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Efficacy of Bedside Respiratory Muscle Training in Patients With Stroke: A Randomized Controlled Trial
This study aimed to investigate the efficacy of bedside respiratory muscle training on pulmonary function and stroke-related disabilities in stroke rehabilitation. Design Patients with stroke (N = 40) in a rehabilitation unit were randomly assigned to either the intervention group (n1 = 20) or the control group (n2 = 20). Both groups participated in a conventional stroke rehabilitation program. During the study period, the intervention group received bedside respiratory muscle training twice a day for 3 wks. The respiratory muscle training consisted of (1) a breath stacking exercise, (2) inspiratory muscle training, and...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 10 Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Despite the availability of multiple comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to best practice. Our prior study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared to a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is routinely administered in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Source Type: research

Sedentary time and physical activity patterns of stroke survivors during the inpatient rehabilitation week
Physical activity is recommended after stroke. However, the rehabilitation day is largely spent sedentary. Understanding patterns of physical activity across the rehabilitation week may help identify opportunities to improve participation. We aimed to examine: (1) differences between weekday and weekend sedentary time and physical activity, (2) the pattern of 24-h rehabilitation activity. Participants with stroke (n = 29) wore an activity monitor continuously during the final 7-days of inpatient rehabilitation. Linear mixed models (adjusted for waking hours) were performed with activity (sedentary, steps per day, walki...
Source: International Journal of Rehabilitation Research - May 20, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia
Despite the availability of multiple, comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to the best practice. Our previous study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared with a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is administered routinely in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Tags: Original Research Source Type: research

Uncorrected versus demographically-corrected scores on the NIH Toolbox Cognition Battery in persons with traumatic brain injury and stroke.
Objective: The association between demographic characteristics and neurocognitive performance is well established; however, clinicians may have difficulty selecting when to use uncorrected versus demographically corrected scores. We compared these score types in individuals with traumatic brain injury (TBI) and stroke, on the National Institutes of Health Toolbox—Cognition Battery (NIHTB-CB). Research Method: Adults with TBI and stroke were demographically matched to controls, and completed the NIHTB-CB. Published “corrected scores” are adjusted for age, education, sex, and race/ethnicity; “uncorrected scores” we...
Source: Rehabilitation Psychology - December 21, 2017 Category: Rehabilitation Source Type: research

Role of Inpatient Rehabilitation Facility Quality Measures to Predict Community Discharge After Stroke
Main objective: Examine the association between National Institutes of Health Stroke Scale (NIHSS) scores measured during the acute care stay and inpatient rehabilitation facility (IRF) admission functional status, measured by the IRF-Patient Assessment Instrument (IRF-PAI) self-care and mobility quality measures, to deduce if quality measures can serve as a proxy for stroke severity. The self-care and mobility quality measures are indicators of physical function.Secondary objective: Investigate the predictive power of the NIHSS and IRF-PAI admission physical function quality measures to predict community discharge from IRF after stroke.
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Elizabeth Mangone, Eahsan Shahriary, Pamela Bosch Tags: Research Poster 2184386 Source Type: research

Stroke Survivors Scoring Zero on the NIH Stroke Scale ScoreStill Exhibit Significant Motor Impairment and Functional Limitation
To determine the National Institutes of Health Stroke Scale's (NIHSS's) association with upper extremity (UE) impairment and functional outcomes.
Source: Archives of Physical Medicine and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Brittany Hand, Stephen Page, Susan White Source Type: research

Associations Between the National Institute of Health Stroke Scale (NIHSS) and Measures of Executive Function
To examine the association between the National Institute of Health Stroke Scale total score and a cognitive question subset (Cog-4) with measures of executive function in adults with stroke.
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Catalina De La Pena, Suzanne Burns Tags: Late Breaking Research Papers Posters Source Type: research

Perspectives on Encouraging Diversity and Inclusion Among Stroke Rehabilitation Research Teams
To describe dimensions of personal and professional diversity and inclusion present within a single National Institutes of Health R01 funded stroke rehabilitation research team, using a conceptual, literature-based approach (DHHS, 2022; Hall et al., 2018; Wood et al., 2021). To explore the potential impact of diversity dimensions on the research team's activities.
Source: Archives of Physical Medicine and Rehabilitation - March 1, 2023 Category: Rehabilitation Authors: Lorelei Johnson, Tami Guerrier, Mark Hirsch, Adam Jacks, Soomin Kim, Marcia Rodriguez, J George Thomas, Kim Welsh, Katarina Haley Tags: Late Breaking Research Poster 2229369 Source Type: research

NIH/NINDS and DoD CDE Recommendations: Biomechanical Devices in Head Impact and Blast Exposure Dynamics
To facilitate study start-up and data sharing in blunt head impact and blast exposure biomechanical device research, the National Institutes of Health (NIH)/National Institute of Neurological Disorders and Stroke (NINDS) and Department of Defense (DoD) collaborated to develop version 1.0 Common Data Element (CDE) recommendations. This was achieved through the development of standardized definitions and collection frameworks for data collected in research utilizing biomechanical devices.
Source: Archives of Physical Medicine and Rehabilitation - October 27, 2018 Category: Rehabilitation Authors: Adam Bartsch, Carol Taylor-Burds, David Camarillo, Joy Esterlitz, Katelyn Gay, Kristen Joseph, Patrick Bellgowan, Sherita Ala'i Source Type: research

Harmonizing Data Sharing: NIH/NINDS and DOD Sport-Related Concussion Common Data Elements (CDE) Recommendations
To increase the efficiency and effectiveness of clinical research studies and clinical treatment, the National Institute of Neurological Disorders and Stroke (NINDS)/National Institutes of Health (NIH) and Department of Defense (DOD) developed the Sport-Related Concussion (SRC) CDE recommendations to increase data quality, facilitate data sharing across studies, significantly reduce study start-up time, and help educate new clinical investigators.
Source: Archives of Physical Medicine and Rehabilitation - October 27, 2018 Category: Rehabilitation Authors: Anthony Kontos, Elisabeth Wilde, Harvey Levin, Joy Esterlitz, Katelyn Gay, Kathryn Schneider, Kristen Joseph, Patrick Bellgowan, Sherita Ala'i, Steven Broglio Source Type: research

National Institutes of Health Toolbox Emotion Battery: Application of Summary Scores to Adults With Spinal Cord Injury, Traumatic Brain Injury, and Stroke
To examine the validity of factor analytically based summary scores that were developed using the National Institutes of Health Toolbox Emotion Battery (NIHTB-EB); (ie, psychological well-being, social satisfaction, negative affect) normative sample in individuals with neurologic conditions.
Source: Archives of Physical Medicine and Rehabilitation - May 29, 2019 Category: Rehabilitation Authors: Ida Babakhanyan, Noelle E. Carlozzi, Benjamin S. McKenna, Kaitlin B. Casaletto, Allen W. Heinemann, Robert K. Heaton Tags: Original research Source Type: research