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Source: Archives of Physical Medicine and Rehabilitation

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Total 1508 results found since Jan 2013.

Stroke Survivors' Self-Reported Participation in Meeting Strengthening Guidelines
This study reports stroke survivors ’ strengthening activity engagement by race, age, gender, education, as well as covariates including body mass index (BMI), arthritis, and serious difficulty walking or climbing stairs (WCS).
Source: Archives of Physical Medicine and Rehabilitation - September 28, 2021 Category: Rehabilitation Authors: Nancy Fell, David Levine, Alexis Hellerstedt, Graceanne Meystrik, Bishoy Wilson Tags: Research Poster 1709887 Source Type: research

Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries s Discharged Home following a Stroke: Findings from the COMPASS Trial
Objectives: To examine the effect of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.Design: Cluster randomized pragmatic trialSetting: 41 acute care hospitals in North Carolina.Participants: 2,262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home.
Source: Archives of Physical Medicine and Rehabilitation - November 2, 2021 Category: Rehabilitation Authors: Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones, COMPASS team Source Type: research

Reducing the number of test items of the Action Research Arm Test post stroke: A decision tree analysis
Objective – The present study aimed to create a shorter version of the Action Research Arm Test (ARAT) without compromising its measurement properties.Design – Secondary analysis of stroke recovery cohorts that used the ARAT to measure upper-limb impairment.Setting – Rehabilitation centers.Participants – Patients with stroke from five different stroke recovery cohorts.Interventions – Not applicable.Main Outcome Measures – A decision tree version of the ARAT (ARAT-DT) was developed using Chi-squared Automated Interaction Detection (CHAID).
Source: Archives of Physical Medicine and Rehabilitation - January 5, 2022 Category: Rehabilitation Authors: V.J. Zonjee, R.W. Selles, L.D. Roorda, R.H. Nijland, M.J.W. van der Oest, H.J. Bosomworth, F. van Wijck, C.G.M. Meskers, S.M. van Schaik, R.M. Van den Berg-Vos, G. Kwakkel Source Type: research

Effects of the robot-assisted gait training device plus physiotherapy in improving ambulatory functions in subacute stroke patients with hemiplegia: An assessor-blinded, randomized controlled trial
Stroke is a major health problem worldwide1 and a major cause of death in people over 60 years old in many countries.2, 3 Hemiplegia is one of the disabilities resulting from stroke.4 Patients with hemiplegia usually have difficulties in maintaining their ambulatory function and daily activities.5, 6 Restoring ambulatory function is one of the main objectives in stroke rehabilitation.
Source: Archives of Physical Medicine and Rehabilitation - February 6, 2022 Category: Rehabilitation Authors: Natapatchakrid Thimabut, Pattarapol Yotnuengnit, Jittima Charoenlimprasert, Thipwimon Sillapachai, Satoshi Hirano, Eiichi Saitoh, Krisna Piravej Tags: Original Research Source Type: research

Stroke Recovery During the COVID-19 Pandemic: A Position Paper on Recommendations for Rehabilitation
Healthcare delivery shifted and adapted with the coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome (SARS) coronavirus 2 (CoV-2). Stroke care was negatively impacted across the care continuum and may lead to poor community living outcomes in those who survived a stroke during the ongoing pandemic. For instance, delays in seeking care, changes in length of stays, and shifts in discharge patterns were observed during the pandemic. Those seeking care were younger and had more severe neurological effects from stroke.
Source: Archives of Physical Medicine and Rehabilitation - May 5, 2022 Category: Rehabilitation Authors: Suzanne Perea Burns, Talya K. Fleming, Sam S. Webb, Alice Kam, Jaimee D.P. Fielder, Grace J. Kim, Xiaolei Hu, Mary Thelander Hill, Emily Kringle Source Type: research

Letter to the Editor on "The Effectiveness of the Proprioceptive Neuromuscular Facilitation Method on Gait Parameters in Patients with Stroke: A Systematic Review ”
We read with interest the article by Gunning et al ( “The Effectiveness of the Proprioceptive Neuromuscular Facilitation (PNF) Method on Gait Parameters in Patients With Stroke: A Systematic Review”)1 and were moved to comment on the authors’ conclusions. The abstract of this article stated, “Current research suggests that PNF is an effective treatment for the improvement of gait parameters in patients with stroke.” Publication of such a statement led us to review the articles cited. We do not concur that these articles provide sufficient evidence that PNF is an effective treatment for improving gait parameters i...
Source: Archives of Physical Medicine and Rehabilitation - July 18, 2022 Category: Rehabilitation Authors: The Moving Forward Taskforce of the Academy of Neurologic Physical Therapy:, Herb Karpatkin, Heather Hayes, Lauren Snowdon, Parminder K. Padgett, Laura Doyle, Jennifer Lotter, Ryan Knight, Hallie Zeleznik, T. George Hornby Tags: LETTER TO THE EDITOR Source Type: research

Increasing Hand Opening in Chronic Hemiparetic Stroke Using Nerve Blocks
We investigated the best-case efficacy of emerging nerve block technologies in improving hand opening in individuals with stroke. Upper limb disability in chronic stroke stems from significant flexor bias and weakness of extensors, with hand opening particularly compromised in moderate to severely impaired individuals with stroke. A complete motor block of the ulnar and median nerves may improve volitional hand opening and/or hand opening with assistive Functional Electrical Stimulation (FES).
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Hendrik Dewald, Jun Yao, Antoun Nader, Julius Dewald, Robert Kirsch Tags: Research Poster 2184350 Source Type: research

Role of Inpatient Rehabilitation Facility Quality Measures to Predict Community Discharge After Stroke
Main objective: Examine the association between National Institutes of Health Stroke Scale (NIHSS) scores measured during the acute care stay and inpatient rehabilitation facility (IRF) admission functional status, measured by the IRF-Patient Assessment Instrument (IRF-PAI) self-care and mobility quality measures, to deduce if quality measures can serve as a proxy for stroke severity. The self-care and mobility quality measures are indicators of physical function.Secondary objective: Investigate the predictive power of the NIHSS and IRF-PAI admission physical function quality measures to predict community discharge from IRF after stroke.
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Elizabeth Mangone, Eahsan Shahriary, Pamela Bosch Tags: Research Poster 2184386 Source Type: research

An equation with clinical applicability and adequate validity to predict the maximum oxygen consumption of individuals post-stroke
Individuals post-stroke have impaired cardiorespiratory fitness.1 The cardiorespiratory fitness (maximum oxygen consumption, VO2max, ml.kg −1.ml−1) provides information about the ability of the cardiovascular and respiratory systems to supply oxygen-rich blood.2,3 Moreover, it provides information about the neuromusculoskeletal system to use this oxygen during an activity performed for a long time.2,3 Low levels of cardiorespirator y fitness of individuals post-stroke are associated with an increased risk of cardiovascular diseases (including recurrent stroke) and limitations to perform activities.
Source: Archives of Physical Medicine and Rehabilitation - December 6, 2022 Category: Rehabilitation Authors: Paula da Cruz Peniche, Larissa Tavares Aguiar, Maria Teresa Ferreira dos Reis, Christina Danielli Coelho de Morais Faria Tags: Original Articles Source Type: research

Vagus Nerve Stimulation Paired With Upper-Limb Rehabilitation After Stroke: 2- and 3-Year Follow-up From the Pilot Study
More than 50% of people post-stroke have significant limitations in their ability to carry out day-to-day functional activities long term and are unable to effectively incorporate their impaired hand and arm during everyday tasks.1,2 The disabling effects typically persist for many years after the initial stroke.3,4 People with stroke often compensate by using the less impaired limb for daily activities, which may precipitate learned non-use and result in further deterioration of arm and hand function.
Source: Archives of Physical Medicine and Rehabilitation - March 29, 2023 Category: Rehabilitation Authors: Gerard E. Francisco, Navzer D. Engineer, Jesse Dawson, Teresa J. Kimberley, Steven C. Cramer, Cec ília N. Prudente, David Pierce, W. Brent Tarver, Reema H. Adham Hinds, Ann Van de Winckel, Nuray Yozbatiran Tags: ORIGINAL RESEARCH Source Type: research

Cardiorespiratory fitness in individuals post-stroke: reference values and determinants
In the general population, cardiorespiratory fitness is the best predictor of all-cause mortality1,2 and it has been linked to a decreased chance of cardiovascular disease and a higher quality of life3. Post stroke, a higher cardiorespiratory fitness has been linked to better walking ability4, higher physical activity levels5, and decreased stroke recurrence6. Improving cardiorespiratory fitness through training is possible post stroke7,8 and an increase in cardiorespiratory fitness post stroke has been linked to improved functioning9.
Source: Archives of Physical Medicine and Rehabilitation - May 9, 2023 Category: Rehabilitation Authors: Ilse J. Blokland, Floor P. Groot, Nadine H.G. Logt, Prof. Dr. Coen A.M. Bennekom, Dr. Jos J. de Koning, Prof. Dr. Jaap H. van Dieen, Prof. Dr. Han Houdijk Tags: Original Research Source Type: research

Non-invasive brain stimulation techniques for the improvement of upper limb motor function and performance in activities of daily living after stroke: a systematic review and network meta-analysis.
Upper limb motor impairment is one of the most common sequelae of stroke1-3. Approximately 80% of stroke survivors have upper limb motor impairment4, 5 and only 20-30% of these survivors achieve functional recovery6, while 50-60% still have persistent impaired upper limb function six months later 7. Since the efficacy of standard physical rehabilitative approaches is limited8, novel and possibly more effective alternative treatment methods to improve upper limb functionality after stroke, with positive impact on activities of daily living (ADLs), is a research priority for both stroke survivors and caregivers7-9.
Source: Archives of Physical Medicine and Rehabilitation - May 26, 2023 Category: Rehabilitation Authors: Ishtiaq Ahmed, Rustem Mustafoglu, Simone Rossi, Fatih A. Cavdar, Seth Kwame Agyenkwa, Marco Y.C. Pang, Sofia Straudi Tags: Review Article (Meta-Analysis Source Type: research

Inclusion of people with aphasia in stroke trials: a systematic search and review
Although people with aphasia (PwA) represent 30% of stroke survivors, they are frequently excluded from stroke research, or their inclusion is unclear. Such practice significantly limits the generalisability of stroke research, increases the need to duplicate research in aphasia-specific populations, and raises important ethical and human rights issues.
Source: Archives of Physical Medicine and Rehabilitation - June 30, 2023 Category: Rehabilitation Authors: Ciara Shiggins, Brooke Ryan, Farhana Dewan, Julie Bernhardt, Robyn O'Halloran, Emma Power, Richard I. Lindley, Gordon McGurk, Miranda L. Rose Tags: Review Article Source Type: research

Effect of High- and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Visuospatial Neglect in Patients With Acute Stroke: A Double-Blind, Sham-Controlled Trial
This study was a prospective, double-blind, sham-controlled trial. Data are presented from 27 patients (15 men, 12 women; mean age, 67.0y) randomly assigned to receive 10 sessions of low-frequency (1Hz) rTMS over the nonlesioned PPC, high-frequency (10Hz) rTMS over the lesioned PPC, or sham stimulation.Setting: National university hospital.Participants: Patients (N=27) diagnosed with visuospatial neglect after stroke.Intervention: Ten sessions of rTMS over a 2-week period.Main Outcome Measures: The severity of visuospatial neglect was assessed pre- and posttreatment using the Motor-Free Visual Perception Test, line bisecti...
Source: Archives of Physical Medicine and Rehabilitation - January 7, 2013 Category: Rehabilitation Authors: Bo Ryun Kim, Min Ho Chun, Dae-Yul Kim, Sook Joung Lee Tags: Featured Articles Source Type: research

Patients' Views on the Impact of Stroke on Their Roles and Self: A Thematic Synthesis of Qualitative Studies
Conclusions: The thematic synthesis provides new insights into the poststroke experience. Regaining or developing a new self and roles was problematic. Interventions targeted at self-management should be focused on the recognition of this problem and included in rehabilitation, to facilitate adjustment and continuity as far as possible in life poststroke.
Source: Archives of Physical Medicine and Rehabilitation - January 21, 2013 Category: Rehabilitation Authors: Ton Satink, Edith H. Cup, Irene Ilott, Judith Prins, Bert J. de Swart, Maria W. Nijhuis-van der Sanden Tags: Review Articles (Meta-Analyses) Source Type: research