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Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review
ConclusionDespite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Does botulinum toxin treatment improve upper limb active function?
ConclusionBT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment s...
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study
Publication date: Available online 12 May 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Wanalee Klomjai, Benchaporn Aneksan, Anuchai Pheungphrarattanatrai, Thanwarat Chantanachai, Nattha Choowong, Soontaree Bunleukhet, Paradee Auvichayapat, Yongchai Nilanon, Vimonwan HiengkaewAbstractAnodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes wer...
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Validation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke
ConclusionsThe French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30 min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years
ConclusionsDisabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Influence of non-contextual auditory stimuli on navigation in a virtual reality context involving executive functions among patients after stroke
ConclusionsThese non-contextual auditory stimuli could be used in neurorehabilitation paradigms to train patients with dysexecutive disorders to inhibit disruptive stimuli.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews
ConclusionsDespite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials
ConclusionsThe current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review
ConclusionDespite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Does botulinum toxin treatment improve upper limb active function?
ConclusionBT injections for impairment and passive function are related to improved kinematic parameters; however, the relation between relief of spasticity and improved upper-limb activity has not been established. Possible explanations for the lack of functional effect in studies are first, disability is mainly due to muscle weakness rather than spasticity, so patients with the best underlying motricity may benefit the most from BT injections; second, assessment methods may not be adapted to screen eligible patients; third, most studies’ endpoints were at 4 to 12 weeks after a single injection, but repeated treatment s...
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Effect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study
Publication date: Available online 12 May 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Wanalee Klomjai, Benchaporn Aneksan, Anuchai Pheungphrarattanatrai, Thanwarat Chantanachai, Nattha Choowong, Soontaree Bunleukhet, Paradee Auvichayapat, Yongchai Nilanon, Vimonwan HiengkaewAbstractAnodal stimulation increases cortical excitably, whereas cathodal stimulation decreases cortical excitability. Dual transcranial direct current stimulation (tDCS; anodal over the lesioned hemisphere, cathodal over the non-lesioned hemisphere) was found to enhance motor learning. The corresponding tDCS-induced changes wer...
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Validation of French upper limb Erasmus modified Nottingham Sensory Assessment in stroke
ConclusionsThe French EmNSA is a valid and reproducible scale that can be used for comprehensive and accurate assessment of somatosensory modalities in adults post-stroke. Taking less than 30 min to administer, the instrument has clinical utility for use in patients with cognitive comorbidities and at various stages of recovery in multidisciplinary clinical practice and research settings.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years
ConclusionsDisabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

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