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Specialty: Rehabilitation
Source: J Rehabil Res Dev
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Total 647 results found since Jan 2013.

Development of the Modified Four Square Step Test and its reliability and validity in people with stroke.
Abstract Adults with stroke have difficulty avoiding obstacles when walking, especially when a time constraint is imposed. The Four Square Step Test (FSST) evaluates dynamic balance by requiring individuals to step over canes in multiple directions while being timed, but many people with stroke are unable to complete it. The purposes of this study were to (1) modify the FSST by replacing the canes with tape so that more persons with stroke could successfully complete the test and (2) examine the reliability and validity of the modified version. Fifty-five subjects completed the Modified FSST (mFSST) by stepping ov...
Source: J Rehabil Res Dev - June 10, 2016 Category: Rehabilitation Authors: Roos MA, Reisman DS, Hicks G, Rose W, Rudolph KS Tags: J Rehabil Res Dev Source Type: research

Predictive value of upper-limb accelerometry in acute stroke with hemiparesis.
Abstract Few studies have investigated how well early activity measurements by accelerometers predict recovery after stroke. First, we assessed the predictive value of accelerometer-based measurements of upper-limb activity in patients with acute stroke with a hemiplegic arm. Second, we established the difference in arm activity between hospitalized stroke and nonstroke patients. In total, 129 patients with acute stroke and 19 controls participated. Activity of the upper limbs was monitored for 48 h, and these data were used to determine the predictive value of the activity variables compared with the modified Ran...
Source: J Rehabil Res Dev - December 1, 2013 Category: Rehabilitation Authors: Gebruers N, Truijen S, Engelborghs S, De Deyn PP Tags: J Rehabil Res Dev Source Type: research

Reliability and validity of the inertial sensor-based Timed "Up and Go" test in individuals affected by stroke.
Abstract The instrumented Timed "Up and Go" test (iTUG) has the potential for playing an important role in providing clinically useful information regarding an individual's balance and mobility that cannot be derived from the original single-outcome Timed "Up and Go" test protocol. The purpose of this study was to determine the reliability and validity of the iTUG using body-fixed inertial sensors in people affected by stroke. For test-retest reliability analysis, 14 individuals with stroke and 25 nondisabled elderly patients were assessed. For validity analysis, an age-matched comparison of 12 patients with strok...
Source: J Rehabil Res Dev - December 1, 2016 Category: Rehabilitation Authors: Wüest S, Massé F, Aminian K, Gonzenbach R, de Bruin ED Tags: J Rehabil Res Dev Source Type: research

Compensatory arm reaching strategies after stroke: induced position analysis.
In this study, we quantify arm movement control strategies in unilateral and bilateral reaching tasks using induced position analysis. In addition, we assess how those strategies are associated with UL residual impairments and with functional improvement after a specific bilateral arm training intervention. Twelve individuals with chronic stroke were measured while reaching to a box as part of their pre- and posttesting assessments. Other measurements included the Fugl-Meyer Upper Extremity Assessment (FM), Modified Wolf Motor Function Test (WT), and the University of Maryland Arm Questionnaire for Stroke (UMAQS). We ident...
Source: J Rehabil Res Dev - May 26, 2013 Category: Rehabilitation Authors: Liu W, McCombe Waller S, Kepple TM, Whitall J Tags: J Rehabil Res Dev Source Type: research

Mechanisms of arm paresis in middle cerebral artery distribution stroke: Pilot study.
Abstract The development of effective neurobiological adjuvants to rehabilitation of paresis caused by stroke will depend on understanding mechanisms of paresis. Our objective was to determine the extent to which upper-limb (UL) paresis after nonlacunar ischemic middle cerebral artery (MCA) distribution stroke is caused by infarction of posterior periventricular white matter (PVWM), where corticospinal fibers serving movement descend, and caused by infarction of the arm-hand region of precentral gyrus (ahPCG). We conducted a blinded, retrospective analysis of computed tomography and magnetic resonance imaging from...
Source: J Rehabil Res Dev - December 1, 2013 Category: Rehabilitation Authors: Hedna VS, Jain S, Rabbani O, Nadeau SE Tags: J Rehabil Res Dev Source Type: research

Comprehensive versus consultative rehabilitation services postacute stroke: Outcomes differ.
Abstract Comprehensive rehabilitation services postacute stroke have been shown efficacious in European trials; however, their effectiveness in everyday practices in the United States is unknown. We compared outcomes of veteran patients provided with comprehensive rehabilitation with those provided with consultative rehabilitation services postacute stroke using propensity scores. Outcomes included change in patients' physical and cognitive independence after rehabilitation, discharge to home as opposed to other settings, and 1-yr posthospital discharge survival. Of the 2,963 patients in the study, 683 (23.1%) rec...
Source: J Rehabil Res Dev - December 3, 2014 Category: Rehabilitation Authors: Stineman MG, Xie D, Kurichi JE, Kwong PL, Vogel WB, Ripley DC, Bates BE Tags: J Rehabil Res Dev Source Type: research

Increased reward in ankle robotics training enhances motor control and cortical efficiency in stroke.
Abstract Robotics is rapidly emerging as a viable approach to enhance motor recovery after disabling stroke. Current principles of cognitive motor learning recognize a positive relationship between reward and motor learning. Yet no prior studies have established explicitly whether reward improves the rate or efficacy of robotics-assisted rehabilitation or produces neurophysiologic adaptations associated with motor learning. We conducted a 3 wk, 9-session clinical pilot with 10 people with chronic hemiparetic stroke, randomly assigned to train with an impedance-controlled ankle robot (anklebot) under either high re...
Source: J Rehabil Res Dev - May 1, 2014 Category: Rehabilitation Authors: Goodman RN, Rietschel JC, Roy A, Jung BC, Diaz J, Macko RF, Forrester LW Tags: J Rehabil Res Dev Source Type: research

Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program.
Abstract Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment. Both groups significantly improved their Box and Blocks test score, but no significant difference was found between groups. The...
Source: J Rehabil Res Dev - August 18, 2016 Category: Rehabilitation Authors: Zondervan DK, Friedman N, Chang E, Zhao X, Augsburger R, Reinkensmeyer DJ, Cramer SC Tags: J Rehabil Res Dev Source Type: research

Tongue-controlled robotic rehabilitation: A feasibility study in people with stroke
J Rehabil Res Dev. 2016;53(6):989-1006. doi: 10.1682/JRRD.2015.06.0122.ABSTRACTStroke survivors with severe upper limb (UL) impairment face years of therapy to recover function. Robot-assisted therapy (RT) is increasingly used in the field for goal-oriented rehabilitation as a means to improve function in ULs. To be used effectively for wrist and hand therapy, the current RT systems require the patient to have a minimal active range of movement in the UL, and those that do not have active voluntary movement cannot use these systems. We have overcome this limitation by harnessing tongue motion to allow patients to control a...
Source: J Rehabil Res Dev - May 6, 2017 Category: Rehabilitation Authors: Sarah Ostadabbas Stephen N Housley Nordine Sebkhi Kimberly Richards David Wu Zhenxuan Zhang Maria Garcia Rodriguez Lindsey Warthen Crystal Yarbrough Samir Belagaje Andrew J Butler Maysam Ghovanloo Source Type: research