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81. [Cognitive rehabilitation in cognitive deficit secondary to stroke]

[Cognitive rehabilitation in cognitive deficit secondary to stroke] Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular [Cognitive rehabilitation in cognitive deficit secondary to stroke] Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular [Cognitive rehabilitation in cognitive deficit secondary to stroke] Ruano Gándara R, Rey-Ares L, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López (...) A Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ruano Gándara R, Rey-Ares L, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López A. Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular. [Cognitive rehabilitation in cognitive deficit secondary to stroke] Buenos Aires: Institute

2015 Health Technology Assessment (HTA) Database.

82. Rehabilitation for improving automobile driving after stroke. Full Text available with Trip Pro

Rehabilitation for improving automobile driving after stroke. Interventions to improve driving ability after stroke, including driving simulation and retraining visual skills, have limited evaluation of their effectiveness to guide policy and practice.To determine whether any intervention, with the specific aim of maximising driving skills, improves the driving performance of people after stroke.We searched the Cochrane Stroke Group Trials register (August 2013), the Cochrane Central Register (...) for Investigating Practical Fitness to Drive - Belgian version, 95% confidence intervals (CI) 4.56 to 34.56, P value = 0.15, one study, 83 participants).road sign recognition was better in people who underwent training compared with control (mean difference 1.69 points on the Road Sign Recognition Task of the Stroke Driver Screening Assessment, 95% CI 0.51 to 2.87, P value = 0.007, one study, 73 participants). Significant findings were in favour of a simulator-based driving rehabilitation programme (based

2014 Cochrane

83. Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review

Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Ghazipura M Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation Ghazipura M. Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review. Toronto: Health Quality Ontario (HQO). Economic Rapid Review. 2015 Authors' conclusions Due to the lack of cost-utility studies comparing home-based versus centre-based rehabilitation for community dwelling postacute stroke patients, this study is unable to establish a cost per

2015 Health Technology Assessment (HTA) Database.

84. Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review

Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Ghazipura Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation Ghazipura. Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2015 Authors' conclusions On the basis of one SR comparing home-based rehabilitation to centre-based rehabilitation in community dwelling stroke patients, the following conclusions were reached: Low quality evidence indicates that community dwelling stroke patients receiving

2015 Health Technology Assessment (HTA) Database.

85. Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision Support Document 92.

Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision Support Document 92. Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review - Repository of AIHTA GmbH English | Browse - - - Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review Naimer, Ch. and Piso, B. (2015): Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision (...) to be rated as high. Conclusions: Outpatient neurological rehabilitation supports patients after stroke by improving their participation, self-help capability or re-integration into the work process. We did not aim at comparing different rehabilitation settings. Future studies should aim at the further standardisation of instruments, the randomised allocation of patients to the rehabilitation settings (to avoid a selection bias) and the investigation of patients' expectations and needs. Item Type

2015 Austrian Institute of Health Technology Assessment

86. tDCS and Robotics on Upper Limb Stroke Rehabilitation: Effect Modification by Stroke Duration and Type of Stroke. Full Text available with Trip Pro

tDCS and Robotics on Upper Limb Stroke Rehabilitation: Effect Modification by Stroke Duration and Type of Stroke. Objective. The aim of this exploratory pilot study is to test the effects of bilateral tDCS combined with upper extremity robot-assisted therapy (RAT) on stroke survivors. Methods. We enrolled 23 subjects who were allocated to 2 groups: RAT + real tDCS and RAT + sham-tDCS. Each patient underwent 10 sessions (5 sessions/week) over two weeks. Outcome measures were collected before (...) and after treatment: (i) Fugl-Meyer Assessment-Upper Extremity (FMA-UE), (ii) Box and Block Test (BBT), and (iii) Motor Activity Log (MAL). Results. Both groups reported a significant improvement in FMA-UE score after treatment (p < 0.01). No significant between-groups differences were found in motor function. However, when the analysis was adjusted for stroke type and duration, a significant interaction effect (p < 0.05) was detected, showing that stroke duration (acute versus chronic) and type

2017 BioMed research international Controlled trial quality: uncertain

87. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

: Initial risk stratification and management of nondisabling stroke or TIA The goal of outpatient management of transient ische- mic attack and nondisabling ischemic stroke is to rap- idly identify cardiovascular risk factors, which may have precipitated the initial event, and to initiate treat- ments to reduce the risk of recurrent events. Historically, the 90-day risk of recurrent stroke follow- ing an index transient ischemic attack has been esti- mated to be relatively high, between 12% and 20 (...) , and should be seen by a neurologist or stroke specialist for evaluation, ideally within one month of symptom onset [Evidence Level C]. Refer to Section 1.2 for more information on investigations. 1.2 Diagnostic investigations 1.2.1 Initial assessment i. Patients presenting with suspected acute or recent transient ischemic attack or non-disabling ischemic stroke should undergo an initial assessment that includes brain imaging, noninvasive vascular imaging (including carotid imaging), 12-lead ECG

2018 CPG Infobase

88. Feasibility, reliability, and validity of using accelerometers to measure physical activities of patients with stroke during inpatient rehabilitation. Full Text available with Trip Pro

Feasibility, reliability, and validity of using accelerometers to measure physical activities of patients with stroke during inpatient rehabilitation. Promoting physical activities is important for medical and functional recovery after stroke. Therefore, an accurate and convenient measurement of physical activities is necessary to provide feedback on functional status and effects of rehabilitative interventions. We assessed the feasibility, reliability, and validity of wearing accelerometers (...) to monitor physical activities of stroke patients by estimating energy expenditure. This was a prospective observational quantitative study conducted in an inpatient rehabilitation unit. Twenty-four patients with subacute stroke were enrolled. They wore accelerometers on wrists and ankles for three consecutive weekdays. The feasibility was evaluated by daily wear-time. The test-retest reliability was determined by intra-class correlation coefficient. The validity was evaluated by comparing

2018 PLoS ONE

89. Experiences from a multimodal rhythm and music-based rehabilitation program in late phase of stroke recovery - A qualitative study. Full Text available with Trip Pro

Experiences from a multimodal rhythm and music-based rehabilitation program in late phase of stroke recovery - A qualitative study. Rehabilitative stroke interventions based on principles of multimodal stimulation have the potential to profoundly affect neuroplastic processes beyond the sub-acute phase. In order to identify important core mechanisms, there is a need to explore how interventions that combine physical, social, sensory, and cognitively challenging activities are perceived (...) and experienced by the participants. This qualitative study, based on an interpretive interactionist perspective, explored the experiences of stroke survivors who participated in a group-based multimodal rehabilitation program based on rhythm and music.Within four weeks after completion of the multimodal rehabilitation program, face-to-face semi-structured interviews were conducted on a single occasion with 15 purposively selected individuals (mean age 65, 8 men, 7 women). The interview duration was between

2018 PLoS ONE

90. Biofeedback effect of hybrid assistive limb in stroke rehabilitation: A proof of concept study using functional near infrared spectroscopy. Full Text available with Trip Pro

Biofeedback effect of hybrid assistive limb in stroke rehabilitation: A proof of concept study using functional near infrared spectroscopy. Robot-assisted rehabilitation has been increasingly drawing attention in the field of neurorehabilitation. The hybrid assistive limb (HAL) is an exoskeleton robot developed based on the "interactive biofeedback" theory, and several studies have shown its efficacy for patients with stroke. We aimed to investigate the mechanisms of the facilitative effect (...) of neurorehabilitation using a single-joint HAL (HAL-SJ) and functional near-infrared spectroscopy (fNIRS).Subacute stroke patients admitted to our hospital were assessed in this study for HAL eligibility. We evaluated motor-related cortical activity using an fNIRS system at baseline and immediately after HAL-SJ treatment on the same day. Cortical activity was determined through the relative changes in the hemoglobin concentrations. For statistical analysis, we compared the number of flexion/extension movements

2018 PLoS ONE

91. Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science Full Text available with Trip Pro

Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science 29507783 2018 11 14 2059-8696 2 4 2017 Dec Stroke and vascular neurology Stroke Vasc Neurol Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science. 222-229 10.1136/svn-2017-000069 Zheng Haiqing H Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. Cao Ning N Department of Physical Medicine (...) and Rehabilitation, MosRehab, Elkins Park, Pennsylvania, USA. Yin Yu Y Department of Rehabilitation Medicine, Hebei Provincial General Hospital, Shijiazhuang, China. Feng Wuwei W Department of Neurology, Medical University of South Carolina, Charleston, SC 29425, USA. Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA. eng P20 GM109040 GM NIGMS NIH HHS United States Journal Article Review 2017 07 06 England Stroke Vasc Neurol 101689996 2059-8696 basis science clinical

2017 Stroke and vascular neurology

92. AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery

to span the entire course of rehabilitation, from the early actions taken in the acute care hospital through reintegration into the community. The end of formal rehabilitation (commonly by 3–4 months after stroke) should not mean the end of the restorative process. In many respects, stroke has been managed medically as a temporary or transient condition instead of a chronic condition that warrants monitoring after the acute event. Currently, unmet needs persist in many domains, including social (...) , and the initiation of prophylactic and preventive measures. Although the delivery of rehabilitation therapies (OT/PT/SLT) is generally not the first priority, data strongly suggest that there are benefits to starting rehabilitation as soon as the patient is ready and can tolerate it. The cardinal feature of acute inpatient care for stroke patients in the United States is its brevity; the median length of stay for patients with ischemic stroke in only 4 days. Regardless of whether rehabilitation is started during

2016 American Heart Association

93. Guidelines for adult stroke rehabilitation and recovery

. The end of formal rehabilitation (commonly by 3–4 months after stroke) should not mean the end of the restorative process. In many respects, stroke has been managed medically as a temporary or transient condi- tion instead of a chronic condition that warrants monitoring after the acute event. Currently, unmet needs persist in many domains, including social reintegration, health-related qual- ity of life, maintenance of activity, and self-efficacy (ie, belief in one’s capability to carry out a behavior (...) , the delivery of acute stroke treatments, and the initiation of pro- phylactic and preventive measures. Although the delivery of rehabilitation therapies (OT/PT/SLT) is generally not the first priority, data strongly suggest that there are benefits to starting rehabilitation as soon as the patient is ready and can tolerate it. 11 The cardinal feature of acute inpatient care for stroke patients in the United States is its brevity; the median length of stay for patients with ischemic stroke in only 4 days

2016 American Academy of Neurology

94. Disappearance of unaffected motor cortex activation by repetitive transcranial magnetic stimulation in a patient with cerebral infarct Full Text available with Trip Pro

Disappearance of unaffected motor cortex activation by repetitive transcranial magnetic stimulation in a patient with cerebral infarct 25206886 2014 09 10 2018 11 13 1673-5374 9 7 2014 Apr 01 Neural regeneration research Neural Regen Res Disappearance of unaffected motor cortex activation by repetitive transcranial magnetic stimulation in a patient with cerebral infarct. 761-2 10.4103/1673-5374.131585 Seo Jeong Pyo JP Department of Physical Medicine and Rehabilitation, College of Medicine (...) , Yeungnam University, Daegu, Republic of Korea. Jang Sung Ho SH Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea. eng Journal Article India Neural Regen Res 101316351 1673-5374 2014 02 21 2014 9 11 6 0 2014 9 11 6 0 2014 9 11 6 1 ppublish 25206886 10.4103/1673-5374.131585 NRR-9-761 PMC4146277 Neuroimage. 2010 Mar;50(1):233-42 20005962 Lancet Neurol. 2008 Jun;7(6):507-13 18455961 Arch Neurol. 2008 Jun;65(6):741-7 18541794 J Rehabil Med

2014 Neural Regeneration Research

95. Statistical analysis plan for the family-led rehabilitation after stroke in India (ATTEND) trial: A multicenter randomized controlled trial of a new model of stroke rehabilitation compared to usual care. Full Text available with Trip Pro

Statistical analysis plan for the family-led rehabilitation after stroke in India (ATTEND) trial: A multicenter randomized controlled trial of a new model of stroke rehabilitation compared to usual care. Background In low- and middle-income countries, few patients receive organized rehabilitation after stroke, yet the burden of chronic diseases such as stroke is increasing in these countries. Affordable models of effective rehabilitation could have a major impact. The ATTEND trial is evaluating (...) a family-led caregiver delivered rehabilitation program after stroke. Objective To publish the detailed statistical analysis plan for the ATTEND trial prior to trial unblinding. Methods Based upon the published registration and protocol, the blinded steering committee and management team, led by the trial statistician, have developed a statistical analysis plan. The plan has been informed by the chosen outcome measures, the data collection forms and knowledge of key baseline data. Results The resulting

2017 International journal of stroke : official journal of the International Stroke Society

96. Multidisciplinary rehabilitation following botulinum toxin and other focal intramuscular treatment for post-stroke spasticity. (Abstract)

Multidisciplinary rehabilitation following botulinum toxin and other focal intramuscular treatment for post-stroke spasticity. Spasticity may affect stroke survivors by contributing to activity limitations, caregiver burden, pain and reduced quality of life (QoL). Spasticity management guidelines recommend multidisciplinary (MD) rehabilitation programmes following botulinum toxin (BoNT) treatment for post-stroke spasticity. However, the evidence base for the effectiveness of MD rehabilitation (...) is unclear.To assess the effectiveness of MD rehabilitation, following BoNT and other focal intramuscular treatments such as phenol, in improving activity limitations and other outcomes in adults and children with post-stroke spasticity. To explore what settings, types and intensities of rehabilitation programmes are effective.We searched the Cochrane Stroke Group Trials Register (February 2012), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 12), MEDLINE

2013 Cochrane

97. Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature

Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature MacDonald GA, Kayes NM, Bright F CRD summary This review, mainly of qualitative studies, found no studies that explicitly investigated patient engagement (...) with rehabilitation after stroke. Seven key themes were identified from studies of patient experience. The authors' cautious conclusions, and recommendations for further research, reflect the limitations of the evidence presented and seem appropriate. Authors' objectives To explore the barriers and facilitators to engagement in stroke rehabilitation, to inform interventions to increase engagement and improve the delivery of rehabilitation. Searching EBSCO health databases (including MEDLINE and CINAHL

2014 DARE.

98. The Effects of Technology-Assisted Ankle Rehabilitation on Balance Control in Stroke Survivors. (Abstract)

The Effects of Technology-Assisted Ankle Rehabilitation on Balance Control in Stroke Survivors. Many stroke survivors have impaired balance control. This study assesses the effects of ankle stretching exercising with our recently developed Motorized Ankle Stretcher (MAS) technology compared to exercising with a stretching board, on stroke survivors' balance control. Sixteen stroke survivors were randomly assigned to a control group (CG) and an intervention group (IG). The CG and IG performed

2019 IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society Controlled trial quality: uncertain

99. An exploratory investigation of the effect of naturalistic light on depression, anxiety, and cognitive outcomes in stroke patients during admission for rehabilitation: A randomized controlled trial. (Abstract)

An exploratory investigation of the effect of naturalistic light on depression, anxiety, and cognitive outcomes in stroke patients during admission for rehabilitation: A randomized controlled trial. Patients admitted for rehabilitation often lack sufficient natural light to entrain their circadian rhythm.Installed diurnal naturalistic light may positively influence the outcome of depressive mood, anxiety, and cognition in such patients.A quasi-randomized controlled trial. Ninety stroke patients (...) in need of rehabilitation were randomized between May 1, 2014, and June 1, 2015 to either a rehabilitation unit equipped entirely with always on naturalistic lighting (IU), or to a rehabilitation unit with standard indoor lighting (CU).Examinations were performed at inclusion and discharge. The following changes were investigated: depressive mood based on the Hamilton Depression scale (HAM-D6) and Major Depression Inventory scale (MDI), anxiety based on the Hospital Anxiety and Depression Scale (HADS

2019 NeuroRehabilitation Controlled trial quality: uncertain

100. Real-time foot clearance biofeedback to assist gait rehabilitation following stroke: a randomized controlled trial protocol. Full Text available with Trip Pro

Real-time foot clearance biofeedback to assist gait rehabilitation following stroke: a randomized controlled trial protocol. The risk of falling is significantly higher in people with chronic stroke and it is, therefore, important to design interventions to improve mobility and decrease falls risk. Minimum toe clearance (MTC) is the key gait cycle event for predicting tripping-falls because it occurs mid-swing during the walking cycle where forward velocity of the foot is maximum. High forward (...) velocity coupled with low MTC increases the probability of unanticipated foot-ground contacts. Training procedures to increase toe-ground clearance (MTC) have potential, therefore, as a falls-prevention intervention. The aim of this project is to determine whether augmented sensory information via real-time visual biofeedback during gait training can increase MTC.Participants will be aged > 18 years, have sustained a single stroke (ischemic or hemorrhagic) at least six months previously, able to walk

2019 Trials Controlled trial quality: predicted high

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