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Ankle-Foot-Orthosis “Hermes” Compensates Pathological Ankle Stiffness of Chronic Stroke—A Proof of Concept
Individuals with an upper motor neuron syndrome, e.g., stroke survivors, may have a pathological increase of passive ankle stiffness due to spasticity, that impairs ankle function and activities such as walking. To improve mobility, walking aids such as ankle-foot orthoses and orthopaedic shoes are prescribed. However, these walking aids generally limit the range of motion (ROM) of the foot and may therewith negatively influence activities that require a larger ROM. Here we present a new ankle-foot orthosis “Hermes”, and its first experimental results from four hemiparetic chronic stroke patients. Hermes was ...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - September 7, 2023 Category: Neuroscience Source Type: research

Usefulness of one-arm motorized gait device for chronic hemiplegic stroke survivors
CONCLUSION: The results of this study suggest that one-arm motorized gait devices developed for hemiplegic stroke survivors may be more effective potentially than parallel bars and hemi-walkers in gait assistance of chronic hemiplegic stroke survivors.PMID:37661897 | DOI:10.3233/THC-230197
Source: Technology and Health Care - September 4, 2023 Category: Medical Devices Authors: Ki-Hun Cho Dong-Geon Lee Won-Kyung Song Gyu-Chang Lee Source Type: research

Too Little Sleep Destroys DNA?
I talk to my patients about the danger of not sleeping all the time. Unfortunately, it’s a common problem that affects 75 million Americans. People who don’t sleep, or sleep poorly, have up to 400% more accidents that those who get a good night’s rest. Not getting enough sleep also increases your risk of developing chronic diseases. Studies, including a large meta-analysis of 470,000 adults, found that those who slept less than six hours developed a:1,2,3,4,5 48% increase in the incidence of coronary heart disease 30% increased risk of dementia 15% increase in the incidence of stroke 50% cancer risk 17% higher risk ...
Source: Al Sears, MD Natural Remedies - August 25, 2023 Category: Complementary Medicine Authors: Jacob Tags: Anti-Aging Health Source Type: news

Neurostimulation After Stroke
This article explores its applications in upper and lower limb stroke rehabilitation. The authors review various methods to target the corticomotor system, including transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and vagus nerve stimulation. In addition, the authors review the use of peripheral neuromuscular electrical stimulation for therapeutic and assistive purposes, including transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and functional electrical stimulation. For each, the authors examine the potential benefits, limitations, safety considerations, and FDA status.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Hala Osman, Ricardo Siu, Nathan S. Makowski, Jayme S. Knutson, David A. Cunningham Source Type: research

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association
Circulation. 2023 Aug 14. doi: 10.1161/CIR.0000000000001162. Online ahead of print.ABSTRACTShared decision-making is increasingly embraced in health care and recommended in cardiovascular guidelines. Patient involvement in health care decisions, patient-clinician communication, and models of patient-centered care are critical to improve health outcomes and to promote equity, but formal models and evaluation in cardiovascular care are nascent. Shared decision-making promotes equity by involving clinicians and patients, sharing the best available evidence, and recognizing the needs, values, and experiences of individuals and...
Source: Circulation - August 14, 2023 Category: Cardiology Authors: Cheryl R Dennison Himmelfarb Theresa M Beckie Larry A Allen Yvonne Commodore-Mensah Patricia M Davidson Grace Lin Barbara Lutz Erica S Spatz American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council o Source Type: research

Cardiopulmonary interactions —which monitoring tools to use?
Heart-lung interactions occur due to the mechanical influence of intrathoracic pressure and lung volume changes on cardiac and circulatory function. These interactions manifest as respiratory fluctuations in venous, pulmonary, and arterial pressures, potentially affecting stroke volume. In the context of functional hemodynamic monitoring, pulse or stroke volume variation (pulse pressure variation or stroke volume variability) are commonly employed to assess volume or preload responsiveness. However, correct interpretation of these parameters requires a comprehensive understanding of the physiological factors that determine...
Source: Frontiers in Physiology - August 9, 2023 Category: Physiology Source Type: research

How John Fetterman Came Out of the Darkness
When he looks back on the past year—a year in which he nearly died, became a U.S. Senator, and nearly died again—it is the debate that John Fetterman identifies as the ­breaking point. “The debate lit the mitch,” he says, then shakes his head in frustration and tries again. The right word is there in his brain, but he struggles to get it out. “Excuse me, that should be lit the mitch—” He stops and tries again. “Lit the match,” he says finally. Oct. 25, 2022: the date is lodged in his mind. “I knew I had to do it,” he tells me. “I knew that the vote...
Source: TIME: Health - July 20, 2023 Category: Consumer Health News Authors: Molly Ball Tags: Uncategorized Congress Cover Story Exclusive feature uspoliticspolicy Source Type: news

Sensors, Vol. 23, Pages 6449: Sollerman Hand Function Sub-Test & ldquo;Write with a Pen & rdquo;: A Computer-Vision-Based Approach in Rehabilitation Assessment
Sensors, Vol. 23, Pages 6449: Sollerman Hand Function Sub-Test “Write with a Pen”: A Computer-Vision-Based Approach in Rehabilitation Assessment Sensors doi: 10.3390/s23146449 Authors: Orestis N. Zestas Nikolaos D. Tselikas Impaired hand function is one of the most frequently persistent consequences of stroke. Throughout the rehabilitation process, physicians consistently monitor patients and perform kinematic evaluations in order to assess their overall progress in motor recovery. The Sollerman Hand Function Test (SHT) is a valuable assessment tool used to evaluate a patient’s c...
Source: Sensors - July 17, 2023 Category: Biotechnology Authors: Orestis N. Zestas Nikolaos D. Tselikas Tags: Article Source Type: research

The continuous performance test aids the diagnosis of post-stroke cognitive impairment in patients with right hemisphere damage
ConclusionThe CPT may be helpful in the clinical diagnosis of PSCI with RHD. It may therefore be used to evaluate the effectiveness of cognitive interventions.
Source: Frontiers in Neurology - June 28, 2023 Category: Neurology Source Type: research