Query: stroke

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Source: Archives of Physical Medicine and Rehabilitation

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Total 954 results found since Jan 2013.

Minimal clinically important differences in functional independence following a knowledge translation intervention
To examine the odds of persons with stroke achieving minimal clinically important difference (MCID) in functional independence during inpatient rehabilitation relative to cognitive impairment (CI) severity, site, and rehabilitation teams' exposure to a Cognitive Orientation to daily Occupational Performance (CO-OP) knowledge translation (KT) intervention
Source: Archives of Physical Medicine and Rehabilitation - November 15, 2019 Category: Rehabilitation Authors: Elizabeth Linkewich, Lisa Avery, Jorge Rios, Sara E. McEwen Source Type: research

Home-based Upper Extremity Stroke Therapy Using a Multiuser Virtual Reality Environment: A Randomized Trial
To compare participation and subjective experience of participants in both home-based multiuser virtual reality (VR) therapy and home-based single-user (SU) VR therapy.
Source: Archives of Physical Medicine and Rehabilitation - November 9, 2019 Category: Rehabilitation Authors: Kelly O. Thielbar, Kristen M. Triandafilou, Alexander J. Barry, Ning Yuan, Arthur Nishimoto, Joelle Johnson, Mary Ellen Stoykov, Daria Tsoupikova, Derek G. Kamper Tags: Original Research Source Type: research

Home-based upper extremity stroke therapy using a multi-user virtual reality environment: a randomized trial
To compare participation and subjective experience of participants in both home-based multi-user VR therapy and home-based single-user VR therapy.
Source: Archives of Physical Medicine and Rehabilitation - November 9, 2019 Category: Rehabilitation Authors: Kelly O. Thielbar, Kristen M. Triandafilou, Alexander J. Barry, Ning Yuan, Arthur Nishimoto, Joelle Johnson, Mary Ellen Stoykov, Daria Tsoupikova, Derek G. Kamper Source Type: research

Predictors of clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy in chronic stroke
To identify the predictors of minimal clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy.
Source: Archives of Physical Medicine and Rehabilitation - September 26, 2019 Category: Rehabilitation Authors: Yi-chun Li, Wan-wen Liao, Yu-wei Hsieh, Keh-chung Lin, Chia-ling Chen Source Type: research

PATH-s: Predictive Validation of a Caregiving Preparedness Assessment Tool at 90-Days Post-Discharge from an IRF
The Preparedness Assessment for the Transition Home after Stroke (PATH-s) was developed to assess caregiver preparedness and provide actionable data for treatment planning. This is a follow-up study on the convergent and predictive validity of the PATH-s.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Michelle Camicia, Barbara Lutz, Brian Theodore Source Type: research

Contralesional White Matter Integrity May Predict Response To Upper Limb Task-Specific Training In Chronic Stroke
To investigate the neuroanatomical correlates of upper limb recovery following task-specific training.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Daniela Mattos, Xin Hong, Jerrel Rutlin, Joshua Shimony, Alexandre Carter Source Type: research

Using the ICF to Classify and Describe the Problems Care Partner Face During Inpatient Rehabilitation
To use the International Classification of Functioning (ICF) standardized linking technique to classify and describe care-partner challenges reported during a Problem Solving Training (PST) intervention  in care-partners of adults with traumatic injury or stroke during care-recipients' hospital stay.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Candice Osborne, Chung Lin (Novelle) Kew, Andrew Nabasny, Shannon Juengst Source Type: research

Active Limb Orthosis for Home Use - Stroke Gait Rehabilitation
To investigate the clinical efficacy and safety of a home use gait treatment device for the improvement of post-stroke gait impairments.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Elizabeth Lundin, Ryan Medas, Stephen Shultz, Elizabeth DuBose, David Huizenga, Kyle Reed, Lauren Rashford, Brianne Darcy Source Type: research

A Randomized, Controlled Study of Two Dosages of Dalfampridine on Walking in Stroke
To compare efficacy of dalfanpridine-extended release(DALF-ER) administered at 7.5mg or 10 mg with a placebo tablet on post-stroke ambulation.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Stephen Page Source Type: research

A Pilot Inpatient Tele-Consult Program For Vision Rehabilitation
Determine if patients with signs and symptoms of strabismus (eye misalignment) can be diagnosed and treated with press-on prism using a tele-consult process. Strabismus occurs in 20% of stroke survivors, increases risk for fall by 2.2x ’s, and can be successfully and inexpensively treated with press-on prism in a reported 64% to 80%. Unfortunately care is often delayed due to a lack of access to vision rehabilitation specialists (OD).
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Gang Luo, Matthew Keilty, Kevin Houston Source Type: research

A Network Analysis of Depressive Symptoms in Persons after Stroke
To (1) examine the network structure of post-stroke depressive symptoms, and (2) incorporate clinico-demographic characteristics (i.e., age, sex, race, self-care, sphincter, transfer, locomotion, communication, social cognition, social support, and pain) into the network to examine the extent of relationships between these characteristics and post-stroke depressive symptoms.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Eunyoung Kang, Mandy W.M. Fong, Eric Lenze, Carolyn M. Baum, Kenneth Ottenbacher, Alex Wong Source Type: research

A Latent Profile Analysis of the NIH Toolbox Motor Battery in Persons With Neurological Disorders
To identify distinct motor function profiles among persons with spinal cord injury (SCI), traumatic brain injury (TBI), and stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Rina Fox, Noelle Carlozzi, Allen Heinemann, David Tulsky, Richard Gershon Source Type: research

The Pillars of Stroke Victor Recovery: Lessons for Caregivers to Make the Big Difference
To give survivors and their caregiver partners the elements of a concrete roadmap to successful stroke recovery maximization, particularly after reimbursed therapy is terminated. A secondary objective is to elevate the importance of the caregiver partner so that they are taken more seriously in the stroke recovery process. Having visited several overseas countries it became clear that there is a need for a realistic, compassionate and tested approach to extending the stroke recovery window in America.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Robert Mandell Source Type: research

Psychometric Evaluation of the Center for Epidemiologic Studies Depression Scale (CES-D) for Patients after Stroke
To examine the psychometrics of the Center for Epidemiologic Studies Depression (CES-D) for patients after stroke using both classical test theory (CTT) and Rasch analyses.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Stephen Lau, Mandy W.M. Fong, Eric Lenze, Carolyn M. Baum, Kenneth Ottenbacher, Alex Wong Source Type: research

Lower Extremity Constraint-Induced Movement Therapy (LE-CIMT) to Improve Gait and Mobility of People with Stroke
The aims of this study were: 1) to investigate the effect of the LE-CIMT on LE use and function with people with chronic stroke; and 2) to investigate the relationship between the motor and behavioral changes with participants` and caregivers ‘ perceptions about the protocol and the effect of the intervention.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Sarah dos Anjos, David Morris, Elizabeth Barstow, Christopher Hurt, Brooks Wingo, Victor Mark, Edward Taub Source Type: research

Integrated Rehabilitation Post-Stroke: Combined Music Therapy and Occupational Therapy Group for Physical, Emotional, and Social Well-being
To test the efficacy of a collaborative approach to stroke rehabilitation, called Music Upper Limb Therapy Integrated (MULT-I), that combines music therapy and occupational therapy in a group setting to improve physical, emotional and social well-being.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Anna Palumbo Source Type: research

Inflamatory Leaching of Cerebral Tissue of Damaged Vascular Brain Regions by Monomeric C-Reactive Protein
Ourselves and others have previously shown the importance of mCRP in the induction of inflammation and in addition, the prevalence of the monomeric C-reactive protein (mCRP) form in the brains of individuals with dementia, after ischaemic stroke and following other brains vascular damage or degeneration.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Raid Al Baradie, Fuzail Ahmad Source Type: research

Improving Staff Engagement to Maximize Stroke-Specific FIM Scores in Inpatient Rehabilitation
The objective was to improve these scores for the stroke-specific population by focusing on improving staff engagement and attention to this metric.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jaime Gillespie Source Type: research

Implementation of a Shoulder Program for Post-Stroke Upper Extremity Complications in Inpatient Rehabilitation
To examine the impact of a comprehensive shoulder program post-stroke to reduce secondary shoulder complications and improve functional movement.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Priyanka Kapoor, Joanna Allbright, Librada Callender, Molly Trammell Source Type: research

Impact of Participation in Therapy 7 Days per Week in an Inpatient Rehabilitation Stroke Population
To investigate the impact of increasing participation in mobility-based therapy for an additional two days per week on length of stay in an inpatient rehabilitation facility (IRF).
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Christine Davidson, Karen Ramsay, Jose Dominguez Source Type: research

Home-Use Gait Treatment Device for Stroke Hemiparesis - A Report of Two Cases
To assess the safety and efficacy of iStrideTMdevice usage in the home environment for chronic stroke survivors with hemiparetic gait.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Brianne Darcy, Lauren Rashford, Elizabeth Lundin, Elizabeth DuBose, David Huizenga, Kyle Reed Source Type: research

Gait Pattern Analysis And Clinical Subgroup Identification: A Retrospective Observational Study
To identify basic gait features and abnormal gait patterns that are common to different neurological or musculoskeletal conditions, such as cerebral stroke, Parkinsonian disorders, radiculopathy, and musculoskeletal pain.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Dahyun Ahn, Dae Hyun Kim Source Type: research

Functional Consequences of Spontaneous Upper Extremity Motor Recovery after Stroke
To determine the functional consequences of spontaneous upper extremity motor recovery in the first 90 days after stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Kimberly Erler, Alison Cloutier, Kelly Sloane, Jessica Ranford, Kristin Parlman, Nicole Lam, Susan Fasoli, Teresa Kimberley, Seth Finklestein, Lee Schwamm, Leigh Hochberg, David Lin Source Type: research

Feasibility and Estimated Change in Post-Stroke Sedentary Behavior Attributed to ABLE
To assess feasibility (reliability, acceptability, tolerability, and safety) of ABLE through pre-established benchmarks, and to estimate change in sedentary behavior over time.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Emily Kringle, Lauren Terhorst, Grace Campbell, Bethany Barone Gibbs, Michael McCue, Elizabeth Skidmore Source Type: research

Families' Perceptions of FES as an Upper Limb Intervention for Young Children With Hemiparesis
To explore families ’ perceptions of the feasibility and outcomes of FES as an upper limb intervention for young children with hemiparesis due to a perinatal stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Kristin Musselman, Emma Swaffield, Jaynie Yang, Patricia Manns Source Type: research

Effects of Bi-Axial Ankle Strengthening on Balance and Gait Functions in Adults with Chronic Stroke
To investigate effects of the bi-axial ankle strengthening training on balance and gait functions in adults with chronic stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Hogene Kim, Ji-Eun Cho Source Type: research

Effect of Mental Imagery On Upper Extremity Function in Chronic Stroke Patients
Upper extremity rehabilitation after stroke is a big challenge to the rehabilitation professionals. Mental imagery is a cost-effective and clinically feasible intervention can be used to resolve the impairments and improve the quality of life after stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Fuzail Ahmad, Mazen Al Qahtani Source Type: research

EEG Parameter During Motor Imagery for Assessing the Functional State of Stroke Patients
Stroke is one of the most prevalent pathologies around the world, with severe effects to the motor and sensory system that hinder the daily living activities. The current physical therapy techniques have evident limitations and, in some cases, have an innocuous effect for non-cooperative or strongly impaired patients who only can receive passive movement treatments. New rehabilitation technologies are emergingto brake the current limitations, like Brain Computer Interface (BCI).
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Katrin Mayr, Marc Sebastian-Romagosa, Rupert Ortner, Josep Dinar ès-Ferran, Christoph Guger Source Type: research

Ecological Momentary Assessment of Mood Factors and Performance in Daily Activities among Stroke Survivors
To examine the temporal associations between mood-related factors and performance in daily activities among persons following stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Yejin Lee, Eric Lenze, Carolyn M. Baum, Jin-Moo Lee, Christopher Metts, Robert Fucetola, Mandy W.M. Fong, Robert Heaton, Chenyang Lu, Alex Wong, Michael Yingling, Colin Depp, Albert Lai Source Type: research

Dynamic BodyWeight Support Overground Gait Training Using Ceiling Mounted Trolley Sytem: Effects on Stroke Patient
To investigate the effect of 2 weeks of body weight support overground training using ceiling mounted, robotic trolley on gait parameters and balance confidence in subacute and chronic stroke patients and its impact on reducing the fall risk and for normalization of gait pattern.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Kathryn Brush, Kanika Govil, Laura Farrar, Kanika Govil Source Type: research

Development and Clinical Application of New Comprehensive Limb and Oral Apraxia Test in Stroke Patients
Apraxia is a common cognitive motor deficit that can occur after a stroke but there is no standardized apraxia test for Korean stroke patients. We developed and standardized the Limb and Oral Apraxia Test (LOAT) for Korean patients and investigated its reliability, validity, and clinical usefulness for stroke patients.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jun Soo Noh, Yumi Hwang, Ji-Wan Ha, Sung Bom Pyun Source Type: research

Demonstrating the Therapeutic Potential of Contralesional BCI Control for Motor Recovery in Chronic Stroke
To investigate the efficacy of a brain computer interface (BCI) system (Neurolutions IpsiHand) as a method to restore function and enhance neuroplasticity in motor impaired patients after stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Lauren Souders, Lauren Sheehan Source Type: research

Deficits of the Nonparetic Upper Limb in Chronic Stroke Survivors
This study examines the effects of stroke on strength and dexterity of the nonparetic hand in stroke survivors with chronic impairment.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Alexander Barry, Elliot Roth, Kristen Triandafilou, Naveen Bansal, Mary Ellen Stoykov, Derek Kamper Source Type: research

Pharyngeal Residue and Swallowing Treatment Recommendations After Stroke
To determine the degree of association between area of pharyngeal residue and swallow screen and ordinal pharyngeal residue rating, as well as the extent to which these measures drive therapy recommendations.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Rachel Mulheren, Marlis Gonzalez-Fernandez Source Type: research

The Effect of Animal Assisted Therapy on Participation in Rehabilitation in a Patient Post-Stroke
To investigate the effect of animal assisted therapy (AAT) on participation during occupational therapy (OT) sessions for a patient post-stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: David Levine, Chloe Cross, Jennifer Matthews, Susan McDonald, Nancy Fell Source Type: research

Subgroups on the Montreal Cognitive Assessment Differentiate Functional Gain In Inpatient Stroke Rehabilitation
To determine whether subgroups that grade cognitive severity based on the Montreal Cognitive Assessment (MoCA) are associated with functional gain during acute inpatient stroke rehabilitation.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Abhishek Jaywant, Joan Toglia, Faith Gunning, Michael O'Dell Source Type: research

Structural and Functional Connectivity Correlate With Motor Impairment in Chronic Supratentorial Stroke
To identify differences in structural and functional brain connectivity between post-stroke mild and severe motor impairment.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Dahyun Ahn, Dae Hyun Kim Source Type: research

Stroke Unit Nursing Care Process Quality Improvement Study
To determine whether nursing staff could quickly improve knowledge of important evidence based research.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: David Burke, Tracie McCargo, Gina Bell Source Type: research

Stroke Patient-Caregiver Dyads ’ Experience and Acceptance of Tele-Rehabilitation
To study the experience of tele-rehabilitation in stroke patients, their caregivers and tele-therapists, and the factors associated with tele-technology acceptance.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Shilpa Tyagi, Daniel Lim, Wilbert Ho, Yun Qing Koh, Vincent Cai, Angela Cheong, Helena Legido-Quigley, Gerald Choon-Huat Koh Source Type: research

Standing Frame to Improve Lateropulsion in a Patient Post-Stroke in Inpatient Rehabilitation: A Case Report
Despite the documented negative functional and financial implications of lateropulsion (also known as “pushing”) in the post-stroke population, little research has focused on improving this phenomenon more rapidly in a patient’s recovery.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jaime Gillespie Source Type: research

Secondary Prevention After Index-Stroke in Primary Care Setting and Associated Determinants in an Asian Setting
To describe the level of control of risk factors towards achieving secondary prevention after index-stroke over 1 year and determine associated determinants.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Vivek Bansal, Shilpa Tyagi, Eng Sing Lee, Helen Smith Source Type: research

Safety, Tolerability and Efficacy of TDCS Combined to Strength Training in Chronic Stroke Survivors
To test the safety, tolerability and efficacy of transcranial direct current stimulation (tDCS) combined with a progressive resistance training (PRT) program of the affected upper limb (aUL) in individuals in the chronic phase post-stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Louis-David Beaulieu, Andr éanne Blanchette, Catherine Mercier, Vincent Bernard-Larocque, Marie-Hélène Milot Source Type: research

Robotic Exoskeleton Gait Training After Stroke During Inpatient Rehabilitation – Retrospective Findings
To examine functional outcomes of people with stroke in response to robotic exoskeleton gait training (RGT).
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Molly Trammell, Chad Swank, Kara Patterson, Monica Bennett, Christa Ochoa, Librada Callender, Charles Ellis Source Type: research

Protracted Recovery From Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome: A Case Report
The purpose of this case report is to document a protracted course of recovery and the deficits exhibited by a person with SMART syndrome.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Cyrielle Andrew, Karen Hux Source Type: research

Promoting Well-Being in Stroke Survivors and Care-Partners Through a Dyadic Positive Psychology Intervention
Sustaining well-being in stroke patients and caregiving partners is important for optimal outcomes. However, support for couples post-stroke is largely lacking or inaccessible. We aimed to pilot test a self-administered positive psychology-based intervention for these couples. Hypothesis: Participants demonstrate improvement across outcome measures from pre- to post-intervention and maintain improvement at 3-month follow-up.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Alexandra Terrill, Jackie Einerson, Justin MacKenzie, Maija Reblin, Beth Cardell, Jennifer Majersik, Lorie Richards Source Type: research

Rehabilitation Interventions for Social Participation of Chronic Stroke: A Systematic Review and Meta-Analysis
The purpose of this study is to conduct systematic review and meta analysis of rehabilitation intervention for social participation of chronic stroke patients.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: EunJoo Kim Source Type: research

Clinical Utility of Transcranial Direct Current Stimulation (tDCS) Following Traumatic Brain Injury and Stroke
To investigate effects of transcranial direct current stimulation (tDCS) on cognitive functioning in traumatic brain injury (TBI) and stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Maggie Abraham, Natasha Poulopoulos, Eric Larson Source Type: research

Using sTMS to Evaluate Acupuncture Effect on Acute Stroke Patients: Case Series
Evaluate the effect of acupuncture by measuring the amplitude of motor evoked potential (MEPs) elicited by single Transcranial Magnetic Stimulation (sTMS) on acute stroke patients with flaccid hemiparesis before and after five days of treatment in Inpatient Rehabilitation setting.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jun Zhang, Claudia Echaide, Olga Komargodski Source Type: research

Uses and Perceptions of mHealth Services Among Post-Stroke Community-Dwelling Smartphone Users and Non-Users
To describe current uses and perceptions of mobile health (mHealth) services among post-stroke community-dwelling smartphone users and non-users.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Ryan Walsh, Carolyn M. Baum, Alex Wong Source Type: research

Upper Extremity Rehabilitation for Stroke Patients Using Fully Immersive Virtual Reality Game :a Preliminary Study
Virtual reality is classified as non-immersive, semi-immersive, and fully-immersive depending on the degree of immersion. Among these, the fully-immersive type is a system that allows the user to immerse himself or herself in a live environment using a head mounted display (HMD) and a variety of sensors capable of recognizing the motion of the user. We developed a fully-immersive rehabilitation program using a HMD, and report a preliminary study of applying it to patients with upper extremity dysfunction due to stroke.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Seung Hak Lee Source Type: research