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Effect of home-based virtual reality training and telerehabilitation on balance in individuals with Parkinson disease, multiple sclerosis, and stroke: a systematic review and meta-analysis
ConclusionHome-based VR and TR can be used as prolongation to conventional therapy.
Source: Neurological Sciences - February 17, 2022 Category: Neurology Source Type: research

Audio-visual stimulation for visual compensatory functions in stroke survivors with visual field defect: a systematic review
ConclusionSystematic AV training may improve the processing of visual information by recruiting subcortical pathways, and because most of the patients with visual cortex damage have an intact SC, it might be useful to use the bimodal AV training to activate retinotectal functions. Nevertheless, the underlying mechanisms supporting the reported positive effects are not currently understood. Systematic functional and/or structural imaging studies may help in understanding the underlying mechanism and inform the design of optimal training paradigms.
Source: Neurological Sciences - February 11, 2022 Category: Neurology Source Type: research

The effects and mechanisms of transcranial ultrasound stimulation combined with cognitive rehabilitation on post-stroke cognitive impairment
ConclusionTranscranial ultrasound stimulation combined with conventional cognitive rehabilitation therapy improved the PSCI condition with better efficacy than conventional cognitive rehabilitation therapy only. The mechanism involved may be correlated with the upregulation of BDNF and P300 induced by TUS.
Source: Neurological Sciences - February 10, 2022 Category: Neurology Source Type: research

The effects of concurrent M1 anodal tDCS and physical therapy interventions on function of ankle muscles in patients with stroke: a randomized, double-blinded sham-controlled trial study
AbstractOne of the most common symptoms in stroke patients is spasticity. The aims were to investigate the effects of anodal trans-cranial direct current stimulation (a-tDCS) over the affected primary motor cortex (M1) on ankle plantar flexor spasticity and dorsiflexor muscle activity in stroke patients. The design of this study was a randomized sham-controlled clinical trial. Thirty-two participants with stroke were randomly assigned to three groups (experimental, sham, control groups). Participants in the experimental and sham groups received 10-session 20-min M1 a-tDCS concurrent with physical therapy (PT), while the co...
Source: Neurological Sciences - September 2, 2021 Category: Neurology Source Type: research

Predictive value of admission neutrophil/lymphocyte ratio in symptomatic intracranial hemorrhage after stroke thrombolysis
ConclusionFor predicting SICH, NLR did not provide strong specificity and sensitivity. A precise cut-off value could not be found to predict the hemorrhagic transformation.
Source: Neurological Sciences - May 21, 2021 Category: Neurology Source Type: research

Clinical study on swallowing function of brainstem stroke by tDCS
ConclusionstDCS therapy combined with routine training can improve the swallowing function and nutritional status of patients, and reduce infection.
Source: Neurological Sciences - May 11, 2021 Category: Neurology Source Type: research

Robotic rehabilitation for end-effector device and botulinum toxin in upper limb rehabilitation in chronic post-stroke patients: an integrated rehabilitative approach
ConclusionOur results suggest, in line with the literature, a good efficacy in the reduction of spasticity and in the improvement of the function of the UL, with the reduction of pain, adopting a rehabilitation protocol integrated with BoTN, robot-assisted training, and traditional physiotherapy.
Source: Neurological Sciences - April 7, 2021 Category: Neurology Source Type: research

Breaking the ice to improve motor outcomes in patients with chronic stroke: a retrospective clinical study on neuromodulation plus robotics
Discussion and conclusionThis is the first trial with dstDCS coupled with RAGT in chronic stroke patients with gait impairment. When timely coupled with RAGT, dstDCS may be considered an effective tool for the recovery of lower limb function in patients with first unilateral stroke in the chronic phase. Moreover, our data suggest the ductility of dstDCS concerning RAGT timing, thus making this intervention suitable in a neurorehabilitation setting and well adaptable to patients ’ needs.
Source: Neurological Sciences - November 6, 2020 Category: Neurology Source Type: research

How does cross-education affects muscles of paretic upper extremity in subacute stroke survivors?
ConclusionCross-education via EMS may have a beneficial effect as an adjunct to conventional treatment methods. This study is retrospectively registered and is available atwww.clinicaltrials.gov (ID: NCT04113369).
Source: Neurological Sciences - June 5, 2020 Category: Neurology Source Type: research

Transcranial direct current stimulation improves the swallowing function in patients with cricopharyngeal muscle dysfunction following a brainstem stroke
ConclusionThe bihemispheric anodal tDCS combined with simultaneous catheter balloon dilatation and conventional swallowing therapy effectively improves the swallowing function in patients with CPD caused by a brainstem stroke. tDCS may be an effective adjuvant therapy in CPD rehabilitation.
Source: Neurological Sciences - February 24, 2020 Category: Neurology Source Type: research

Italian census on neurosciences: the ICoNe2 study
ConclusionsA proper redistribution of the resources and the modification of the training programs seem to be mandatory to maintain acceptable standards of care for the Italian neurosciences during the next decade.
Source: Neurological Sciences - November 23, 2018 Category: Neurology Source Type: research

Effects of robot-assisted upper limb rehabilitation in stroke patients: a systematic review with meta-analysis
AbstractTechnology-supported training is emerging as a solution to support therapists in their efforts providing high-intensity, repetitive, and task-specific treatment, in order to enhance the recovery process. The aim of this review is to assess the effectiveness of different robotic devices (end-effector and exoskeleton robots) in comparison with any other type of intervention. Furthermore, we aim to assess whether or not better improvements are obtained in the sub-acute phase after stroke onset than in the chronic phase. A research was conducted in the electronic bibliographic databases Cochrane, MEDLINE, and EMBASE. A...
Source: Neurological Sciences - May 24, 2017 Category: Neurology Source Type: research

Delirium in the acute phase after stroke: comparison between methods of detection
AbstractDelirium is an acute neuropsychiatric syndrome, very common in hospitalized people with medical and neurological conditions. The identification of delirium after stroke is not an easy task and validated psychometric instruments are needed to correctly identify it. We decided to verify if (1) formal training in DSM-V criteria is needed to correctly identify post-stroke delirium, (2) if the use of a brief psychometric instrument such as 4AT improves its identification, (3) the applicability of these scales in the stroke setting. In the first phase of this study we retrospectively studied 102 acute stroke patients in ...
Source: Neurological Sciences - January 31, 2017 Category: Neurology Source Type: research

Effect of sensory training of the posterior thigh on trunk control and upper extremity functions in stroke patients
AbstractSome studies show that sensorial rehabilitation is effective on functionality. The aim of this study is to investigate the effect of sensory training of the posterior thigh on the functionality of upper extremity and trunk control in stroke patients. Thirteen subjects (53.23  ± 6.82 years) were included in the intervention group and 13 subjects (58.69 ± 5.94 years) in the control group. The control and intervention groups were treated for ten sessions. The control group was treated only with neurodevelopmental treatment, and the intervention group was treated wi th sensorial training on the posterior thigh ...
Source: Neurological Sciences - January 29, 2017 Category: Neurology Source Type: research