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Total 118 results found since Jan 2013.

Neuropsychological rehabilitation, neuroimaging and neuroplasticity: A  clinical commentary
NeuroRehabilitation. 2021 Aug 13. doi: 10.3233/NRE-218024. Online ahead of print.ABSTRACTInitial brain imaging studies on recovery of motor functioning after stroke suggested their potential prognostic value in neurorehabilitation. However, the value of brain imaging in documenting brain changes associated with cognitive and behavioral treatment effects seem less likely. Also, neuroimaging studies at that time seem to have little, if any, value for treatment planning. Advances in neuroimaging technology are beginning to challenge these initial impressions. In this clinical commentary, we propose that advances in the field ...
Source: NeuroRehabilitation - August 16, 2021 Category: Rehabilitation Authors: George P Prigatano Lucia W Braga Spring Flores Johnson L ígia M N Souza Source Type: research

Functional recovery of patients with intracerebral haemorrhage and cerebral infarction after rehabilitation
To investigate potential differences in functional recovery after rehabilitation between intracerebral haemorrhage and cerebral infarction, we retrospectively compared the outcomes of patients with intracerebral haemorrhage (N = 208) and cerebral infarction (N = 480) who were consecutively discharged from our convalescent rehabilitation hospital between January 2013 and December 2018. Functional improvement was estimated by functional independence effectiveness measurements (proportion of potential for improvement achieved) upon discharge. Univariate analysis showed no significant differences in functional improvement betw...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Status of dysphagia after ischemic stroke: A Korean nationwide study
Post-stroke dysphagia is a common symptom in stroke patients. It is known that 13% to 18% of patients have persistent symptoms of dysphagia until 6 months after onset.1, 2 Dysphagia increases the risks of aspiration, associated complications (e.g., aspiration pneumonia), malnutrition, poor prognostic outcomes,3 and increased mortality.4 Early detection and treatment of dysphagia in stroke patients are crucial to prevent adverse complications, decrease the length of hospital stay, and reduce the health-care costs.
Source: Archives of Physical Medicine and Rehabilitation - August 2, 2021 Category: Rehabilitation Authors: Nayeon Ko, Hyun Haeng Lee, Min Kyun Sohn, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Young-Hoon Lee, Won Hyuk Chang, Soo Mi Choi, Seon kui Lee, Jongmin Lee, Yun-Hee Kim Source Type: research

Association Between 2010 Medicare Reforms and Utilization of Postacute Inpatient Rehabilitation in Ischemic Stroke
Objective The aim of the study was to investigate whether the elimination of trial admissions and the initiation of documentation requirements, via the 2010 Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility Prospective Payment System Rule, limited inpatient rehabilitation facility access while increasing skilled nursing facility utilization compared with home discharge in ischemic stroke patients. Design This is a retrospective observational study using Get with the Guidelines – Stroke hospital data between January 1, 2008 and December 31, 2015 (N = 1,643,553). Results Between...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Exoskeleton-assisted Anthropomorphic Movement Training (EAMT) for Post-stroke Upper Limb Rehabilitation: A Pilot Randomized Controlled Trial
Stroke is the leading cause of mortality and disability worldwide, and it places a substantial burden on healthcare services and the socioeconomic system.1 More than two-thirds of individuals with stroke have upper extremity motor impairment and functional deficits at hospital admission,2, 3 manifesting as muscle weakness, loss of coordination and abnormal synergies.4 Moreover, upper limb dysfunction leads to long-term limitations in activities of daily living (ADL) and social participation.5 Extensive studies have reported that participants can benefit from high-intensity, task-specific training programs based on motor-le...
Source: Archives of Physical Medicine and Rehabilitation - June 23, 2021 Category: Rehabilitation Authors: Ze-Jian Chen, Chang He, Feng Guo, Cai-Hua Xiong, Xiao-Lin Huang Tags: Original Research Source Type: research

Exoskeleton-Assisted Anthropomorphic Movement Training (EAMT) for Poststroke Upper Limb Rehabilitation: A Pilot Randomized Controlled Trial
Stroke is the leading cause of mortality and disability worldwide, and it places a substantial burden on health care services and the socioeconomic system.1 More than two-thirds of individuals with stroke have upper extremity motor impairment and functional deficits at hospital admission,2,3 manifesting as muscle weakness, loss of coordination, and abnormal synergies.4 Moreover, upper limb dysfunction leads to long-term limitations in activities of daily living (ADL) and social participation.5 Extensive studies have reported that participants can benefit from high-intensity, task-specific training programs based on motor-l...
Source: Archives of Physical Medicine and Rehabilitation - June 23, 2021 Category: Rehabilitation Authors: Ze-Jian Chen, Chang He, Feng Guo, Cai-Hua Xiong, Xiao-Lin Huang Tags: ORIGINAL RESEARCH Source Type: research

Association Between Use of Rehabilitation in the Acute Care Hospital and Hospital Readmission or Mortality in Patients with Stroke
To examine the association between the number of physical and occupational therapist visits received in the acute care hospital and the risk of hospital readmission or death.
Source: Archives of Physical Medicine and Rehabilitation - April 1, 2021 Category: Rehabilitation Authors: Janet K. Freburger, Aileen Chou, Tracey Euloth, Beth Matcho, Andrew Bilderback Tags: Original Research Source Type: research

Hospital to Home Transition for Patients with Stroke under Bundled Payments
Bundled payments are one of the promising Alternative Payment Models for reducing costs and improving the coordination of post-acute stroke care. Yet there is limited evidence supporting the effectiveness of bundled payments for stroke. This may be due to the lack of effective strategies to address the complex needs of stroke survivors. In this article, we describe COMprehensive Post-Acute Stroke Services (COMPASS), a comprehensive transitional care intervention, focused on discharge from the acute care setting to home.
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Yucheng Hou, Cheryl D. Bushnell, Pamela W. Duncan, Anna M. Kucharska-Newton, Jacqueline R. Halladay, Janet K. Freburger, Justin G. Trogdon Source Type: research

Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation.
DISCUSSION: Personalized rehabilitation can be considered in comparison to person-centred care principles. The barriers and enablers experienced by patients in this study contribute to the existing knowledge of the patient experience of stroke rehabilitation and may be used to inform clinical practices and future research. Implications for Rehabilitation The surrounding environments can facilitate participation in rehabilitation using strategies to reduce noise and disruption and also by encouraging social interactions among patients. Increasing the frequency and consistency of communication with patients about rehabilitat...
Source: Disability and Rehabilitation - February 11, 2021 Category: Rehabilitation Authors: Last N, Packham TL, Gewurtz RE, Letts LJ, Harris JE Tags: Disabil Rehabil Source Type: research

Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective
The purpose of this prospective study was to determine whether the cost and cost-effectiveness of early rehabilitation after stroke are associated with the degree of initial disability. The data for cost calculations were collected by the bottom-up (micro-costing) method alongside the standard inpatient care. The total sample included 87 patients who were transferred from acute care to early rehabilitation unit of three participating stroke centers at the median time poststroke of 11 days (range 4–69 days). The study was pragmatic so that all hospitals followed their standard therapeutic procedures. For each patient,...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Including Patients With Stroke in Cardiac Rehabilitation: BARRIERS AND FACILITATORS
More than 13 million cases of stroke are occurring annually worldwide. Approximately a quarter of these strokes are recurrent strokes, and there is compelling evidence of the benefit of supervised exercise and risk factor modification programming in the secondary prevention of these strokes. However, there is insufficient time in inpatient and outpatient stroke rehabilitation for focused exercise interventions. General lifestyle interventions on their own, without guidance and supervision, are insufficient for improving physical activity levels. Cardiac rehabilitation (CR) is a setting where cardiac patients, and increasin...
Source: Journal of Cardiopulmonary Rehabilitation - September 1, 2020 Category: Rehabilitation Tags: Invited Review Source Type: research