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Improving Resident Performance in Acute Stroke Management Through Simulation Based Training (P5.152)
CONCLUSIONS: Simulation training is a welcome addition to traditional lecture based education with subjective and objective improvements in resident knowledge and confidence. Further study is needed to see if gains are maintained throughout the year and if patient outcomes are improved. Interdisciplinary simulation training with ER physicians and nurses may enhance teamwork during acute stroke codes.Disclosure: Dr. Johnsen has nothing to disclose. Dr. Catanese has nothing to disclose. Dr. Clark has nothing to disclose. Dr. Grimes has nothing to disclose. Dr. Saunders has nothing to disclose. Dr. Corey has nothing to disclo...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Johnsen, J., Catanese, L., Clark, J., Grimes, J., Saunders, B., Corey, P., Masoud, H. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research

Brain functional changes after a somatosensory discrimination training in healthy young subjects (S28.004)
Conclusions: These findings suggest that a somatosensory discrimination training of the right hand can facilitate the recruitment of the contralateral primary sensory cortex during tactile stimulation and object manipulation tasks. Furthermore, it determines the use of different brain activation strategies during hand movement. This study suggests that a passive somatosensory discrimination training could be useful for lesion-specific rehabilitation following, e.g., stroke.Disclosure: Dr. sarasso has nothing to disclose. Dr. Agosta has received personal compensation for activities with Biogen Idec and Serono Symposia Inter...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sarasso, E., Agosta, F., Adamo, P., Temporiti, F., Falini, A., Gatti, R., Filippi, M. Tags: Neuro-rehabilitation Source Type: research

Promoting Locomotor Learning with Spinal Direct Current Stimulation- Pilot Data (S28.005)
CONCLUSION: After interim analysis, we repowered the study and determined that 14 additional healthy volunteers per group will be needed, to achieve a statistical significance of 97.5 percent and a power of 0.80. Results gathered at this stage will allow us to further assess the effect of tDCS at different stages of locomotor learning, including online, offline, and total learning-- necessary for application in future neurorehabilitation trials involving patients with spinal cord injury and stroke. Study Supported by: Intramural Research Program, NINDSDisclosure: Dr. Awosika has nothing to disclose. Dr. Sandrini has nothin...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Awosika, O., Sandrini, M., Volochayev, R., Xu, B., Floeter, M. K., Hallett, M., Cohen, L. Tags: Neuro-rehabilitation Source Type: research

Historical Perspective of Neurology in Iran (P6.333)
Conclusions: Our research on the history of Iranian Neurology indicates that although Iranians had a greater understanding of various neurological disorders in the past, currently their role in worldwide neurologic research and training is less prominent. There are approximately 950 practicing neurologists in Iran and the numbers of physicians with neurology sub-specialty training is gradually increasing. Hence, with raising number of neurology training programs and research centers, a brighter future can be expected for neurology in Iran.Disclosure: Dr. Mohammad Khanli has nothing to disclose. Dr. Mishra has nothing to di...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mohammad Khanli, H., Mishra, S., Trikamji, B. Tags: History of Neurology Source Type: research

Preliminary Assessment of the Motor Activity Log-28 in Patients with Chronic Stroke (P5.174)
CONCLUSIONS: MAL-28 was an acceptable self-report measure of baseline ability for less impaired stroke participants. Quality of arm use in a non-clinical setting detected by the MAL-28 was sensitive to qualitative changes assessed by clinical evaluation. Study Supported by: University of Maryland School of Medicine NIA Short-Term Training Program on Aging Grant T35AG036679;VA Department of Research & Development Merit Grant B6935R. Disclosure: Dr. Simpson has nothing to disclose. Dr. Conroy has nothing to disclose. Dr. Bever has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Simpson, A., Conroy, S., Bever, C. Tags: Neuro-rehabilitation: Stroke Source Type: research

Walking Quality During Inpatient Stroke Rehabilitation Assessed by Wireless Sensing (P5.176)
CONCLUSIONS: The laboratory-quality gait metrics calculated by our wireless sensor system were sensitive to functional improvements during a period of known clinical recovery. Commercial sensor systems, for which steps counts are inaccurate at the slow speeds typical of hemi-paretic walking, have difficulty producing outcomes related to motor control in persons disabled by neurologic disease. Measurement of the quantity and quality of movements performed during daily activities enables clinicians and researchers to supervise gait training and skills practice during rehabilitation.Disclosure: Dr. Dorsch has nothing to discl...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dorsch, A., Thomas, S., Dobkin, B. Tags: Neuro-rehabilitation: Stroke Source Type: research

What's the difference between Rest and Rest? Defining Baseline Brain States Important for Cognition (P5.182)
CONCLUSIONS Differences between unconstrained rest with mind wandering and a focused rest state may be reflected in graph theory metrics. Measurements of these differences, especially in relation to behavioral functioning, may help elucidate how brain network states influence cognitive performance in health, after brain injury, and in particular with rehabilitation.Disclosure: Dr. Pool has nothing to disclose. Dr. Chen has nothing to disclose. Dr. Gallen has nothing to disclose. Dr. Yousef has nothing to disclose. Dr. Silver has nothing to disclose. Dr. D'Esposito has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Pool, E., Chen, A., Gallen, C., Yousef, S., Silver, M., D'Esposito, M. Tags: Neuro-rehabilitation: Stroke Source Type: research

Does Resident Level of Training Affect Time to tPA Treatment? (P4.292)
CONCLUSIONS: While no overall difference was seen in DTN or RWT between different levels of training, there was significant variance in resident work time between the junior residents. Future analysis will focus on specific areas of variance in order to direct future training initiatives.Disclosure: Dr. Bishop has nothing to disclose. Dr. Guzik has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bishop, L., Guzik, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Treatment Source Type: research

Deep repetitive transcranial magnetic stimulation and cycling improve lower limb function in chronic stroke: a randomized, placebo-controlled, crossover study (S5.002)
CONCLUSIONS:Our preliminary findings suggest that bilateral high frequency rTMS with H-coil targeting the lower limbs is safe and, at least when associated with motor training, may have a beneficial role in motor recovery from chronic stroke.Disclosure: Dr. Chieffo has nothing to disclose. Dr. Giatsidis has nothing to disclose. Dr. Houdayer has nothing to disclose. Dr. Fichera has nothing to disclose. Dr. Nuara has nothing to disclose. Dr. Coppi has nothing to disclose. Dr. Ferrari has nothing to disclose. Dr. Di Maggio has nothing to disclose. Dr. Santangelo has nothing to disclose. Dr. Poggi has nothing to disclose. Dr. ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Chieffo, R., Giatsidis, F., Houdayer, E., Fichera, M., Nuara, A., Coppi, E., Ferrari, L., Di Maggio, G., Santangelo, R., Poggi, A., Sessa, M., Comola, M., Zangen, A., Comi, G., Leocani, L. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Outcome Source Type: research

Individualized neuro-cognitive rehabilitation can reverse cognitive and memory impairment irrespective of etiology: Prospective pilot study (P6.189)
Conclusion: Supervised neurocognitive rehabilitation, specifically designed for individual provides significant reversal of cognitive deficit in adult patients with cognitive impairment, regardless of the etiology.Disclosure: Dr. Kumar has nothing to disclose. Dr. Kumar has nothing to disclose. Dr. Jawahar has nothing to disclose. Dr. Kumar has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kumar, S., Kumar, J., Jawahar, A., Kumar, M. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology: Dementia: Psychosocial Aspects Source Type: research

Delay in IV tPA decision making early in the academic year (P6.230)
CONCLUSIONS: An isolated increase in door-to-needle IV tPA time without change in response time or time to CT at the beginning of a new academic year suggests a delay in decision making by new residents. We plan to develop a training module for incoming residents that focuses on rapid decision making in the delivery of IV tPA to ischemic stroke patients. Study Supported by: noneDisclosure: Dr. Sidorov has nothing to disclose. Dr. Haxton has nothing to disclose. Dr. Gorman has nothing to disclose. Dr. Gordon has nothing to disclose. Dr. Chaudhary has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sidorov, E., Haxton, M. E., Gorman, L., Gordon, D., Chaudhary, S. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Thrombolysis Source Type: research

A comprehensive simulation curriculum for neurology residents - preparing for future challenges in neurology (P4.188)
CONCLUSIONS: Our study demonstrates that integrating simulation in classical neurology didactics not only improves the knowledge base but improves competency and execution of high-risk time sensitive decisions in an emergency setting.Disclosure: Dr. Sabharwal has nothing to disclose. Dr. Saba has nothing to disclose. Dr. Szyld has nothing to disclose. Dr. Czeisler has nothing to disclose. Dr. Ishida has nothing to disclose. Dr. Lord has nothing to disclose. Dr. Rucker has nothing to disclose. Dr Balcer received personal compensation from Biogen Idec and consulting for Biogen Idec, Vaccinex and Genzyme. She is on a clinical...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sabharwal, P., Saba, S., Szyld, D., Czeisler, B., Ishida, K., Lord, A., Rucker, J., Balcer, L., Sander, H., Galetta, S. Tags: Research Methodology and Education Source Type: research

Internet Teaching of the Neurologic Examination and OSCE Performance in the Neurology Clerkship (s19.006)
CONCLUSIONS Using www.neuroexam.com significantly improved students’ performance on a Stroke OSCE compared to online NIHSS training, with similar trends for Headache and Neuropathy. General neurologic examination training rather than focused stroke examination training may be more helpful for students, even when examining stroke patients. Online websites with teaching videos may represent a viable model for improving students’ skills with the neurologic examination. Study supported by: 2013 AAN Education Research GrantDisclosure: Dr. Harth has nothing to disclose. Dr. Xue has nothing to disclose. Dr. Yang has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Harth, C., Xue, Y., Yang, J. Tags: Neurologic Education Source Type: research

Stroke physician vs stroke neurologist - can anyone thrombolyse ? (P6.011)
CONCLUSIONS:Due to the single centre, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist versus those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected.Disclosure: Dr. Gaekwad has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Bronca has nothing to disclose. Dr. Cheruvu has nothing to disclose. Dr. Davies has nothing to disclose. Dr. Agzarian has nothing to disclose. Dr. Chen has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Gaekwad, A., Lee, A., Bronca, M., Cheruvu, L., Davies, O., Agzarian, M., Chen, C. Tags: Cerebrovascular Disease and Interventional Neurology II ePosters Source Type: research

Cerebrovascular regulation, exercise, and mild traumatic brain injury
A substantial number of people who sustain a mild traumatic brain injury report persistent symptoms. Most common among these symptoms are headache, dizziness, and cognitive difficulties. One possible contributor to sustained symptoms may be compromised cerebrovascular regulation. In addition to injury-related cerebrovascular dysfunction, it is possible that prolonged rest after mild traumatic brain injury leads to deconditioning that may induce physiologic changes in cerebral blood flow control that contributes to persistent symptoms in some people. There is some evidence that exercise training may reduce symptoms perhaps ...
Source: Neurology - October 27, 2014 Category: Neurology Authors: Tan, C. O., Meehan, W. P., Iverson, G. L., Taylor, J. A. Tags: Other cerebrovascular disease/ Stroke, All Rehabilitation, Other toxicology VIEWS & amp;amp; REVIEWS Source Type: research

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