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Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials
ConclusionsThe current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: systematic review with meta-analysis
Conclusion. This meta-analysis revealed very low-quality evidence that static stretching with positioning orthoses reduces wrist flexion spasticity after stroke as compared with no therapy. Furthermore, we found low-quality evidence that static stretching by simple positioning is not better than conventional physiotherapy for preventing loss of mobility in the shoulder and wrist. Considering the limited number of studies devoted to this issue in post-stroke survivors, further randomized clinical trials are still needed.Clinical Trial Registration. PROSPERO (CRD42017078784)
Source: Annals of Physical and Rehabilitation Medicine - December 22, 2018 Category: Rehabilitation Source Type: research

Botuloscope: 1-year follow-up of upper-limb post-stroke spasticity treated with botulinum toxin
Conclusion. This is the first long-term follow-up of BoNT-A treatment for upper-limb spasticity involving a large cohort independent of industry. Quality of life was improved by treating upper-limb spasticity with BoNT-A, even at 5 years post-stroke. Personalizing objectives of the treatment amplified its efficacy. BoNT-A was a powerful analgesic when pain was spasticity-related. Treating the spastic upper limb also improved balance and gait abilities.
Source: Annals of Physical and Rehabilitation Medicine - June 22, 2019 Category: Rehabilitation Source Type: research

Botuloscope: 1-year follow-up of upper limb post-stroke spasticity treated with botulinum toxin
ConclusionThis is the first long-term follow-up of BoNT-A treatment for upper limb spasticity involving a large cohort independent of industry. Quality of life was improved by treating upper limb spasticity with BoNT-A, even at 5 years post-stroke. Personalizing objectives of the treatment amplified its efficacy. BoNT-A was a powerful analgesic when pain was spasticity-related. Treating the spastic upper limb also improved balance and gait abilities.
Source: Annals of Physical and Rehabilitation Medicine - June 25, 2019 Category: Rehabilitation Source Type: research

Innovative technologies applied to sensorimotor rehabilitation after stroke
Publication date: Available online 26 August 2014 Source:Annals of Physical and Rehabilitation Medicine Author(s): I. Laffont , K. Bakhti , F. Coroian , L. van Dokkum , D. Mottet , N. Schweighofer , J. Froger Innovative technologies for sensorimotor rehabilitation after stroke have dramatically increased these past 20 years. Based on a review of the literature on “Medline” and “Web of Science” between 1990 and 2013, we offer an overview of available tools and their current level of validation. Neuromuscular electric stimulation and/or functional electric stimulation are widely used and highly suspected of being ...
Source: Annals of Physical and Rehabilitation Medicine - October 12, 2014 Category: Rehabilitation Source Type: research

Post-stroke hemiplegia rehabilitation: Evolution of the concepts
The objective of this review of the literature was to select key works in this field to better understand current therapeutic possibilities.
Source: Annals of Physical and Rehabilitation Medicine - October 12, 2014 Category: Rehabilitation Source Type: research

Quantification of learned non-use of the upper limb after a stroke
Discussion/conclusion This quantification of LNUUL can be used to objectively pinpoint patients who have maladaptive trunk compensation and need specific trunk rehabilitation. It can be also used for monitoring the rehabilitation progress. This quantification of LNUUL may guide upper limb rehabilitation towards more optimal motor recovery avoiding maladaptive trunk compensation and its consequences on neuroplasticity. Considering LNUU could advance both theoretical and practical knowledge about the recovery of arm use after a CVA.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Beyond stroke: Impact of the lesion side on the recovery of between-hands coordination
Discussion Because the RHD patients were less prematurely coordinated again during bimanual movements than the LHD patients, they may benefit differently from a bimanual rehabilitation, and especially from the simultaneous involvement of the ipsilesional UL. It becomes necessary to investigate to what extent this difference due to lesion side may be integrated into the design of rehabilitation protocols.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Muscle strengthening for hemiparesis after stroke: A meta-analysis
Conclusion Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength.
Source: Annals of Physical and Rehabilitation Medicine - March 9, 2016 Category: Rehabilitation Source Type: research

Recommendations for clinical practice after neonatal arterial ischemic stroke: Clinical monitoring and early rehabilitation intervention
Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Carole Vuillerot, Mickael Dinomais, Stephane Marret, Stephane Chabrier, Thierry Debillon Opinion/Feedback Neonatal arterial ischemic stroke (NAIS) affects one child in 6–17 100,000-birth term neonates, most of these children will keep long-term motor and cognitive impairment. In 2014, initiated by the French Center for Pediatric Stroke in association with the French Society of Neonatology, a steering committee was created to propose clinical guidelines after NAIS. From all the relevant questions, the ...
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Motor system after neonatal arterial ischemic stroke: MRI studies
Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Mickaël Dinomais Opinion/Feedback Long-term motor performances after unilateral neonatal stroke are variable. The presence of motor deficits may be related to structural characteristic (size and location) of the infarct site but also in brain area remote from this injury (cerebellum and thalamus). Analyzing in functional MRI and structural MRI the relationship between long-term motor performance and motor system after neonatal stroke could provide cerebral target for therapy.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Voiding dysfunction and cerebellum stroke in a child: Case report
We present a case of voiding symptoms after an isolated hemorrhagic cerebellum stroke of the right cerebellum hemisphere and the vermis in a 15 year-old boy with no medical history. The aim of this case is to show existence of a link between cerebellum and micturition. Observations Following the stroke, the patient described dysuria, confirmed by uroflowmetry, with significants post-voiding residuals. Cystometry showed no detrusor contraction and urethral profilometry showed an increase in sphincter tone. Discussion/conclusion The role of the cerebellum in the storage and control of the voiding phases was suggested in lite...
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

BYMTOX: An observational study to consider the association of botulinum toxin and self-management program by serious game for post-stroke patients at the chronic phase
Discussion – conclusion Despite encouraging outcomes, high rate of withdrawal makes us wonder about program's relevance, regarding intensity and patients’ profile. Concerning patients who left the program, initial mobility was 47% lower than for those who finished the study. As 4 patients in booklet group and 6 in serious game group have finished and regarding results, it may do not question the interest of this new medium. Obviously, further studies must be conduct.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Role of the continuous infusion test with an external pump for intrathecal baclofen in post-stroke spastic ambulatory patients
Discussion – conclusion Our pilot study showed that the continuous infusion test might be useful in order to evaluate the effect of different ITB doses in walking ability, helping the prediction of the appropriate candidates for ITB implantation.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Therapeutic patient education and post-stroke cognitive-behavioral disorders: Inputs for patients, caregivers and professionals in rehabilitation units
Discussion – conclusion Participation and satisfaction rates for patients and caregivers show that TEP has met their expectations. A clear positioning is defined for the caregiver, target of TEP on CBD. Measured burden is low, but Zarit scale may reduce the objective component of burden. Awareness of CBD and decrease in anosognosia may explain the lack of improvement in the quality of life measured by EuroQol. TEP approach has changed professionals practice through their positioning in the patient-professional and caregiver-professional relationship and their collaboration between professionals. Our ultimate goal is to w...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

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