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Review Articles Source Type: research

The optimal timing of supporting patients in health-related behavior change after TIA or ischemic stroke: a prospective cohort study to determinants of health-related intention to change over time
The optimal timing of an intervention to support health-related behavior after transient ischemic attack (TIA) or ischemic stroke is unknown. We aimed to assess determinants of patients’ health-related intention to change over time. We prospectively studied 100 patients with TIA or minor ischemic stroke. Patients completed questionnaires on fear, response-efficacy (belief that lifestyle change reduces risk of recurrent stroke), and self-efficacy (patients’ confidence to carry out lifestyle behavior) for behavior change, at baseline, 6 weeks and at 3 months after their TIA or ischemic stroke. We studied differences betw...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Montreal Cognitive Assessment and Frontal Assessment Battery test as a predictor of performance of unaffected hand function after subcortical stroke
The objective of this study was to elucidate the association between unaffected hand function and cognitive impairment and to determine whether the cognitive screening test can be a predictor of unaffected upper limb function in patients with unilateral subcortical strokes. A retrospective study of 37 patients with unilateral first-ever subcortical stroke was conducted through a review of medical records. The unaffected hand function and cognitive screening tests were measured upon admission to the neurorehabilitation unit and then 4 weeks later at discharge. The relationship between unaffected hand function and cognitive ...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

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