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stroke rehabilitation

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121. Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial: an international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy. Full Text available with Trip Pro

Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial: an international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy. Background Limited evidence exists to support very early intensive aphasia rehabilitation after stroke. VERSE is a PROBE trial designed to determine whether two types of intensive aphasia therapy, beginning within 14 days of acute stroke, provide greater therapeutic

2019 International journal of stroke : official journal of the International Stroke Society Controlled trial quality: uncertain

122. The Effects of Technology-Assisted Ankle Rehabilitation on Balance Control in Stroke Survivors. Full Text available with Trip Pro

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

123. Home-based virtual reality training after discharge from hospital-based stroke rehabilitation: a parallel randomized feasibility trial. Full Text available with Trip Pro

Home-based virtual reality training after discharge from hospital-based stroke rehabilitation: a parallel randomized feasibility trial. Virtual reality training (VRT) uses computer software to track a user's movements and allow him or her to interact with a game presented on a television screen. VRT is increasingly being used for the rehabilitation of arm function, balance and walking after stroke. Patients often require ongoing therapy post discharge from inpatient rehabilitation. Outpatient (...) to be discharged from inpatient or outpatient rehabilitation post stroke are being recruited in Ottawa, Canada and being randomized to control and experimental groups. Participants in the experimental group use home-based VRT to do rehabilitative exercises for standing balance, stepping, reaching, strengthening and gentle aerobic fitness. Control group participants use an iPad with apps selected to rehabilitate cognition, hand fine motor skills and visual tracking/scanning. Both groups are instructed

2019 Trials Controlled trial quality: uncertain

124. Acute stroke rehabilitation for gait training with cyborg type robot Hybrid Assistive Limb: A pilot study. Full Text available with Trip Pro

Acute stroke rehabilitation for gait training with cyborg type robot Hybrid Assistive Limb: A pilot study. Robot-assisted gait training following acute stroke could allow patients with severe disability to receive a high dosage and intensity of gait training compared with conventional physical therapy (CP). However, given the limited data on gauging the efficacy of Hybrid Assistive Limb (HAL) on gait training in patients with acute stroke, we aimed to evaluate several outcome measures following (...) assessment. Thirty-seven patients (19 from CP and 18 from HAL, median age = 69 years) completed the study. At the 2nd assessment, the total Functional Independence Measure (FIM) score was higher in the HAL group than in the CP group (90.1 vs. 79.0, p = 0.042). In conclusion, the FIM scale could be used to identify responsiveness to acute stroke rehabilitation using HAL.Copyright © 2019 The Author(s). Published by Elsevier B.V. All rights reserved.

2019 Journal of the neurological sciences Controlled trial quality: uncertain

125. Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States. Full Text available with Trip Pro

Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States. Little is known about variation in use of rehabilitation services provided in acute care hospitals for people who have had a stroke.The objective was to examine patient and hospital sources of variation in acute care rehabilitation services provided for stroke.This was a retrospective, cohort design.The sample consisted of Medicare fee-for-service beneficiaries with ischemic stroke (...) of receiving any rehabilitation services. These same variables were generally associated with fewer minutes of therapy. Patients treated by tissue plasminogen activator, in limited-teaching and nonteaching hospitals, and in hospitals with inpatient rehabilitation units, were more likely to receive more therapy minutes.The findings are limited to patients with ischemic stroke.Only 61% of patients with ischemic stroke received both physical therapy and occupational therapy services in the acute setting. We

2019 Physical therapy

126. Referral patterns of stroke rehabilitation inpatients to a model system of outpatient services in Ontario, Canada: a 7-year retrospective analysis. Full Text available with Trip Pro

Referral patterns of stroke rehabilitation inpatients to a model system of outpatient services in Ontario, Canada: a 7-year retrospective analysis. While several studies have tracked the care paths of patients in the early phases of stroke recovery, studies examining the transition from inpatient to outpatient rehabilitation are lacking. Examining this transition allows for improved understanding and refinement of the process whereby patients are referred and admitted to programs. The objective (...) of this study was to examine the referral patterns of stroke rehabilitation inpatients to outpatient stroke therapy services, their demographics, and clinical profile.This study examined patients who: (1) were admitted to an inpatient stroke rehabilitation unit between January 1, 2009 and March 1, 2016, (2) had a stroke diagnosis, (3) had an inpatient length of stay of > 1 day, and (4) lived within the geographical boundaries of the South West Local Health Integration Network which allowed them access

2019 BMC health services research

127. Goal-oriented instructions increase the intensity of practice in stroke rehabilitation compared with non-specific instructions: a within-participant, repeated measures experimental study. Full Text available with Trip Pro

Goal-oriented instructions increase the intensity of practice in stroke rehabilitation compared with non-specific instructions: a within-participant, repeated measures experimental study. In stroke rehabilitation, do goal-oriented instructions increase the intensity of practice during therapy compared to a non-specific instruction? Is one type of goal-oriented instruction more effective at increasing the intensity of practice achieved by stroke survivors during therapy?A within-participant (...) , repeated measures experimental study.Twenty-four adults undertaking stroke rehabilitation at a metropolitan hospital as an inpatient or outpatient.Participants were observed performing exercises across 3 days. On each day, they performed an exercise with a non-specific instruction ('do some [exercise]') as a baseline measure and the same exercise with one of three goal-oriented instructions, delivered in a randomised order. The three goal-oriented instructions were: 'do [exercise] 25 times

2019 Journal of physiotherapy Controlled trial quality: uncertain

128. Intensive Continuous Positive Airway Pressure Adherence Program During Stroke Rehabilitation. (Abstract)

Intensive Continuous Positive Airway Pressure Adherence Program During Stroke Rehabilitation. Background and Purpose- Continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea may improve stroke recovery, but adherence is poor. We assessed the effectiveness of an intensive CPAP adherence program during and after inpatient stroke rehabilitation on 3-month adherence and stroke recovery. Methods- In a single-arm study, 90 stroke rehabilitation patients were enrolled (...) associated with adherence included more severe stroke, aphasia, and white race. Compared with nonadherent patients, adherent patients experienced greater improvements in the cognitive component of the Functional Independence Measure ( P=0.02) and in the National Institutes of Health Stroke Scale ( P=0.03). Conclusions- This intensive CPAP adherence program initiated during stroke rehabilitation can lead to CPAP adherence in the majority of patients with evidence of obstructive sleep apnea, including

2019 Stroke

129. Caregiver-Delivered Stroke Rehabilitation in Rural China. Full Text available with Trip Pro

Caregiver-Delivered Stroke Rehabilitation in Rural China. Background and Purpose- Stroke disability is a major health burden in rural China where rehabilitation services are inadequate. We aimed to determine the effectiveness of a novel nurse-led, caregiver-delivered model of stroke rehabilitation in rural China. Methods- A multicenter prospective, randomized open, blinded outcome assessed, controlled trial was conducted in 3 rural county hospitals in China: Zhangwu, Liaoning Province (...) in-hospital education and stroke rehabilitation training (focus on mobility, self-care, and toileting), delivered by trained nurses before hospital discharge, and 3 postdischarge support telephone calls. Outcome assessments were undertaken before hospital discharge and at 3 and 6 months. Primary outcome was physical functioning (Barthel Index scores) at 6 months, assessed by research staff blind to treatment allocation, adjusted for baseline covariates in an intention-to-treat analysis. Secondary outcomes

2019 Stroke Controlled trial quality: predicted high

130. Neurotechnology-aided interventions for upper limb motor rehabilitation in severe chronic stroke. Full Text available with Trip Pro

Neurotechnology-aided interventions for upper limb motor rehabilitation in severe chronic stroke. Upper limb motor deficits in severe stroke survivors often remain unresolved over extended time periods. Novel neurotechnologies have the potential to significantly support upper limb motor restoration in severely impaired stroke individuals. Here, we review recent controlled clinical studies and reviews focusing on the mechanisms of action and effectiveness of single and combined technology-aided (...) interventions for upper limb motor rehabilitation after stroke, including robotics, muscular electrical stimulation, brain stimulation and brain computer/machine interfaces. We aim at identifying possible guidance for the optimal use of these new technologies to enhance upper limb motor recovery especially in severe chronic stroke patients. We found that the current literature does not provide enough evidence to support strict guidelines, because of the variability of the procedures for each intervention

2019 Brain

131. The Effects of Naturalistic Light on Diurnal Plasma Melatonin and Serum Cortisol Levels in Stroke Patients during Admission for Rehabilitation: A Randomized Controlled Trial. Full Text available with Trip Pro

The Effects of Naturalistic Light on Diurnal Plasma Melatonin and Serum Cortisol Levels in Stroke Patients during Admission for Rehabilitation: A Randomized Controlled Trial. Background: Stroke patients admitted for rehabilitation often lack sufficient daytime blue light exposure due to the absence of natural light and are often exposed to light at unnatural time points. We hypothesized that artificial light imitating daylight, termed naturalistic light, would stabilize the circadian rhythm (...) of plasma melatonin and serum cortisol levels among long-term hospitalized stroke patients. Methods: A quasi-randomized controlled trial. 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). At both inclusion and discharge after a hospital stay of at least 2 weeks, plasma melatonin and serum cortisol levels

2019 International journal of medical sciences Controlled trial quality: uncertain

132. Response by Kimberley and Dawson Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". Full Text available with Trip Pro

Response by Kimberley and Dawson Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". 30651040 2019 01 28 1524-4628 50 2 2019 Feb Stroke Stroke Response by Kimberley and Dawson Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". e38 10.1161/STROKEAHA.118.024405 Kimberley Teresa J TJ School of Health and Rehabilitation (...) Sciences, Department of Physical Therapy, Massachusetts General Hospital Institute of Health Professions, Boston. Dawson Jesse J Institute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, Queen Elizabeth University Hospital, University of Glasgow, United Kingdom. eng Letter United States Stroke 0235266 0039-2499 2019 1 18 6 0 2019 1 18 6 0 2019 1 18 6 0 ppublish 30651040 10.1161/STROKEAHA.118.024405

2019 Stroke Controlled trial quality: uncertain

133. Letter by Kumaria and Tolias Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". Full Text available with Trip Pro

Letter by Kumaria and Tolias Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". 30651042 2019 01 28 1524-4628 50 2 2019 Feb Stroke Stroke Letter by Kumaria and Tolias Regarding Article, "Vagus Nerve Stimulation Paired With Upper Limb Rehabilitation After Chronic Stroke: A Blinded Randomized Pilot Study". e37 10.1161/STROKEAHA.118.024182 Kumaria Ashwin A Specialist Registrar in Neurosurgery, Queen's Medical (...) Centre, Nottingham, United Kingdom. Tolias Christos M CM King's College Hospital, London, United Kingdom. eng Letter United States Stroke 0235266 0039-2499 2019 1 18 6 0 2019 1 18 6 0 2019 1 18 6 0 ppublish 30651042 10.1161/STROKEAHA.118.024182

2019 Stroke Controlled trial quality: uncertain

134. Effect of oral hygiene programmes on oral opportunistic pathogens during stroke rehabilitation. (Abstract)

Effect of oral hygiene programmes on oral opportunistic pathogens during stroke rehabilitation. This study was to assess the effectiveness of a conventional oral hygiene care programme (COHCP) and an advanced oral hygiene care programme (AOHCP) on prevalence and viable counts of oral opportunistic pathogens among patients undergoing stroke rehabilitation.A total of 94 patients were randomized to two groups. Subjects were block randomized to either (a) COHCP: manual toothbrushing with oral

2019 Oral diseases Controlled trial quality: uncertain

135. Accelerating Stroke Recovery: Body Structures and Functions, Activities, Participation, and Quality of Life Outcomes From a Large Rehabilitation Trial. Full Text available with Trip Pro

Accelerating Stroke Recovery: Body Structures and Functions, Activities, Participation, and Quality of Life Outcomes From a Large Rehabilitation Trial. Task-oriented therapies have been developed to address significant upper extremity disability that persists after stroke. Yet, the extent of and approach to rehabilitation and recovery remains unsatisfactory to many.To compare a skill-directed investigational intervention with usual care treatment for body functions and structures, activities (...) study-related improvements in quality of life. By end of study, all groups reached similar levels with only limited group differences.Customized task-oriented training can be implemented to accelerate gains across a full spectrum of patient-reported outcomes. While group differences for most outcomes disappeared at 1 year, ASAP participants achieved these outcomes on average 8 months earlier (ClinicalTrials.gov: Interdisciplinary Comprehensive Arm Rehabilitation Evaluation [ICARE] Stroke Initiative

2019 Neurorehabilitation and neural repair Controlled trial quality: uncertain

136. Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial. Full Text available with Trip Pro

Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial. To examine the feasibility of undertaking a pragmatic single-blind randomised controlled trial (RCT) of a visual arts participation programme to evaluate effects on survivor wellbeing within stroke rehabilitation.Stroke survivors receiving in-patient rehabilitation were randomised to receive eight art participation sessions (n = 41) or usual care (n = 40). Recruitment, retention (...) be determined from this feasibility study but effects sizes suggested art participation may benefit emotional wellbeing, measured on the positive and negative affect schedule, and self-efficacy for Art (d = 0.24-0.42).Undertaking a RCT of art participation within stroke rehabilitation was feasible. Art participation may enhance self-efficacy and positively influence emotional wellbeing. These should be outcomes in a future definitive trial. A cluster RCT would ensure art groups could be reliably convened

2019 Disability and rehabilitation Controlled trial quality: uncertain

137. Game analysis and clinical use of the Xbox-Kinect for stroke rehabilitation. (Abstract)

Game analysis and clinical use of the Xbox-Kinect for stroke rehabilitation. Whole-body movement is required to interact (play) with Microsoft Xbox with the 3D Kinect sensor (Xbox-Kinect) and, therefore, may be suitable for encouraging and practicing movements as part of stroke rehabilitation. We aimed to describe (i) game analysis, (ii) clinical use, and (iii) to characterize the Xbox-Kinect game experience with individuals with chronic stroke. Four therapists played the Xbox-Kinect games (...) with the participants is presented. Participants reported high enjoyment and 'somewhat-high' perceived exertion after playing the two games and stated that overall the console suited their therapeutic goals. This information can assist clinicians with their clinical reasoning and decision-making for incorporating the Xbox-Kinect into stroke rehabilitation. Potentially, the Xbox-Kinect could be used as an on-going tool to facilitate whole-body movement and physical activity of individuals with chronic stroke.

2019 International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation Controlled trial quality: uncertain

138. Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients: A Randomized Controlled Trial. (Abstract)

Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients: A Randomized Controlled Trial. Virtual reality game system is one of novel approaches, which can improve hemiplegic extremity functions of stroke patients. We aimed to evaluate the effect of the Microsoft Xbox 360 Kinect video game system on upper limb motor functions for subacute stroke patients.The study included 42 stroke patients of which 35 (19 Virtual reality group, 16 control group) completed the study. All patients (...) have supplemental benefit for stroke patients. However, for virtual reality game systems to enter the routine practice of stroke rehabilitation, randomized controlled clinical trials with longer follow-up periods and larger sample sizes are needed especially to determine an optimal duration and intensity of the treatment.Copyright © 2018. Published by Elsevier Inc.

2019 Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Controlled trial quality: uncertain

139. Electrical Somatosensory Stimulation in Early Rehabilitation of Arm Paresis After Stroke: A Randomized Controlled Trial. (Abstract)

Electrical Somatosensory Stimulation in Early Rehabilitation of Arm Paresis After Stroke: A Randomized Controlled Trial. Arm paresis is present in 48% to 77% of acute stroke patients. Complete functional recovery is reported in only 12% to 34%. Although the arm recovery is most pronounced during the first 4 weeks poststroke, few studies examined the effect of upper extremity interventions during this period.To investigate the effect of electrical somatosensory stimulation (ESS) delivered during (...) early stroke rehabilitation on the recovery of arm functioning.A total of 102 patients with arm paresis were randomized to a high-dose or a low-dose ESS group within 7 days poststroke according to our sample size estimation. The high-dose group received 1-hour ESS to the paretic arm daily during hospitalization immediately followed by minimum 15-minute task-oriented arm training that was considered a component of the usual rehabilitation. The low-dose group received a placebo ESS followed

2019 Neurorehabilitation and neural repair Controlled trial quality: predicted high

140. Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? Full Text available with Trip Pro

Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? 29051116 2019 02 11 2019 02 15 1877-0665 61 1 2018 01 Annals of physical and rehabilitation medicine Ann Phys Rehabil Med Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? 54-55 S1877-0657(17)30414-1 10.1016/j.rehab.2017.09.006 Aguirre Luis G LG Sociedad científica de estudiantes de medicina, universidad de San Martín de Porres, universidad de (...) , Peru. Electronic address: alvaro.taype.r@gmail.com. eng Letter 2017 10 16 Netherlands Ann Phys Rehabil Med 101502773 1877-0657 IM Commerce methods statistics & numerical data Cross-Sectional Studies European Union Health Care Sector statistics & numerical data Humans Internet Orthotic Devices statistics & numerical data Randomized Controlled Trials as Topic statistics & numerical data Stroke Rehabilitation instrumentation Telemedicine statistics & numerical data United States Neurological

2019 Annals of physical and rehabilitation medicine

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