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Total 507 results found since Jan 2013.

Action observation training and brain-computer interface controlled functional electrical stimulation enhance upper extremity performance and cortical activation in patients with stroke: a randomized controlled trial.
CONCLUSIONS: This study demonstrated that AOT plus BCI-FES can enhance motor function of upper extremity and cortical activation in patients with stroke. This training method may be feasible and suitable for individuals with stroke. PMID: 33026895 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - October 7, 2020 Category: Physiotherapy Authors: Lee SH, Kim SS, Lee BH Tags: Physiother Theory Pract Source Type: research

Standing Balance Strategies and Dual-Task Interference Are Differentially Modulated Across Various Sensory Contexts and Cognitive Tests in Individuals With Chronic Stroke
Conclusions: Standing balance enhancement (higher equilibrium score/better balance) depends on the neuropsychological process targeted and the sensory input available post-stroke. Cognitive dual-task interference emerged for the verbal fluency test during the most attention demanding sensory condition. Cognitive tests that enhance standing balance should be considered in assessments and interventions to evaluate and improve dual-tasking post-stroke. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A321).
Source: Journal of Neurologic Physical Therapy - September 19, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Slip-Fall Predictors in Community-Dwelling, Ambulatory Stroke Survivors: A Cross-sectional Study
Conclusions: The results indicate that fall risk measures within the ICF domains—body, structure, and function (dynamic gait stability and hip extensor strength) and activity limitation (TUG)—could provide a sensitive laboratory-induced slip-fall prediction model in PwCS. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A323).
Source: Journal of Neurologic Physical Therapy - September 19, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Validation of the Telephone-Based Application of the ABILHAND for Assessment of Manual Ability After Stroke
Conclusions: Telephone-based administration of the ABILHAND is valid for the assessment of manual ability after stroke. Clinicians and researchers may use the ABILHAND for monitoring manual ability in persons with stroke and/or screening potential research participants. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A318).
Source: Journal of Neurologic Physical Therapy - September 19, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Medicine effectiveness comparisons of different physicotherapeutics for stroke patients with dysphagia: A protocol for systematic review and network meta-analysis
Conclusion: Our findings will provide references for future guidance developing and clinical decision.
Source: Medicine - September 18, 2020 Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research

A Comparison of the Responsiveness of the Postural Assessment Scale for Stroke and the Berg Balance Scale in Patients With Severe Balance Deficits After Stroke
Conclusions: Compared with the BBS, the PASS was better able to detect balance improvements in patients having severe balance deficits. The PASS is recommended as an outcome measure to detect change in balance in patients with stroke who have severe balance deficits.
Source: Journal of Geriatric Physical Therapy - September 18, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Interaction between locomotion and three subcategories for patients with stroke demonstrating fewer than 37 points on the total functional independence measure upon admission to the recovery ward.
Conclusion] Locomotion demonstrated an interaction with various activities for improving self-care. There were varying degrees of improvement in self-care despite a uniform improvement in the degree of locomotion. Therefore, locomotion interaction should be considered for each intervention that targets activities of daily living. PMID: 32884173 [PubMed]
Source: Physical Therapy - September 6, 2020 Category: Physiotherapy Authors: Kimura T Tags: J Phys Ther Sci Source Type: research

The Impact of Level of PTA Involvement on Patient Outcomes Following Stroke.
CONCLUSIONS: Higher PTA involvement in the rehabilitation of patients following CVA did not adversely affect functional outcome, increase length of stay or reduce the likelihood of discharge to home from an inpatient rehabilitation facility. PMID: 32886786 [PubMed - as supplied by publisher]
Source: Physical Therapy - September 3, 2020 Category: Physiotherapy Authors: Biggs J Tags: Phys Ther Source Type: research

Comparing the measurement properties and relationship to gait speed recovery of the Mini-Balance Evaluation Systems Test and the Berg Balance Scale in ambulatory individuals with subacute stroke.
CONCLUSIONS: These results indicate that the Mini-BESTest is more useful than the BBS in terms of its measurement properties and ability to measure gait recovery in middle and older ambulatory individuals with subacute stroke. PMID: 32850282 [PubMed]
Source: Physical Therapy - August 28, 2020 Category: Physiotherapy Authors: Miyata K, Hasegawa S, Iwamoto H, Otani T, Kaizu Y, Shinohara T, Usuda S Tags: Phys Ther Res Source Type: research

Reliability and validity of the Activities-specific Balance Confidence scale-Japanese (ABC-J) in community-dwelling stroke survivors.
CONCLUSION: ABC-J is a valid and reliable measurement tool for investigating balance confidence among patients ≥6 months after stroke. PMID: 32850274 [PubMed]
Source: Physical Therapy - August 28, 2020 Category: Physiotherapy Authors: Ishige S, Wakui S, Miyazawa Y, Naito H Tags: Phys Ther Res Source Type: research

Repetitive peripheral magnetic stimulation combined with intensive physical therapy for gait disturbance after hemorrhagic stroke: an open-label case series
In this pilot study, we aimed to determine the safety and feasibility of a 15-day protocol consisting of in-hospital repetitive peripheral magnetic stimulation (rPMS) combined with intensive physical therapy for the recovery of the gait disturbance in chronic stroke patients with lower limb hemiparesis. Seven hemorrhagic stroke patients with lower limb hemiparesis and gait disturbance (age: 50–78; time from onset of stroke: 7–107 months) were enrolled. rPMS was applied to the muscles of the paretic lower limb with a parabolic coil. A train of stimuli at a frequency of 20 Hz was applied for 3 s followed by a 27-s ...
Source: International Journal of Rehabilitation Research - August 13, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

The effect of additional neuromuscular electrical stimulation applied to erector spinae muscles on functional capacity, balance and mobility in post stroke patients.
CONCLUSION: It is recommended to evaluate and treat trunk muscle, which is usually neglected in treatment, and to consider the combination of conventional treatment and neuromuscular electric stimulation when designing an ideal rehabilitation program. PMID: 32741788 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - August 5, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Care for Patients with Stroke During the COVID-19 Pandemic: Physical Therapy and Rehabilitation Suggestions for Preventing Secondary Stroke
Infection with the novel severe acute respiratory syndrome coronavirus 2 causes the development of the novel 2019 coronavirus disease (COVID-19) and associated clinical symptoms, which typically presents as an upper respiratory syndrome such as pneumonia. Growing evidence indicates an increased prevalence of neurological involvement (e.g., in the form of stroke) during virus infection. COVID-19 has been suggested to be more than a lung infection because it affects the vasculature of the lungs and other organs and increases the risk of thrombosis.
Source: Journal of Stroke and Cerebrovascular Diseases - July 21, 2020 Category: Neurology Authors: Chien-Chih Wang, Jian-Kang Chao, Mong-Lien Wang, Yi-Ping Yang, Chien-Shiu Chien, Wei-Yi Lai, Yi-Chiang Yang, Yu-Hui Chang, Chen-Liang Chou, Chung-Lan Kao Source Type: research

Sensors, Vol. 20, Pages 3754: A Virtual Reality Muscle –Computer Interface for Neurorehabilitation in Chronic Stroke: A Pilot Study
Sensors, Vol. 20, Pages 3754: A Virtual Reality Muscle–Computer Interface for Neurorehabilitation in Chronic Stroke: A Pilot Study Sensors doi: 10.3390/s20133754 Authors: Octavio Marin-Pardo Christopher M. Laine Miranda Rennie Kaori L. Ito James Finley Sook-Lei Liew Severe impairment of limb movement after stroke can be challenging to address in the chronic stage of stroke (e.g., greater than 6 months post stroke). Recent evidence suggests that physical therapy can still promote meaningful recovery after this stage, but the required high amount of therapy is difficult to deliver within the scope of stan...
Source: Sensors - July 3, 2020 Category: Biotechnology Authors: Octavio Marin-Pardo Christopher M. Laine Miranda Rennie Kaori L. Ito James Finley Sook-Lei Liew Tags: Article Source Type: research

Sleep problems worsen health-related quality of life and participation during the first 12  months of stroke rehabilitation.
CONCLUSION: Self-reported poor sleep adversely effects post-stroke functional recovery. PMID: 32602376 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 29, 2020 Category: Rehabilitation Authors: Fulk G, Duncan P, Klingman KJ Tags: Clin Rehabil Source Type: research

Barriers and Facilitators to Aerobic Exercise Implementation in Stroke Rehabilitation: A Scoping Review
Conclusions: Some of the identified barriers could be overcome with modeling and training in best practice, while others may require interventions targeting organizational environment and leadership. Future knowledge translation interventions should target the identified barriers and facilitators to implementing aerobic exercise. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A312).
Source: Journal of Neurologic Physical Therapy - June 27, 2020 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

Dynamic Stability and Trunk Control Improvements Following Robotic Balance and Core Stability Training in Chronic Stroke Survivors: A Pilot Study
Stroke survivors show greater postural oscillations and altered muscular activation compared to healthy controls. This results in difficulties in walking and standing, and in an increased risk of falls. A proper control of the trunk is related to a stable walk and to a lower falling risk; to this extent, rehabilitative protocols are currently working on core stability. The main objective of this work was to evaluate the effectiveness of trunk and balance training performed with a new robotic device designed for evaluation and training of balance and core stability, in improving the recovery of chronic stroke patients compa...
Source: Frontiers in Neurology - June 16, 2020 Category: Neurology Source Type: research

Physical therapists' perspectives on improving walking capacity in patients with stroke: a cross-sectional study from Saudi Arabia.
CONCLUSION: Variable responses from different sectors according to qualification, experience, and institution were observed among the physical therapists in Saudi Arabia for improving the walking capacity in patients after Stroke. PMID: 32481238 [PubMed - in process]
Source: Journal of Musculoskeletal Neuronal Interactions - June 4, 2020 Category: Neurology Tags: J Musculoskelet Neuronal Interact Source Type: research

Determining Safe Participation in Aerobic Exercise Early After Stroke Through a Graded Submaximal Exercise Test.
CONCLUSION: A graded submaximal exercise test without ECG but with symptom monitoring and conservative heart rate and perceived exertion endpoints may facilitate safe exercise intensities early after stroke. Symptom-limited exercise testing with ECG is still recommended when progressing to higher-intensity exercise. IMPACT: Concerns about cardiovascular risk are a barrier to physical therapists implementing aerobic exercise in stroke rehabilitation. This study showed that, in the absence of access to exercise testing with ECG, submaximal testing with conservative heart rate and perceived exertion endpoints and symptom...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Inness E, Aqui A, Foster E, Fraser J, Danells CJ, Biasin L, Brunton K, Howe JA, Poon V, Tang A, Mansfield A, Marzolini S, Oh P, Bayley M Tags: Phys Ther Source Type: research

Use of the Activity Measure for Post-Acute Care "6 Clicks" Basic Mobility Inpatient Short Form and National Institutes of Health Stroke Scale to Predict Hospital Discharge Disposition After Stroke.
CONCLUSION: The 6 Clicks mobility score alone can guide discharge decision making after stroke, particularly for discharge to home versus an SNF or an IRF. Determining discharge to an SNF versus an IRF could be improved by also considering the NIHSS score, age, sex, and race. Future studies should seek to identify which additional characteristics improve predictability for these separate discharge destinations. IMPACT: The use of outcome measures can improve therapist confidence in making discharge recommendations for people with stroke, can enhance hospital throughput, and can expedite access to rehabilitation, ultim...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Covert S, Johnson JK, Stilphen M, Passek S, Thompson NR, Katzan I Tags: Phys Ther Source Type: research

Microstructural white matter changes following gait training with Hybrid Assistive Limb initiated within 1  week of stroke onset
The early initiation of robot-assisted gait training in patients with acute stroke could promote neuroplasticity. The aim of this study was to clarify the microstructural changes of white matter associated with gait training using Hybrid Assistive Limb (HAL) by diffusion tensor imaging (DTI). Patients with first-ever stroke and requiring a walking aid started gait training within 1  week of stroke onset. The patients were quasi-randomly assigned either to the conventional physical therapy (CPT) group or gait training using HAL (HAL) group.
Source: Journal of the Neurological Sciences - May 21, 2020 Category: Neurology Authors: Daisuke Ando, Chiaki Yokota, Kazuhiro Koshino, Fumihiko Yasuno, Takeo Sato, Akihide Yamamoto, Hirotaka Odani, Takashi Nakajima, Takahiro Higuchi, Eisuke Tatsumi Source Type: research

Effects of trunk stabilization training robot on postural control and gait in patients with chronic stroke: a randomized controlled trial
Our study aimed to confirm the therapeutic effects of using a trunk stabilization training robot (3DBT-33) in patients with chronic stroke. A total of 38 patients with chronic stroke were randomly assigned to either an experimental or a control group. The robot group (n = 19) received 30 min of trunk stability robot training in addition to conventional physical therapy, while the control group (n = 19) received a similar conventional physical therapy as the robot group. All participants were assessed using the following: the Functional Ambulation Categories (FAC), timed up and go (TUG) test, Berg Balance Scale (B...
Source: International Journal of Rehabilitation Research - May 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

The effect of aquatic physical therapy in patients with stroke: A systematic review and meta-analysis.
Conclusion: Aquatic physical therapy may be a valid means for the rehabilitation of people affected by stroke. The integration of this methodological approach with conventional physical therapy should be considered. However, more studies; a larger number of participants; and varying lengths of follow-up times are necessary. PMID: 32340581 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 26, 2020 Category: Neurology Authors: Giuriati S, Servadio A, Temperoni G, Curcio A, Valente D, Galeoto G Tags: Top Stroke Rehabil Source Type: research

Task-Oriented Circuit Training for Mobility in Outpatient Stroke Rehabilitation in Germany and Austria: A Contextual Transferability Analysis.
Abstract People with stroke cite mobility deficits as one of the most burdensome limitations. National and international stroke guidelines recommend physical therapy based on task-oriented practice, with high numbers of repetitions to improve mobility. In the outpatient setting in Germany and Austria, these principles have not yet been established. The purpose of this study was to identify an evidence-based intervention that could help reduce this research-practice gap. A stepwise approach proposed by Voigt-Radloff et al and Cochrane Germany was used. First, the specific health service problem in the German and Au...
Source: Physical Therapy - April 6, 2020 Category: Physiotherapy Authors: Diermayr G, Schomberg M, Greisberger A, Elsner B, Gronwald M, Salbach NM Tags: Phys Ther Source Type: research

Enriched, Task-Specific Therapy in the Chronic Phase After Stroke: An Exploratory Study
Background and Purpose: There is a need to translate promising basic research about environmental enrichment to clinical stroke settings. The aim of this study was to assess the effectiveness of enriched, task-specific therapy in individuals with chronic stroke. Methods: This is an exploratory study with a within-subject, repeated-measures design. The intervention was preceded by a baseline period to determine the stability of the outcome measures. Forty-one participants were enrolled at a mean of 36 months poststroke. The 3-week intervention combined physical therapy with social and cognitive stimulation inherent to ...
Source: Journal of Neurologic Physical Therapy - March 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Factors affecting fear of falls in patients with chronic stroke.
Conclusion: The lower extremity Fugl-Meyer score is associated with fear of falls in patients having chronic stroke. PMID: 31847729 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 16, 2019 Category: Neurology Authors: Yadav T, Bhalerao G, Shyam AK Tags: Top Stroke Rehabil Source Type: research

Effects of Bihemispheric Transcranial Direct Current Stimulation on Upper Extremity Function in Stroke Patients: A randomized Double-Blind Sham-Controlled Study
Transcranial direct current stimulation (tDCS) is a treatment used in the rehabilitation of stroke patients aiming to improve functionality of the plegic upper extremity. Currently, tDCS is not routinely used in post stroke rehabilitation. The aim of this study was to establish the effects of bihemspheric tDCS combined with physical therapy (PT) and occupational therapy (OT) on upper extremity motor function.
Source: Journal of Stroke and Cerebrovascular Diseases - November 3, 2019 Category: Neurology Authors: Dilek Cetinkaya Alisar, Selin Ozen, Seyhan Sozay Source Type: research

Motor imagery as a complementary technique for functional recovery after stroke: a systematic review.
Conclusions: The use of MI combined with conventional rehabilitation is an effective method for the recovery of functionality after stroke. Due to the great heterogeneity in the scientific literature available, new lines of research are necessary, in order to include well-designed studies of good methodological quality and to establish a consensus regarding the most appropriate protocols. PMID: 31347992 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 25, 2019 Category: Neurology Authors: López ND, Monge Pereira E, Centeno EJ, Miangolarra Page JC Tags: Top Stroke Rehabil Source Type: research

Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?
Conclusion Healthcare utilization after stroke can be reliably assessed from Medicare claims, Stroke participant, or Caregiver report for salient events such as hospitalizations and Emergency Room visits. Self-report and caregiver report appear to be less reliable for identifying use of therapy or home health services. Caution should be used when interpreting disparities based on self-report data alone in these areas. PMID: 30047841 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 26, 2018 Category: Neurology Authors: Sheehan OC, Prvu-Bettger J, Huang J, Haley WE, David Rhodes J, E Judd S, Kilgore ML, Roth DL Tags: Top Stroke Rehabil Source Type: research

Excessive sedentary time during in-patient stroke rehabilitation.
Conclusions In this sample of people attending inpatient stroke rehabilitation, institutional structure of rehabilitation rather than patient-related factors contributed to sedentary time. PMID: 29609499 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 3, 2018 Category: Neurology Authors: Barrett M, Snow JC, Kirkland MC, Kelly LP, Gehue M, Downer MB, McCarthy J, Ploughman M Tags: Top Stroke Rehabil Source Type: research

Bouncing back: Nolan ’s life after stroke
Although he’s only a little over a year old, Nolan Morel is a bona fide charmer. Clad in a red shirt and navy blue suspenders, he flashes a happy grin at his mother, Rosalia; his physician, Dr. Laura Lehman; and the others in the room. “Look at those dimples!” someone coos, and he giggles in response. “I can’t believe how social he’s being,” laughs Rosalia. “He wasn’t always like this.” In fact, Nolan’s first several days of life were anything but lighthearted. Just a few hours after his birth at a hospital north of Boston, he stopped breathing and had to be manually resuscitated and given oxygen. Whe...
Source: Thrive, Children's Hospital Boston - December 7, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories child life Dr. Laura Lehman feeding therapy occupational therapy physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke Clinical Sciences
Background and Purpose—Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke.Methods—We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute c...
Source: Stroke - November 27, 2017 Category: Neurology Authors: Lesli E. Skolarus, Chunyang Feng, James F. Burke Tags: Health Services, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Cadagan: Humor and tenacity after a stroke
Most parents try to discourage their children from indulging in humor about bodily functions like burping. But for Daniel and Lori Hooley, a simple smirk in response to a belch was the sign they needed that their daughter, Cadagan, was going to be okay. It was 2012 and 7-year-old Cadagan was asleep, tucked into bed for the night. Around 11 p.m., she suddenly awoke — but it wasn’t because of a nightmare or a late-night request for a glass of water. Instead, she seemed limp and couldn’t focus. Then she began throwing up. Born with an extremely rare genetic disorder called trisomy 12p, the little girl had already experi...
Source: Thrive, Children's Hospital Boston - November 20, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Laura Lehman Dr. Michael Rivkin stroke Stroke and Cerebrovascular Center vasculitis Source Type: news

From Buenos Aires to Boston for pediatric stroke care
Twice a year, Osvaldo and Sol board a plane in Buenos Aires, Argentina. For a week or more, they leave behind their home, their friends, their jobs — and, sometimes, their two daughters, Ines and Clara. But what waits for them, a continent away, is worth it. In Boston, they say, they have found expert care for their son, Francisco. “Francisco was perfectly fine when he was born,” says Sol. “But two days later, we were having trouble waking him up.” Although initially doctors assured the family that his behavior was normal, they quickly transferred him to the neonatal intensive care unit when he began having diffi...
Source: Thrive, Children's Hospital Boston - October 27, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Michael Rivkin International Health Services physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

The improvement in respiratory function by inspiratory muscle training is due to structural muscle changes in patients with stroke: a randomized controlled pilot trial.
CONCLUSION: Inspiratory muscle training was effective in improving respiratory function and inducing structural changes, especially in the affected diaphragm. PMID: 29061084 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 24, 2017 Category: Neurology Authors: Cho JE, Lee HJ, Kim MK, Lee WH Tags: Top Stroke Rehabil Source Type: research

Beliefs of rehabilitation professionals towards guided self-rehabilitation contracts for post stroke hemiparesis.
Conclusions The strategy of asking patients to perform exercises alone, in the practice or at home, is still not accepted by a large proportion of physical therapy professionals as compared with students or with physicians. Most therapists still see a <5-h weekly duration of exercise as sufficient after stroke. Few therapists are ready to utilize the persistence of behavior-induced brain plasticity regardless of age or delay after the lesion. PMID: 28956737 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 28, 2017 Category: Neurology Authors: Marsal C, Gracies JM, Dean C, Mesure S, Bayle N Tags: Top Stroke Rehabil Source Type: research

Consumer-Based Physical Activity Monitor as a Practical Way to Measure Walking Intensity During Inpatient Stroke Rehabilitation Brief Report
Conclusions—This study provides preliminary evidence that the Fitbit One, when positioned on the nonparetic ankle, can accurately measure walking steps early after stroke during inpatient rehabilitation physical therapy sessions.Clinical Trial Registration—URL: https://www.clinicaltrials.gov. Unique identifier: NCT01915368.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Tara D. Klassen, Jennifer A. Semrau, Sean P. Dukelow, Mark T. Bayley, Michael D. Hill, Janice J. Eng Tags: Cerebrovascular Disease/Stroke Brief Reports Source Type: research

The efficacy of treadmill training on balance dysfunction in individuals with chronic stroke: a systematic review.
CONCLUSIONS: This review recognized moderate evidence in favor of TT interventions in balance and stroke rehabilitation programs. With TT, intensity may be a more critical factor than specificity and may offer additional carryover to recovery parameters of postural control and balance, beyond gait performance. It is recommended that clinicians utilizing TT incorporate objective measures of balance to assess the potential for skill transference and improvements in balance. Higher quality studies and additional research are needed to denote critical parameters by which improvements in balance may be optimized. PMID: 286...
Source: Topics in Stroke Rehabilitation - July 7, 2017 Category: Neurology Authors: Tally Z, Boetefuer L, Kauk C, Perez G, Schrand L, Hoder J Tags: Top Stroke Rehabil Source Type: research

The effect of a whole-body vibration therapy on the sitting balance of subacute stroke patients: a randomized controlled trial.
CONCLUSION: Our results suggest that WBV therapy led to improvement of the recovery in balance recovery for subacute stroke patients. Because the WBV therapy was as effective as conventional physical therapy, we can consider a WBV therapy as a clinical method to improve the sitting balance of subacute stoke patients. PMID: 28335701 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 23, 2017 Category: Neurology Authors: Lee JH, Kim SB, Lee KW, Lee SJ, Park H, Kim DW Tags: Top Stroke Rehabil Source Type: research

Effects of low-frequency repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation on upper extremity motor recovery in the early period after stroke: a preliminary study.
CONCLUSION: LF-rTMS with or without NMES seems to facilitate the motor recovery in the paretic hand of patients with acute/subacute ischemic stroke. TMS or the combination of TMS + NMES may be a promising additional therapy in upper limb motor training. Further studies with larger numbers of patients are needed to establish their effectiveness in upper limb motor rehabilitation of stroke. PMID: 28327054 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 22, 2017 Category: Neurology Authors: Tosun A, Türe S, Askin A, Yardimci EU, Demirdal SU, Kurt Incesu T, Tosun O, Kocyigit H, Akhan G, Gelal FM Tags: Top Stroke Rehabil Source Type: research

Comparison of the effects on dynamic balance and aerobic capacity between objective and subjective methods of high-intensity robot-assisted gait training in chronic stroke patients: a randomized controlled trial.
CONCLUSION: High-intensity RAGT at 70% of HRR significantly improved dynamic balance and aerobic capacity more than RAGT at RPE of 15. These results suggest that high-intensity RAGT at 70% of HRR is safe and effective for improving dynamic balance and aerobic capacity in chronic stroke. PMID: 28102113 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 18, 2017 Category: Neurology Authors: Bae YH, Lee SM, Ko M Tags: Top Stroke Rehabil Source Type: research

Kelsey’s transformation: From stroke survivor to motivational speaker
“When I woke up after my stroke, all I wanted was to be normal again,” recalls Kelsey Tainsh. Normal — as in a healthy teen athlete who could brush her teeth and shower on her own, who wasn’t wheelchair-bound, who wasn’t compelled to hide her paralyzed right hand in her pocket everywhere she went, one who hadn’t lost all of her high school friends except for her two triplet sisters. Now, this world-champion athlete not only learned to walk and talk again but also to embrace her differences. “Our hardest obstacles can be our biggest opportunities,” she says. Kelsey’s first taste of being different came at ...
Source: Thrive, Children's Hospital Boston - March 16, 2016 Category: Pediatrics Authors: Lisa Fratt Tags: Our Patients’ Stories Brain tumor Mark Rockoff R. Michael Scott stroke Source Type: news

Early poststroke rehabilitation using a robotic tilt-table stepper and functional electrical stimulation.
Conclusions. Robotic tilt-table exercise with or without FES is safe and may be more effective in improving leg strength and cerebral blood flow than tilt table alone. PMID: 23691432 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Kinesthetic taping improves walking function in patients with stroke: a pilot cohort study.
CONCLUSION: The results of this study indicate that kinesthetic taping of the anterior thigh and knee provides an immediate improvement in walking function in patients with stroke. Such a positive effect on motor function could be a valuable adjunct in physical therapy and rehabilitation of patients with stroke. PMID: 25467397 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - November 1, 2014 Category: Neurology Authors: Boeskov B, Carver LT, von Essen-Leise A, Henriksen M Tags: Top Stroke Rehabil Source Type: research

Mental practice and mirror therapy associated with conventional physical therapy training on the hemiparetic upper limb in poststroke rehabilitation: a preliminary study.
CONCLUSIONS: The protocol was effective for improving motor, sensory, and mobility aspects, as well as function involved in activities of daily living. Qualitative changes in symmetry and muscle co-contraction were found, indicating a possible improvement in upper limb rehabilitation of patients with stroke. PMID: 25467396 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - November 1, 2014 Category: Neurology Authors: de Almeida Oliveira R, Cintia Dos Santos Vieira P, Fernanda Rodrigues Martinho Fernandes L, Patrizzi LJ, Ferreira de Oliveira S, Aparecida Pascucci Sande de Souza L Tags: Top Stroke Rehabil Source Type: research

Likelihood of myocardial infarction during stroke rehabilitation preceded by cardiovascular screening and an exercise tolerance test: the Locomotor Experience Applied Post‐Stroke (LEAPS) Trial
ConclusionsThe combination of a negative cardiac screen and the absence of exercise tolerance test failure appeared to have a high negative predictive value for cardiac events during treatment, despite the likelihood of a high prevalence of coronary artery disease in our population.
Source: International Journal of Stroke - August 26, 2014 Category: Neurology Authors: Stephen E. Nadeau, Dorian Kay Rose, Bruce Dobkin, Samuel S. Wu, Yufeng E. Dai, Richard Schofield, Pamela W. Duncan, Tags: Research Source Type: research

Predictors and Biomarkers of Treatment Gains in a Clinical Stroke Trial Targeting the Lower Extremity Clinical Sciences
Conclusions— A multimodal model incorporating behavioral and fMRI measures best predicted treatment-induced changes in gait velocity in a clinical trial setting. Results also suggest potential use of fMRI measures as biomarkers of treatment gains.
Source: Stroke - July 28, 2014 Category: Neurology Authors: Burke, E., Dobkin, B. H., Noser, E. A., Enney, L. A., Cramer, S. C. Tags: Exercise/exercise testing/rehabilitation, Other Treatment, Behavioral Changes and Stroke, Computerized tomography and Magnetic Resonance Imaging, Rehabilitation, Stroke Clinical Sciences Source Type: research

Selecting measures for balance and mobility to improve assessment and treatment of individuals after stroke.
This article utilizes a case-based approach to describe the benefits of using a common set of outcome measures and a process for selecting optimal measures across body structure/function, activity, and participation domains of the International Classification of Functioning, Disability and Health (ICF) model and stages of stroke recovery. Specific measures for use in acute care, rehabilitation, outpatient, and home health care settings are discussed based on StrokEDGE task force recommendations by the Neurology Section of the American Physical Therapy Association. PMID: 25150662 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - July 1, 2014 Category: Neurology Authors: Kegelmeyer DA, Kloos AD, Siles AB Tags: Top Stroke Rehabil Source Type: research

Asymmetric Training Using Virtual Reality Reflection Equipment and the Enhancement of Upper Limb Function in Stroke Patients: A Randomized Controlled Trial
Background: Asymmetric movements with both hands contributed to the improvement of spatially coupled motion. Thus, the aim of this study was to investigate the effects of an asymmetric training program using virtual reality reflection equipment on upper limb function in stroke patients.Methods: Twenty-four stroke patients were randomly allocated to an experimental group (n = 12) or a control group (n = 12). Both groups participated in conventional physical therapy for 2×30 min/d, 5 d/wk, for 4 weeks. The experimental group also participated in an asymmetric training program using virtual reality reflection equipmen...
Source: Journal of Stroke and Cerebrovascular Diseases - January 27, 2014 Category: Neurology Authors: DongJin Lee, MyungMo Lee, KyoungJin Lee, ChangHo Song Tags: Original Articles Source Type: research

Walking Program Improves Stroke Survivors' Lives
Regular, brisk walking after having a stroke could help boost your physical fitness, mobility and quality of life, according to research in the American Heart Association journal Stroke. "Walking is a great way to get active after a stroke," said Carron Gordon, Ph.D., lead author of the study and a lecturer in the physical therapy department at University of the West Indies in Jamaica. "It's familiar, inexpensive, and it's something people could very easily get into...
Source: Health News from Medical News Today - March 10, 2013 Category: Consumer Health News Tags: Stroke Source Type: news