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Total 134 results found since Jan 2013.

Application of the extended technology acceptance model to explore clinician likelihood to use robotics in rehabilitation
CONCLUSION: This study found that perceived usefulness and perceived ease of use of a robotic device in clinical rehabilitation can be improved through experience, training and embedded technological support. However, training and embedded support are not routinely offered, suggesting there is a discordance between current implementation and the learning needs of rehabilitation clinicians.IMPLICATIONS FOR REHABILITATIONPatients do not receive adequate amounts of upper limb motor practice following a stroke, and although robotic devices have the potential to address this gap, clinical adoption is low.The technology acceptan...
Source: Disability and Rehabilitation. Assistive Technology. - April 11, 2022 Category: Rehabilitation Authors: Marlena Klaic Justin Fong Vincent Crocher Katie Davies Kim Brock Emma Sutton Denny Oetomo Ying Tan Mary P Galea Source Type: research

Improved upper extremity function following low-frequency hybrid assistive neuromuscular dynamic stimulation therapy in a patient with hemiplegia: A case report
Intensive rehabilitation during the first 3 months post-onset is extremely important to recover from upper extremity paralysis after a cerebral stroke,1 as almost no change in motor function is observed after 90 days post-onset.2 In addition, a study reported in 1994 stated that 95% of patients with severe upper extremity paralysis reached stationary of the paralyzed side after 11 weeks of onset and that no further improvement could be expected.3 Therefore, conventional rehabilitation in patients with post-stroke upper extremity paralysis in the chronic phase focused on the acquisition of compensatory movements by the non-...
Source: Journal of Hand Therapy - April 1, 2023 Category: Rehabilitation Authors: Tomomi Ueda, Shota Suzumura, Kei Ito, Riae Narukawa, Izumi Kondo Tags: Case Report Source Type: research

Fostering Interprofessional Learning in a Rehabilitation Setting: Development of an Interprofessional Clinical Learning Unit.
CONCLUSIONS: The development of the IP clinical learning unit was successful and rewarding, but not without its challenges. Formal IP education was necessary to enhance collaborative practice, even in a multidisciplinary environment. Commitment and support from all participants, particularly managers and administrators from the healthcare agency, were critical to success. CLINICAL RELEVANCE: The focus of this unit was on a stroke rehabilitation unit; however, the development and implementation principles identified may be applicable to any team-based clinical setting. PMID: 23686422 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - May 17, 2013 Category: Rehabilitation Authors: Vanderzalm J, Hall MD, McFarlane LA, Rutherford L, Patterson SK Tags: Rehabil Nurs Source Type: research

Shotgun approaches to gait analysis: insights & limitations
Discussion & conclusion: Extracting a measure's classification capacity cannot solely rely on its statistical validity but typically requires proper post-hoc analysis. However, choosing the latter inevitably introduces some arbitrariness, which may affect outcome in general. We hence advocate the use of generic expert systems, possibly based on machine-learning.
Source: Journal of NeuroEngineering and Rehabilitation - August 12, 2014 Category: Rehabilitation Authors: Ronald KapteinDaphne WezenbergTrienke IJmkerHan HoudijkPeter BeekClaudine LamothAndreas Daffertshofer Source Type: research

Invited Commentary on Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial
In this issue of Archives of Physical Medicine and Rehabilitation, Jessica McCabe and colleagues report findings from their methodologically sound, dose-matched clinical trial in 39 patients beyond 6 months poststroke. In this phase II trial, the effects of 60 treatment sessions, each involving 3.5 hours of intensive practice plus either 1.5 hours of functional electrical stimulation (FES) or a shoulder-arm robotic therapy, were compared with 5 hours of intensive daily practice alone. Although no significant between-group differences were found on the primary outcome measure of Arm Motor Ability Test and the secondary outc...
Source: Archives of Physical Medicine and Rehabilitation - February 13, 2015 Category: Rehabilitation Authors: Gert Kwakkel, Erwin E. van Wegen, Carel M. Meskers Tags: INVITED Commentary Source Type: research

Editors' Selections From This Issue: Volume 96 / Number 6 / June 2015
In this month's podcast, we interview Janis J. Daly, PhD, MS, on the featured article Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial by McCabe et al. (See the full article at page 981.) This podcast, and our full collection of author podcasts, is available at http://www.archives-pmr.org/content/podcast_collection.
Source: Archives of Physical Medicine and Rehabilitation - May 30, 2015 Category: Rehabilitation Source Type: research

Evidence for Intensive Aphasia Therapy: Consideration of Theories from Neuroscience and Cognitive Psychology
Publication date: Available online 21 June 2015 Source:PM&R Author(s): Jade K. Dignam , Amy D. Rodriguez , David Copland Treatment intensity is a critical component to the delivery of speech-language pathology and rehabilitation services. Within aphasia rehabilitation, however, there is currently insufficient evidence to guide clinical decision making with respect to the optimal treatment intensity. This review considers perspectives from two key bodies of research; the neuroscience and cognitive psychology literature, with respect to the scheduling of aphasia rehabilitation services. Neuroscience research sugges...
Source: PMandR - June 29, 2015 Category: Rehabilitation Source Type: research

Study of motor and electrophysiological effects induced by the association of motor imagery exercises and Paired Associative Stimulation in 6 hemiplegic patients
Conclusion The session PAS alone seems to induce motor improvement associated with increased cortical excitability not shown after the other two sessions. The combination of two types of stimuli seems to have less effect, perhaps because of the mechanisms regulating the homeostasis of brain plasticity. The results have to be confirmed on a larger sample.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

The Mini-BESTest: a review of psychometric properties
The Mini-Balance Evaluation Systems Test (Mini-BESTest) has been identified as the most comprehensive balance measure for community-dwelling adults and elderly individuals. It can be used to assess balance impairments in several other conditions, mainly Parkinson’s disease and stroke. Despite increasing use of the Mini-BESTest since it was first published 5 years ago, no systematic review synthesizing its psychometric properties is available. The aim of this study was to provide a comprehensive review of the psychometric properties of the Mini-BESTest when administered to patients with balance deficits because of differe...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Review articles Source Type: research

Estimating Clinical Scores From Wearable Sensor Data In Stroke Survivors
To investigate the suitability of a machine learning algorithm based on data collected using two wearable 3-axis accelerometers to predict the total Functional Ability Scale (FAS) score during the performance of a battery of motor tasks taken from the Wolf Motor Function Test (WMFT).
Source: Archives of Physical Medicine and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Claire Meagher, Stefano Sapienza, Catherine Adans-Dester, Anne O ’Brien, Shyamal Patel, Gloria Vergara-Diaz, Danilo Demarchi, Sunghoon Lee, Ann-Marie Hughes, Randie Black-Schaffer, Jane Burridge, Ross Zafonte, Paolo Bonato Source Type: research

Correction to: Dissociating motor learning from recovery in exoskeleton training post-stroke
The original article [1] contained an error whereby the co-author, Karima Bakhti ’s name was displayed incorrectly.
Source: Journal of NeuroEngineering and Rehabilitation - December 17, 2018 Category: Rehabilitation Authors: Nicolas Schweighofer, Chunji Wang, Denis Mottet, Isabelle Laffont, Karima Bakhti, David J. Reinkensmeyer and Olivier R émy-Néris Tags: Correction Source Type: research

Feasibility of integrating robotic exoskeleton gait training in inpatient rehabilitation.
CONCLUSION: Integrating Ekso gait training into clinical practice was not seamless but appears feasible. Barriers were addressed within the rehabilitation team and received administrative support in a process lasting several months. Patients enjoyed walking in Ekso and felt secure within the device. Implications for rehabilitation Integrating Ekso gait training into clinical practice during inpatient rehabilitation is feasible. Overcoming barriers to implementation required administrative support and clinician persistence over several months. Patients tolerated Ekso sessions well, without any complications or adverse incid...
Source: Disability and Rehabilitation. Assistive Technology. - March 18, 2019 Category: Rehabilitation Authors: Swank C, Sikka S, Driver S, Bennett M, Callender L Tags: Disabil Rehabil Assist Technol Source Type: research

Neuropsychological profile associated with moyamoya disease: A case report.
CONCLUSIONS: MMD significantly impacts cognition and daily functioning in affected patients. This is further exacerbated by additional vascular incidents requiring surgical intervention. While there is a clear growth of research on MMD, limited information is available on the neurocognitive and neuropsychiatric outcomes of the disease process. Neuropsychological data from the current case study is closely examined to provide a unique example of the lateralized neuropsychological profile and deficit pattern in a historically high functioning individual diagnosed with MMD following a stroke. PMID: 31868692 [PubMed - as s...
Source: NeuroRehabilitation - December 25, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Correction
In the article by McCabe et  al, Comparison of Robotics, Functional Electrical Stimulation, and Motor Learning Methods for Treatment of Persistent Upper Extremity Dysfunction After Stroke: A Randomized Controlled Trial, published in Archives of Physical Medicine and Rehabilitation 2015;96:981-90 (https://www.archives-pmr.org/ article/S0003-9993(14)01228-3/fulltext), Table 5 contained an error. In the last column (‘Mean Gain Score’), row one (ML Group, FM Score) the value is shown as 11 points on the FM scale.
Source: Archives of Physical Medicine and Rehabilitation - February 6, 2020 Category: Rehabilitation Tags: Departments Source Type: research