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Source: Disability and Rehabilitation
Education: Training

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Total 189 results found since Jan 2013.

Patients' and therapists' experience and perception of exoskeleton-based physiotherapy during subacute stroke rehabilitation: a qualitative analysis
CONCLUSIONS: Patients with stroke were even more optimistic than therapists toward the experience and benefits of exoskeleton-based gait training during subacute stroke rehabilitation. Future clinical practice should consider the balance between actual and perceived benefits, as well as the potential barriers to integrating an exoskeleton into stroke rehabilitation.IMPLICATIONS FOR REHABILITATIONPowered robotic exoskeletons can be used to provide higher duration and more repetitious walking practice for non-ambulatory patients with stroke.Patients with stroke view exoskeleton-based physiotherapy highly favorably, attributi...
Source: Disability and Rehabilitation - October 25, 2021 Category: Rehabilitation Authors: Dennis R Louie W Ben Mortenson Michelle Lui Melanie Durocher Robert Teasell Jennifer Yao Janice J Eng Source Type: research

Effects of action observation training on the walking ability of patients post stroke: a systematic review
CONCLUSIONS: AO training has a positive effect on the walking ability of patients post stroke. Additional studies are needed to confirm these results across the entire spectrum of patient's post stoke including long-term clinical effects.Implications for RehabilitationAction observation training can have potentially positive effects on the walking ability of stroke patients.Clinical measurements (10-meter walk test) and gait parameters (stride length and gait speed) could be used to assess the effect of action observation training on walking ability.The patient's concentration is an important factor to consider when applyi...
Source: Disability and Rehabilitation - October 13, 2021 Category: Rehabilitation Authors: V íctor Sánchez Silverio Vanesa Abu ín Porras Isabel Rodr íguez Costa Joshua Alan Cleland Jorge Hugo Villafa ñe Source Type: research

Technologies to improve the participation of stroke patients in their home environment
CONCLUSIONS: Various technologies were identified by experts as having the potential to improve the participation of stroke patients in their homes. Future research may study the influence of these technologies on the actual participation of stroke patients at home.Implications for rehabilitationThe identified technological solutions can support rehabilitation specialists in guiding stroke patients towards technologies that can support a patient's participation at home.Rehabilitation specialists can be champions in introducing, recommending and promoting technologies to stroke patients and their families, as well as in tra...
Source: Disability and Rehabilitation - October 5, 2021 Category: Rehabilitation Authors: Esther M G Willems Joan Vermeulen Jolanda C M van Haastregt G A Rixt Zijlstra Source Type: research

A Tenodesis-Induced-Grip exoskeleton robot (TIGER) for assisting upper extremity functions in stroke patients: a randomized control study
CONCLUSION: The TIGER has beneficial effects on remediating upper limb impairments in chronic stroke patients. Clinical trial registration: ClinicalTrials.gov; identifier NCT03713476Implications for rehabilitationBased on use-dependent plasticity concepts, robot training with the more distal segments of the upper extremities has a beneficial effect in patients with chronic stroke.A novel lightweight assisting tenodesis-induced-grip exoskeleton robot (TIGER) system using a mechanism involving musculotendinous coordination of the wrist and hand was proposed in this study.Between-group differences in changes in the upper limb...
Source: Disability and Rehabilitation - September 29, 2021 Category: Rehabilitation Authors: Hsiu-Yun Hsu Kang-Chin Yang Chien-Hsien Yeh Yu-Ching Lin Keng-Ren Lin Fong-Chin Su Li-Chieh Kuo Source Type: research

What is "usual care" in the rehabilitation of upper limb sensory loss after stroke? Results from a national audit and knowledge translation study
CONCLUSION: Sensory assessment protocol use has increased over time while sensory-specific training has remained stable. Sensory rehabilitation in the context of everyday activities is a common treatment approach. Clinical trial registration number: ACTRN12615000933550IMPLICATIONS FOR REHABILITATIONOnly a small proportion of upper limb assessments conducted with stroke patients focus specifically on sensation; increased use of standardised upper limb assessments for sensory loss is needed.Stroke patients assessed as having upper limb sensory loss frequently do not receive treatment for their deficits.Therapists typically u...
Source: Disability and Rehabilitation - September 9, 2021 Category: Rehabilitation Authors: Liana S Cahill Natasha A Lannin Tara Purvis Dominique A Cadilhac Yvonne Mak-Yuen Denise A O'Connor Leeanne M Carey Source Type: research

Virtual reality gaming in rehabilitation after stroke - user experiences and perceptions
CONCLUSIONS: Participants with chronic stroke described the fully immersive VR gaming intervention as a fun and motivating way to improve their functioning in everyday life. Qualitative studies are needed to explore how people with stroke perceive VR gaming when it is implemented in real clinical environments.Clinical implicationsVR gaming was perceived as a positive and motivating rehabilitation after stroke.Getting feedback and perceiving benefits are essential parts of VR rehabilitation.Commercial fully immersive VR-games might be an option for stroke rehabilitation when the game can be personalized and support is avail...
Source: Disability and Rehabilitation - September 1, 2021 Category: Rehabilitation Authors: Martha Gustavsson Emma K Kj örk Mattias Erhardsson Margit Alt Murphy Source Type: research

Visual perceptual deficit screening in stroke survivors: evaluation of current practice in the United Kingdom and Republic of Ireland
CONCLUSIONS: Visual perceptual deficits are screened post-stroke at a similar rate to sensory vision or visual neglect. Underdiagnosis of visual perceptual deficits may stem from both reliance on subjective and non-standardised screening approaches, and conflicting definitions of visual perception held among clinicians. We recommend increased training provision and use of brief performance-based screening tools.IMPLICATIONS FOR REHABILITATIONLack of agreement among clinicians on what constitutes as visual perceptual or sensory vision deficits may prove problematic, as precise and exact language is often required for clinic...
Source: Disability and Rehabilitation - August 30, 2021 Category: Rehabilitation Authors: Michael J Colwell Nele Demeyere Kathleen Vancleef Source Type: research

Stroke survivors' perceptions of participating in a high repetition arm training trial early after stroke
CONCLUSION: High repetition arm training early after stroke was acceptable to participants. Study participation was generally viewed as a positive experience, suggesting that early intervention may not only be physically beneficial but also psychologically.Implications for rehabilitationStroke survivors report that high repetition arm training early after stroke is acceptable.Participation in rehabilitation research early after stroke provides stroke survivors with hope and meaning despite the high prevalence of fatigue.Complex information needs to be repeated and provided in a number of formats early after stroke.PMID:343...
Source: Disability and Rehabilitation - August 10, 2021 Category: Rehabilitation Authors: Ulrike Hammerbeck Mary Hargreaves Kristen L Hollands Sarah Tyson Source Type: research

The use of wearable sensors to assess and treat the upper extremity after stroke: a scoping review
CONCLUSIONS: Sensors have the potential to greatly expand assessment and treatment beyond traditional clinic-based approaches. This capability could support the quantification of rehabilitation dose, the nuanced assessment of impairment and activity limitation, the characterization of daily UE use patterns in real-world settings, and augment UE training adherence for home-based rehabilitation.IMPLICATIONS FOR REHABILITATIONSensor data have been used to assess UE functional motion, motor impairment/activity limitation, and real-world use.Sensor-assisted treatment approaches are emerging, and may be a promising tool to augme...
Source: Disability and Rehabilitation - July 30, 2021 Category: Rehabilitation Authors: Grace J Kim Avinash Parnandi Sharon Eva Heidi Schambra Source Type: research