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Give music therapy a chance in post-stroke rehabilitation
Publication date: Available online 10 February 2018 Source:Annals of Physical and Rehabilitation Medicine Author(s): Marie Orantin, Alain Yelnik, Marylène Jousse, Maryse Guillemette, Anna Bernard, Leila Tlili, Victorine Quintaine
Source: Annals of Physical and Rehabilitation Medicine - February 10, 2018 Category: Rehabilitation Source Type: research

Influence of non-contextual auditory stimuli on navigation in a virtual reality context involving executive functions among patients after stroke
Conclusions These non-contextual auditory stimuli could be used in neurorehabilitation paradigms to train patients with dysexecutive disorders to inhibit disruptive stimuli.
Source: Annals of Physical and Rehabilitation Medicine - February 1, 2018 Category: Rehabilitation Source Type: research

Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review
Conclusion Despite 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 - January 6, 2018 Category: Rehabilitation Source Type: research

Five-day course of paired associative stimulation fails to improve motor function in stroke patients
Conclusion We failed to induce a lasting effect with PAS in the present study. PAS does not seem to be the main method for post-stroke brain stimulation. Perhaps recruitment of patients could be more selective, possibly targeting those with a wide altered ipsilesional corticomotor pathway.
Source: Annals of Physical and Rehabilitation Medicine - December 21, 2017 Category: Rehabilitation Source Type: research

Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence?
Publication date: Available online 16 October 2017 Source:Annals of Physical and Rehabilitation Medicine Author(s): Luis G Aguirre, Diego Urrunaga-Pastor, Maria Lazo-Porras, Alvaro Taype-Rondan
Source: Annals of Physical and Rehabilitation Medicine - October 24, 2017 Category: Rehabilitation Source Type: research

Non-pharmacological interventions for spasticity in adults: an overview of systematic reviews
Conclusions Despite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.
Source: Annals of Physical and Rehabilitation Medicine - October 24, 2017 Category: Rehabilitation Source Type: research

Changes in hemodynamic responses during movements of the upper extremities in the acute phase after stroke: A fNIRS study
This study aimed to assess the time course of both hemodynamic patterns of cortical motor areas using functional near infrared spectroscopy (fNIRS) and functional recovery during the first months after stroke. Unaffected upper limb movements-related contralateral motor areas activity showed no significant changes. Material/patients and methods Eight right-handed first ischemic/hemorrhagic stroke patients (60±8 yrs, 3 female and 5 men) with mild to severe hemiparesis were examined with fNIRS measurements and functional motor recovery (Fugl-Meyer score) tests every two weeks during two months (five sessions). We investigate...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Reliability of the rating of perceived exertion (Borg Scale) in post-stroke during 2 tasks of daily life
The objective was to evaluate the reliability of RPE by the BORG scale (6–20) on a task of displacement and climbing/descending stairs in a population of stroke survivors. Material/patients and methods All subjects with a history of stroke followed in the PMR department of the Limoges University Hospital were recruited. Subjects with cognitive impairments not permitting the use of the Borg scale were excluded. Participants were required to perform a 6-minute of displacement (6MD) at their self-comfort speed, with their usual mode of ambulation, and for the subjects in capacity, a climb and descent of a staircase. The tot...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Effect of isokinetic hip flexors strength training on walking in persons with subacute stroke: Feasibility study
Discussion – conclusion These early results seem to indicate a beneficial effect of isokinetic hip flexors strengthening protocol in subacute stroke gait rehabilitation. Those results must be confirmed in further studies.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Impairment from key lower limb antagonists vs. ambulation speed in chronic hemiparesis
Discussion – conclusion After stroke, ambulation speed is correlated with active range of motion against triceps surae, quadriceps and gluteus maximus rather than corresponding passive ranges of motion or spasticity levels. These results may encourage therapists to primarily aim for improvement of individual active ranges of motion against key lower limb antagonists to enhance ambulation in chronic hemiparesis.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Postural and gait disorders in subacute stroke patients: Lateropulsion is the key
Discussion – conclusion Lateropulsion, which is a sign of biased representation of the vertical, is a primary cause of postural and gait disorders at the subacute phase after right hemisphere stroke, explaining almost 80% of balance and gait disabilities. A greater attention should be focused on the assessment and the rehabilitation of the post-stroke lateropulsion.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

The long-lasting effects of repetitive neck muscle vibrations on postural disturbances in standing position in chronic patients
The objective of this preliminary study is to test the long-lasting effects of repetitive neck muscle vibration (rNMV) on postural disturbances and on spatial frame reference in chronic patients. Material/patients and methods Twenty chronic stroke patients (mean age 61.4y±11, mean delay since stroke 5.5y±3), 10 right (RDB) and 10 left (LDB) brain damage, having gained the capacity to stand for more than 30s were included. They underwent 10 vibrations of 10min sessions during two weeks – the evaluation of postural asymmetry on force platform (weight body asymmetry [WBA]), spatial frames (subjective straight ahead [SSA]...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Validation of a French version of the upper limb Erasmus Modified Nottingham Sensory Assessment with stereognosis (EmNSA-S) component in patients with stroke
The objective was to develop a French version of the Erasmus modified Nottingham Sensory Assessment with stereognosis component (EmNSA-S) for evaluation of the UL among adults with stroke. Material/patients and methods It was a monocentric prospective observational cross-sectional design study. The study consisted of two phases including (i) instrument translation, and (ii) validation phase with establishment of the concurrent criterion-related validity, internal consistency, intra and inter-rater reliability and minimal detectable change with 95% confidence interval (MDC95). French version of the EmNSA-S for UL was develo...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Between and within-day reliability of spatiotemporal gait parameters following stroke: Why measurement at maximal gait speed is required?
The objective of the study was to explore the relevance of gait assessment at maximal gait speed (MGS) rather than spontaneous gait speed (SGS) for post-stroke subjects through (1) the study of between and within-day reliability data of spatiotemporal gait parameters at SGS and MGS; and (2) a comparison of the direct measurement of velocity at MGS versus its estimate. It was also designed to (3) highlight the importance of considering the distribution of the random error to use an adequate expression of the measurement error (MErr). Material/patients and methods Spatiotemporal gait parameters – velocity, walk ratio, spa...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

BYMTOX: An observational study to consider the association of botulinum toxin and self-management program by serious game for post-stroke patients at the chronic phase
Discussion – conclusion Despite encouraging outcomes, high rate of withdrawal makes us wonder about program's relevance, regarding intensity and patients’ profile. Concerning patients who left the program, initial mobility was 47% lower than for those who finished the study. As 4 patients in booklet group and 6 in serious game group have finished and regarding results, it may do not question the interest of this new medium. Obviously, further studies must be conduct.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

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