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Total 209 results found since Jan 2013.

The Suicidal Outpatient: Balancing Autonomy, Trust, and Responsibilities
The intersection where mental health and rehabilitation care converge can raise ethical questions involving boundaries, duties, and perhaps more importantly, our role in recovery, adjustment, and flourishing. The patient with a stroke-related depression is one prototypical example. We know that damage to specific parts of the brain can cause depressive symptomatology as well as the fact that the adjustment process during rehabilitation itself can impact well-being and a sense of self-efficacy. In this column, we explore a case of when a patient becomes severely depressed and suicidal and expresses this ideation during an o...
Source: PM and R - July 1, 2018 Category: Rehabilitation Authors: Elizabeth E. Sita, R. Brett Lloyd, Lynne C. Brady Wagner, Vu Q.C. Nguyen, Eric Swirsky, Debjani Mukherjee Tags: Ethical Legal Feature Source Type: research

Effect of Wheelchair Stroke Pattern on Upper Extremity Muscle Fatigue
Shoulder dysfunction is common in persons with spinal cord injury (SCI) with an incidence of up to 63%. Dysfunction is a result of muscle imbalances, specifically denervated rotator cuff muscles that are repetitively used during manual wheelchair propulsion.
Source: PM and R - April 5, 2018 Category: Rehabilitation Authors: Brittany Bickelhaupt, Sakiko Oyama, Jonathan Benfield, Keith Burau, Shuko Lee, Michelle Trbovich Tags: Original Research Source Type: research

Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors
Malignant brain tumors cause significant impairments in function due to nature of the disease. Patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study.
Source: PM and R - March 14, 2018 Category: Rehabilitation Authors: Samman Shahpar, Alex W.K. Wong, Susan Keeshin, Sarah Eickmeyer, Patrick Semik, Masha Kocherginsky, Stacy McCarty Source Type: research

Safety, Tolerability, and Effectiveness of Dextromethorphan/Quinidine for Pseudobulbar Affect Among Study Participants With Traumatic Brain Injury: Results From the PRISM-II Open Label Study
Dextromethorphan 20mg /quinidine 10mg (DM/Q) was approved to treat pseudobulbar affect (PBA) based upon phase 3 trials conducted in participants with amyotrophic lateral sclerosis or multiple sclerosis. PRISM II evaluated DM/Q effectiveness, safety and tolerability for PBA following stroke, dementia or traumatic brain injury (TBI). Objective. To report results from the TBI cohort of PRISM II, including a TBI-specific functional scale. Design. Open-label trial evaluating twice daily DM/Q over 90 days.
Source: PM and R - February 22, 2018 Category: Rehabilitation Authors: Flora M. Hammond, William Sauve, Fred Ledon, Charles Davis, Andrea E. Formella Source Type: research

Poster 471: SIAXI: Efficacy and Safety of IncobotulinumtoxinA for the Treatment of Sialorrhea in Parkinson ’s Disease (PD), Stroke, and Other Neurological Conditions: Results of a Phase III, Placebo-Controlled, Randomized, Double-Blind Study
Andrew Blitzer: Research Grants - Merz
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Andrew Blitzer, Andrzej Friedman, Olaf Michel, Birgit Flatau-Baqu é, János Csikós, Wolfgang Jost Tags: Category: Neurological Rehabilitation Source Type: research

Poster 470: Safety and Tolerability of Transcranial Direct Current Stimulation to Stroke Patients – A Phase I Current Escalation Study
Wuwei Feng: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Wuwei Feng, Pratik Y. Chhatbar, Steven A. Kautz, Mark George Tags: Category: Neurological Rehabilitation Source Type: research

Poster 462: Efficacy of Intrathecal Baclofen Therapy Compared to Conventional Oral Treatment in Post-Stroke Spasticity: An International Multicenter Randomized Controlled Trial (SISTERS)
Michael Creamer: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Michael J. Creamer, Geoffrey C. Cloud, Peter PK. Kossmehl, Michael R. Yochelson, Gerard E. Francisco, Anthony B. Ward, Joerg H. Wissel, Mauro Zampolini, Meghann M. Loven, Nathalie Berthuy, Abdallah Abouihia, Alessandra Calabrese, Leopold LS. Saltuari Tags: Category: Neurological Rehabilitation Source Type: research

Poster 429: Uncovering Central Post-Stroke Pain in the Setting of Diabetic Neuropathy and Lumbar Radiculopathy: A Case Report
Kevin Pelletier: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Kevin C. Pelletier Source Type: research

Poster 397: Stroke Caused by Varicella-Zoster Vasculitis: A Case Report
Mayya Gorbal: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Mayya Gorbal, Yonghoon Lee, Shayan Senthelal, Maria A. Jouvin-Castro Source Type: research

Poster 396: A Rare Case of Post-Stroke Psychosis: A Case Report
Vivek Sindhi: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Vivek Sindhi, James E. Eubanks Source Type: research

Poster 385: Claude Syndrome: An Unusual Stroke Syndrome
Kadir Carruthers: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Kadir J. Carruthers, Mary Ann Miknevich Source Type: research

Poster 382: Ischemic Stroke due to Pituitary Adenoma Occluding the Internal Carotid Artery: A Case Report
Vincent Ma: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Vincent Y. Ma, Mary Nasmyth, David N. Alexander Source Type: research

Poster 375: The Funny Looking Stroke: Cortical Laminar Necrosis: A Case Report
Mark Rouff: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Mark A. Rouff Source Type: research

Poster 368: Retroperitoneal Hematoma Causing Right Hip Pain Status Post Recombinant Tissue Plasminogen Activator (rt-PA) Administration for Acute Ischemic Stroke: A Case Report
Simon Willis: I Have No Relevant Financial Relationships To Disclose
Source: PM and R - September 1, 2017 Category: Rehabilitation Authors: Simon M. Willis, Rachna Malhotra Source Type: research

Mirror movements after stroke suggest facilitation from non primary motor cortex: a case report
We present a case of an apparently healthy 54-year-old male presenting MMs in his left (non-dominant) hand. Further evaluation revealed diminished strength and dexterity in left hand, increased spinal excitability, decreased corticospinal excitability, occurrence of ipsilateral motor responses, enlarged cortical motor representation and imaging findings consistent with a previously undiagnosed right-subcortical stroke.
Source: PM and R - October 26, 2015 Category: Rehabilitation Authors: Antonio Caronni, Luciana Sciumé, Valentina Ferpozzi, Valeria Blasi, Antonella Castellano, Andrea Falini, Laura Perucca, Gabriella Cerri Source Type: research

Mirror Movements After Stroke Suggest Facilitation From Nonprimary Motor Cortex: A Case Presentation
We present a case of an apparently healthy 54-year-old man presenting with MMs in his left (nondominant) hand. Further evaluation revealed diminished strength and dexterity in left hand, increased spinal excitability, decreased corticospinal excitability, occurrence of ipsilateral motor responses, enlarged cortical motor representation, and imaging findings consistent with a previously undiagnosed right-subcortical stroke.
Source: PM and R - October 26, 2015 Category: Rehabilitation Authors: Antonio Caronni, Luciana Sciumé, Valentina Ferpozzi, Valeria Blasi, Antonella Castellano, Andrea Falini, Laura Perucca, Gabriella Cerri Tags: Case Presentation Source Type: research

A Medication Combination for the Treatment of Central Post-Stroke Pain (CPSP) via the Adjuvant use of Prednisone with Gabapentin: A Case Report
CPSP is a neuropathic pain syndrome that can occur from pathology of the brain. The case presented is of a female with multiple comorbidities and who was found to have an acute infarct in the left middle and anterior cerebral artery territories. She began to complain of worsening diffuse right upper and lower extremity pain, and central post-stroke pain was diagnosed. First-line agents were contraindicated due to medical comorbidities, and chronic kidney disease only permitted the use of low dose gabapentin.
Source: PM and R - September 23, 2015 Category: Rehabilitation Authors: Luis Batlle, Ryan Mattie, Robert Irwin Source Type: research

Walking training and functioning among elderly individuals with stroke: results of a prospective cohort study
To determine if 65 to 85-year-old individuals 3-36 months post-stroke can improve functioning and quality of life during walking rehabilitation.
Source: PM and R - July 8, 2015 Category: Rehabilitation Authors: Auli H. Karttunen, Mauri Kallinen, Sinikka H. Peurala, Arja Häkkinen Source Type: research

Walking Training and Functioning Among Elderly Persons With Stroke: Results of a Prospective Cohort Study
To determine if 65- to 85-year-old persons who had a stroke within the previous 3-36 months can improve functioning and quality of life during walking rehabilitation.
Source: PM and R - July 8, 2015 Category: Rehabilitation Authors: Auli H. Karttunen, Mauri Kallinen, Sinikka H. Peurala, Arja Häkkinen Tags: Original Research Source Type: research

Physical Activity Level Among Stroke Patients Hospitalized in a Rehabilitation Unit
The current literature contains little information about the level of physical activity of hospitalized patients who have had a stroke. Improving knowledge in the area could help optimize rehabilitation.
Source: PM and R - June 21, 2015 Category: Rehabilitation Authors: Justine Lacroix, Jean-Christophe Daviet, Benoit Borel, Benjamin Kammoun, Jean-Yves Salle, Stéphane Mandigout Tags: Original Research Source Type: research

Physical activity level among stroke patients hospitalized in a rehabilitation unit
The current literature contains little information about the level of physical activity of hospitalized stroke patients. Improving knowledge in the area could help optimize rehabilitation.
Source: PM and R - June 21, 2015 Category: Rehabilitation Authors: J. Lacroix, J.-C. Daviet, B. Borel, B. Kammoun, J.-Y. Salle, S. Mandigout Source Type: research

Assessment of Spasticity With Sonoelastography Following Stroke: A Feasibility Study
To investigate the feasibility of sonoelastography to show muscle stiffness in post-stroke spasticity, and the relationship between sonoelastography findings and muscle architecture features and clinical spasticity scores in the spastic gastrocnemius.
Source: PM and R - May 29, 2015 Category: Rehabilitation Authors: Serdar Kesikburun, Evren Yaşar, Emre Adıgüzel, Ümüt Güzelküçük, Rıdvan Alaca, Arif Kenan Tan Source Type: research

Effects of Attentional Loadings on Gait Performance Before Turning in Stroke Survivors
Attentional loadings have significant impacts on turning performance in individuals with stroke. Improper gait modification before turning may contribute to falls after stroke. Therefore, examination of the changes in temporal-spatial gait parameters before turning may reveal important deficits in gait control when stroke survivors are challenged by dual-tasking.
Source: PM and R - May 12, 2015 Category: Rehabilitation Authors: Haidzir Manaf, Maria Justine, Hui-Ting Goh Tags: Original Research Source Type: research

Effects of Attentional Loadings on Gait Performance prior to Turning in Stroke Survivors
Attentional loadings have significant impacts on turning performance in individuals with stroke. Improper gait modification prior to turning may contribute to falls after stroke. Therefore, examination of the changes in temporal-spatial gait parameters prior to turning may reveal important deficits in gait control when stroke survivors are challenged by dual-tasking.
Source: PM and R - May 12, 2015 Category: Rehabilitation Authors: Haidzir Manaf, Maria Justine, Hui-Ting Goh Source Type: research

Prevention of Genu Recurvatum in Post Stroke Patients Using a Hinged Soft Knee Orthosis
To evaluate the effect of a hinged soft knee orthosis on the gait pattern and symmetry of chronic post-stroke patients with knee hyperextension.
Source: PM and R - April 14, 2015 Category: Rehabilitation Authors: Sigal Portnoy, Asaf Frechtel, Eitan Raveh, Isabella Schwartz Source Type: research

Strategy Training During Inpatient Rehabilitation May Prevent Apathy Symptoms After Acute Stroke
Apathy, or lack of motivation for goal-directed activities, contributes to reduced engagement in and benefit from rehabilitation, impeding recovery from stroke.
Source: PM and R - February 7, 2015 Category: Rehabilitation Authors: Elizabeth R. Skidmore, Ellen M. Whyte, Meryl A. Butters, Lauren Terhorst, Charles F. Reynolds Tags: Original Research Source Type: research

Development and Validation of Prognostic Indices for Recovery of Physical Functioning Following Stroke: Part 2
To develop a prognostic index for achievement of modified independence (Functional Independence Measure grade VI) following completion of either comprehensive or consultative rehabilitation after stroke.
Source: PM and R - January 26, 2015 Category: Rehabilitation Authors: Barbara E. Bates, Dawei Xie, Pui L. Kwong, Jibby E. Kurichi, Diane Cowper Ripley, Claire Davenport, W. Bruce Vogel, Margaret G. Stineman Source Type: research

Development and Validation of Prognostic Indices for Recovery of Physical Functioning Following Stroke: Part 1
To develop a prognostic index using Functional Independence Measure grades and stages, enabling clinicians to determine the likelihood of achieving a level of minimum assistance with physical functioning following stroke. Grades define varying levels of physical function and stages define varying levels of cognitive functioning.
Source: PM and R - January 26, 2015 Category: Rehabilitation Authors: Barbara E. Bates, Dawei Xie, Pui L. Kwong, Jibby E. Kurichi, Diane Cowper Ripley, Claire Davenport, W. Bruce Vogel, Margaret G. Stineman Source Type: research

Use of the Berg Balance Scale to predict independent gait after stroke: A study of an inpatient population in Japan
To examine whether the Berg Balance Scale (BBS) on admission and changes in it after one month predict the Functional Independence Measure (FIM) walking level 6 or 7 (modified independent and independent gait respectively) after 3 months and to determine the optimal BBS cut-off score for predicting independent gait among inpatients with first stroke in a rehabilitation facility.
Source: PM and R - January 26, 2015 Category: Rehabilitation Authors: Hyuma Makizako, Norihito Kabe, Asami Takano, Kanako Isobe Source Type: research

Development and Validation of Prognostic Indices for Recovery of Physical Functioning Following Stroke: Part 1
To develop a prognostic index using Functional Independence Measure grades and stages that would enable clinicians to determine the likelihood of achieving a level of minimum assistance with physical functioning after a stroke. Grades define varying levels of physical function, and stages define varying levels of cognitive functioning.
Source: PM and R - January 26, 2015 Category: Rehabilitation Authors: Barbara E. Bates, Dawei Xie, Pui L. Kwong, Jibby E. Kurichi, Diane Cowper Ripley, Claire Davenport, W. Bruce Vogel, Margaret G. Stineman Tags: Original Research Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia
Despite the availability of multiple, comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to the best practice. Our previous study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared with a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is administered routinely in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Tags: Original Research Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Despite the availability of multiple comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to best practice. Our prior study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared to a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is routinely administered in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Source Type: research

Managing upper extremity clonus with intramuscular botulinum toxin-A injections in a patient post-stroke
Spasticity and clonus are common clinical signs of upper motor neuron lesions post-stroke. Intramuscular botulinum toxin-A injections have been shown to reduce spasticity and improve quality of life. Upper extremity clonus can have a significant impact upon activities of daily living and can pose challenges to comfort, self-care, hygiene, and appearance. Although less common than in ankle, it is important to understand how upper extremity clonus management may be beneficial to patients presenting with this finding.
Source: PM and R - October 31, 2014 Category: Rehabilitation Authors: Adam Kassam, Chetan P. Phadke, Farooq Ismail, Chris Boulias Source Type: research

Evaluating the use of Siebens-Domain-Management-Model during inpatient-rehabilitation to increase functional independence and discharge rate to home in stroke patients
Evaluating the use of Siebens-Domain-Management-Model (SDMM) during stroke inpatient rehabilitation (IR) to increase functional independence and discharge to home.
Source: PM and R - October 31, 2014 Category: Rehabilitation Authors: David S. Kushner, Kenneth M. Peters, Doug Johnson-Greene Source Type: research

Evaluating Use of the Siebens Domain Management Model During Inpatient Rehabilitation to Increase Functional Independence and Discharge Rate to Home in Stroke Patients
To evaluate use of the Siebens Domain Management Model (SDMM) during stroke inpatient rehabilitation (IR) to increase functional independence and rate of discharge to home.
Source: PM and R - October 31, 2014 Category: Rehabilitation Authors: David S. Kushner, Kenneth M. Peters, Doug Johnson-Greene Tags: Original Research Source Type: research

Post-Stroke Spasticity: Predictors of Early Development and Considerations for Therapeutic Intervention
The complexities of post-stroke spasticity (PSS), and the resultant difficulties in treating the disability, present a significant challenge to patients, stroke rehabilitation teams, and caregivers. Reducing the severity of spasticity and its long-term complications may be facilitated by early intervention, making identification of stroke patients at high risk for developing spasticity essential. Factors that predict which patients are at risk for the development of PSS are identified.
Source: PM and R - August 26, 2014 Category: Rehabilitation Authors: Jörg Wissel, Molly Verrier, David M. Simpson, David Charles, Pia Guinto, Spyros Papapetropoulos, Katharina S. Sunnerhagen Source Type: research

Using an Ankle-Foot Orthosis improves Aerobic Capacity in Subacute Hemiparetic Stroke Patients
To investigate aerobic capacity with and without an ankle-foot orthosis (AFO) in subacute hemiparetic stroke patients.
Source: PM and R - August 15, 2014 Category: Rehabilitation Authors: Chul Woong Hyun, Bo Ryun Kim, Eun Young Han, Sun Mi Kim Source Type: research

Use of an Ankle-Foot Orthosis Improves Aerobic Capacity in Subacute Hemiparetic Stroke Patients
To investigate aerobic capacity with and without an ankle-foot orthosis (AFO) in subacute hemiparetic stroke patients.
Source: PM and R - August 15, 2014 Category: Rehabilitation Authors: Chul Woong Hyun, Bo Ryun Kim, Eun Young Han, Sun Mi Kim Tags: Original Research Source Type: research

Using an Ankle-Foot Orthosis improves Aerobic Capacity in Subacute Hemiparetic Stroke Patients
To investigate aerobic capacity with and without an ankle-foot orthosis (AFO) in subacute hemiparetic stroke patients.
Source: PM and R - August 15, 2014 Category: Rehabilitation Authors: Chul Woong Hyun, Bo Ryun Kim, Eun Young Han, Sun Mi Kim Source Type: research

Balance and Stability–Focused Exercise Program Improves Stability and Balance in Patients After Acute Stroke in a Resource-poor Setting
To compare the effect of a balance and stability–focused outpatient community-based rehabilitation and a regular physiotherapy program on balance, stability, and perceptions of improvement after acute stroke.
Source: PM and R - June 26, 2014 Category: Rehabilitation Authors: Threethambal Puckree, Pooveshni Naidoo Tags: Original Research Source Type: research

Therapeutic Synergism in the Treatment of Post-stroke Arm Paresis Utilizing Botulinum Toxin, Robotic Therapy, and Constraint-induced Movement Therapy
Botulinum toxin type A (BtxA) injection, constraint-induced movement therapy (CIMT), and robotic therapy (RT) each represent promising approaches to enhance arm motor recovery after stroke. To provide more effective treatment for a 50-year-old man with severe left spastic hemiparesis, we attempted to facilitate CIMT with adaptive approaches to extend the wrist and fingers using RT for 10 consecutive weeks after BtxA injection. This combined treatment resulted in substantial improvements in arm function and the amount of arm use in activities of daily living, and may be effective for stroke patients with severe arm paresis.
Source: PM and R - May 28, 2014 Category: Rehabilitation Authors: Takashi Takebayashi, Satoru Amano, Keisuke Hanada, Atsushi Umeji, Kayoko Takahashi, Tetsuo Koyama, Kazuhisa Domen Tags: Case Presentation Source Type: research

Gait Disturbances in Patients With Stroke
Poststroke hemiplegic gait is a mixture of deviations and compensatory motion dictated by residual functions, and thus each patient must be examined and his/her unique gait pattern identified and documented. Quantitative 3-dimensional gait analysis is the best way to understand the complex multifactorial gait dysfunction in hemiparetic patients. The goals of the present work are to (1) review the temporospatial, kinematic, kinetic, and electromyographic deviations from normal gait that commonly occur after stroke and are of clinical significance, along with the most likely causes of these deviations, and (2) differentiate ...
Source: PM and R - January 21, 2014 Category: Rehabilitation Authors: Birol Balaban, Fatih Tok Tags: Narrative Review Source Type: research

Is Motor-Imagery Brain-Computer Interface Feasible in Stroke Rehabilitation?
In the past 3 decades, interest has increased in brain-computer interface (BCI) technology as a tool for assisting, augmenting, and rehabilitating sensorimotor functions in clinical populations. Initially designed as an assistive device for partial or total body impairments, BCI systems have since been explored as a possible adjuvant therapy in the rehabilitation of patients who have had a stroke. In particular, BCI systems incorporating a robotic manipulanda to passively manipulate affected limbs have been studied.
Source: PM and R - January 14, 2014 Category: Rehabilitation Authors: Wei-Peng Teo, Effie Chew Source Type: research

Severity of Spatial Neglect During Acute Inpatient Rehabilitation Predicts Community Mobility After Stroke
To examine whether stroke survivors with more severe spatial neglect during their acute inpatient rehabilitation had poorer mobility after returning to their communities.
Source: PM and R - January 13, 2014 Category: Rehabilitation Authors: Mooyeon Oh-Park, Cynthia Hung, Peii Chen, A.M. Barrett Source Type: research

One-Year All-Cause Mortality After Stroke: A Prediction Model
Conclusion: When using readily available data, a simple index that stratifies stroke patients at hospital discharge according to low, moderate, high, and highest likelihood of all-cause 1-year mortality is feasible and can inform the postdischarge planning process, depending on level of risk.
Source: PM and R - November 11, 2013 Category: Rehabilitation Authors: Barbara E. Bates, Dawei Xie, Pui L. Kwong, Jibby E. Kurichi, Diane Cowper Ripley, Margaret G. Stineman Tags: Original Research Source Type: research