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Transcranial direct current stimulation in post-stroke aphasia rehabilitation: a systematic review
ConclusionEvidence from published peer reviewed literature is effective for post stroke aphasia rehabilitation at the chronic stages. tDCS devices are easy to use, safe and inexpensive. They can be used in routine clinical practice by speech therapists for aphasia rehabilitation. However, further studies should investigate the effectiveness in the sub-acute post-stroke phase and determine the effect of the lesion for precisely identifying the targeted brain areas. We discuss crucial challenges for future studies.
Source: Annals of Physical and Rehabilitation Medicine - January 18, 2019 Category: Rehabilitation Source Type: research

Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: systematic review with meta-analysis
Conclusion. This meta-analysis revealed very low-quality evidence that static stretching with positioning orthoses reduces wrist flexion spasticity after stroke as compared with no therapy. Furthermore, we found low-quality evidence that static stretching by simple positioning is not better than conventional physiotherapy for preventing loss of mobility in the shoulder and wrist. Considering the limited number of studies devoted to this issue in post-stroke survivors, further randomized clinical trials are still needed.Clinical Trial Registration. PROSPERO (CRD42017078784)
Source: Annals of Physical and Rehabilitation Medicine - December 22, 2018 Category: Rehabilitation Source Type: research

Does acupuncture help patients with spasticity? A narrative review
Publication date: Available online 5 November 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Yi Zhu, Yujie Yang, Jianan LiAbstractSpasticity is a motor disorder encountered after upper motor neuron lesions. It adversely affects quality of life in most patients and causes long-term burden of care and has significant financial implications. The effect of conventional therapies for spasticity including physical therapy, surgery, and pharmacotherapy are not always satisfying because of the short-term effects or side effects in some patients. Acupuncture is a part of traditional medicine originating from C...
Source: Annals of Physical and Rehabilitation Medicine - November 6, 2018 Category: Rehabilitation Source Type: research

Orthopaedic surgery for patients with central nervous system lesions: concepts and techniques
Publication date: Available online 2 October 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): F Genêt, P Denormandie, MA KeenanAbstractSince ancient times, the aim of orthopedic surgery has been to correct limb and joint deformities, including those resulting from central nervous system lesions. Recent developments in the treatment of spasticity have led to changes in concepts and management strategies. The increase in life expectancy has increased the functional needs of patients. Orthopedic surgery, along with treatments for spasticity, improves the functional capacity of patients with neuro-orthopae...
Source: Annals of Physical and Rehabilitation Medicine - October 5, 2018 Category: Rehabilitation Source Type: research

Association of spasticity and motor dysfunction in chronic stroke
ConclusionsThe prevalence of increased tone was higher in this study than in previous reports. Increased muscle tone in chronic stroke survivors with persistent motor dysfunction could be associated with impaired motor control and differential muscle strength of antagonistic muscles.
Source: Annals of Physical and Rehabilitation Medicine - August 15, 2018 Category: Rehabilitation Source Type: research

Association of abnormal muscle tone and motor dysfunction in chronic stroke
ConclusionsThe prevalence of increased tone was higher in this study than in previous reports. Increased muscle tone in chronic stroke survivors with persistent motor dysfunction could be associated with impaired motor control and differential muscle strength of antagonistic muscles.
Source: Annals of Physical and Rehabilitation Medicine - August 10, 2018 Category: Rehabilitation Source Type: research

Patients’ outcome expectations and their fulfilment in multidisciplinary stroke rehabilitation
ConclusionsIn half of the stroke patients in multidisciplinary rehabilitation, expectations were fulfilled or exceeded, most likely in patients with low expectations at admission and with improved health-related quality of life. More research into the role of health professionals regarding the measurement, shaping and management of outcome expectations is needed.
Source: Annals of Physical and Rehabilitation Medicine - July 25, 2018 Category: Rehabilitation Source Type: research

Early rehabilitation after stroke: strong recommendations but no achievement in the French Acute Healthcare Facilities
Publication date: Available online 19 July 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Alexis Schnitzler
Source: Annals of Physical and Rehabilitation Medicine - July 20, 2018 Category: Rehabilitation Source Type: research

Effect of visuospatial neglect on spatial navigation and heading after stroke
ConclusionThe ipsilesional bias arising from VSN influences the modulation of heading in response to obstacles and, along with the adoption of the “riskier” strategies, contribute to the higher number colliders and poor goal-directed walking abilities in stroke survivors with VSN. Future research should focus on developing assessment and training tools for complex locomotor tasks such as obstacle avoidance in this population.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Assessment of sexual function in women with neurological disorders: A review
ConclusionDespite high prevalence rates and important clinical implications, sexual dysfunction is not systematically assessed in women presenting various neurological conditions. Several well-validated tools exist for such assessments, which could be used for sexual rehabilitation in these patients. The implementation of systematic assessments of sexual potential is feasible and renewed efforts should be made to do so in clinical practice.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials
ConclusionsThe current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review
ConclusionDespite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Does botulinum toxin treatment improve upper limb active function?
ConclusionBT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment s...
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study
Publication date: Available online 12 May 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Wanalee Klomjai, Benchaporn Aneksan, Anuchai Pheungphrarattanatrai, Thanwarat Chantanachai, Nattha Choowong, Soontaree Bunleukhet, Paradee Auvichayapat, Yongchai Nilanon, Vimonwan HiengkaewAbstractAnodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes wer...
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

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