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Total 9651 results found since Jan 2013.
Innovations in Stroke Recovery and Rehabilitation
Pain can be a significant barrier to a stroke survivors ’ functional recovery and can also lead to a decreased quality of life. Common pain conditions after stroke include headache, musculoskeletal pain, spasticity-related pain, complex regional pain syndrome, and central poststroke pain. This review investigates the evidence of diagnostic and manageme nt guidelines for various pain syndromes after stroke and identifies opportunities for future research to advance the field of poststroke pain.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Juliet Zakel, John Chae, Richard D. Wilson Source Type: research
Neurostimulation After Stroke
This article explores its applications in upper and lower limb stroke rehabilitation. The authors review various methods to target the corticomotor system, including transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and vagus nerve stimulation. In addition, the authors review the use of peripheral neuromuscular electrical stimulation for therapeutic and assistive purposes, including transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and functional electrical stimulation. For each, the authors examine the potential benefits, limitations, safety considerations, and FDA status.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Hala Osman, Ricardo Siu, Nathan S. Makowski, Jayme S. Knutson, David A. Cunningham Source Type: research
Current Evidence on the Impact of Medicare Payment Policy on Stroke Rehabilitation in Skilled Nursing Facilities
AbstractPurpose of ReviewPatients recovering from stroke benefit from frequent, multi-disciplinary therapies in skilled nursing facilities (SNFs). As a major driver of spending, rehabilitation in SNFs is vulnerable to scrutiny from payers including Medicare. This review explored impacts of current payment programs (Patient Driven Payment Model, Bundled Payments for Care Improvement Advanced, Accountable Care Organizations, and Medicare Advantage) on access and outcomes of rehabilitation in SNFs after stroke.Recent FindingsThere is minimal SNF payment research specific to stroke. For the general Medicare population, payment...
Source: Current Physical Medicine and Rehabilitation Reports - August 18, 2023 Category: Rehabilitation Source Type: research
Predictive validity of the Oxford digital multiple errands test (OxMET) for functional outcomes after stroke
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Source: Neuropsychological Rehabilitation - August 17, 2023 Category: Rehabilitation Authors: Sam S. Webb Nele Demeyere Source Type: research
Dysphagia and Enteral Feeding After Stroke in the Rehabilitation Setting
Physiatrists play a vital role in post-stroke dysphagia management not only by providing guidance on the risks, benefits, and efficacy of various treatment options but also as advocates for patients ’ independence and quality of life. While swallow study results are often discussed broadly by acute stroke clinicians as “pass/fail” findings, physiatrists need a more nuanced working knowledge of dysphagia diagnosis and treatment that encompasses swallow pathophysiology, targeted treatment s trategies, and prognosis for recovery. To that end, this review summarizes current clinical practice guidelines on dysphagia, nutr...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 17, 2023 Category: Rehabilitation Authors: Robynne G. Braun, Jodi Arata, Marlis Gonzalez-Fernandez Source Type: research
Physiotherapists' decision-making about transition to independent walking in hospital after stroke: a qualitative study
CONCLUSIONS: Decision-making about independent walking for people in a hospital after a stroke is complex. Improved guidance about clinical assessment of capacity and determining acceptable risk may enable physiotherapists to engage more in shared decision-making.IMPLICATIONS FOR REHABILITATIONRegaining independence in walking after a stroke comes with the potential risk of falls.Assessment of walking safety should be specific to the complexity of the situation and consider perception and cognition.Benefits of activity and autonomy, and the risk of falls need to be considered in decisions about walking independence.Patient...
Source: Disability and Rehabilitation - August 14, 2023 Category: Rehabilitation Authors: Liz Bainbridge Kathy Briffa Elissa Burton Keith D Hill Robyn Fary Source Type: research
The validity and reliability of the Turkish version of the Community Integration Measure in patients with chronic stroke
CONCLUSION: The Turkish version of CIM is a valid and reliable instrument for assessing chronic stroke patients. It is a preferable scale for the clinical evaluation of Turkish-speaking patients with chronic stroke.PMID:37578095 | DOI:10.1080/09638288.2023.2246368
Source: Disability and Rehabilitation - August 14, 2023 Category: Rehabilitation Authors: Mahmut Yaran Ali Erman Kent İlker İlhanlı Source Type: research
Impairments of the ipsilesional upper-extremity in the first 6-months post-stroke
Ipsilesional motor impairments of the arm are common after stroke. Previous studies have suggested that severity of contralesional arm impairment and/or hemisphere of lesion may predict the severity of ipsiles...
Source: Journal of NeuroEngineering and Rehabilitation - August 14, 2023 Category: Rehabilitation Authors: Donovan B. Smith, Stephen H. Scott, Jennifer A. Semrau and Sean P. Dukelow Tags: Research Source Type: research
Spatial Neglect Therapy With the Augmented Reality App “Negami” for Active Exploration Training: A Randomized Controlled Trial on 20 Stroke Patients With Spatial Neglect
To investigate the efficacy of the augmented reality (AR) app “Negami” as an active exploration training for the treatment of spatial neglect. Improvements of the ipsilesional attention and orientation bias (and resulting contralesional neglect) will be examined in stroke patients with spatial neglect and compared with a control group.
Source: Archives of Physical Medicine and Rehabilitation - August 12, 2023 Category: Rehabilitation Authors: Britta Stammler, Kathrin Flammer, Thomas Schuster, Marian Lambert, Oliver Neumann, Michael Lux, Tamara Matuz, Hans-Otto Karnath Tags: ORIGINAL RESEARCH Source Type: research
Pathophysiology, Assessment, and Management of Post-Stroke Cognitive Impairment, Depression, and Fatigue
We describe patient-reported outcome measures and clinician rating techniques that can be used to assist in screening and comprehensive assessment. We then discuss behavioral and pharmacologic management strategies. Heterogeneity of stroke remains a challenge in management and new research is still needed to optimize and personalize treatments for stroke survivors.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 12, 2023 Category: Rehabilitation Authors: Abhishek Jaywant, Alexandra Keenan Source Type: research
Post Stroke Exercise Training
More intense, earlier exercise in rehabilitation results in improved motor outcomes following stroke. Timing and intensity of therapy delivery vary from study to study. For more intensive therapies, there are practical challenges in implementation. However, there are also opportunities for high intensity treatment through innovative approaches and new technologies. Timing of rehabilitation is important. As time post stroke increases, the dosage of therapy required to improve motor recovery outcomes increases. Very early rehabilitation may improve motor outcomes but should be delayed for at least 24 hours post stroke.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 12, 2023 Category: Rehabilitation Authors: Robert Teasell, Jamie L. Fleet, Amber Harnett Source Type: research
Telerehabilitation Following Stroke
Stroke remains a major cause of disability. Intensive rehabilitation therapy can improve outcomes, but most patients receive limited doses. Telehealth methods can overcome obstacles to delivering intensive therapy and thereby address this unmet need. A specific example is reviewed in detail, focused on a telerehabilitation system that targets upper extremity motor deficits after stroke. Strengths of this system include provision of daily therapy associated with very high patient compliance, safety and feasibility in the inpatient or home setting, comparable efficacy to dose-matched therapy provided in-clinic, and a holisti...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 12, 2023 Category: Rehabilitation Authors: Steven C. Cramer, Brittany M. Young, Anne Schwarz, Tracy Y. Chang, Michael Su Source Type: research
Spatial neglect therapy with the augmented reality app “Negami” for active exploration training ‒ A randomized controlled trial on 20 stroke patients with spatial neglect
To investigate the efficacy of the augmented reality (AR) app “Negami” as an active exploration training for the treatment of spatial neglect. Improvements of the ipsilesional attention and orientation bias (and resulting contralesional neglect) will be examined in stroke patients with spatial neglect and compared to a control group.
Source: Archives of Physical Medicine and Rehabilitation - August 12, 2023 Category: Rehabilitation Authors: Britta Stammler, Kathrin Flammer, Thomas Schuster, Marian Lambert, Oliver Neumann, Michael Lux, Tamara Matuz, Hans-Otto Karnath Tags: Original Research Source Type: research
WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India
AbstractPurpose of reviewTo provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities.Recent FindingsThe available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to sever...
Source: Current Physical Medicine and Rehabilitation Reports - August 11, 2023 Category: Rehabilitation Source Type: research
Spasticity Treatment Beyond Botulinum Toxins
Botulinum toxin (BonT) is the mainstream treatment option for post-stroke spasticity. BoNT therapy may not be adequate in those with severe spasticity. There are a number of emerging treatment options for spasticity management. In this paper, we focus on innovative and revived treatment options that can be alternative or complementary to BoNT therapy, including phenol neurolysis, cryoneurolysis, and extracorporeal shock wave therapy.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 11, 2023 Category: Rehabilitation Authors: Sheng Li, Paul Winston, Manuel F. Mas Source Type: research
