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Increased reward in ankle robotics training enhances motor control and cortical efficiency in stroke.
Abstract Robotics is rapidly emerging as a viable approach to enhance motor recovery after disabling stroke. Current principles of cognitive motor learning recognize a positive relationship between reward and motor learning. Yet no prior studies have established explicitly whether reward improves the rate or efficacy of robotics-assisted rehabilitation or produces neurophysiologic adaptations associated with motor learning. We conducted a 3 wk, 9-session clinical pilot with 10 people with chronic hemiparetic stroke, randomly assigned to train with an impedance-controlled ankle robot (anklebot) under either high re...
Source: J Rehabil Res Dev - May 1, 2014 Category: Rehabilitation Authors: Goodman RN, Rietschel JC, Roy A, Jung BC, Diaz J, Macko RF, Forrester LW Tags: J Rehabil Res Dev Source Type: research

Efficacy of virtual reality-based intervention on balance and mobility disorders post-stroke: a scoping review
Rehabilitation interventions involving virtual reality (VR) technology have been developed for the promotion of functional independence post stroke. A scoping review was performed to examine the efficacy of VR-based interventions on balance and mobility disorders post stroke. Twenty-four articles in the English language examining VR game-based interventions and outcomes directed at balance and mobility disorders were included. Various VR systems (customized and commercially available) were used as rehabilitation tools. Outcome measures included laboratory and clinical measures of balance and gait. Outcome measures of dynam...
Source: Journal of NeuroEngineering and Rehabilitation - May 10, 2015 Category: Rehabilitation Authors: Anuja DarekarBradford McFadyenAnouk LamontagneJoyce Fung Source Type: research

Motor Imagery Training on Muscle Strength and Gait Performance in Ambulant Stroke Subjects: A Randomized Clinical Trial
50%-65% of stroke survivors have residual motor deficits; principal among them is hemi paretic gait that limits mobility, increases the risk of falls and promoting sedentary life style. Increased strength in the lower extremity muscles has been shown to be associated with improvements in walking performance. Recently Motor Imagery training (MIT) are enhancing motor learning, neural reorganization and cortical activation in stroke patients. However, efficacy MIT involving lower extremity mobility tasks are limited in stroke rehabilitation.
Source: Archives of Physical Medicine and Rehabilitation - October 1, 2015 Category: Rehabilitation Authors: Vijaya Kumar Tags: Research poster Source Type: research

The role of learning in improving functional writing in stroke aphasia.
CONCLUSIONS: These results show that small doses of writing therapy can lead to large gains in specific types of writing. These gains did not extend to improvements in frequency of writing in daily living, nor ecological measures of email writing. There is a need to develop bridging interventions between experimental tasks towards more multi-faceted and ecological everyday writing tasks. Implications for Rehabilitation Acquired dysgraphia can restrict people from participating in social, educational and professional life. This study has shown that copy and recall spelling therapies can improve the spelling of treated words...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Thiel L, Sage K, Conroy P Tags: Disabil Rehabil Source Type: research

Test-retest reliability and convergent validity of three manual dexterity measures in persons with chronic stroke
Conclusion The test-retest reliability of the BBT, NHPT and mSHFT was high but all measures showed learning effects. The relationships between the three measures indicate that they partly complement one another. The BBT may be preferred for persons with moderate impairments of the upper extremity and the NHPT and the mSHFT for persons with milder impairments. As the mSHFT has the advantage of reflecting activities in daily life it may be a suitable alternative to the NHPT.
Source: PMandR - March 11, 2016 Category: Rehabilitation Source Type: research

Test−Retest Reliability and Convergent Validity of Three Manual Dexterity Measures in Persons With Chronic Stroke
Conclusion The test−retest reliability of the BBT, NHPT and mSHFT was high but all measures showed learning effects. The relationships between the 3 measures indicate that they partly complement one another. The BBT may be preferred for persons with moderate impairments of the upper extremity and the NHPT and the mSHFT for persons with milder impairments. As the mSHFT has the advantage of reflecting activities in daily life it may be a suitable alternative to the NHPT.
Source: PMandR - March 24, 2016 Category: Rehabilitation Source Type: research

Cardiorespiratory fitness and cognitive functioning following short-term interventions in chronic stroke survivors with cognitive impairment: a pilot study
This study, a quasi-experimental, one-group pretest–post-test design, evaluated the effects on cognitive functioning and cardiorespiratory fitness of 8-week interventions (aerobic exercise alone and aerobic exercise and cognitive training combined) in patients with chronic stroke and cognitive impairment living in the community (participants: n=14, 61.93±9.90 years old, 51.50±38.22 months after stroke, n=7 per intervention group). Cognitive functions and cardiorespiratory fitness were evaluated before and after intervention, and at a 3-month follow-up visit (episodic memory: revised-Hopkins Verbal Learning Test; workin...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program.
Abstract Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment. Both groups significantly improved their Box and Blocks test score, but no significant difference was found between groups. The...
Source: J Rehabil Res Dev - August 18, 2016 Category: Rehabilitation Authors: Zondervan DK, Friedman N, Chang E, Zhao X, Augsburger R, Reinkensmeyer DJ, Cramer SC Tags: J Rehabil Res Dev Source Type: research

Comprehensive Cardiac Rehabilitation for Secondary Prevention After Transient Ischemic Attack or Mild Stroke: PSYCHOLOGICAL PROFILE AND OUTCOMES.
CONCLUSIONS: Anxiety and executive dysfunction persisted post-TIA/MNDS. Although promising for secondary prevention post-TIA/MNDS, CCR was not independently associated with psychological improvements. CCR psychological treatment may benefit depression. Subacute NYHA class and depression may later affect quality of life. PMID: 28727668 [PubMed - as supplied by publisher]
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - July 19, 2017 Category: Rehabilitation Authors: Prior PL, Hachinski V, Chan R, Unsworth K, Mytka S, Harnadek M, OʼCallaghan C, Suskin N Tags: J Cardiopulm Rehabil Prev Source Type: research

Virtual reality to augment robot-assisted gait training in non-ambulatory patients with a subacute stroke: a pilot randomized controlled trial.
CONCLUSIONS: VR-augmented RAGT resulted in high acceptability and motivation, and in a reduced drop-out rate and an extended training time compared to standard RAGT. This pilot trial provides guidance for a prospective RCT on the effectiveness of VR-augmented RAGT. CLINICAL REHABILITATION IMPACT: VR might be a promising approach to enrich and improve gait rehabilitation after stroke. PMID: 29265791 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - December 21, 2017 Category: Rehabilitation Authors: Bergmann J, Krewer C, Bauer P, Koenig A, Riener R, Müller F Tags: Eur J Phys Rehabil Med Source Type: research

Impaired Cognitive Performance in Endothelial Nitric Oxide Synthase Knockout Mice After Ischemic Stroke: A Pilot Study
Conclusions This study's data support a role for eNOS in cognitive performance after stroke. This finding may lead to the development of novel interventions to treat poststroke cognitive deficits.
Source: American Journal of Physical Medicine and Rehabilitation - June 20, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Recovery After Stroke: Perspectives of Young Stroke Survivors in Taiwan
To learn about the experiences and expectations of stroke recovery among young stroke survivors in Taiwan and to obtain an in-depth understanding of the facilitators of and barriers to their recovery.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Feng-Hang Chang, Yen-Nung Lin, Tsan-Hon Liou Tags: Research Poster Source Type: research

The role of theory to develop and evaluate a toolkit to increase clinical measurement and interpretation of walking speed and distance in adults post-stroke.
CONCLUSIONS: The approach may help to inform toolkit development to advance other rehabilitation practices of similar complexity. Implications for Rehabilitation Toolkits are an emerging knowledge translation intervention used to support widespread implementation of clinical practice guideline recommendations. Although experts recommend using theory to inform the development of knowledge translation interventions, there is little guidance on a suitable approach. This study describes an approach to using theories, models and frameworks to design a toolkit and implementation strategy, and a process evaluation of toolkit impl...
Source: Disability and Rehabilitation - January 16, 2021 Category: Rehabilitation Authors: Salbach NM, MacKay-Lyons M, Solomon P, Howe JA, McDonald A, Bayley MT, Veitch S, Sivarajah L, Cacoilo J, Mihailidis A Tags: Disabil Rehabil Source Type: research

Understanding the facilitators and barriers of stroke survivors' adherence to recovery-oriented self-practice: a thematic synthesis
CONCLUSION: To have a positive effect on adherence to self-practice, clinicians are advised to spend time learning about each individual's life circumstances, so they can tailor proposed exercise programs to patients' personal situations, preferences, and needs.IMPLICATIONS FOR REHABILITATIONThe topic of patient's adherence to self-practice of prescribed exercise is a common concern, often voiced by frustrated rehabilitation health professionals. Bridging the gap between the patient's needs for post-discharge intensive therapy and the inability of healthcare systems to provide it could be filled partly by self-practice.Adh...
Source: Disability and Rehabilitation - August 30, 2021 Category: Rehabilitation Authors: Dor Vadas Kirsten Prest Amadea Turk Stephanie Tierney Source Type: research

Enhancing motor learning in people with stroke via memory reactivation during sleep.
Conclusions: This study suggests that TMR may enhance motor learning after stroke. Future studies should investigate whether TMR can lead to improvements of the paretic upper extremity during clinically based rehabilitation interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Source: Rehabilitation Psychology - September 30, 2021 Category: Rehabilitation Source Type: research

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