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Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Assessing and treating pain associated with stroke, multiple sclerosis, cerebral palsy, spinal cord injury and spasticity. Evidence and recommendations from the Italian Consensus conference on Pain in Neurorehabilitation.
ian Consensus Conference on Pain in Neurorehabilitation (ICCPN) Abstract Pain is a common and disabling symptom in patients with stroke, multiple sclerosis (MS), cerebral palsy (CP), spinal cord injury (SCI) and other conditions associated with spasticity, but data on its prevalence, and natural history, as well as guidelines on its assessment and treatment in the field of neurorehabilitation, are largely lacking. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) searched and evaluated current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacolo...
Source: European Journal of Physical and Rehabilitation Medicine - August 30, 2016 Category: Rehabilitation Authors: Paolucci S, Martinuzzi A, Scivoletto G, Smania N, Solaro C, Aprile I, Armando M, Bergamaschi R, Berra E, Berto G, Carraro E, Cella M, Gandolfi M, Masciullo M, Molinari M, Pagliano E, Pecchioli C, Roncari L, Torre M, Trabucco E, Vallies G, Zerbinati P, Ita Tags: Eur J Phys Rehabil Med Source Type: research

A cohort study of the association between psychosocial factors and pain in patients with Spinal Cord Injury and Stroke.
CONCLUSIONS: Psychosocial factors are associated with pain early after stroke and SCI. Psychosocial factors are also associated with pain outcomes several months after stroke and SCI. This highlights the importance of psychosocial factors in both of these populations and their relationship with pain outcomes. PMID: 31796705 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - December 6, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Current practice of outpatient rehabilitation services in patients with mobility-impaired paralysis due to stroke or spinal cord injury: a qualitative interview study in Germany
CONCLUSION: Areas of improvement identified focused on: setting rehabilitation goals towards participation, training therapists on evidence-based treatments and shared decision-making, updating the outpatient service catalogue, and implementing coordination actions. Implementation of these recommendations should be evaluated.PMID:37732606 | DOI:10.1080/09638288.2023.2259301
Source: Disability and Rehabilitation - September 21, 2023 Category: Rehabilitation Authors: Tiziana Daniel Tamara Spingler Andreas Hug Norbert Weidner Michel Wensing Charlotte Ullrich Source Type: research

Measures used to assess impact of providing care among informal caregivers of persons with stroke, spinal cord injury, or amputation: a systematic review.
Conclusions: There is a wide variety of impact of caregiving measures. The present study provided a detailed overview of what is known about clinimetric characteristics of 18 different measures repeatedly used in research. The overview provides clinicians a guidance of appropriate measure selection. PROSPERO registration: CRD42018094796 IMPLICATIONS FOR REHABILITATION Clinicians should be aware that information about measure development and clinimetric properties for most measures used to assess impact of informal caregiving is incomplete. Most supporting evidence was found for the Zarit Burden Interview Short Form, Caregi...
Source: Disability and Rehabilitation - July 30, 2019 Category: Rehabilitation Authors: Scholten EWM, Hillebregt CF, Ketelaar M, Visser-Meily JMA, Post MWM Tags: Disabil Rehabil Source Type: research

End-user and clinician perspectives on the viability of wearable functional electrical stimulation garments after stroke and spinal cord injury.
Conclusions: The insights obtained from end-users and clinicians provide guidelines to optimize the development of novel FES-garments, and strategies for bringing the device to the market. The themes identified can serve to inform other rehabilitation and assistive technology developers with processes and ideas on how to meet these groups' needs. IMPLICATIONS FOR REHABILITATION Participants with neurological paralysis have interest and critical views on new rehabilitation and assistive technology, and the repercussions of using new technologies to address their function, health and wellbeing. The FES-garment design present...
Source: Disability and Rehabilitation. Assistive Technology. - October 7, 2019 Category: Rehabilitation Authors: Moineau B, Myers M, Ali SS, Popovic MR, Hitzig SL Tags: Disabil Rehabil Assist Technol Source Type: research

Effect of Wheelchair Stroke Pattern on Upper Extremity Muscle Fatigue
Conclusions This data demonstrates that the SC wheelchair propulsion pattern appears to be more fatiguing to shoulder muscles than the P propulsion pattern. However, more data would need to be collected to find a significant difference.
Source: PMandR - April 6, 2018 Category: Rehabilitation Source Type: research

The effect of pelvic movements of a gait training system for stroke patients: a single blind, randomized, parallel study
Aging societies lead to higher demand for gait rehabilitation as age-related neurological disorders such as stroke and spinal cord injury increase. Since conventional methods for gait rehabilitation are physic...
Source: Journal of NeuroEngineering and Rehabilitation - December 28, 2021 Category: Rehabilitation Authors: Choonghyun Son, Anna Lee, Junkyung Lee, DaeEun Kim, Seung-Jong Kim, Min Ho Chun and Junho Choi Tags: Research Source Type: research

Content validity of the Brief and Comprehensive ICF Core Sets for common disabling conditions in a developing country
The International Classification of Functioning, Disability and Health (ICF) features associated tools, the Brief and Comprehensive ICF Core Sets. These are designed to be universally applicable, but have limited evidence of content validity (i.e. comprehensiveness and relevance) in low income, non-Western countries. In this cross-sectional study, we aimed to assess the content validity of the ICF Core Sets in Nepal. We interviewed 161 participants with stroke, spinal cord injury (SCI), chronic obstructive pulmonary disease (COPD), and musculoskeletal conditions and asked them to identify activities they had difficulty per...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

Technologically-advanced assessment of upper-limb spasticity: a pilot study.
CONCLUSIONS: By using the robotic device some spasticity parameters can be continuously recorded during the rehabilitation treatment in order to objectively measure the effectiveness of the interventions provided. CLINICAL REHABILITATION IMPACT: The standardized evaluation parameters recorded using robotic devices may provide several advantages: 1) the measures for spasticity assessment can be monitored during every rehabilitation session (even during each movement), 2) these measurements are able to highlight even small changes, 3) the recovery plateau can be detected early thus avoiding further rehabilitation sessio...
Source: European Journal of Physical and Rehabilitation Medicine - September 4, 2017 Category: Rehabilitation Authors: Posteraro F, Crea S, Mazzoleni S, Berteanu M, Ciobanu I, Vitiello N, Cempini M, Gervasio S, Mrachacz-Kersting N Tags: Eur J Phys Rehabil Med Source Type: research

The reliability and validity of the Timed Up and Go as a clinical tool in individuals with and without disabilities across a lifespan: a systematic review.
Conclusions: Based on the literature assessed, the Timed Up and Go is clinically applicable and reliable across multiple populations. The Timed Up and Go has a wide variety of clinical use making it a diverse measure that should be considered when choosing an outcome an activity based outcome measure. However, there are some limitations in the validity of the utilization of the Timed Up and Go to some populations due to a lack of data and/or poor choice of comparison outcome measures when assessing validity. Additional research is needed for young to middle aged adults. IMPLICATIONS FOR REHABILITATION Outcome measures are ...
Source: Disability and Rehabilitation - October 25, 2019 Category: Rehabilitation Authors: Christopher A, Kraft E, Olenick H, Kiesling R, Doty A Tags: Disabil Rehabil Source Type: research

Prevalence and Treatment Characteristics of Spastic Hypertonia on First-Time Admission to Acute Inpatient Rehabilitation
Conclusions Spasticity is a common sequela of upper motor neuron injury for patients admitted to inpatient rehabilitation. Early recognition and management are essential to prevent contractures, minimize pain, and maximize functional recovery.
Source: American Journal of Physical Medicine and Rehabilitation - March 23, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

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