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Between and within-day reliability of spatiotemporal gait parameters following stroke: Why measurement at maximal gait speed is required?
The objective of the study was to explore the relevance of gait assessment at maximal gait speed (MGS) rather than spontaneous gait speed (SGS) for post-stroke subjects through (1) the study of between and within-day reliability data of spatiotemporal gait parameters at SGS and MGS; and (2) a comparison of the direct measurement of velocity at MGS versus its estimate. It was also designed to (3) highlight the importance of considering the distribution of the random error to use an adequate expression of the measurement error (MErr). Material/patients and methods Spatiotemporal gait parameters – velocity, walk ratio, spa...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

BYMTOX: An observational study to consider the association of botulinum toxin and self-management program by serious game for post-stroke patients at the chronic phase
Discussion – conclusion Despite encouraging outcomes, high rate of withdrawal makes us wonder about program's relevance, regarding intensity and patients’ profile. Concerning patients who left the program, initial mobility was 47% lower than for those who finished the study. As 4 patients in booklet group and 6 in serious game group have finished and regarding results, it may do not question the interest of this new medium. Obviously, further studies must be conduct.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Study regarding the effectiveness of extracorporeal shock wave therapy on spasticity
Discussion – conclusion The limits of the study are given by the small number of patients included, a lack of a medium and long-term assessment of the therapeutic effect evaluation and the absence of a placebo controlled group.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Role of the continuous infusion test with an external pump for intrathecal baclofen in post-stroke spastic ambulatory patients
Discussion – conclusion Our pilot study showed that the continuous infusion test might be useful in order to evaluate the effect of different ITB doses in walking ability, helping the prediction of the appropriate candidates for ITB implantation.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

The outcomes of stroke patients in health territory
This study conduces us developing a repertoire of stroke patients and sharing follow-up consultations between the different operators on the heath territory. It is extended to the neighboring territory, around the Narbonne hospital, linked with the Perpignan one, into a hospital association (GHT).
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Interpreting spatial dysgraphia after stroke: Straight ahead or straight above?
Discussion – conclusion After a right hemisphere stroke, a tilted writing is likely a sign of a tilted verticality representation.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

Effect of subtypes of neglect on functional outcome in stroke patients
Conclusions Our data confirm the negative prognostic effect of neglect on functional outcome in a large sample. We also show the importance of evaluating and training according to neglect subtype to improve functional independence.
Source: Annals of Physical and Rehabilitation Medicine - September 22, 2017 Category: Rehabilitation Source Type: research

Transcranial direct current stimulation over multiple days enhances motor performance of a grip task
Conclusions Anodal tDCS is effective in promoting grip motor learning in healthy individuals. Further studies are warranted to test its potential use for the rehabilitation of fine motor skills in stroke patients.
Source: Annals of Physical and Rehabilitation Medicine - August 9, 2017 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
Conclusions The 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 - June 8, 2017 Category: Rehabilitation Source Type: research

Patellar tendon vibration reduces the increased facilitation from quadriceps to soleus in post-stroke hemiparetic individuals
Conclusions Patellar tendon vibration can reduce the facilitation between knee and ankle extensors, which suggests effective presynaptic inhibition but decreased post-activation depression in the lower limb of people after chronic hemiparetic stroke. Further studies are warranted to determine whether such vibration could be used to reduce the abnormal extension synergy of knee and ankle extensors in people after hemiparetic stroke.
Source: Annals of Physical and Rehabilitation Medicine - May 19, 2017 Category: Rehabilitation Source Type: research

Motor system after neonatal arterial ischemic stroke: MRI studies
Publication date: September 2016 Source:Annals of Physical and Rehabilitation Medicine, Volume 59, Supplement Author(s): Mickaël Dinomais Opinion/Feedback Long-term motor performances after unilateral neonatal stroke are variable. The presence of motor deficits may be related to structural characteristic (size and location) of the infarct site but also in brain area remote from this injury (cerebellum and thalamus). Analyzing in functional MRI and structural MRI the relationship between long-term motor performance and motor system after neonatal stroke could provide cerebral target for therapy.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Pediatric stroke rehabilitation: A review of techniques facilitating motor recovery
Conclusion Rehabilitation of motor deficits following paediatric stroke remains understudied, but a number of promising therapies are emerging.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Language, cognitive and school outcomes following childhood stroke
Discussion/conclusion Childhood stroke leads to severe language and cognitive impairments, with negative and long lasting consequences on academic achievement.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Transcultural adaptation and validation of the Pediatric Stroke Outcome Measure - summary of impressions (PSOM-SOI) into French
Discussion/conclusion The PSOM-SOI can be used to reliably grade neurological examination for children following a stroke, besides raters with different level of clinical experience. However, additional development and validation work is required using a clinical exam to improve the prospective validation of the complete PSOM.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Voiding dysfunction and cerebellum stroke in a child: Case report
We present a case of voiding symptoms after an isolated hemorrhagic cerebellum stroke of the right cerebellum hemisphere and the vermis in a 15 year-old boy with no medical history. The aim of this case is to show existence of a link between cerebellum and micturition. Observations Following the stroke, the patient described dysuria, confirmed by uroflowmetry, with significants post-voiding residuals. Cystometry showed no detrusor contraction and urethral profilometry showed an increase in sphincter tone. Discussion/conclusion The role of the cerebellum in the storage and control of the voiding phases was suggested in lite...
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

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