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Specialty: Orthopaedics
Condition: Disability

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Total 42 results found since Jan 2013.

Association of stroke subtypes with risk of hip fracture: a population-based study in Taiwan
ConclusionOverall, stroke significantly increases the incidence of HF, and the risk of HF is significantly higher in ICH patients and female gender. We should identify stroke patients at risk of HF and pay more attention to prevent them from fall in poststroke long-term care.
Source: Archives of Orthopaedic and Trauma Surgery - November 22, 2017 Category: Orthopaedics Source Type: research

Intraoperative Ischemic Stroke in Elective Spine Surgery: A Retrospective Study of Incidence and Risk
Conclusion. . With the increase of spinal procedures, it is important to identify patients at risk for having an ischemic stroke and to optimize their comorbidities preoperatively. Patients with intraoperative ischemic stroke carry a higher risk for morbidity and mortality during the index hospitalization. Level of Evidence: 4
Source: Spine - January 8, 2020 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Bilateral coordination and gait symmetry after body-weight supported treadmill training for persons with chronic stroke
Abstract: Background: Locomotor interventions are commonly assessed using functional outcomes, but these outcomes provide limited information about changes toward recovery or compensatory mechanisms. The study purposes were to examine changes in gait symmetry and bilateral coordination following body-weight supported treadmill training in individuals with chronic hemiparesis due to stroke and to compare findings to participants without disability.Methods: Nineteen participants with stroke (>6months) who ambulated between 0.4 and 0.8m/s and 22 participants without disability were enrolled in this repeated-measures study. Th...
Source: Clinical Biomechanics - March 4, 2013 Category: Orthopaedics Authors: Stephanie A. Combs, Eric L. Dugan, Elicia N. Ozimek, Amy B. Curtis Tags: Papers Source Type: research

Haptic-based perception-empathy biofeedback system for balance rehabilitation in patients with chronic stroke: Concepts and initial feasibility study
Stroke is the leading cause of long-term disability, annually experienced by approximately 250,000 individuals in Japan and remains a major healthcare and economic issue [1]. In stroke patients, a complex interplay of sensory, motor, and cognitive impairments causes balance issues [2]. Therefore, most stroke patients show increased postural sway during quiet standing and asymmetric weight distribution [2 –4]. Regarding post-stroke balance disability, impaired balance reportedly predicts falls in elderly patients post stroke [5].
Source: Gait and Posture - April 14, 2018 Category: Orthopaedics Authors: Kazuhiro Yasuda, Kenta Saichi, Naomi Kaibuki, Hiroaki Harashima, Hiroyasu Iwata Tags: Full length article Source Type: research

Between-day reliability of triceps surae responses to standing perturbations in people post-stroke and healthy controls: a high-density surface EMG investigation
Deficits in muscle activation are an important contributor to disability in mobility function in people after stroke [1]. For this reason, surface electromyography (EMG) is used by researchers to investigate changes in neuromuscular recruitment strategies associated with stroke in longitudinal studies [2–4]. Recent evidence suggests that surface electromyography could be useful in clinical settings to give an indication of motor recovery after stroke [5,6], as well as for biofeedback [7] as an intervention for lower limb [8] and upper limb [9] impairments post-stroke.
Source: Gait and Posture - December 7, 2015 Category: Orthopaedics Authors: A. Gallina, C.L. Pollock, T.M. Vieira, T.D. Ivanova, S.J. Garland Tags: Full length Article Source Type: research

Mirror therapy for improving lower limb motor function and mobility after stroke: A systematic review and meta-analysis
Each year there are approximately 15 million strokes worldwide, making stroke one of the major causes of high level disability in the home and in the community [1]. In the USA, UK and Australia stroke is found to be a principle source of burden of care and of long term disability and it has been highlighted that these factors are accentuated and maintained by impaired walking ability [2 –4]. The rehabilitation of impaired lower limb functioning post stroke is a major issue and this is demonstrated by the fact that approximately 30% of patients with chronic stroke have persistent difficulties in independent ambulation [5].
Source: Gait and Posture - May 12, 2018 Category: Orthopaedics Authors: P. Broderick, F. Horgan, C. Blake, M. Ehrensberger, D. Simpson, K. Monaghan Source Type: research

Association of trunk control with mobility performance and accelerometry-based gait characteristics in hemiparetic patients with subacute stroke
Stroke and cerebrovascular disease are leading causes of morbidity, mortality, and disability, and are the most common cause of the need for long-term care in Japan [1]. As well as upper- and lower-extremity impairments, trunk motor impairment also arises from stroke and follows the time course of the recovery [2,3]. Trunk control plays an important role in movement control and postural balance during functional activities. Previous studies have demonstrated that trunk control after stroke is closely associated with functional balance and activities of daily living [4–6], and is an important predictor of functional recovery [7–9].
Source: Gait and Posture - November 25, 2015 Category: Orthopaedics Authors: Takuya Isho, Shigeru Usuda Source Type: research

A sock for foot-drop: A preliminary study on two chronic stroke patients
Conclusion: Despite positive user perceptions, the study found no clear evidence that dorsiflex sock is effective in improving foot-drop. Clinical relevance Although the dorsiflex sock offers an attractive alternative to an ankle foot orthosis, the case studies found no clear evidence of its efficacy. Clinicians should view this device with caution until further research becomes available.
Source: Prosthetics and Orthotics International - September 22, 2014 Category: Orthopaedics Authors: Prenton, S., Kenney, L. P., Cooper, G., Major, M. J. Tags: Case Reports Source Type: research

Vitamin D profile of patients with spinal cord injury and post-stroke hemiplegia: All in the same boat.
CONCLUSIONS: Vitamin D status of patients with neurological disabilities was lower than that of controls. Non-functionally ambulatory patients had higher vitamin D insufficiency rate than functionally ambulatory patients. Preventative measures including adequate supplementation of vitamin D should be directed to neurologically disabled subjects, particularly those with non-functional ambulation. PMID: 26406185 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - September 26, 2015 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

O 089 - A soft robotic exosuit assisting the paretic ankle in patients post-stroke: effect on muscle activation during overground walking
Stroke, the leading cause of long-term disability, often results in slow and energetically inefficient gait. Our group has developed a body-worn soft robot (exosuit) that provides ankle plantar- and dorsiflexion assistance, which has been demonstrated to improves paretic propulsion, foot ground clearance, and efficiency during treadmill walking [1 –3]. For the exosuit to be an effective tool for gait training during stroke rehabilitation, these effects need to translate to overground walking and with minimal slacking, i.e.
Source: Gait and Posture - June 26, 2018 Category: Orthopaedics Authors: L. Sloot, J. Bae, L. Baker, K. O'Donnell, N. Menard, F. Porciuncula, D. Choe, T. Ellis, L. Awad, C. Walsh Tags: Short communication Source Type: research

Higher Rates of Mortality and Perioperative Complications in Patients Undergoing Primary Shoulder Arthroplasty and a History of Previous Stroke
This study aimed to determine the outcomes of patients with a history of stroke with sequela undergoing primary shoulder arthroplasty.
Source: Journal of Shoulder and Elbow Surgery - November 11, 2022 Category: Orthopaedics Authors: Erick M. Marigi, Jose M. Iturregui, Jean-David Werthel, John W. Sperling, Joaquin Sanchez-Sotelo, Bradley S. Schoch Tags: Original Article Source Type: research

Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection: A Case series of 123 patients
Conclusion: tVADs may be associated with stroke and/or cervical fracture. Presenting symptoms predict stroke, but baseline demographic and clinical characteristics do not. Comorbid cervical fractures, not stroke, drive negative outcomes
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Michael Brendan Cloney Anastasios G Roumeliotis Hooman A Azad Nikil Prasad Nathan A Shlobin Benjamin S Hopkins Babak S Jahromi Matthew B Potts Nader S Dahdaleh Source Type: research

A Review on Surface Electromyography-Controlled Hand Robotic Devices Used for Rehabilitation and Assistance in Activities of Daily Living
Conclusions This article highlights the important issues about the sEMG control method and accentuates the weaknesses associated with this type of control to assist researchers in overcoming problems that impede sEMG-controlled robotic devices to be feasible and practical tools for people afflicted with hand impairment.
Source: JPO Journal of Prosthetics and Orthotics - December 21, 2019 Category: Orthopaedics Tags: CME ARTICLES Source Type: research

Study of correlation between sway parameters in sit-to-stand (StS) and measurements of impairment, activity and participation in a population of chronic hemiplegic patients
Introduction: Standing equilibrium test does not fully describe the disability of balance control in patients with chronic stroke, whereas “StS” equilibrium can do it [1]. The primary objective is to compare the sway parameters during the sit-to-stand performed on a force platform of a chronic stroke population with a normative population. The secondary objectives are to correlate the StS measurements with clinical tests as well as to compare the instrumented StS measurement with 5-Repetition Sit-to-Stand Test (5XSST) [2].
Source: Gait and Posture - September 1, 2017 Category: Orthopaedics Authors: R.A. Grassi, M. Mantovani, P. Clerici, C. Orlandi, M. Longhi, C. Gambarelli, S. Cavazza Source Type: research