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stroke rehabilitation

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101. 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

102. 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

103. 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

104. 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

105. 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

106. 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

107. 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

108. 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

109. 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

110. 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

111. 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.

112. 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

113. User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation. Full Text available with Trip Pro

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation. According to WHO stroke is a growing societal challenge and the third leading cause of global disease-burden estimated using disability-adjusted life years. Rehabilitation after stroke is an area of mutual interest for health care in many countries. Within the health care sector there is a growing emphasis on ICT services to provide clients with easier access to information, self-evaluation, and self (...) agreed that the reminder and follow-up system was of benefit in the rehabilitation process. However, some technical and other issues were limiting the use of the system for some clients. The issues were mostly linked to the fact that the SMS system was based on a Swedish phone number, so that all messages needed to be sent internationally.In conclusion, it seems that this type of SMS-based reminder systems could be of good use in the rehabilitation process after stroke, even in low income counties

2019 Medical Informatics and Decision Making

114. Effectiveness of neuromuscular electrical stimulation combined with rehabilitation training for treatment of post-stroke limb spasticity. Full Text available with Trip Pro

Effectiveness of neuromuscular electrical stimulation combined with rehabilitation training for treatment of post-stroke limb spasticity. This study aims to systematically explore the effectiveness of neuromuscular electrical stimulation (NMES) combined with rehabilitation training (RT) for the treatment of post-stroke limb spasticity (PSLS).We will search Cochrane Library, MEDILINE, EMBASE, CINAHL, AMED, PsycINFO, WOS, Scopus, OpenGrey, and 4 Chinese databases from inception to the present

2019 Medicine

115. Effects of continuous positive airway pressure (CPAP) therapy on neurological and functional rehabilitation in Basal Ganglia Stroke patients with obstructive sleep apnea: A prospective multicenter study. Full Text available with Trip Pro

Effects of continuous positive airway pressure (CPAP) therapy on neurological and functional rehabilitation in Basal Ganglia Stroke patients with obstructive sleep apnea: A prospective multicenter study. Obstructive sleep apnea (OSA) adversely affects neurological recovery. This study aimed to determine the impact of continuous positive airway pressure (CPAP) and/or rehabilitation in basal ganglia stroke patients with OSA.A prospective controlled trial was conducted in 2015-2018. The subjects (...) received routine rehabilitation training for up to 2 years and were assigned to the intervention and control groups treated with CPAP or without, respectively. Then, treatment effects on sleep parameters, motor function, stroke severity, daily life activities, cognitive function, and psychological states were assessed at different time points.At 6 months, the CPAP group showed significantly lower mean apnea-hypopnea index (AHI), percentage of time with SpO2 at <90% (TS90%), micro-arousal index

2019 Medicine

116. Standard early rehabilitation and lower limb transcutaneous nerve or neuromuscular electrical stimulation in acute stroke patients: a randomized controlled pilot study. (Abstract)

Standard early rehabilitation and lower limb transcutaneous nerve or neuromuscular electrical stimulation in acute stroke patients: a randomized controlled pilot study. We investigated adding lower limb transcutaneous nerve stimulation or neuromuscular electrical stimulation to standard early rehabilitation in acute stroke patients.An assessor-blinded, randomized controlled pilot study.A medical stroke center.First-stroke patients aged 20-80 years admitted to the stroke center within 24 hours (...) post stroke.A total of 42 participants were randomly assigned to groups: transcutaneous nerve stimulation + standard early rehabilitation, neuromuscular electrical stimulation + standard early rehabilitation, or standard early rehabilitation-only. Transcutaneous nerve or neuromuscular electrical stimulation was delivered to the affected tibialis anterior and quadriceps muscles for 30 minutes a day, five days per week for two weeks.The Postural Assessment Scale for Stroke Patients, the Functional

2019 Clinical rehabilitation Controlled trial quality: uncertain

117. Dynamic Lycra® orthoses as an adjunct to arm rehabilitation after stroke: a single-blind, two-arm parallel group, randomized controlled feasibility trial. Full Text available with Trip Pro

Dynamic Lycra® orthoses as an adjunct to arm rehabilitation after stroke: a single-blind, two-arm parallel group, randomized controlled feasibility trial. The aim of this study was to explore the feasibility of conducting a randomized controlled trial of dynamic Lycra® orthoses as an adjunct to arm rehabilitation after stroke and to explore the magnitude and direction of change on arm outcomes.This is a single-blind, two-arm parallel group, feasibility randomized controlled trial.In-patient (...) rehabilitation.The study participants were stroke survivors with arm hemiparesis two to four weeks after stroke receiving in-patient rehabilitation.Participants were randomized 2:1 to wear Lycra® gauntlets for eight hours daily for eight weeks, plus usual rehabilitation (n = 27), or to usual rehabilitation only (n = 16).Recruitment, retention, fidelity, adverse events and completeness of data collection were examined at 8 and 16 weeks; arm function (activity limitation; Action Research Arm Test, Motor Activity

2019 Clinical rehabilitation Controlled trial quality: predicted high

118. 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

119. Efficacy of fingolimod combined with alteplase in acute ischemic stroke and rehabilitation nursing. (Abstract)

Efficacy of fingolimod combined with alteplase in acute ischemic stroke and rehabilitation nursing. This paper aims to observe and analyze the safety and clinical efficacy of Fingolimod combined with alteplase intravenous thrombolysis in the treatment of acute ischemic stroke. 90 patients with acute ischemic stroke were randomly divided into two groups. 45 patients in the control group were given alteplase intravenous thrombolysis for injection. 45 cases in the trial group were treated (...) in the combined treatment group decreased steadily to varying degrees. The results confirm the pharmacological effect of Fingolimod: it changes lymphocyte migration, promotes lymphocyte to enter lymphoid tissue, prevents lymphocyte from leaving lymphoid tissue to enter the peripheral circulation, and thus prevents these immune cells from infiltrating the central nervous system. The results showed that Fingolimod combined with alteplase intravenous thrombolysis is safe for patients with acute ischemic stroke. .

2019 Pakistan journal of pharmaceutical sciences Controlled trial quality: uncertain

120. Effects of transcranial direct current stimulation on the rehabilitation of painful shoulder following a stroke: protocol for a randomized, controlled, double-blind, clinical trial. Full Text available with Trip Pro

Effects of transcranial direct current stimulation on the rehabilitation of painful shoulder following a stroke: protocol for a randomized, controlled, double-blind, clinical trial. Shoulder pain is reported to be one of the major challenges faced in the functional recovery of patients in rehabilitation following a stroke. In such cases, transcranial direct current stimulation (tDCS) has been used as an additional therapeutic tool for improvements in central and peripheral pain. The aim (...) of the proposed study is to evaluate the effect of tDCS when combined with upper limb physical therapy on pain intensity and functional improvement in stroke survivors with shoulder pain in the hemiplegic limb.A randomized, placebo-controlled, double-blind, clinical trial is proposed. The volunteers will be randomly allocated to receive passive movement on the upper limb, which will be performed by the therapist for 20 min followed by either active tDCS or sham tDCS (current stimulation for 30 s) during

2019 Trials Controlled trial quality: predicted high

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