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Source: Journal of NeuroEngineering and Rehabilitation

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Total 406 results found since Jan 2013.

Facilitation of corticospinal excitability by virtual reality exercise following anodal transcranial direct current stimulation in healthy volunteers and subacute stroke subjects
Conclusions: The combined effect of VR motor training following tDCS was synergistic and short-term corticospinal facilitation was superior to the application of VR training, active motor training, or tDCS without exercise condition. These results support the concept of combining brain stimulation with VR motor training to promote recovery after a stroke.
Source: Journal of NeuroEngineering and Rehabilitation - August 18, 2014 Category: Rehabilitation Authors: Yeun KimJeonghun KuSangwoo ChoHyun KimYun ChoTeo LimYoun Kang Source Type: research

Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial
Background: Recent evidence has demonstrated the efficacy of Virtual Reality (VR) for stroke rehabilitation nonetheless its benefits and limitations in large population of patients have not yet been studied.ObjectivesTo evaluate the effectiveness of non-immersive VR treatment for the restoration of the upper limb motor function and its impact on the activities of daily living capacities in post-stroke patients. Methods: A pragmatic clinical trial was conducted among post-stroke patients admitted to our rehabilitation hospital. We enrolled 376 subjects who had a motor arm subscore on the Italian version of the National Inst...
Source: Journal of NeuroEngineering and Rehabilitation - August 1, 2013 Category: Rehabilitation Authors: Andrea TurollaMauro DamLaura VenturaPaolo ToninMichela AgostiniCarla ZucconiPawel KiperAnnachiara CagninLamberto Piron Source Type: research

A robotic object hitting task to quantify sensorimotor impairments in participants with stroke
Conclusions: As this object hit task requires just over two minutes to complete, it provides an objective and easy approach to quantify upper limb motor function and visuospatial skills following stroke.
Source: Journal of NeuroEngineering and Rehabilitation - April 2, 2014 Category: Rehabilitation Authors: Kathrin TyryshkinAngela CoderreJanice GlasgowTroy HerterStephen BaggSean DukelowStephen Scott Source Type: research

Physiological responses and energy cost of walking on the Gait Trainer with and without body weight support in subacute stroke patients
Background: Robotic-assisted walking after stroke provides intensive task-oriented training. But, despite the growing diffusion of robotic devices little information is available about cardiorespiratory and metabolic responses during electromechanically-assisted repetitive walking exercise. Aim of the study was to determine whether use of an end-effector gait training (GT) machine with body weight support (BWS) would affect physiological responses and energy cost of walking (ECW) in subacute post-stroke hemiplegic patients. Methods: Participants: six patients (patient group: PG) with hemiplegia due to stroke (age: 66 +/- 1...
Source: Journal of NeuroEngineering and Rehabilitation - April 10, 2014 Category: Rehabilitation Authors: Anna DelussuGiovanni MoroneMarco IosaMaura BragoniMarco TraballesiStefano Paolucci Source Type: research

Foot force direction control during a pedaling task in individuals post-stroke
Conclusion: These findings suggested the preservation of foot-force control capabilities post-stroke under minimal upright postural control requirements. Further research must be conducted to determine whether inappropriate shear force generation will be revealed under non-seated, postural demanding conditions, where subjects have to actively control for upright body suspension.
Source: Journal of NeuroEngineering and Rehabilitation - April 16, 2014 Category: Rehabilitation Authors: Jing Nong LiangDavid Brown Source Type: research

Rasch analysis of the London Handicap Scale in stroke patients: a cross-sectional study
Conclusions: This was the first trial to investigate the psychometric properties of the London Handicap Scale using Rasch analysis; the results supported the suitability of this scale for use with stroke patients.
Source: Journal of NeuroEngineering and Rehabilitation - July 31, 2014 Category: Rehabilitation Authors: Eun-Young ParkYoo-Im Choi Source Type: research

Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review
Studies of stroke patients undergoing robot-assisted rehabilitation have revealed various kinematic parameters describing movement quality of the upper limb. However, due to the different level of stroke impairment and different assessment criteria and interventions, the evaluation of the effectiveness of rehabilitation program is undermined.This paper presents a systematic review of kinematic assessments of movement quality of the upper limb and identifies the suitable parameters describing impairments in stroke patients. A total of 41 different clinical and pilot studies on different phases of stroke recovery utilizing k...
Source: Journal of NeuroEngineering and Rehabilitation - September 12, 2014 Category: Rehabilitation Authors: Nurdiana NordinSheng XieBurkhard Wüensche Source Type: research

Relation between abnormal synergy and gait in patients after stroke
Conclusion: Secondarily generated torque was found to be a factor that affects TUG speed, and the ability to generate torque even through abnormal synergy may help for gait ability in subjects after stroke.
Source: Journal of NeuroEngineering and Rehabilitation - September 25, 2014 Category: Rehabilitation Authors: Kaoru SakumaKoji OhataKeisuke IzumiYu ShiotsukaTadashi YasuiSatoko IbukiNoriaki Ichihashi Source Type: research

Chronic stroke patients show early and robust improvements in muscle and functional performance in response to eccentric-overload flywheel resistance training: a pilot study
Background: Resistance exercise comprising eccentric (ECC) muscle actions enhances muscle strength and function to aid stroke patients in conducting daily tasks. The purpose of this study was to assess the efficacy of a novel ECC-overload flywheel resistance exercise paradigm to induce muscle and functional performance adaptations in chronic stroke patients. Methods: Twelve patients (~8 years after stroke onset) performed 4 sets of 7 coupled concentric (CON) and ECC actions using the affected limb on a flywheel leg press (LP) device twice weekly for 8 weeks. Maximal CON and ECC isokinetic torque at 30, 60 and 90[degree sig...
Source: Journal of NeuroEngineering and Rehabilitation - October 30, 2014 Category: Rehabilitation Authors: Rodrigo Fernandez-GonzaloCatarina NissemarkBirgitta ÅslundPer TeschPeter Sojka Source Type: research

Effects of contralesional robot-assisted hand training in patients with unilateral spatial neglect following stroke: a case series study
Conclusions: Some caution is warranted when interpreting our results, as the responses to the intervention were variable and might have been due to a placebo effect or fluctuating clinical conditions. However, robot-assisted hemispatial neglect therapy might be useful in stroke patients. Larger-scale investigations are needed to confirm our preliminary findings.
Source: Journal of NeuroEngineering and Rehabilitation - December 5, 2014 Category: Rehabilitation Authors: Valentina VaraltaAlessandro PicelliCristina FonteGiulia MontemezziElisabetta La MarchinaNicola Smania Source Type: research

Instrumenting gait assessment using the Kinect in people living with stroke: reliability and association with balance tests
Conclusions: In conclusion, instrumenting gait using the Kinect is reliable and provides insight into the dynamic balance capacity of people living with stroke. This system provides a minimally intrusive method of examining potentially important gait characteristics in people living with stroke.
Source: Journal of NeuroEngineering and Rehabilitation - February 12, 2015 Category: Rehabilitation Authors: Ross ClarkStephanie VernonBenjamin MentiplayKimberly MillerJennifer McGinleyYong PuaKade PatersonKelly Bower Source Type: research

Feasibility study into self-administered training at home using an arm and hand device with motivational gaming environment in chronic stroke
Conclusions: Remotely monitored post-stroke training at home applying gaming exercises while physically supporting the wrist and hand showed to be feasible: participants were able and motivated to use the training system independently at home. Usability shows potential, although several usability issues need further attention. Upper extremity function and quality of life improved after training, although dexterity did not. These findings indicate that home-based arm and hand training with physical support from a dynamic orthosis is a feasible tool to enable self-administered practice at home. Such an approach enables pract...
Source: Journal of NeuroEngineering and Rehabilitation - October 9, 2015 Category: Rehabilitation Authors: Sharon NijenhuisGerdienke PrangeFarshid AmirabdollahianPatrizio SaleFrancesco InfarinatoNasrin NasrGail MountainHermie HermensArno StienenJaap BuurkeJohan Rietman Source Type: research

Changes in the activation and function of the ankle plantar flexor muscles due to gait retraining in chronic stroke survivors
Conclusions: For the first time, muscle-actuated musculoskeletal models were used to simulate the effect of a gait retraining intervention on post-stroke muscle model predicted activation and function. The simulations showed a new pattern of simulated activation for the plantar flexor muscles after training, suggesting that the subjects activated these muscles with more appropriate timing following the intervention. Functionally, simulations calculated that the plantar flexors provided greater contribution to knee flexion acceleration after training, which is important for increasing swing phase knee flexion and foot clearance.
Source: Journal of NeuroEngineering and Rehabilitation - January 31, 2013 Category: Rehabilitation Authors: Brian KnarrTrisha KesarDarcy ReismanStuart Binder-MacleodJill Higginson Source Type: research

Pilot study of a robotic protocol to treat shoulder subluxation in patients with chronic stroke
Conclusion: In this uncontrolled pilot study, the robotic protocol effectively treated shoulder subluxation in chronic stroke patients. Treatment of subluxation can lead to improved functional use of the affected arm, likely by increasing motor power in the trained muscles.
Source: Journal of NeuroEngineering and Rehabilitation - August 5, 2013 Category: Rehabilitation Authors: Carolin DohleAvrielle RykmanJohanna ChangBruce Volpe Source Type: research

Effects of early and intensive neuro-rehabilitative treatment on muscle synergies in acute post-stroke patients: a pilot study
Conclusions: The results support the hypothesis that muscle synergies reflect the injury of the cerebrovascular accident and could document the effects of the functional recovery due to a suitable and customized treatment. Therefore, they open up new possibilities for the development of more effective neuro-rehabilitation protocols.
Source: Journal of NeuroEngineering and Rehabilitation - October 5, 2013 Category: Rehabilitation Authors: Peppino TropeaVito MonacoMartina CosciaFederico PosteraroSilvestro Micera Source Type: research