Query: stroke

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Source: Clinical Rehabilitation

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Total 189 results found since Jan 2013.

Composite active range of motion (CXA) and relationship with active function in upper and lower limb spastic paresis.
CONCLUSION: CXA is a valid measure for functional impairments in spastic paresis. CXA improvements following abobotulinumtoxinA injection correlated with and preceded active functional improvements. PMID: 32336148 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 25, 2020 Category: Rehabilitation Authors: Bayle N, Maisonobe P, Raymond R, Balcaitiene J, Gracies JM Tags: Clin Rehabil Source Type: research

The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia-a pilot randomized controlled trial.
CONCLUSION: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes poststroke. A definitive trial with 230 participants is needed to confirm results. PMID: 31903800 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - January 4, 2020 Category: Rehabilitation Authors: Øra HP, Kirmess M, Brady MC, Partee I, Hognestad RB, Johannessen BB, Thommessen B, Becker F Tags: Clin Rehabil Source Type: research

Behavioural activation treatment for depression in individuals with neurological conditions: a systematic review.
CONCLUSION: The effectiveness of behavioural activation in randomized controlled trials varied from small to large (d = 0.24-1.7) in reducing depression. The content of behavioural activation was comparable to established treatment manuals. Adaptations appeared to support individuals to engage in therapy. REVIEW REGISTRATION: PROSPERO 2018, CRD42018102604. PMID: 31875690 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 25, 2019 Category: Rehabilitation Authors: Oates LL, Moghaddam N, Evangelou N, das Nair R Tags: Clin Rehabil Source Type: research

Improvement in overactive bladder symptoms in patients using functional electrical stimulation of the common peroneal nerve for walking.
CONCLUSION: The results of this exploratory study suggest that functional electrical stimulation use does improve overactive bladder symptoms in people with multiple sclerosis. Further exploration is needed to study this association and explore whether the mechanism is similar to that of percutaneous tibial nerve stimulation, a recognized treatment for the overactive bladder. PMID: 29909652 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Hare N, Georgopoulos P, Philips KE, Johnson JE, Seary C, Panicker JN, Stevenson VL Tags: Clin Rehabil Source Type: research

How many patients in a prolonged disorder of consciousness might need a best interests meeting about starting or continuing gastrostomy feeding?
CONCLUSION: Each year, about 5/100,000 people will enter a prolonged state of unconsciousness from acute onset and progressive brain damage; and at any one time, there may be 5/100,000 people in that state. However, the evidence is very limited in quality and quantity. The numbers may be greater. PMID: 29779405 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 1, 2018 Category: Rehabilitation Authors: Wade DT Tags: Clin Rehabil Source Type: research

Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis.
CONCLUSION: Tai Chi is effective in reducing falls incidence in Parkinson's disease and stroke. This systematic review did not find high-quality studies among other neurological disorders. PMID: 29737198 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 1, 2018 Category: Rehabilitation Authors: Winser SJ, Tsang WW, Krishnamurthy K, Kannan P Tags: Clin Rehabil Source Type: research

Factors associated with perceived participation three months after being discharged from a tertiary hospital.
CONCLUSIONS: Activities of daily living were significantly associated with perceived participation in almost all domains. In contrast, anxiety was an important factor in predicting participation in the domain of social relations. These findings suggest the need to explore different strategies of promoting participation for each domain. PMID: 28786334 [PubMed - in process]
Source: Clinical Rehabilitation - August 9, 2017 Category: Rehabilitation Authors: Chen X, He Y, Meng X, Zhou L Tags: Clin Rehabil Source Type: research

Imitation-based aphasia therapy increases narrative content: a case series.
CONCLUSIONS: Intensive imitation-based aphasia therapy may promote generalization to an unrelated narrative production task. Further investigation is indicated. PMID: 28393551 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 1, 2017 Category: Rehabilitation Authors: Duncan ES, Small SL Tags: Clin Rehabil Source Type: research

Shoulder orthoses for the prevention and reduction of hemiplegic shoulder pain and subluxation: Systematic review.
CONCLUSION: Observational studies suggest that orthoses reduce vertical subluxation whilst in-situ. Available evidence from heterogeneous studies after stroke suggests that orthoses may reduce pain and are well-tolerated with prolonged use. No studies have tested whether subluxation and pain can be prevented by immediate post-stroke application of orthoses. PMID: 27184582 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 15, 2016 Category: Rehabilitation Authors: Nadler M, Pauls M Tags: Clin Rehabil Source Type: research

Play-based interventions improve physical function for people with adult-acquired brain injury: A systematic review and meta-analysis of randomised controlled trials.
CONCLUSION: Play-based interventions for people with adult acquired brain injury are more effective in improving balance and independence, which may be due to them being more enjoyable than traditional therapy. PMID: 26869595 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 11, 2016 Category: Rehabilitation Authors: Saywell N, Taylor N, Rodgers E, Skinner L, Boocock M Tags: Clin Rehabil Source Type: research

Improving practice with integration of patient directed activity during inpatient rehabilitation.
Abstract BACKGROUND: Early initiation of rehabilitation following stroke promotes better long-term outcomes than delayed onset, emphasizing the importance of inpatient therapy. However, literature indicates that following stroke individuals in inpatient rehabilitation spend the majority of their day in their bedroom and inactive. Consequently, since amount of functional activity is posited to relate to outcomes, the current rehabilitation model needs to be challenged with innovative solutions to maximize recovery. RATIONALE: In an attempt to promote greater activity and higher doses of therapy during inpatient ...
Source: Clinical Rehabilitation - February 2, 2016 Category: Rehabilitation Authors: Trammell M, Kapoor P, Swank C, Driver S Tags: Clin Rehabil Source Type: research

Effects of whole body vibration on muscle spasticity for people with central nervous system disorders: A systematic review.
CONCLUSION: Whole-body vibration may be useful in reducing leg muscle spasticity in cerebral palsy but this needs to be verified by future high quality trials. There is insufficient evidence to support or refute the notion that whole-body vibration can reduce spasticity in stroke, spinocerebellar ataxia or multiple sclerosis. PMID: 26658333 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 11, 2015 Category: Rehabilitation Authors: Huang M, Liao LR, Pang MY Tags: Clin Rehabil Source Type: research

A comparison between the Static Balance Test and the Berg Balance Scale: Validity, reliability, and comparative resource use.
CONCLUSION: The Static Balance Test was compared with the Berg Balance Scale and turned out to be equally valid, more reliable, and takes much less time. For the moment, the scale can be recommended for the use in acute stroke care, especially for the daily routine therapy. PMID: 25802425 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 23, 2015 Category: Rehabilitation Authors: Pickenbrock HM, Diel A, Zapf A Tags: Clin Rehabil Source Type: research

Measuring negative and positive caregiving experiences: A psychometric analysis of the Caregiver Strain Index Expanded.
CONCLUSION: The addition of five positively phrased items does not improve the psychometric properties of the Caregiver Strain Index. PMID: 25652441 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 4, 2015 Category: Rehabilitation Authors: Kruithof WJ, Post MW, Visser-Meily JM Tags: Clin Rehabil Source Type: research

Utilization of motor imagery in upper limb rehabilitation: A systematic scoping review.
CONCLUSION: Many of the imagery elements reviewed are not being considered or reported on in the selected studies. How motor imagery is being delivered within and between populations is inconsistent, which may lead to difficulties in determining key elements of effectiveness. PMID: 25604911 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - January 20, 2015 Category: Rehabilitation Authors: Harris J, Hebert A Tags: Clin Rehabil Source Type: research

The effects of aquatic therapy on mobility of individuals with neurological diseases: A systematic review.
CONCLUSION: Our synthesis showed "fair" evidence supporting the use of aquatic therapy to improve dynamic balance and gait speed in adults with certain neurological conditions. PMID: 25394397 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Marinho-Buzelli AR, Bonnyman AM, Verrier MC Tags: Clin Rehabil Source Type: research

Comparison of occupation-based and impairment-based occupational therapy for subacute stroke: A randomized controlled feasibility study.
CONCLUSIONS: Results suggest that the occupation-based approach has more potential to improve "General health" and "Role emotional" scores on the Short Form-36 than the impairment-based approach. Further investigation of study protocol with interventions and recruiting is needed prior to a larger trial. PMID: 25381345 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 7, 2014 Category: Rehabilitation Authors: Tomori K, Nagayama H, Ohno K, Nagatani R, Saito Y, Takahashi K, Sawada T, Higashi T Tags: Clin Rehabil Source Type: research

The effect of a workplace intervention programme on return to work after stroke: A randomised controlled trial.
CONCLUSION: A workplace intervention consisting of workability assessments and workplace visits was effective in facilitating return to work for stroke survivors in the Gauteng province of South Africa. PMID: 25322870 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Ntsiea M, Van Aswegen H, Lord S, Olorunju S S Tags: Clin Rehabil Source Type: research

A controlled pilot trial of two commercial video games for rehabilitation of arm function after stroke.
CONCLUSION: Patients were positive to using video games in rehabilitation. A sample size of 72 patients (24 per group) would be appropriate for a full study. PMID: 25322868 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Chen MH, Huang LL, Lee CF, Hsieh CL, Lin YC, Liu H, Chen MI, Lu WS Tags: Clin Rehabil Source Type: research

The effect of whole body vibration on balance, gait performance and mobility in people with stroke: A systematic review and meta-analysis.
CONCLUSION: There was no evidence for effects of whole body vibration on balance in people with stroke. Effects of whole body vibration on mobility and gait performance remain inconclusive. More large and high-quality trials are required. PMID: 25311142 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 13, 2014 Category: Rehabilitation Authors: Yang X, Wang P, Liu C, He C, Reinhardt JD Tags: Clin Rehabil Source Type: research

Emotional vitality in caregivers: application of Rasch Measurement Theory with secondary data to development and test a new measure.
CONCLUSION: Established methods from the Rasch Measurement Theory were applied to develop a prototype measure of emotional vitality that is acceptable, reliable, and can be used to obtain an interval level score for use in future research and clinical settings. PMID: 25246610 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Barbic SP, Bartlett SJ, Mayo NE Tags: Clin Rehabil Source Type: research

The effects of modified constraint-induced movement therapy combined with trunk restraint in subacute stroke: a double-blinded randomized controlled trial.
CONCLUSIONS: These results suggest that mCIMT combined with trunk restraint is more helpful to improve upper-extremity function than mCIMT only in subacute stroke patients with moderate motor impairment. PMID: 25246609 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Bang DH, Shin WS, Choi SJ Tags: Clin Rehabil Source Type: research

A prospective study of the responsiveness of the original and the short form Berg Balance Scale in people with stroke.
CONCLUSION: The responsiveness of the BBS at the individual person level was better than that of the SFBBS in patients with stroke. The BBS is recommended as an outcome measure to better detect changes in individual patients. PMID: 25239085 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 19, 2014 Category: Rehabilitation Authors: Chen KL, Chou YT, Yu WH, Chen CT, Shih CL, Hsieh CL Tags: Clin Rehabil Source Type: research

Narrative therapy an evaluated intervention to improve stroke survivors' social and emotional adaptation.
DISCUSSION: This metaphor poses an alternative methodology in stroke rehabilitation by reconnecting the survivors' inner resources, skills, and competencies. Eventually, it could re-author the survivors' identity developed from previous life challenges and reconstruct their purpose in life. PMID: 25142279 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - August 20, 2014 Category: Rehabilitation Authors: Chow EO Tags: Clin Rehabil Source Type: research

A randomized comparison of energy consumption when using different canes, inpatients after stroke.
CONCLUSIONS: A single-point cane requires less oxygen use at a given speed, or permits greater speed for the same oxygen consumption. PMID: 25142276 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - August 20, 2014 Category: Rehabilitation Authors: Jeong YG, Jeong YJ, Kim T, Han SH, Jang SH, Kim YS, Lee KH Tags: Clin Rehabil Source Type: research

Participant and caregiver experience of the Nintendo Wii SportsTM after stroke: qualitative study of the trial of WiiTM in stroke (TWIST).
CONCLUSIONS: The Wii(TM) may provide an engaging and flexible form of rehabilitation with relatively high reported usage rates in a home setting. The Wii(TM) was acceptable to this sample of patients and their caregivers in home-based rehabilitation of the arm following stroke. PMID: 25125442 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - August 14, 2014 Category: Rehabilitation Authors: Wingham J, Adie K, Turner D, Schofield C, Pritchard C Tags: Clin Rehabil Source Type: research

Efficacy of electrical stimulation as an adjunct to repetitive task practice therapy on skilled hand performance in hemiparetic stroke patients: a randomized controlled trial.
CONCLUSION: Repetitive task practice therapy combined with electrical stimulation can improve skilled hand performance in terms of hand motor function, skills and range of motion in stroke patients. PMID: 25125441 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - August 14, 2014 Category: Rehabilitation Authors: Gharib NM, Aboumousa AM, Elowishy AA, Rezk-Allah SS, Yousef FS Tags: Clin Rehabil Source Type: research

The development and implementation of the structured training programme for caregivers of inpatients after stroke (TRACS) intervention: The London Stroke Carers Training Course.
CONCLUSION: The adapted London Stroke Carers Training Course provided a training programme that could be delivered in a standardised, structured way in a variety of stroke unit settings throughout the UK. The intervention was well received by stroke unit staff, however, the cascade method of implementation was not as effective as we would have wished. PMID: 25057000 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Forster A, Dickerson J, Melbourn A, Steadman J, Wittink M, Young J, Kalra L, Farrin A, on behalf of the TRACS trial collaboration Tags: Clin Rehabil Source Type: research

Improvement in balance using a virtual reality-based stepping exercise: a randomized controlled trial involving individuals with chronic stroke.
CONCLUSIONS: Virtual reality interventions can be an effective resource to enhance the improvement of balance in individuals with chronic stroke. PMID: 25056999 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Lloréns R, Gil-Gómez JA, Alcañiz M, Colomer C, Noé E Tags: Clin Rehabil Source Type: research

Does the speed of the treadmill influence the training effect in people learning to walk after stroke? A double-blind randomized controlled trial.
CONCLUSION: These results suggest that high-speed training is an effective method for improving the walking ability of stroke patients. PMID: 25027443 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 15, 2014 Category: Rehabilitation Authors: Lee IH Tags: Clin Rehabil Source Type: research

The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial.
CONCLUSION: We conclude that mirror therapy may be beneficial in improving the effects of stroke on gait ability. PMID: 25023068 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 14, 2014 Category: Rehabilitation Authors: Ji SG, Kim MK Tags: Clin Rehabil Source Type: research

Effects of gait training with a cane and an augmented pressure sensor for enhancement of weight bearing over the affected lower limb in patients with stroke: a randomized controlled pilot study.
CONCLUSION: Gait training using a cane with an augmented pressure sensor to enhance weight bearing over the affected lower limb is beneficial and effective in improving the peak force of cane, muscle activation, and gait in stroke patients. PMID: 25009199 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 9, 2014 Category: Rehabilitation Authors: Jung K, Kim Y, Cha Y, In TS, Hur YG, Chung Y Tags: Clin Rehabil Source Type: research

Cost analysis of the Communication and Low Mood (CALM) randomised trial of behavioural therapy for stroke patients with aphasia.
CONCLUSION: Overall the behavioural therapy was found to improve mood and resulted in some encouraging savings in resource utilisation over the six months follow-up. PMID: 24942481 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 18, 2014 Category: Rehabilitation Authors: Humphreys I, Thomas S, Phillips C, Lincoln N Tags: Clin Rehabil Source Type: research

Rehabilitation for post-stroke cognitive impairment: an overview of recommendations arising from systematic reviews of current evidence.
CONCLUSIONS: There is currently insufficient research evidence, or evidence of insufficient quality, to support clear recommendations for clinical practice. Recommendations are made as to the research required to strengthen the evidence base, and so facilitate the delivery of effective interventions to individuals with cognitive impairment after stroke. PMID: 24942480 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 18, 2014 Category: Rehabilitation Authors: Gillespie DC, Bowen A, Chung CS, Cockburn J, Knapp P, Pollock A Tags: Clin Rehabil Source Type: research

Adhesive taping vs. daily manual muscle stretching and splinting after botulinum toxin type A injection for wrist and fingers spastic overactivity in stroke patients: a randomized controlled trial.
CONCLUSIONS: Adhesive taping of wrist and finger flexor muscles appeared to enhance the effect of botulinum toxin type A therapy more than daily manual muscle stretching combined with passive articular mobilization and palmar splint. PMID: 24917588 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 10, 2014 Category: Rehabilitation Authors: Santamato A, Micello MF, Panza F, Fortunato F, Picelli A, Smania N, Logroscino G, Fiore P, Ranieri M Tags: Clin Rehabil Source Type: research

National Institute for Health and Care Excellence stroke rehabilitation guidance - is it useful, usable, and based on best evidence?
Abstract In the UK, the National Institute for Health and Care Excellence (NICE) is responsible for producing clinical guidance based on sound evidence. In 2013 they produced guidance on Stroke Rehabilitation and this editorial outlines why this is not a useful guide for clinicians or commissioners. Primarily this is because NICE used inappropriate methods; the methods used are appropriate for evaluating drugs, but are inappropriate when applied to any complex intervention. Moreover, the actual recommendations are written in clinically unhelpful language. Future rehabilitation guidance should include ensuring that...
Source: Clinical Rehabilitation - May 23, 2014 Category: Rehabilitation Authors: Drummond A, Wade DT Tags: Clin Rehabil Source Type: research

The Stroke Assessment of Fall Risk (SAFR): predictive validity in inpatient stroke rehabilitation.
CONCLUSIONS: An evidence-derived, population-specific fall risk assessment may more accurately predict fallers than a general fall risk screen for stroke rehabilitation patients. While the SAFR improves upon the accuracy of a general assessment tool, additional refinement may be warranted. PMID: 24849795 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 21, 2014 Category: Rehabilitation Authors: Breisinger TP, Skidmore ER, Niyonkuru C, Terhorst L, Campbell GB Tags: Clin Rehabil Source Type: research

What does confidence mean to people who have had a stroke? - A qualitative interview study.
CONCLUSION: This study provides a coherent definition of the meaning of confidence through the experiences of stroke survivors. Being successful in gradually re-engaging in activities, including social activities and life roles helped to establish a positive self-belief. The influence of others, such as family and friends reinforce self-beliefs. Confidence and self-efficacy appear to be a similar construct. However, participants in this study also identified a relationship between confidence and self-esteem. The findings indicate that all six themes need to be included in a confidence measure to encompass the meaning of co...
Source: Clinical Rehabilitation - May 21, 2014 Category: Rehabilitation Authors: Horne J, Lincoln NB, Preston J, Logan P Tags: Clin Rehabil Source Type: research

Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial.
Conclusion:Although additional VR training was not superior to conventional therapy alone, this study demonstrates the feasibility of VR training in early stroke. PMID: 24803644 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 6, 2014 Category: Rehabilitation Authors: Yin CW, Sien NY, Ying LA, Chung SF, Tan May Leng D Tags: Clin Rehabil Source Type: research