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A comprehensive exercise program for a young adult male with Down syndrome who experienced a stroke.
Conclusion: Improved cardiorespiratory fitness, strength, balance and mobility provide preliminary evidence of the trainability of individuals with both DS and stroke. Future studies are warranted to investigate the role of exercise in risk factor reduction for primary and secondary prevention of stroke in people with DS. Implications for Rehabilitation Individuals with Down syndrome (DS) may be at heightened risk of stroke due to a combination of physiological conditions and lifestyle choices which contribute to reduced exercise capacity, accelerated aging patterns, moyamoya syndrome and physical inactivity as well as hig...
Source: Disability and Rehabilitation - September 10, 2013 Category: Rehabilitation Authors: Casey AF, Mackay-Lyons M, Connolly EM, Jennings C, Rasmussen R Tags: Disabil Rehabil Source Type: research

Benefits of an interdisciplinary stroke clinic: addressing a gap in physical therapy at post-stroke neurology follow-up
CONCLUSION: A significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by a neurologic physical therapist in an ISC. The measures that most closely correlated with this in-person clinical evaluation were 10MWT and SF-SIS.IMPLICATIONS FOR REHABILITATIONAn interdisciplinary stroke clinic can improve communication and identify people post-stroke who have not reached their full recovery potential.In a pilot study, a significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by ...
Source: Disability and Rehabilitation - December 6, 2021 Category: Rehabilitation Authors: Nandakumar Nagaraja Alison R Kraus Dorian K Rose Esther B Olasoji Anna Y Khanna Alexis N Simpkins Christina A Wilson Rondalyn R Dickens Vishnumurthy Shushrutha Hedna Carolyn Geis Teddy Youn Michelle M Musalo Source Type: research

Adherence of physical therapy with clinical practice guidelines for the rehabilitation of stroke in an active inpatient setting.
CONCLUSION: This audit provides an initial picture of the current adherence of physical therapy assessment and management with the stroke physical therapy guideline at a tertiary rehabilitation hospital in the state of Qatar. An evaluation of the guideline adherence and practice variations helps to fine tune the physical therapy care to a highest possible standard of practice. Implications for Rehabilitation  • An evaluation of the guideline adherence and practice variations helps to fine tune the rehabilitation care to the highest possible standard of practice.     • Proper assessments of the relationshi...
Source: Disability and Rehabilitation - March 9, 2018 Category: Rehabilitation Authors: M S A, Kooven S, Al-Mudahka N Tags: Disabil Rehabil Source Type: research

Explicit versus implicit lower extremity sensory retraining for post-stroke chronic sensory deficits: a randomized controlled trial
CONCLUSIONS: Sensory rehabilitation treatment by either ESR or IRE led to similar clinically significant changes in the performance of the lower extremity and participation in subjects with sensory loss post-stroke. Both treatment protocols are easy to implement in an outpatient clinic. .CLINICALTRIALS.GOV REGISTRATION: NCT01988220. Implications for rehabilitationStandardized, structured, sensory-focused training can improve balance and gait in subjects with chronic post-stroke sensory impairment.Both explicit and implicit learning-based sensory protocols focused on the lower extremity effectively improved balance, mobilit...
Source: Disability and Rehabilitation - June 1, 2022 Category: Rehabilitation Authors: Hadas Ofek Mordechai Alperin Tsipi Knoll Daphna Livne Yocheved Laufer Source Type: research

Effects of repetitive transcranial magnetic stimulation on lower extremity spasticity and motor function in stroke patients.
CONCLUSION: Low-frequency rTMS over the LE motor area can improve clinical measures of muscle spasticity and motor function. More studies are needed to clarify the changes underlying this improvement in spasticity. Implications for Rehabilitation Spasticity is a common disorder and one of the causes of long-term disability after stroke. Physical therapy modalities, oral medications, focal intervention and surgical procedures have been used for spasticity reduction. Beneficial effect of the repetitive transcranial magnetic stimulation (rTMS) for post-stroke upper extremity spasticity reduction and motor function improvement...
Source: Disability and Rehabilitation - February 15, 2016 Category: Rehabilitation Authors: Rastgoo M, Naghdi S, Nakhostin Ansari N, Olyaei G, Jalaei S, Forogh B, Najari H Tags: Disabil Rehabil Source Type: research

Effect of myofeedback on the threshold of the stretch reflex response of post-stroke spastic patients.
Conclusion The myofeedback training provided a significant contribution to conventional treatment, allowing for a better improvement of the spastic condition. Implications for rehabilitation Biofeedback is an effective means of improving motor control of post-stroke spastic patients. The Tonic Stretch Reflex Threshold is a more sensitive quantitative measure to assess upper-limb post-stroke spasticity. Spastic patients who participate in myofeedback training along with physical therapy can improve faster then those who participate only in traditional physical therapy rehabilitation protocols. PMID: 26939989 [PubMed - ...
Source: Disability and Rehabilitation - March 4, 2016 Category: Rehabilitation Authors: Vieira D, Silva MB, Melo MC, Soares AB Tags: Disabil Rehabil Source Type: research

Effectiveness of neuromuscular taping on painful hemiplegic shoulder: a randomised clinical trial.
CONCLUSION: Our study demonstrates that NMT decreases pain and increases the ROM in subjects with shoulder pain after a stroke. Implications for Rehabilitation Painful hemiplegic shoulder is a frequent complication after stroke with negative impacts on functional activities and on quality of life of people, moreover restricts rehabilitation intervention. Neuromuscular taping is a technique introduced by David Blow for the treatment of neuromuscoloskeletal problems. This study shows the reduction of pain and the improvement of range of motion after the application of an upper limb neuromuscular taping. Rehabilitation profes...
Source: Disability and Rehabilitation - December 18, 2015 Category: Rehabilitation Authors: Pillastrini P, Rocchi G, Deserri D, Foschi P, Mardegan M, Naldi MT, Villafañe JH, Bertozzi L Tags: Disabil Rehabil Source Type: research