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Study of the effects of a 5-day brain stimulation with Paired Associative Stimulation (PAS) against placebo in 28 hemiplegic patients
Discussion The initial level of cortical excitability seems to play a key role of repeated sessions of PAS on the lasting effects on brain plasticity. Our results confirm the importance of the initial level of neuronal activation in the cortical modulation induced by TMS.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Study of motor and electrophysiological effects induced by the association of motor imagery exercises and Paired Associative Stimulation in 6 hemiplegic patients
Conclusion The session PAS alone seems to induce motor improvement associated with increased cortical excitability not shown after the other two sessions. The combination of two types of stimuli seems to have less effect, perhaps because of the mechanisms regulating the homeostasis of brain plasticity. The results have to be confirmed on a larger sample.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Submental sensitive transcutaneous electrical stimulation reverses virtual lesion of the oropharyngeal cortex
Discussion SSTES is effective on cortical plasticity for the mylohyoid muscles and reverses pharyngeal cortical inhibition in healthy subjects. It could therefore be a simple non-invasive way to treat post-stroke dysphagia.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Is motor imagery really a window for studying stroke recovery at subacute stage?
Conclusion Caution must be taken to use motor imagery as a tool for monitoring stroke recovery because subacute stroke patients exhibit motor imagery deficits, independently of the severity of motor impairment.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Partners of the speech therapist in management of swallowing disorders; establishment of an interdisciplinary project
Publication date: September 2015 Source:Annals of Physical and Rehabilitation Medicine, Volume 58, Supplement 1 Author(s): J. Legrand, M. Pascal, A. Chauvy, L. Wallart, B. Pollez, V. Hamon, D. Brière During the first three months after a stroke, healthcare teams are confronted to feeding problems such as swallowing disorders. Many studies have revealed that 91% of patients suffer from lating swallowing reflex (AHCPR, 1999; Veis and Logemann, 1985). Assessment and management are available in the acute care but are unknown later and in consequence not applied during the rehabilitation. However, the continuity of ca...
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Language screening test in the acute phase of post-stroke aphasia associated with clinical outcome
Discussion These results underline the importance of tests in the acute phase of stroke, both in terms of the prediction of recovery, better than severity in the acute phase, and the clinical evolution of aphasia.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Quantification of learned non-use of the upper limb after a stroke
Discussion/conclusion This quantification of LNUUL can be used to objectively pinpoint patients who have maladaptive trunk compensation and need specific trunk rehabilitation. It can be also used for monitoring the rehabilitation progress. This quantification of LNUUL may guide upper limb rehabilitation towards more optimal motor recovery avoiding maladaptive trunk compensation and its consequences on neuroplasticity. Considering LNUU could advance both theoretical and practical knowledge about the recovery of arm use after a CVA.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Feasibility of self-rehabilitation program for upper limb after stroke in Benin
Discussion/conclusion Self-rehabilitation program are feasible and are inexpensive as they do not involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing countries, where the rehabilitation cost is usually supporting by patients.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Degree of muscle shortening in chronic hemiparesis in patients not treated with guided self-rehabilitation contracts (GSC)
Conclusion Shoulder extensors, plantar flexors and gluteus maximus in patients untreated with self-stretching postures have undergone major muscle shortening in chronic hemiparesis. A future study could assess the effectiveness of stretching postures taught and applied from the early phase of stroke on shortening of these muscles.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

MRI ameliorates the prediction of further clinical evolution even months after ischemic stroke
Publication date: September 2015 Source:Annals of Physical and Rehabilitation Medicine, Volume 58, Supplement 1 Author(s): V. Quintaine, H. Chabriat, E. Jouvent, A. Yelnik Background Late recovery after a first ischemic stroke is highly variable and its predictors are unknown. The present study aims at determining whether MRI data obtained one to four months after a first ischemic stroke help to predict clinical evolution up to 2 years. Methods Patients included in the PERFORM MRI study, an ancillary study of the PERFORM randomized control trial of terutroban against aspirin in secondary prevention of vascular ische...
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

How to predict requirement for rehabilitation following stroke: An analysis of the Rhône-Alpes inpatient database
Discussion Predicting and characterizing the requirement for rehabilitation center following acute stroke can help to optimize the orientation in the care pathway for better efficiency.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Healthcare circuits and functional outcomes 3 and 12 months after a stroke in a population-based cohort of 929 patients
In this study, carried out with an exhaustive population within a region and a one-year follow-up with few missing data, the results show a morbi-mortality after stroke higher than the one reported in previous studies. The results also confirm the better prognosis of IS.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Prevalence of self-reported stroke and disability in the French adult population: A transversal study
Discussion These results thus demonstrate a high national prevalence of stroke. Older people are highly dependent, irrespective of stroke history and the relative risk of dependence in young subjects with a history of stroke is high compared with those without.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Recuperation of daily activities and quality of life after stroke: The EAVQ-QdV scale
Discussion A single questionnaire exploring different cognitive domains, and comparing patients’ and caregivers’ assessments, with the evaluation of the emotional impact of patients’ and caregivers’ difficulties may permit to obtain a better estimation of residual handicap in stroke patients.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Resumption to work after cerebrovascular accident in Cotonou
Discussion and conclusion Occupational reintegration of patients after stroke is complex and requires the collaboration of several participants such as physiotherapist, social worker, employer, company doctor, family, with the patient in the center.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

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