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Source: Archives of Physical Medicine and Rehabilitation

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Total 1508 results found since Jan 2013.

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
Abstract: Objective: To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.Design: A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Setting: Referral medical center.Participants: Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Interventions: Not applicable.Main Outcome Measure: Stroke-related mortality.Results: During the median foll...
Source: Archives of Physical Medicine and Rehabilitation - September 9, 2013 Category: Rehabilitation Authors: Gwo-Chi Hu, Chia-Yu Hsu, Hui-Kung Yu, Jiann-Perng Chen, Yu-Ju Chang, Kuo-Liong Chien Tags: Original Articles Source Type: research

Activity Limitations Experienced by People With Stroke Who Receive Inpatient Rehabilitation: Differences Between 2001, 2005, and 2011
Abstract: Objective: To determine whether there were differences in characteristics and activity limitations relevant to physiotherapists among people receiving inpatient rehabilitation after stroke in 2001, 2005, and 2011.Design: A multicenter observational study of 3 periods.Setting: Inpatient rehabilitation units (N=15).Participants: Adult stroke survivors (N=738) admitted over 3 periods (2001, 2005, 2011).Interventions: Not applicable.Main Outcome Measures: Characteristics, hospital metrics, and Motor Assessment Scale (MAS) scores were recorded on admission and discharge.Results: All 3 cohorts were similar in terms of...
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2013 Category: Rehabilitation Authors: Suzanne S. Kuys, Paul G. Bew, Mary R. Lynch, Sandra G. Brauer Tags: Original Articles Source Type: research

Race/Ethnic and Stroke Subtype Differences in Post-Stroke Functional Recovery Following Acute Rehabilitation
Significant racial/ethnic disparities in post-stroke function exist, but whether these disparities vary by stroke subtype is unknown. Study goals were to 1) determine if racial/ethnic disparities in the recovery of post-stroke function varied by stroke subtype and 2) identify confounding factors associated with these racial/ethnic disparities.
Source: Archives of Physical Medicine and Rehabilitation - March 5, 2021 Category: Rehabilitation Authors: Kent P. Simmonds, Zhehui Luo, Mathew Reeves Source Type: research

Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline
People with aphasia have been systematically excluded from stroke research or included without the necessary modifications, threatening external study validity. In this paper, we propose that 1) the inclusion of people with aphasia should be considered as standard in stroke research irrespective of discipline and that 2) modifications should be made to stroke research procedures to support people with aphasia to achieve meaningful and valid inclusion. We argue that outright exclusion of this heterogenous population from stroke research based purely on a diagnosis of aphasia is rarely required and present a rationale for de...
Source: Archives of Physical Medicine and Rehabilitation - July 26, 2022 Category: Rehabilitation Authors: Ciara Shiggins, Brooke Ryan, Robyn O'Halloran, Emma Power, Julie Bernhardt, Richard. I. Lindley, Gordon McGurk, Graeme. J. Hankey, Miranda. L. Rose Source Type: research

The moderating role of motivation in the real-time associations of fatigue, cognitive complaints, and pain with depressed mood among stroke survivors: An ecological momentary assessment study
This study aimed to (1) investigate the real-time associations of fatigue, cognitive complaints, and pain with depressed mood and (2) examine the role of motivation for daily activity participation as a potential moderator of these associations in stroke survivors.
Source: Archives of Physical Medicine and Rehabilitation - December 16, 2022 Category: Rehabilitation Authors: Stephen C.L. Lau, Lisa Tabor Connor, Elizabeth R. Skidmore, Allison A. King, Jin-Moo Lee, Carolyn M. Baum Source Type: research

Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke.Design: A double-blinded randomized controlled trial.Setting: A university hospital.Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups.Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23...
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Hsin-Wen Hsu, Chia-Ling Lee, Miao-Ju Hsu, Hung-Chia Wu, Roxane Lin, Ching-Lin Hsieh, Jau-Hong Lin Tags: Original Articles Source Type: research

Effects of Mobilization and Tactile Stimulation on Chronic Upper-Limb Sensorimotor Dysfunction After Stroke
Conclusions: MTS appears to improve UL motor impairment and functional activity many months, even years, after stroke onset. Improvement can be immediate, but more often there is latency between the start of intervention and improvement; recovery can be distal to proximal.
Source: Archives of Physical Medicine and Rehabilitation - November 30, 2012 Category: Rehabilitation Authors: Jacqueline M. Winter, Peter Crome, Julius Sim, Susan M. Hunter Tags: Original Articles Source Type: research

Size Doesn't Matter: Cortical Stroke Lesion Volume Is Not Associated With Upper Extremity Motor Impairment and Function in Mild, Chronic Hemiparesis
Conclusions: Data suggest no relationship between lesion volume and UE impairment, and a small, clinically insignificant relationship between lesion volume and UE motor function. Stroke causes metabolic changes in intact regions and diffuse structural loss in anatomically remote regions from the infarction. These other factors may account for variance in motor outcomes after stroke.
Source: Archives of Physical Medicine and Rehabilitation - January 21, 2013 Category: Rehabilitation Authors: Stephen J. Page, Lynne V. Gauthier, Susan White Tags: Featured Articles Source Type: research

Role of Aphasia in Discharge Location After Stroke
Conclusions: Cases with deficits in auditory comprehension, reading comprehension, and oral spelling to dictation had increased odds of being discharged to settings other than home. Early evaluation of these language deficits and prompt treatment may allow patients who would otherwise be discharged to an institution to go home. Further research is needed to design and evaluate individualized treatment protocols and their effect on discharge recommendations.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2012 Category: Rehabilitation Authors: Marlís González-Fernández, Asare B. Christian, Cameron Davis, Argye E. Hillis Tags: Original Articles Source Type: research

Effects of Mirror Therapy on Motor and Sensory Recovery in Chronic Stroke: A Randomized Controlled Trial
Conclusions: The application of MT after stroke might result in beneficial effects on movement performance, motor control, and temperature sense, but may not translate into daily functions in the population with chronic stroke.
Source: Archives of Physical Medicine and Rehabilitation - February 18, 2013 Category: Rehabilitation Authors: Ching-Yi Wu, Pai-Chuan Huang, Yu-Ting Chen, Keh-Chung Lin, Hsiu-Wen Yang Tags: Featured Articles Source Type: research

Reducing Robotic Guidance During Robot-Assisted Gait Training Improves Gait Function: A Case Report on a Stroke Survivor
Conclusions: The findings from this case study suggest that cooperative control robotic training is superior to conventional robotic training and is a feasible option to restoring locomotor function in ambulatory stroke survivors with severe motor impairments. A larger trial is needed to verify the efficacy of this advanced robotic control strategy in facilitating gait recovery after stroke.
Source: Archives of Physical Medicine and Rehabilitation - November 19, 2012 Category: Rehabilitation Authors: Chandramouli Krishnan, Despina Kotsapouikis, Yasin Y. Dhaher, William Z. Rymer Tags: Brief Reports Source Type: research

Effects of an Ankle-Foot Orthosis on Balance and Walking After Stroke: A Systematic Review and Pooled Meta-Analysis
Conclusions: An AFO can improve walking and balance after stroke, but only the immediate effects have been examined. The effects and acceptability of long-term usage need to be evaluated.
Source: Archives of Physical Medicine and Rehabilitation - February 14, 2013 Category: Rehabilitation Authors: Sarah F. Tyson, Ruth M. Kent Tags: Review Articles (Meta-Analyses) Source Type: research

Rehabilitation Outcomes of Stroke Patients With and Without Diabetes
Conclusions: This study provides additional evidence that diabetes as a comorbidity is significantly related to stroke rehabilitation outcome, but the relation is moderated by patient age.
Source: Archives of Physical Medicine and Rehabilitation - May 1, 2013 Category: Rehabilitation Authors: Bridgett Piernik-Yoder, Norma Ketchum Tags: Original Articles Source Type: research