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Neuroplastic changes mediate motor recovery with implanted peroneal nerve stimulator in individuals with chronic stroke: an open-label multimodal pilot study
Publication date: Available online 12 February 2020Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Aurore Thibaut, Carol Di Perri, Lizette Heine, Florent Moissenet, Frederic Chantraine, Céline Schreiber, Paul Filipetti, Charlotte Martial, Jitka Annen, Steven Laureys, Olivia Gosseries
Source: Annals of Physical and Rehabilitation Medicine - February 14, 2020 Category: Rehabilitation Source Type: research

Charlie Chaplin and gesture training in severe aphasia: a randomized double-blind single-case experimental design
Conclusions. Mute films that use intensive non-verbal communication may be a useful add-on to speech therapy for individuals with aphasia. Improving naming in severe and chronic aphasia may not be feasible, and more effort could be devoted to improving gesture-based and non-verbal communication.
Source: Annals of Physical and Rehabilitation Medicine - February 5, 2020 Category: Rehabilitation Source Type: research

Effect of chronic stretching interventions on the mechanical properties of muscles in patients with stroke: A systematic review
ConclusionLong interventions involving high stretching volumes and/or loads may have effects on muscle/joint mechanical properties, for preventing/treating contractures after stroke injury, but need to be further explored before firm conclusions are drawn.
Source: Annals of Physical and Rehabilitation Medicine - February 5, 2020 Category: Rehabilitation Source Type: research

Effect of chronic stretching interventions on mechanical properties of muscles in patients with stroke: a systematic review
Conclusion. Long interventions involving high stretching volumes and/or loads may have effects on muscle/joint mechanical properties, for preventing/treating contractures after stroke injury, but need to be further explored before firm conclusions are drawn.
Source: Annals of Physical and Rehabilitation Medicine - January 24, 2020 Category: Rehabilitation Source Type: research

Urinary and fecal incontinence in stroke survivors followed in general practice: a retrospective cohort study
Conclusion: This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.
Source: Annals of Physical and Rehabilitation Medicine - January 24, 2020 Category: Rehabilitation Source Type: research

Tai Chi for improving balance and reducing falls: an overview of 14 systematic reviews
Conclusions: Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.
Source: Annals of Physical and Rehabilitation Medicine - January 24, 2020 Category: Rehabilitation Source Type: research

Rehabilitation of the upper arm early after stroke: video games versus conventional rehabilitation. A randomized controlled trial
Conclusion. In general, we cannot conclude that video gaming and conventional OT led to different long-term sensorimotor recovery of the UL after sub-acute stroke. However, when applied within the first month after stroke, video gaming was more efficient than conventional rehabilitation on both sensorimotor recovery and gross grasping function.Trial registration. ClinicalTrials.gov (NCT01554449)
Source: Annals of Physical and Rehabilitation Medicine - December 9, 2019 Category: Rehabilitation Source Type: research

Additional validation study and French cross-cultural adaptation of the Pediatric Stroke Outcome Measure–Summary of Impressions (PSOM-SOI)
Conclusion: The IRR of the French PSOM-SOI gave variable results depending on the item and rater’s experience, but the extent of disagreements was minor for individual items and total score. Additional prospective validation studies using the French PSOM-Short Neurological Exam to score the PSOM-SOI are needed. A dichotomized total score (cutoff ≤ 0.5) could be used to define normal function versus poor outcome.
Source: Annals of Physical and Rehabilitation Medicine - December 7, 2019 Category: Rehabilitation Source Type: research

Clinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke: A meta-analysis
Conclusions. TAGT with BWS was not superior to COT in improving post-stroke recovery in patients with subacute stroke. Strategies other than simply increasing the repetitions by external assistance may be considered to augment the treatment effects of TAGT.
Source: Annals of Physical and Rehabilitation Medicine - November 1, 2019 Category: Rehabilitation Source Type: research

Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: a systematic review and meta-analysis
Conclusions. Our meta-analysis suggests that high-intensity exercise is beneficial for cardiorespiratory fitness in stroke survivors and might be safe as a novel intervention in cardiopulmonary rehabilitation after stroke.
Source: Annals of Physical and Rehabilitation Medicine - August 27, 2019 Category: Rehabilitation Source Type: research

Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals
ConclusionsThis new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke.
Source: Annals of Physical and Rehabilitation Medicine - August 18, 2019 Category: Rehabilitation Source Type: research

Validity of wearable actimeter computation of total energy expenditure during walking in hemiparetic stroke patients
Conclusions. This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer’s algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke.
Source: Annals of Physical and Rehabilitation Medicine - August 11, 2019 Category: Rehabilitation Source Type: research

New factors that affect quality of life in patients with aphasia
Conclusion: Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies.
Source: Annals of Physical and Rehabilitation Medicine - July 26, 2019 Category: Rehabilitation Source Type: research

Botuloscope: 1-year follow-up of upper limb post-stroke spasticity treated with botulinum toxin
ConclusionThis is the first long-term follow-up of BoNT-A treatment for upper limb spasticity involving a large cohort independent of industry. Quality of life was improved by treating upper limb spasticity with BoNT-A, even at 5 years post-stroke. Personalizing objectives of the treatment amplified its efficacy. BoNT-A was a powerful analgesic when pain was spasticity-related. Treating the spastic upper limb also improved balance and gait abilities.
Source: Annals of Physical and Rehabilitation Medicine - June 25, 2019 Category: Rehabilitation Source Type: research

Inconclusive efficacy of intervention on upper-limb function after tetraplegia: a systematic review and meta-analysis
Conclusions: We can provide no recommendations for using intensive versus less intensive interventions or neuromodulation versus sham during tetraplegia rehabilitation. Further multicentre studies of high methodological quality are required to reduce uncertainty about the efficacy of these interventions.
Source: Annals of Physical and Rehabilitation Medicine - June 22, 2019 Category: Rehabilitation Source Type: research

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