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Implanted Peroneal Nerve Stimulator Treatment for Drop Foot Caused by Central Nervous System Lesion: A Twelve-Month Follow-Up of 21 Patients
CONCLUSION: Stimulation of the peroneal nerve by an implantable stimulator increases self-perceived performance, satisfaction with performance, and ambulation in patients with long-lasting drop foot caused by a central nervous system lesion.PMID:35451494 | DOI:10.2340/jrm.v54.2164
Source: Journal of Rehabilitation Medicine - April 22, 2022 Category: Rehabilitation Authors: Kaare Severinsen Kurt Grey Anne Haase Juhl Preben Soerensen Lorenz Oppel Ib Magnussen Birgit Tine Larsen Source Type: research

Gait parameters assessed with inertial measurement unit during 6-minute walk test in people after stroke
Gait impairments are among the main issues for stroke survivors as they are often linked with a lack of endurance capacity, balance impairments and functional limitations. These conditions can be carefully assessed by combining an endurance capacity test, the 6-minute walk test (6MWT), with the analysis of gait performed by an inertial measurement unit (IMU). We investigated the evolution of gait spatiotemporal and kinematic parameters during the 6MWT and compared it with age-matched healthy subjects. Moreover, gait parameters and 6MWT distance were associated with clinical outcome scales. In a postacute rehabilitation gen...
Source: International Journal of Rehabilitation Research - November 8, 2021 Category: Rehabilitation Tags: Original articles Source Type: research

Comparing Attention Process Training and Activity-based Attention Training after acquired brain injury. A randomized controlled study
CONCLUSION: No significant differences were found favouring APT over ABAT for process skills (AWP). There were no discernible differences in global measures of activity between the 2 approaches: both groups improved significantly, as indicated by ES. The results of this study highlight the complexities of influencing behaviour on the level of body functions while measuring effects on activity.PMID:34554264 | DOI:10.2340/16501977-2875
Source: Journal of Rehabilitation Medicine - September 23, 2021 Category: Rehabilitation Authors: Kristina Sarg énius Landahl Kristian Borg Marie-Louise Schults Aniko Bartfai Source Type: research

Factors Associated With Non-enrollment of Center-Based Cardiovascular Rehabilitation Program Among Transient Ischemic Attack or Mild Stroke Patients: A MIXED-METHOD RETROSPECTIVE STUDY
Conclusions: This study found that patients with TIA or mild stroke who were older, lived farther from the CRP center, or were current smokers were less likely to enroll in a CRP. The present findings may help clinicians identify patients unlikely to enroll in a CRP and allow the implementation of interventions focused on health education and physical activity to improve enrollment. Future research should validate these factors in multiple settings using prospective mixed methods so that interventions can be developed to address non-enrollment in the CRP.
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2021 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

International consensus recommendations for outcome measurement in poststroke arm rehabilitation trials.
CONCLUSIONS: The SMART Toolbox provides a refined selection of measures that capture outcomes considered important by stakeholders for each ICF domain. CLINICAL REHABILITATION IMPACT: The toolbox will facilitate data aggregation for efficacy analyses thereby strengthening evidence to inform clinical practice. Clinicians can also use the toolbox to guide selection of measures ensuring a patient-centred focus. PMID: 33215905 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - November 20, 2020 Category: Rehabilitation Authors: Duncan Millar J, van Wijck F, Pollock A, Ali M Tags: Eur J Phys Rehabil Med Source Type: research

Factors Associated With Non-enrollment of Center-Based Cardiovascular Rehabilitation Program Among Transient Ischemic Attack or Mild Stroke Patients: A MIXED-METHOD RETROSPECTIVE STUDY.
CONCLUSIONS: This study found that patients with TIA or mild stroke who were older, lived farther from the CRP center, or were current smokers were less likely to enroll in a CRP. The present findings may help clinicians identify patients unlikely to enroll in a CRP and allow the implementation of interventions focused on health education and physical activity to improve enrollment. Future research should validate these factors in multiple settings using prospective mixed methods so that interventions can be developed to address non-enrollment in the CRP. PMID: 33186198 [PubMed - as supplied by publisher]
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Meng G, Qazi H, Chen H Tags: J Cardiopulm Rehabil Prev Source Type: research

Early Botulinum Toxin Injections for Spasticity Management Post-stroke: A Delphi-based Canadian Consensus
To create a Canadian consensus statement on early intervention with botulinum toxin-A (BoNTA) injections for spasticity post-stroke. Spasticity is commonly seen in the early weeks post-stroke; if left untreated in this early period, spasticity can lead to contractures and further disability. Literature review indicates that there are very few studies examining the benefits of early BoNTA intervention on spasticity and function post-stroke. Although physicians choose to inject BoNTA in the early period post-stroke to manage spasticity, it is not clear what some of the clinical parameters are that can be used to assist in de...
Source: Archives of Physical Medicine and Rehabilitation - November 23, 2019 Category: Rehabilitation Authors: Farooq Ismail, Chris Boulias, Chetan Phadke, Jehane Dagher, Karen Ethans, Omar Khan, Galit Kleiner, Rodney Li Pi Shan, Nathania Liem, Alto Lo, Stephen McNeil, Patricia Mills, Marc Petitclerc, Rajiv Reebye, Will Ryan, Amra Saric, Lalith Satkunam, Saty Shar Tags: Late breaking research poster Source Type: research

Publish or Perish: Research Productivity During Residency Training in Physical Medicine and Rehabilitation
Research training equips residents with the skills to consume and produce research evidence and deliver evidence-based care. Within Physical Medicine and Rehabilitation, studies have historically demonstrated low rates of resident research productivity. Although Canadian residency requirements mandate research participation, little is known about Canadian residents’ research productivity. Using standard systematic review search strategies, we evaluated the rate and type of peer-reviewed publications produced by resident physicians during postgraduate medical training for a historic cohort of Physical Medicine and Rehabil...
Source: American Journal of Physical Medicine and Rehabilitation - November 15, 2019 Category: Rehabilitation Tags: Education & Administration Source Type: research

End-user and clinician perspectives on the viability of wearable functional electrical stimulation garments after stroke and spinal cord injury.
Conclusions: The insights obtained from end-users and clinicians provide guidelines to optimize the development of novel FES-garments, and strategies for bringing the device to the market. The themes identified can serve to inform other rehabilitation and assistive technology developers with processes and ideas on how to meet these groups' needs. IMPLICATIONS FOR REHABILITATION Participants with neurological paralysis have interest and critical views on new rehabilitation and assistive technology, and the repercussions of using new technologies to address their function, health and wellbeing. The FES-garment design present...
Source: Disability and Rehabilitation. Assistive Technology. - October 7, 2019 Category: Rehabilitation Authors: Moineau B, Myers M, Ali SS, Popovic MR, Hitzig SL Tags: Disabil Rehabil Assist Technol Source Type: research

Stroke self-management and the role of self-efficacy.
Conclusions: Engagement in a stroke-specific self-management program can improve client-perceived occupational performance and satisfaction. Self-efficacy was shown to be a mediating variable to occupational performance improvements. Future research should explore further the facilitatory strategies of self-efficacy during stroke self-management programs to maximize rehabilitation outcomes. Implications for rehabilitation Multi-modal self-management programs are recommended as effective for improving client-perceived occupational performance of people who have experienced stroke. Returning to valued occupations, goal setti...
Source: Disability and Rehabilitation - September 26, 2019 Category: Rehabilitation Authors: Nott M, Wiseman L, Seymour T, Pike S, Cuming T, Wall G Tags: Disabil Rehabil Source Type: research

Cognitive oriented strategy training augmented rehabilitation (COSTAR) for ischemic stroke: a pilot exploratory randomized controlled study.
Conclusion: Negligible findings may be attributed to an inadvertent treatment group equivalency. Further, the research design did not allow for adequate measurement of the effect of each intervention on participants' ability to generalize learned skills. Implications for rehabilitation Stroke rehabilitation is largely based upon the principles of task-specific training, which is associated with improvements in upper extremity motor performance; however, TST requires a heavy dosage and lacks generalization to untrained activities. Cognitive strategy use has been associated with improved generalization of treatment to untrai...
Source: Disability and Rehabilitation - May 31, 2019 Category: Rehabilitation Authors: Wolf TJ, Doherty M, Boone A, Rios J, Polatajko H, Baum C, McEwen S Tags: Disabil Rehabil Source Type: research

Clinical provision of compensatory visual training after neurological injury: example of a multisite outpatient program.
Conclusions: Our data suggest that visual retraining is feasible in this clinical outpatient setting. Implications for rehabilitation This program of visual retraining was provided to individuals with visual impairment (e.g., hemianopia) and visual perceptual impairment (e.g., unilateral spatial neglect) as a result of neurological injury. In this outpatient program, visual rehabilitation was feasible and appeared to improve outcomes among a heterogeneous clinical population. Fundamental characteristics of visual compensatory training at this program included repetitive practice of adaptive scanning behaviors across multip...
Source: Disability and Rehabilitation - May 22, 2019 Category: Rehabilitation Authors: Metzler MJ, Maiani M, Jamieson B, Dukelow SP Tags: Disabil Rehabil Source Type: research

The implications of the Canadian Stroke Best Practice Recommendations for design and allocation of rehabilitation after hospital discharge: a problematization.
CONCLUSION: An alternate vision of post-discharge rehabilitation could help resolve this tension. Post-discharge rehabilitation could be envisioned as a self-management intervention. Rather than primarily an expert-driven process of measuring impairment and applying procedures aimed at normalization, rehabilitation would be considered facilitation of self-management with the goal of reengaging in forms of participation that comprise a satisfying life. Implications for Rehabilitation Implicit assumptions within best practice guidelines powerfully influence recommendations. These ideas are difficult to examine because they s...
Source: Disability and Rehabilitation - April 10, 2019 Category: Rehabilitation Authors: Egan MY, Laliberté-Rudman D, Rutkowski N, Lanoix M, Meyer M, McEwen S, Collver M, Linkewich E, Montgomery P, Quant S, Donnelly B, Fearn J Tags: Disabil Rehabil Source Type: research

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