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Predictors of functional and motor outcomes following upper limb robot-assisted therapy after stroke
Robot-assisted therapy is an effective treatment for stroke patients and has recently gained popularity. Clinicians and researchers are trying to identify predictors to stratify patients for ensuring better stroke rehabilitation outcomes. However, previous studies have reported controversial results regarding the predictors of upper limb recovery after robot-assisted therapy. Our objective was to determine whether the demographic and clinical characteristics of stroke patients influence the motor and functional outcomes after robot-assisted therapy. We conducted a retrospective analysis of 48 hemiplegic patients who perfor...
Source: International Journal of Rehabilitation Research - August 8, 2019 Category: Rehabilitation Tags: Original Articles Source Type: research

Factors associated with functional recovery in Japanese patients with convalescent stroke stratified by age: a multicenter observational study
In conclusions, the findings showed that there were different trends among the factors related to poststroke functional recovery among the three age groups.
Source: International Journal of Rehabilitation Research - August 8, 2019 Category: Rehabilitation Tags: Original Articles Source Type: research

The effect of low-intensity aerobic training on cognitive functions of severely deconditioned subacute and chronic stroke patients: a randomized, controlled pilot study
Our objective was to investigate the impact of low-intensity aerobic training on cognitive functions in severely deconditioned subacute and chronic stroke patients. For this purpose, a randomized, controlled pilot study was designed involving subacute and chronic stroke patients. Thirty-seven eligible patients participated in the 4-week-long randomized, controlled pilot study. Patients were randomized into study group and control group and both groups participated in conventional physiotherapy included occupational therapy. Only the study group’s patients participated in a low-intensity aerobic training by cycle ergomete...
Source: International Journal of Rehabilitation Research - August 8, 2019 Category: Rehabilitation Tags: Original Articles Source Type: research

Effects of adjuvant mental practice using inverse video of the unaffected upper limb in subacute stroke: a pilot randomized controlled study
This study’s objective was to investigate the adjuvant effects of mental practice using an inverse video of the unaffected limb in subacute stroke patients with severe motor impairment on motor improvement, functional outcomes, and activities of daily living. Participants (n = 20) with severe hemiplegia after a unilateral first-ever stroke within 6 months were divided into two groups. The intervention group performed additional mental practice using an inverse video of the unaffected limb for 20 minutes before every session of their rehabilitation program. The primary outcomes were the Fugl-Meyer assessment for t...
Source: International Journal of Rehabilitation Research - November 7, 2019 Category: Rehabilitation Tags: Original Articles Source Type: research

Applicability of International Classification of Functioning, Disability and Health-based participation measures in stroke survivors in Africa: a systematic review
We examined the content of these tools and provided valuable information that can be used to guide researchers in Africa in their selection of the most appropriate tool for the measurement of participation after stroke.
Source: International Journal of Rehabilitation Research - February 14, 2020 Category: Rehabilitation Tags: Review Article Source Type: research

Gait characteristics of post-stroke hemiparetic patients with different walking speeds
This study aimed to clarify the spatiotemporal gait characteristics of hemiparetic patients by comparing them with height-, speed-, and age-matched controls while walking at various speeds. The data on spatiotemporal gait parameters of stroke patients and that of matched controls were extracted from a hospital gait analysis database. In total, 130 pairs of data were selected for analysis. Patients and controls were compared for spatiotemporal gait parameters and the raw value (RSI) and absolute value (ASI) of symmetry index and coefficient of variation (CV) of these parameters. Stroke patients presented with prolonged nonp...
Source: International Journal of Rehabilitation Research - February 14, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Effects of visual feedback training and visual targets on muscle activation, balancing, and walking ability in adults after hemiplegic stroke: a preliminary, randomized, controlled study
The aim of this randomized, controlled study was to investigate the effect of visual feedback through visual targets on muscle activity, balance, and gait in stroke patients. Patients were recruited from the inpatient unit of a rehabilitation hospital. Twenty-one patients who had experienced hemiplegic stroke were randomly assigned to two groups: an experimental group (visual feedback training with visual targets on gradual weight shifting), and a control group (visual feedback training on gradual weight shifting). All patients performed 30 minutes of comprehensive rehabilitation therapy followed by an additional 20 minute...
Source: International Journal of Rehabilitation Research - February 14, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Community-dwelling individuals with stroke, who have inspiratory muscle weakness, report greater dyspnea and worse quality of life
The objective of the present study was to investigate if different levels of inspiratory muscle strength would be associated with dyspnea, walking capacity, and quality of life after stroke. For this exploratory study, the dependent outcome was strength of the inspiratory muscles, measured by maximal inspiratory pressure. Individuals with maximal inspiratory pressure ≥80 cmH2O were classified as non-weak, those with maximal inspiratory pressure between 45 and 80 cmH2O were classified as weak, and those with maximal inspiratory pressure ≤45 cmH2O were classified as very weak. Related outcomes included dyspnea, measured ...
Source: International Journal of Rehabilitation Research - May 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Is cognition considered in post-stroke upper limb robot-assisted therapy trials? A brief systematic review
The aim of this systematic review was, first, to determine whether or not individuals with cognitive deficits after stroke were enrolled in trials that investigated upper limb robot-assisted therapy effectiveness, and, second, whether these trials measured cognitive outcomes. We retrieved 6 relevant systematic reviews covering, altogether, 66 articles and 2214 participants. Among these 66 clinical trials, only 10 (15%) enrolled stroke participants with impaired cognition, whereas 50 (76%) excluded those with impaired cognition. The remaining six trials (9%) were classified as unclear as they either excluded individuals una...
Source: International Journal of Rehabilitation Research - August 13, 2020 Category: Rehabilitation Tags: Review Article Source Type: research

A comparison of three balance-assessment scales for patients after stroke with various levels of balance disorder
It is often difficult for the clinician to choose the most appropriate balance-assessment measure. We wanted to facilitate this decision based on the stroke patient’s functional abilities. The aim of our study was to compare three established scales [Berg Balance Scale (BBS), mini-BESTest (MBT) and Functional Gait Assessment (FGA)] in terms of responsiveness, floor and ceiling effects at different levels of ambulation as defined by the Functional Ambulation Classification (FAC). The 18-month prospective study included 88 patients after cerebral stroke, who were able to walk independently or with assistance of one person ...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Exploratory analysis of randomized clinical trials in physiotherapy aimed at improving walking speed after stroke
The purpose of the present study was to examine the main characteristics of clinical trials in physiotherapy aimed at improving walking speed after stroke, as well as the correlation between trials’ methodological quality and journals’ Impact Factor. Searches were conducted on Physiotherapy Evidence Database for all randomized controlled trials aiming at improving walking speed after stroke. Data extracted from the studies were: continent, language, methodological quality, year of publication, number of normalized citations, open access, sample size, measurements of walking speed, interventions, comparators, and prior ...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Original Articles 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

Validation of the telephone-based assessment of locomotion ability after stroke
The aim of the study was to validate the telephone-based application of the ABILOCO questionnaire for the assessment of locomotion ability after stroke. Individuals after stroke answered the ABILOCO-Brazil questionnaire on two randomized occasions, face-to-face and by telephone, 5–7 days apart. The mean difference between the interviews was reported. Intraclass correlation coefficient (ICC) was calculated to investigate the agreement between the total scores, and weighted-Kappa statistics to investigate the agreement between the individual items. A total of 92 individuals were included. There was no significant differe...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Brief Research Report Source Type: research

Single-session training on an ascending treadmill slope: effects on gait parameters in persons with stroke. A pilot study
This study aimed to determine the effects of a treadmill single-session training with a 10% upward incline on biomechanical gait parameters in persons with stroke. Methods Fifteen persons with stroke-related hemiparesis performed a 20-min treadmill training session with a 10% ascending incline in this interventional pilot study. Spatiotemporal, kinematic and kinetic parameters were evaluated, overground, with a tridimensional optoelectronic system, before the session, immediately after and after a 20-min rest period. Results The single-session training on a treadmill with a 10% incline has significantly incre...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Toward improving the specificity of perturbation-based training through assessment of dynamic balancing responses: a series of N-of-1 studies in subacute stroke
Perturbation-based balance training (PBT) has been shown to improve reactive balancing abilities in chronic stroke. To inform future investigations in the subacute phase of stroke, the objective of this series of N-of-1 studies was to investigate the range of balancing responses to unexpected mechanical perturbations applied to the pelvis during walking on an instrumented treadmill before and after PBT training. Three subacute stroke subjects were assessed on each occasion with clinical tests and biomechanical measurements following perturbations applied in forward, backward, inward and outward directions. After 15 daily s...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Brief Research Reports Source Type: research

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