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Total 1186 results found since Jan 2013.

Selecting measures for balance and mobility to improve assessment and treatment of individuals after stroke.
This article utilizes a case-based approach to describe the benefits of using a common set of outcome measures and a process for selecting optimal measures across body structure/function, activity, and participation domains of the International Classification of Functioning, Disability and Health (ICF) model and stages of stroke recovery. Specific measures for use in acute care, rehabilitation, outpatient, and home health care settings are discussed based on StrokEDGE task force recommendations by the Neurology Section of the American Physical Therapy Association. PMID: 25150662 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - July 1, 2014 Category: Neurology Authors: Kegelmeyer DA, Kloos AD, Siles AB Tags: Top Stroke Rehabil Source Type: research

Comparison of the effects on dynamic balance and aerobic capacity between objective and subjective methods of high-intensity robot-assisted gait training in chronic stroke patients: a randomized controlled trial.
CONCLUSION: High-intensity RAGT at 70% of HRR significantly improved dynamic balance and aerobic capacity more than RAGT at RPE of 15. These results suggest that high-intensity RAGT at 70% of HRR is safe and effective for improving dynamic balance and aerobic capacity in chronic stroke. PMID: 28102113 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 18, 2017 Category: Neurology Authors: Bae YH, Lee SM, Ko M Tags: Top Stroke Rehabil Source Type: research

Effects of performing a lateral-reaching exercise while seated on a tilted surface for severe post-stroke pusher behavior: A case series.
Conclusion: The lateral sitting exercise reduced severe PB in all patients; however, sitting balance and trunk performance did not improve in 1 patient. Future studies to examine the adaptability of this task and long-term effects are needed. PMID: 33345722 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 20, 2020 Category: Neurology Authors: Fukata K, Amimoto K, Inoue M, Shida K, Kurosawa S, Inoue M, Fujino Y, Makita S, Takahashi H Tags: Top Stroke Rehabil Source Type: research

Predictors and Biomarkers of Treatment Gains in a Clinical Stroke Trial Targeting the Lower Extremity Clinical Sciences
Conclusions— A multimodal model incorporating behavioral and fMRI measures best predicted treatment-induced changes in gait velocity in a clinical trial setting. Results also suggest potential use of fMRI measures as biomarkers of treatment gains.
Source: Stroke - July 28, 2014 Category: Neurology Authors: Burke, E., Dobkin, B. H., Noser, E. A., Enney, L. A., Cramer, S. C. Tags: Exercise/exercise testing/rehabilitation, Other Treatment, Behavioral Changes and Stroke, Computerized tomography and Magnetic Resonance Imaging, Rehabilitation, Stroke Clinical Sciences Source Type: research

Consumer-Based Physical Activity Monitor as a Practical Way to Measure Walking Intensity During Inpatient Stroke Rehabilitation Brief Report
Conclusions—This study provides preliminary evidence that the Fitbit One, when positioned on the nonparetic ankle, can accurately measure walking steps early after stroke during inpatient rehabilitation physical therapy sessions.Clinical Trial Registration—URL: https://www.clinicaltrials.gov. Unique identifier: NCT01915368.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Tara D. Klassen, Jennifer A. Semrau, Sean P. Dukelow, Mark T. Bayley, Michael D. Hill, Janice J. Eng Tags: Cerebrovascular Disease/Stroke Brief Reports Source Type: research

The effect of aquatic physical therapy in patients with stroke: A systematic review and meta-analysis.
Conclusion: Aquatic physical therapy may be a valid means for the rehabilitation of people affected by stroke. The integration of this methodological approach with conventional physical therapy should be considered. However, more studies; a larger number of participants; and varying lengths of follow-up times are necessary. PMID: 32340581 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 26, 2020 Category: Neurology Authors: Giuriati S, Servadio A, Temperoni G, Curcio A, Valente D, Galeoto G Tags: Top Stroke Rehabil Source Type: research

Improving Secondary Stroke Prevention Following Acute Ischemic Stroke: A Practice Improvement Project. (P4.287)
CONCLUSIONS: Aggressive lifestyle modification and risk factor management are cornerstones of stroke prevention. Questionnaires and checklist based systems are powerful tools to quickly gather information and assess patient participation in healthcare. In individualized stroke clinics, it is a practical tool to monitor goals of secondary stroke prevention. Further data can clarify if additional instruments like multidisciplinary stroke clinics incorporating nutrition, physical therapy and stroke counseling services will improve outcomes, compliance and reduce stroke recurrence.Disclosure: Dr. Harriott has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Harriott, A. Tags: Practice, Policy, and Ethics: Stroke, Critical Care, and Other Source Type: research

Cadagan: Humor and tenacity after a stroke
Most parents try to discourage their children from indulging in humor about bodily functions like burping. But for Daniel and Lori Hooley, a simple smirk in response to a belch was the sign they needed that their daughter, Cadagan, was going to be okay. It was 2012 and 7-year-old Cadagan was asleep, tucked into bed for the night. Around 11 p.m., she suddenly awoke — but it wasn’t because of a nightmare or a late-night request for a glass of water. Instead, she seemed limp and couldn’t focus. Then she began throwing up. Born with an extremely rare genetic disorder called trisomy 12p, the little girl had already experi...
Source: Thrive, Children's Hospital Boston - November 20, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Laura Lehman Dr. Michael Rivkin stroke Stroke and Cerebrovascular Center vasculitis Source Type: news

Transcranial direct current stimulation (tDCS): Does it have merit in stroke rehabilitation? A systematic review
Transcranial direct current stimulation has been gaining increasing interest as a potential therapeutic treatment in stroke recovery. We performed a systematic review with meta‐analysis of randomized controlled trials to collate the available evidence in adults with residual motor impairments as a result of stroke. The primary outcome was change in motor function or impairment as a result of transcranial direct current stimulation, using any reported electrode montage, with or without adjunct physical therapy. The search yielded 15 relevant studies comprising 315 subjects. Compared with sham, cortical stimulation did not...
Source: International Journal of Stroke - October 1, 2013 Category: Neurology Authors: Jodie Marquez, Paulette Vliet, Patrick McElduff, Jim Lagopoulos, Mark Parsons Tags: Review Source Type: research

From Buenos Aires to Boston for pediatric stroke care
Twice a year, Osvaldo and Sol board a plane in Buenos Aires, Argentina. For a week or more, they leave behind their home, their friends, their jobs — and, sometimes, their two daughters, Ines and Clara. But what waits for them, a continent away, is worth it. In Boston, they say, they have found expert care for their son, Francisco. “Francisco was perfectly fine when he was born,” says Sol. “But two days later, we were having trouble waking him up.” Although initially doctors assured the family that his behavior was normal, they quickly transferred him to the neonatal intensive care unit when he began having diffi...
Source: Thrive, Children's Hospital Boston - October 27, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Michael Rivkin International Health Services physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

Bouncing back: Nolan ’s life after stroke
Although he’s only a little over a year old, Nolan Morel is a bona fide charmer. Clad in a red shirt and navy blue suspenders, he flashes a happy grin at his mother, Rosalia; his physician, Dr. Laura Lehman; and the others in the room. “Look at those dimples!” someone coos, and he giggles in response. “I can’t believe how social he’s being,” laughs Rosalia. “He wasn’t always like this.” In fact, Nolan’s first several days of life were anything but lighthearted. Just a few hours after his birth at a hospital north of Boston, he stopped breathing and had to be manually resuscitated and given oxygen. Whe...
Source: Thrive, Children's Hospital Boston - December 7, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories child life Dr. Laura Lehman feeding therapy occupational therapy physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

Kelsey’s transformation: From stroke survivor to motivational speaker
“When I woke up after my stroke, all I wanted was to be normal again,” recalls Kelsey Tainsh. Normal — as in a healthy teen athlete who could brush her teeth and shower on her own, who wasn’t wheelchair-bound, who wasn’t compelled to hide her paralyzed right hand in her pocket everywhere she went, one who hadn’t lost all of her high school friends except for her two triplet sisters. Now, this world-champion athlete not only learned to walk and talk again but also to embrace her differences. “Our hardest obstacles can be our biggest opportunities,” she says. Kelsey’s first taste of being different came at ...
Source: Thrive, Children's Hospital Boston - March 16, 2016 Category: Pediatrics Authors: Lisa Fratt Tags: Our Patients’ Stories Brain tumor Mark Rockoff R. Michael Scott stroke Source Type: news

Foot Drop Stimulation Versus Ankle Foot Orthosis After Stroke: 30-Week Outcomes Clinical Sciences
Conclusions— Using either an FDS or an AFO for 30 weeks yielded clinically and statistically significant improvements in gait speed and other functional outcomes. User satisfaction was higher in the FDS group. Although both groups did receive intervention, this large clinical trial provides evidence that FDS or AFO with initial physical therapy sessions can provide a significant and clinically meaningful benefit even years after stroke. Clinical Trial Registration Information— URL: http://www.clinicaltrials.gov. Unique Identifier: NCT01138995.
Source: Stroke - May 24, 2013 Category: Neurology Authors: Kluding, P. M., Dunning, K., O'Dell, M. W., Wu, S. S., Ginosian, J., Feld, J., McBride, K. Tags: Exercise/exercise testing/rehabilitation Clinical Sciences Source Type: research

Likelihood of myocardial infarction during stroke rehabilitation preceded by cardiovascular screening and an exercise tolerance test: the Locomotor Experience Applied Post‐Stroke (LEAPS) Trial
ConclusionsThe combination of a negative cardiac screen and the absence of exercise tolerance test failure appeared to have a high negative predictive value for cardiac events during treatment, despite the likelihood of a high prevalence of coronary artery disease in our population.
Source: International Journal of Stroke - August 26, 2014 Category: Neurology Authors: Stephen E. Nadeau, Dorian Kay Rose, Bruce Dobkin, Samuel S. Wu, Yufeng E. Dai, Richard Schofield, Pamela W. Duncan, Tags: Research Source Type: research

Early poststroke rehabilitation using a robotic tilt-table stepper and functional electrical stimulation.
Conclusions. Robotic tilt-table exercise with or without FES is safe and may be more effective in improving leg strength and cerebral blood flow than tilt table alone. PMID: 23691432 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research