Latest & greatest articles for stroke rehabilitation

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Top results for stroke rehabilitation

21. Effectiveness of robotic assisted rehabilitation for mobility and functional ability in adult stroke patients: a systematic review. (Abstract)

Effectiveness of robotic assisted rehabilitation for mobility and functional ability in adult stroke patients: a systematic review. Stroke is a leading cause of long-term disability, and rehabilitation, involving repetitive, high intensity, task-specific exercises, is the pathway to restoring motor skills. Robotic assistive devices are increasingly being used and it is hoped that with robotic devices, rehabilitation progress can be achieved for patients.To examine the effectiveness of robotic (...) devices in the rehabilitation of stroke patients for upper limb mobility, lower limb mobility, and activities of daily living. The sustainability of treatment effect was also examined.Adult stroke patients 18 years and over.Rehabilitation of stroke patients using robotic devices with assistive automation, compared to conventional physiotherapy.Motor movements of upper limbs, walking movement of lower limbs and activities of daily living, including follow-up measurements to examine the sustainability

2017 JBI database of systematic reviews and implementation reports

22. Virtual reality for stroke rehabilitation. Full Text available with Trip Pro

Virtual reality for stroke rehabilitation. Virtual reality and interactive video gaming have emerged as recent treatment approaches in stroke rehabilitation with commercial gaming consoles in particular, being rapidly adopted in clinical settings. This is an update of a Cochrane Review published first in 2011 and then again in 2015.Primary objective: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on upper limb function (...) and activity.Secondary objectives: to determine the efficacy of virtual reality compared with an alternative intervention or no intervention on: gait and balance, global motor function, cognitive function, activity limitation, participation restriction, quality of life, and adverse events.We searched the Cochrane Stroke Group Trials Register (April 2017), CENTRAL, MEDLINE, Embase, and seven additional databases. We also searched trials registries and reference lists.Randomised and quasi-randomised trials of virtual

2017 Cochrane

23. Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke: A Randomized Controlled Trial Full Text available with Trip Pro

Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke: A Randomized Controlled Trial Treatments that improve function in late phase after stroke are urgently needed. We assessed whether multimodal interventions based on rhythm-and-music therapy or horse-riding therapy could lead to increased perceived recovery and functional improvement in a mixed population of individuals in late phase after stroke.Participants were assigned to rhythm-and-music therapy, horse-riding (...) therapy, or control using concealed randomization, stratified with respect to sex and stroke laterality. Therapy was given twice a week for 12 weeks. The primary outcome was change in participants' perception of stroke recovery as assessed by the Stroke Impact Scale with an intention-to-treat analysis. Secondary objective outcome measures were changes in balance, gait, grip strength, and cognition. Blinded assessments were performed at baseline, postintervention, and at 3- and 6-month follow-up.One

2017 EvidenceUpdates

24. Second-Order Peer Reviews of Clinically Relevant Articles for the Physiatrist: Additional Weekend Therapy May Reduce Length of Rehabilitation Stay After Stroke: A Meta-analysis of Individual Patient Data. (Abstract)

Second-Order Peer Reviews of Clinically Relevant Articles for the Physiatrist: Additional Weekend Therapy May Reduce Length of Rehabilitation Stay After Stroke: A Meta-analysis of Individual Patient Data. 28759477 2017 11 27 1537-7385 96 12 2017 Dec American journal of physical medicine & rehabilitation Am J Phys Med Rehabil Second-Order Peer Reviews of Clinically Relevant Articles for the Physiatrist: Additional Weekend Therapy May Reduce Length of Rehabilitation Stay After Stroke: A Meta

2017 American journal of physical medicine & rehabilitation

25. 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

26. Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial. Full Text available with Trip Pro

Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial. Most people with stroke in India have no access to organised rehabilitation services. The effectiveness of training family members to provide stroke rehabilitation is uncertain. Our primary objective was to determine whether family-led stroke rehabilitation, initiated in hospital and continued at home, would be superior to usual care in a low-resource setting.The Family-led Rehabilitation after Stroke (...) sustainability, our results do not support investment in new stroke rehabilitation services that shift tasks to family caregivers, unless new evidence emerges. A future avenue of research should be to investigate the effects of task shifting to health-care assistants or team-based community care.The National Health and Medical Research Council of Australia.Copyright © 2017 Elsevier Ltd. All rights reserved.

2017 Lancet Controlled trial quality: predicted high

27. Effectiveness of robotic assisted rehabilitation for mobility and functional ability in adult stroke patients: a systematic review protocol. (Abstract)

Effectiveness of robotic assisted rehabilitation for mobility and functional ability in adult stroke patients: a systematic review protocol. The objective of this review is to synthesize the best available evidence on the effectiveness of robotic assistive devices in the rehabilitation of adult stroke patients for recovery of impairments in the upper and lower limbs. The secondary objective is to investigate the sustainability of treatment effects associated with use of robotic devices.The (...) specific review question to be addressed is: can robotic assistive devices help adult stroke patients regain motor movement of their upper and lower limbs?

2017 JBI database of systematic reviews and implementation reports

28. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

, representing a 15 fold cost increase compared to controls 5 . Of note, this figure does not capture costs of families including loss of income, reduced employment, rehabilitation expenses, and psychosocial consequences for child and family. Costs are higher for childhood than for neonatal stroke, and higher for haemorrhagic than ischaemic stroke 5 . Higher costs correlate with worse impairment, emphasising the importance of rehabilitation to maximise recovery 6 . The key difference between children (...) population This guideline addresses the subacute management and care of acute arterial ischaemic stroke and non-traumatic intracranial haemorrhage in children (aged 29 days to 18 years or until school completion). The scope of this guideline does not include perinatal (aged 28 days or younger at stroke onset), subdural haemorrhage secondary to trauma, spinal stroke syndromes or cerebral venous thrombosis without infarction.Victorian Subacute Childhood Stroke Guidelines 8 3. METHODOLOGY 3.1. G u i d e l i

2017 Stroke Foundation - Australia

29. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

Stereotactic radiosurgery SSNAP Sentinel Stroke National Audit Programme STOP Stroke Prevention Trial in Sickle Cell Anaemia SWiTCH trial Stroke With Transfusions Changing to Hydroxyurea trial TAC/F Team Around the Child/Family TBI Traumatic brain injury TCD Transcranial Doppler ultrasonography TIA Transient ischaemic attack TIPS trial Thrombolysis in Pediatric Stroke trial TMS Transcranial magnetic stimulation tPA Tissue plasminogen activator UKHCDO United Kingdom Haemophilia Centre Doctors' Organisation (...) assessment 38 5.2 Framework for early functional assessment 41 vi 5.3 Prevention, identification and management of complications 45 6. Arterial Ischaemic Stroke 49 6.1. Conditions and factors associated with a risk of AIS or recurrence 49 6.2. Medical and surgical interventions 59 7. Haemorrhagic Stroke 75 7.1. Conditions and factors associated with a risk of HS or recurrence 75 7.2. Medical and surgical interventions 82 8. Discharge from hospital 99 8.1. Discharge 99 9. Rehabilitation 103 9.1. Framework

2017 Royal College of Paediatrics and Child Health

31. A Personalized Self-Management Rehabilitation System for Stroke Survivors: A Quantitative Gait Analysis Using a Smart Insole Full Text available with Trip Pro

A Personalized Self-Management Rehabilitation System for Stroke Survivors: A Quantitative Gait Analysis Using a Smart Insole In the United Kingdom, stroke is the single largest cause of adult disability and results in a cost to the economy of £8.9 billion per annum. Service needs are currently not being met; therefore, initiatives that focus on patient-centered care that promote long-term self-management for chronic conditions should be at the forefront of service redesign. The use (...) of innovative technologies and the ability to apply these effectively to promote behavior change are paramount in meeting the current challenges.Our objective was to gain a deeper insight into the impact of innovative technologies in support of home-based, self-managed rehabilitation for stroke survivors. An intervention of daily walks can assist with improving lower limb motor function, and this can be measured by using technology. This paper focuses on assessing the usage of self-management technologies

2016 JMIR rehabilitation and assistive technologies

32. Increasing the amount of usual rehabilitation improves activity after stroke: a systematic review Full Text available with Trip Pro

Increasing the amount of usual rehabilitation improves activity after stroke: a systematic review In people receiving rehabilitation aimed at reducing activity limitations of the lower and/or upper limb after stroke, does adding extra rehabilitation (of the same content as the usual rehabilitation) improve activity? What is the amount of extra rehabilitation that needs to be provided to achieve a beneficial effect?Systematic review with meta-analysis of randomised trials.Adults aged 18 years (...) rehabilitation aimed at reducing activity limitations improves activity in people after stroke. The amount of extra rehabilitation that needs to be provided to achieve a beneficial effect is large.PROSPERO CRD42012003221. [Schneider EJ, Lannin NA, Ada L, Schmidt J (2016) Increasing the amount of usual rehabilitation improves activity after stroke: a systematic review.Journal of Physiotherapy62: 182-187].Copyright © 2016 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.

2016 EvidenceUpdates

33. Cognitive rehabilitation for memory deficits after stroke. Full Text available with Trip Pro

Cognitive rehabilitation for memory deficits after stroke. Memory problems are a common cognitive complaint following stroke and can potentially affect ability to complete functional activities. Cognitive rehabilitation programmes either attempt to retrain lost or poor memory functions, or teach patients strategies to cope with them.Some studies have reported positive results of cognitive rehabilitation for memory problems, but the results obtained from previous systematic reviews have been (...) less positive and they have reported inconclusive evidence. This is an update of a Cochrane review first published in 2000 and most recently updated in 2007.To determine whether participants who have received cognitive rehabilitation for memory problems following a stroke have better outcomes than those given no treatment or a placebo control.The outcomes of interest were subjective and objective assessments of memory function, functional ability, mood, and quality of life. We considered

2016 Cochrane

34. Acupuncture for stroke rehabilitation. Full Text available with Trip Pro

Acupuncture for stroke rehabilitation. Stroke is the second most common cause of death in the world and in China it has now become the main cause of death. It is also a main cause of adult disability and dependency. Acupuncture for stroke has been used in China for hundreds of years and is increasingly practiced in some Western countries. This is an update of the Cochrane review originally published in 2006 .To determine the efficacy and safety of acupuncture therapy in people with subacute (...) 2015).Truly randomised unconfounded clinical trials among people with ischaemic or haemorrhagic stroke, in the subacute or chronic stage, comparing acupuncture involving needling with placebo acupuncture, sham acupuncture, or no acupuncture.Two review authors independently selected trials for inclusion, assessed quality, extracted and cross-checked the data.We included 31 trials with a total of 2257 participants in the subacute or chronic stages of stroke. The methodological quality of most

2016 Cochrane

35. Efficacy and safety of non-immersive virtual reality exercising in stroke rehabilitation (EVREST): a randomised, multicentre, single-blind, controlled trial Full Text available with Trip Pro

with recreational therapy on motor recovery in patients after an acute ischaemic stroke.In this randomised, controlled, single-blind, parallel-group trial we enrolled adults (aged 18-85 years) who had a first-ever ischaemic stroke and a motor deficit of the upper extremity score of 3 or more (measured with the Chedoke-McMaster scale) within 3 months of randomisation from 14 in-patient stroke rehabilitation units from four countries (Canada [11], Argentina [1], Peru [1], and Thailand [1]). Participants were (...) discharge and intracerebral haemorrhage in the recreational activity group and heart attack in the VRWii group). Overall incidences of adverse events and serious adverse events were similar between treatment groups.In patients who had a stroke within the 3 months before enrolment and had mild-to-moderate upper extremity motor impairment, non-immersive virtual reality as an add-on therapy to conventional rehabilitation was not superior to a recreational activity intervention in improving motor function

2016 EvidenceUpdates Controlled trial quality: predicted high

36. Inpatient rehabilitation following operative spontaneous spinal epidural hematoma mimicking stroke: a case report Full Text available with Trip Pro

Inpatient rehabilitation following operative spontaneous spinal epidural hematoma mimicking stroke: a case report Spontaneous spinal epidural hematoma (SSEH) is a rare cause of spinal cord compression. Symptoms may include sudden-onset axial pain followed by neurologic involvement including weakness, numbness and incontinence. Here we report the case of a patient followed prospectively after surgical intervention following SSEH and recovery following inpatient rehabilitation. This patient

2016 Spinal cord series and cases

37. Stroke rehabilitation: maximizing arm and hand function after stroke

Stroke rehabilitation: maximizing arm and hand function after stroke Stroke rehabilitation: maximizing arm and hand function after stroke - Evidently Cochrane Search and hit Go By June 28, 2016 // In the third guest blog of our new series Evidence for Everyday Allied Health (#EEAHP), occupational therapist Danny Minkow looks at evidence on interventions to improve upper limb function after stroke. Stroke is the leading cause of disability in developed countries. The effects of stroke (...) healthcare providers a succinct overview of the typical interventions for stroke to rehabilitate the upper limb. So what did they find? Good news and bad news. The bad news is they found that: “There is no high quality evidence for any interventions that are currently routine practice, and evidence is insufficient to enable comparison of the relative effectiveness of interventions.” In other words, the evidence is insufficient to show which of the interventions are the most effective for improving upper

2016 Evidently Cochrane

38. What makes stroke rehabilitation patients complex? Clinician perspectives and the role of discharge pressure Full Text available with Trip Pro

What makes stroke rehabilitation patients complex? Clinician perspectives and the role of discharge pressure Approximately 80% of people who survive a stroke have on average five other conditions and a wide range of psychosocial issues. Attention to biopsychosocial issues has led to the identification of 'complex patients'. No single definition of 'patient complexity' exists; therefore, applied health researchers seek to understand 'patient complexity' as it relates to a specific clinical (...) context.To understand how 'patient complexity' is conceptualized by clinicians, and to position the findings within the existing literature on patient complexity.A qualitative descriptive approach was utilized. Twenty-three stroke rehabilitation clinicians participated in four focus groups.Five elements of patient complexity were identified: medical/functional issues, social determinant factors, social/family support, personal characteristics, and health system factors. Using biopsychosocial factors

2016 Journal of comorbidity

39. The experiences of stroke survivors, their families and unpaid carers regarding goal setting within stroke rehabilitation: a systematic review protocol. (Abstract)

The experiences of stroke survivors, their families and unpaid carers regarding goal setting within stroke rehabilitation: a systematic review protocol. 26878922 2018 10 03 2019 03 18 2202-4433 14 1 2016 Jan JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep The experiences of stroke survivors, their families and unpaid carers regarding goal setting within stroke rehabilitation: a systematic review protocol. 77-88 10.11124/jbisrir-2016-2062 Lloyd (...) of the Joanna Briggs Institute. Bannigan Katrina K Sugavanam Thavapriya T Freeman Jenny J eng Journal Article Research Support, Non-U.S. Gov't Australia JBI Database System Rev Implement Rep 101648258 2202-4433 IM Caregivers Family Health Goals Humans Stroke nursing Stroke Rehabilitation Survivors Systematic Reviews as Topic 2016 2 17 6 0 2016 2 18 6 0 2018 10 4 6 0 ppublish 26878922 10.11124/jbisrir-2016-2062

2016 JBI database of systematic reviews and implementation reports

40. Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke: The ICARE Randomized Clinical Trial. Full Text available with Trip Pro

Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke: The ICARE Randomized Clinical Trial. Clinical trials suggest that higher doses of task-oriented training are superior to current clinical practice for patients with stroke with upper extremity motor deficits.To compare the efficacy of a structured, task-oriented motor training program vs usual and customary occupational therapy (UCC) during stroke rehabilitation.Phase 3, pragmatic, single-blind (...) SIS, 4%; 95% CI, -9% to 16%; P = .48; and DEUCC vs UCC: WMFT, -2.1 seconds; 95% CI, -4.5 to 0.3 seconds; P = .08; improved SIS, 3%; 95% CI, -9% to 15%; P = .22). A total of 168 serious adverse events occurred in 109 participants, resulting in 8 patients withdrawing from the study.Among patients with motor stroke and primarily moderate upper extremity impairment, use of a structured, task-oriented rehabilitation program did not significantly improve motor function or recovery beyond either

2016 JAMA Controlled trial quality: predicted high