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Association between volume of patients undergoing stroke rehabilitation at acute care hospitals and improvement in activities of daily living
Stroke is one of the most common causes of functional disability, and rehabilitation plays a vital role in treating acute stroke.1,2 In recent years, it has been reported that early rehabilitation and the amount of rehabilitation intervention, including treatment at a stroke care unit (SCU), contribute to the improvement in activities of daily living (ADL) in acute stroke rehabilitation.3,4 Stroke rehabilitation requires multi-disciplinary intervention, including physiotherapy, occupational and speech therapy, and it is believed that the quality of rehabilitation depends on the level of rehabilitation expertise of healthca...
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2022 Category: Neurology Authors: Takuaki Tani, Shinobu Imai, Norihiko Inoue, Natsuko Kanazawa, Kiyohide Fushimi Source Type: research

Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
Worldwide, stroke is a leading cause of death and disability.1 Although incidence rates are expected to increase over the next few decades, survival rates are expected to improve. Consequently, more stroke survivors will have to learn to live with the consequences. After acute stroke care or rehabilitation, returning home is one of the primary goals for stroke survivors.2 In the Netherlands, 65 % of stroke survivors return home immediately after acute hospital care.3 The remaining 35% continue inpatient rehabilitation in a rehabilitation center (RC) or geriatric rehabilitation center (GRC) before returning home.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Marieke Geerars, Roderick Wondergem, Martijn F. Pisters Source Type: research

Effects of gait exercise assist robot (GEAR) on subjects with chronic stroke: A randomized controlled pilot trial
Improvement of gait ability is one of the primary goals in stroke rehabilitation.1 As a result, defining more effective interventions for increasing gait ability after stroke is essential. In recent years, robotic rehabilitation has been attracting a great deal of attention as a method for improving gait ability after stroke all over the world. The updated Cochrane review has shown that electromechanical-assisted gait training in combination with physiotherapy improves the acquisition of independent walking compared to gait training without such devices.
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Tomoyuki Ogino, Yoshihiro Kanata, Ryota Uegaki, Tatuya Yamaguchi, Katuhisa Morisaki, Shuhei Nakano, Kazuhisa Domen Source Type: research

Effects of Virtual Reality Compared to Conventional Therapy on Balance Poststroke: A Systematic Review and Meta-Analysis
The objective of this study was to systematically review the effect of virtual reality on balance as compared to conventional therapy alone poststroke. Methods: The databases of PubMed, Cochrane, and Ovid were searched using select keywords. The randomized controlled trials published between January 2000 and August 2017 in English language were included if they assessed the effect of virtual reality on balance ability compared to conventional therapy alone in adults ’ poststroke. The Physiotherapy Evidence Database scale was used to assess the methodological quality.
Source: Journal of Stroke and Cerebrovascular Diseases - April 24, 2019 Category: Neurology Authors: Roghayeh Mohammadi, Alireza Vaezpour Semnani, Majid Mirmohammadkhani, Namrata Grampurohit Tags: Review Article Source Type: research

Systematic Review on Effectiveness of shoulder taping in Hemiplegia
Shoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2019 Category: Neurology Authors: Hariharasudhan Ravichandran, Balamurugan Janakiraman, Subramanian Sundaram, Berihu Fisseha, Tsiwaye Gebreyesus, Asmare Yitayeh Gelaw Source Type: research

Comparison of Motor Relearning Program versus Bobath Approach for Prevention of Poststroke Apathy: A Randomized Controlled Trial
Background: Apathy is a multidimensional syndrome referring to a primary lack of motivation, frequent in survivors of stroke. And prior studies have demonstrated the negative effect of apathy on recovery from stroke. Methods: A randomized controlled study of acute stroke patients. Four hundred and eighty-eight patients without evidence of apathy or depression at the initial visit were consecutively recruited, 258 males and 230 female. Patients were block randomized into 2 groups. Group A (n  = 245) and Group B (n = 243) had physiotherapy according to Motor Relearning Program and Bobath in the first 4 weeks, respectively.
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2018 Category: Neurology Authors: Liping Chen, Siqing Xiong, Yi Liu, Meiqing Lin, Lu Zhu, Renjia Zhong, Jiuhan Zhao, Wenjing Liu, Jirui Wang, Xiuli Shang Source Type: research

Transcutaneous Auricular Vagus Nerve Stimulation with Concurrent Upper Limb Repetitive Task Practice for Poststroke Motor Recovery: A Pilot Study
Invasive vagus nerve stimulation (VNS) has the potential to enhance the effects of physiotherapy for upper limb motor recovery after stroke. Noninvasive, transcutaneous auricular branch VNS (taVNS) may have similar benefits, but this has not been evaluated in stroke recovery. We sought to determine the feasibility of taVNS delivered alongside upper limb repetitive task-specific practice after stroke and its effects on a range of outcome measures evaluating limb function.
Source: Journal of Stroke and Cerebrovascular Diseases - March 24, 2018 Category: Neurology Authors: Jessica N. Redgrave, Lucy Moore, Tosin Oyekunle, Maryam Ebrahim, Konstantinos Falidas, Nicola Snowdon, Ali Ali, Arshad Majid Source Type: research

Efficacy of Trunk Regimes on Balance, Mobility, Physical Function, and Community Reintegration in Chronic Stroke: A Parallel-Group Randomized Trial
The study objective was to examine the efficacy of plinth and Swiss ball-based trunk exercise regimes on balance, mobility, physical function, and community reintegration compared with standard physiotherapy in chronic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - January 18, 2018 Category: Neurology Authors: Suruliraj Karthikbabu, Mahabala Chakrapani, Sailakshmi Ganesan, Ratnavalli Ellajosyula, John M. Solomon Source Type: research

A Community-Based, Bionic Leg Rehabilitation Program for Patients with Chronic Stroke: Clinical Trial Protocol
This study will be a dual-center, randomized, parallel group clinical trial to investigate the impact of a community-based training program using a bionic leg on biomechanical, cardiovascular, and functional outcomes in stroke survivors.
Source: Journal of Stroke and Cerebrovascular Diseases - October 30, 2017 Category: Neurology Authors: Amy Wright, Keeron Stone, Danielle Lambrick, Simon Fryer, Lee Stoner, Edward Tasker, Simon Jobson, Grace Smith, John Batten, Jo Batey, Vicky Hudson, Helen Hobbs, James Faulkner Source Type: research

Therapeutic Effect of Virtual Reality on Post-Stroke Patients: Randomized Clinical Trial
The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 28, 2016 Category: Neurology Authors: Erika Pedreira da Fonseca, Nildo Manoel Ribeiro da Silva, Elen Beatriz Pinto Source Type: research