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Specialty: Rehabilitation
Source: Archives of Physical Medicine and Rehabilitation
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Total 373 results found since Jan 2013.

Cognitive-Motor Interference During Functional Mobility After Stroke: State of the Science and Implications for Future Research
Abstract: Cognitive-motor interference (CMI) is evident when simultaneous performance of a cognitive task and a motor task results in deterioration in performance in one or both of the tasks, relative to performance of each task separately. The purpose of this review is to present a framework for categorizing patterns of CMI and to examine the specific patterns of CMI evident in published studies comparing single-task and dual-task performance of cognitive and motor tasks during gait and balance activities after stroke. We also examine the literature for associations between patterns of CMI and a history of falls, as well ...
Source: Archives of Physical Medicine and Rehabilitation - August 22, 2013 Category: Rehabilitation Authors: Prudence Plummer, Gail Eskes, Sarah Wallace, Clare Giuffrida, Michael Fraas, Grace Campbell, KerryLee Clifton, Elizabeth R. Skidmore, American Congress of Rehabilitation Medicine Stroke Networking Group Cognition Task Force Tags: Special Communication Source Type: research

Functional Recovery of the Paretic Upper Limb After Stroke: Who Regains Hand Capacity?
Conclusions: Even patients with minimal proximal shoulder and elbow control of the upper paretic limb on admission in a rehabilitation center have a fair chance of regaining some hand capacity in the long-term after stroke, whereas patients without such proximal arm control have a much poorer prognosis for regaining hand capacity.
Source: Archives of Physical Medicine and Rehabilitation - December 3, 2012 Category: Rehabilitation Authors: Annemieke Houwink, Rinske H. Nijland, Alexander C. Geurts, Gert Kwakkel Tags: Original Articles Source Type: research

Impact of Anxiety on Health-Related Quality of Life After Stroke: A Cross-Sectional Study
Conclusions: Anxiety has a negative effect on HRQOL of stroke survivors, independent from depression. Interventions for anxiety should improve stroke survivors' quality of life.
Source: Archives of Physical Medicine and Rehabilitation - August 2, 2013 Category: Rehabilitation Authors: Wai Kwong Tang, Chieh Grace Lau, Vincent Mok, Gabor S. Ungvari, Ka-Sing Wong Tags: Original Articles Source Type: research

Proof-of-Principle Pilot Study of Oropharyngeal Air-Pulse Application in Individuals With Dysphagia After Hemispheric Stroke
Conclusions: Oropharyngeal air-pulse trains can be applied in individuals with swallowing impairment. Air-pulse application is associated with increased resting swallowing rates in some individuals with dysphagia secondary to hemispheric stroke. Further research should extend this proof-of-principle study by examining the efficacy of oropharyngeal air-pulse application in terms of improved swallowing and related outcomes in dysphagic stroke through a large randomized trial.
Source: Archives of Physical Medicine and Rehabilitation - December 7, 2012 Category: Rehabilitation Authors: Julie A. Theurer, Jennifer L. Johnston, James Fisher, Sherry Darling, Rebecca C. Stevens, Donald Taves, Robert Teasell, Vladimir Hachinski, Ruth E. Martin Tags: Original Articles Source Type: research

Reliability and Concurrent Validity of Four Square Step Test Scores in Subjects With Chronic Stroke: A Pilot Study
Conclusion: FSST is an easy-to-administer clinical test with good intrarater and interrater reliability in persons with chronic stroke to assess dynamic standing balance. FSST times of 11 seconds are able to differentiate between persons with chronic stroke and healthy adults older than 50 years. The correlation of FSST times with standing balance and functional mobility measures requires further research with a larger sample size.
Source: Archives of Physical Medicine and Rehabilitation - February 14, 2013 Category: Rehabilitation Authors: Esther Y. Goh, Salan Y. Chua, Sze-Jia Hong, Shamay S. Ng Tags: Original Articles Source Type: research

Inpatient Stroke Rehabilitation Lengths of Stay in Canada Derived From the National Rehabilitation Reporting System, 2008 and 2009
Conclusions: FIM motor function scores at admission along with age and geographic region best predicted rehabilitation LOS. These variables explained 20% of the variation in LOSs. Despite regional differences in LOSs, patient characteristics were similar between regions. Other nonpatient factors not captured in these data may contribute to a greater extent in determining stroke rehabilitation LOS.
Source: Archives of Physical Medicine and Rehabilitation - September 3, 2013 Category: Rehabilitation Authors: Chris Grant, Charles H. Goldsmith, Hubert A. Anton Tags: Original Articles Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
Abstract: Objective: To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.Design: A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Setting: Referral medical center.Participants: Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Interventions: Not applicable.Main Outcome Measure: Stroke-related mortality.Results: During the median foll...
Source: Archives of Physical Medicine and Rehabilitation - September 9, 2013 Category: Rehabilitation Authors: Gwo-Chi Hu, Chia-Yu Hsu, Hui-Kung Yu, Jiann-Perng Chen, Yu-Ju Chang, Kuo-Liong Chien Tags: Original Articles Source Type: research

Activity Limitations Experienced by People With Stroke Who Receive Inpatient Rehabilitation: Differences Between 2001, 2005, and 2011
Abstract: Objective: To determine whether there were differences in characteristics and activity limitations relevant to physiotherapists among people receiving inpatient rehabilitation after stroke in 2001, 2005, and 2011.Design: A multicenter observational study of 3 periods.Setting: Inpatient rehabilitation units (N=15).Participants: Adult stroke survivors (N=738) admitted over 3 periods (2001, 2005, 2011).Interventions: Not applicable.Main Outcome Measures: Characteristics, hospital metrics, and Motor Assessment Scale (MAS) scores were recorded on admission and discharge.Results: All 3 cohorts were similar in terms of...
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2013 Category: Rehabilitation Authors: Suzanne S. Kuys, Paul G. Bew, Mary R. Lynch, Sandra G. Brauer Tags: Original Articles Source Type: research

Race/Ethnic and Stroke Subtype Differences in Post-Stroke Functional Recovery Following Acute Rehabilitation
Significant racial/ethnic disparities in post-stroke function exist, but whether these disparities vary by stroke subtype is unknown. Study goals were to 1) determine if racial/ethnic disparities in the recovery of post-stroke function varied by stroke subtype and 2) identify confounding factors associated with these racial/ethnic disparities.
Source: Archives of Physical Medicine and Rehabilitation - March 5, 2021 Category: Rehabilitation Authors: Kent P. Simmonds, Zhehui Luo, Mathew Reeves Source Type: research

Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline
People with aphasia have been systematically excluded from stroke research or included without the necessary modifications, threatening external study validity. In this paper, we propose that 1) the inclusion of people with aphasia should be considered as standard in stroke research irrespective of discipline and that 2) modifications should be made to stroke research procedures to support people with aphasia to achieve meaningful and valid inclusion. We argue that outright exclusion of this heterogenous population from stroke research based purely on a diagnosis of aphasia is rarely required and present a rationale for de...
Source: Archives of Physical Medicine and Rehabilitation - July 26, 2022 Category: Rehabilitation Authors: Ciara Shiggins, Brooke Ryan, Robyn O'Halloran, Emma Power, Julie Bernhardt, Richard. I. Lindley, Gordon McGurk, Graeme. J. Hankey, Miranda. L. Rose Source Type: research

The moderating role of motivation in the real-time associations of fatigue, cognitive complaints, and pain with depressed mood among stroke survivors: An ecological momentary assessment study
This study aimed to (1) investigate the real-time associations of fatigue, cognitive complaints, and pain with depressed mood and (2) examine the role of motivation for daily activity participation as a potential moderator of these associations in stroke survivors.
Source: Archives of Physical Medicine and Rehabilitation - December 16, 2022 Category: Rehabilitation Authors: Stephen C.L. Lau, Lisa Tabor Connor, Elizabeth R. Skidmore, Allison A. King, Jin-Moo Lee, Carolyn M. Baum Source Type: research

Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke.Design: A double-blinded randomized controlled trial.Setting: A university hospital.Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups.Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23...
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Hsin-Wen Hsu, Chia-Ling Lee, Miao-Ju Hsu, Hung-Chia Wu, Roxane Lin, Ching-Lin Hsieh, Jau-Hong Lin Tags: Original Articles Source Type: research

Effects of Mobilization and Tactile Stimulation on Chronic Upper-Limb Sensorimotor Dysfunction After Stroke
Conclusions: MTS appears to improve UL motor impairment and functional activity many months, even years, after stroke onset. Improvement can be immediate, but more often there is latency between the start of intervention and improvement; recovery can be distal to proximal.
Source: Archives of Physical Medicine and Rehabilitation - November 30, 2012 Category: Rehabilitation Authors: Jacqueline M. Winter, Peter Crome, Julius Sim, Susan M. Hunter Tags: Original Articles Source Type: research