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Recommendations for clinical practice after neonatal arterial ischemic stroke: Clinical monitoring and early rehabilitation intervention
Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Carole Vuillerot, Mickael Dinomais, Stephane Marret, Stephane Chabrier, Thierry Debillon Opinion/Feedback Neonatal arterial ischemic stroke (NAIS) affects one child in 6–17 100,000-birth term neonates, most of these children will keep long-term motor and cognitive impairment. In 2014, initiated by the French Center for Pediatric Stroke in association with the French Society of Neonatology, a steering committee was created to propose clinical guidelines after NAIS. From all the relevant questions, the ...
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Motor system after neonatal arterial ischemic stroke: MRI studies
Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Mickaël Dinomais Opinion/Feedback Long-term motor performances after unilateral neonatal stroke are variable. The presence of motor deficits may be related to structural characteristic (size and location) of the infarct site but also in brain area remote from this injury (cerebellum and thalamus). Analyzing in functional MRI and structural MRI the relationship between long-term motor performance and motor system after neonatal stroke could provide cerebral target for therapy.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Pediatric stroke rehabilitation: A review of techniques facilitating motor recovery
Conclusion Rehabilitation of motor deficits following paediatric stroke remains understudied, but a number of promising therapies are emerging.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Language, cognitive and school outcomes following childhood stroke
Discussion/conclusion Childhood stroke leads to severe language and cognitive impairments, with negative and long lasting consequences on academic achievement.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Transcultural adaptation and validation of the Pediatric Stroke Outcome Measure - summary of impressions (PSOM-SOI) into French
Discussion/conclusion The PSOM-SOI can be used to reliably grade neurological examination for children following a stroke, besides raters with different level of clinical experience. However, additional development and validation work is required using a clinical exam to improve the prospective validation of the complete PSOM.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Voiding dysfunction and cerebellum stroke in a child: Case report
We present a case of voiding symptoms after an isolated hemorrhagic cerebellum stroke of the right cerebellum hemisphere and the vermis in a 15 year-old boy with no medical history. The aim of this case is to show existence of a link between cerebellum and micturition. Observations Following the stroke, the patient described dysuria, confirmed by uroflowmetry, with significants post-voiding residuals. Cystometry showed no detrusor contraction and urethral profilometry showed an increase in sphincter tone. Discussion/conclusion The role of the cerebellum in the storage and control of the voiding phases was suggested in lite...
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Validation of a novel activity monitor in impaired, slow-walking, crutch-supported patients
Conclusions This is the first validation study to assess physical activity with an AM in impaired, slow-walking, crutch-supported patients. The AM was a valid tool for measuring physical activity in these patients. The tool may help in evaluating and optimizing rehabilitation programs for patients after TJA, those recovering from stroke or chronic impaired patients.
Source: Annals of Physical and Rehabilitation Medicine - September 19, 2016 Category: Rehabilitation Source Type: research

GABAergic drug use and global, cognitive, and motor functional outcomes after stroke
Conclusions GABA-AG use is associated with not reaching successful functional recovery during stroke rehabilitation. Randomised trials are needed to formally establish the potential deleterious effect of GABA-AG use on functional recovery.
Source: Annals of Physical and Rehabilitation Medicine - April 25, 2016 Category: Rehabilitation Source Type: research

Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study
Conclusion BWSTT offers improvement in gait but has no significant advantage over conventional gait-training strategies for chronic stroke survivors.
Source: Annals of Physical and Rehabilitation Medicine - April 19, 2016 Category: Rehabilitation Source Type: research

Visual verticality perception after stroke: A systematic review of methodological approaches and suggestions for standardization
Conclusions This first review of VV assessment methods after stroke shows a great heterogeneity of procedures, settings and parameters, among which only some are eligible for standardization to limit measurement errors and better interpret the results.
Source: Annals of Physical and Rehabilitation Medicine - April 12, 2016 Category: Rehabilitation Source Type: research

Post-acute referral of stroke victims in a French urban area: Results of a specific program
Conclusion Patients that were assessed were more likely to be transferred to specialized rehabilitation units than to non-specialized rehabilitation units. The Post-Acute Stroke program has the particularity of combining private and public specialized rehabilitation units in a common collaborative referral system while retaining the control and flexibility of personalised referral for each patient in the light of local care availability.
Source: Annals of Physical and Rehabilitation Medicine - March 19, 2016 Category: Rehabilitation Source Type: research

Muscle strengthening for hemiparesis after stroke: A meta-analysis
Conclusion Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength.
Source: Annals of Physical and Rehabilitation Medicine - March 9, 2016 Category: Rehabilitation Source Type: research

Effect of submental sensitive transcutaneous electrical stimulation on virtual lesions of the oropharyngeal cortex
Conclusion SSTES may be effective for producing cortical plasticity for mylohyoid muscles and reverses oropharyngeal cortical inhibition in healthy subjects. It could be a simple non-invasive way to treat post-stroke dysphagia.
Source: Annals of Physical and Rehabilitation Medicine - December 22, 2015 Category: Rehabilitation Source Type: research

Positive effects of tDCS cortical stimulation on the walking performance of chronic hemiplegic patients
Discussion These results show a significant positive effect of a single session of anodal tDCS of the M1 ipsilesional area of the lower limb in chronic hemiplegic patients. This improvement affects the endurance (6MWT) but not the walking speed (Wade Test). This proof of principle study supports a follow-up study assessing the training of walking under iterative tDCS stimulation.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Ipsilateral M1 transcranial direct current stimulation increases excitability of the contralateral M1 during an active motor task: Implications for stroke rehabilitation
Discussion The increase in left M1 MEP amplitude and reduction in CSP and SICI during and after 20min of right M1 a-tDCS is most likely to be attributed to a reduction in interhemispheric inhibition that is modulated by a-tDCS during the performance of an active task. Our findings may have significant implications for stroke rehabilitation whereby the application of a-tDCS on the contralesional M1 during neurorehabilitation of the paretic limb may be beneficial for inducing neuroplasticity of the ipsilesional M1 to improve motor function.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

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