Latest & greatest articles for stroke rehabilitation

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Top results for stroke rehabilitation

61. 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

62. Combined arm stretch positioning and neuromuscular electrical stimulation during rehabilitation does not improve range of motion, shoulder pain or function in patients after stroke: a randomised trial Full Text available with Trip Pro

Combined arm stretch positioning and neuromuscular electrical stimulation during rehabilitation does not improve range of motion, shoulder pain or function in patients after stroke: a randomised trial Does static stretch positioning combined with simultaneous neuromuscular electrical stimulation (NMES) in the subacute phase after stroke have beneficial effects on basic arm body functions and activities?Multicentre randomised trial with concealed allocation, assessor blinding, and intention (...) -to-treat analysis.Forty-six people in the subacute phase after stroke with severe arm motor deficits (initial Fugl-Meyer Assessment arm score ≤ 18).In addition to conventional stroke rehabilitation, participants in the experimental group received arm stretch positioning combined with motor amplitude NMES for two 45-minute sessions a day, five days a week, for eight weeks. Control participants received sham arm positioning (ie, no stretch) and sham NMES (ie, transcutaneous electrical nerve stimulation

2014 EvidenceUpdates Controlled trial quality: predicted high

63. The consumption of alanerv® nutritional supplement and the dynamic of some inflammatory markers in post-acute stroke patients undergoing rehabilitation. (Abstract)

The consumption of alanerv® nutritional supplement and the dynamic of some inflammatory markers in post-acute stroke patients undergoing rehabilitation. Stroke is followed by an inflammatory response lasting up to several months. Moreover, many of the stroke-related comorbidities (i.e., diabetes mellitus, dyslipidemia, cardiovascular disease, and atherosclerosis) are characterized by an pro-inflammatory status.We designed this pilot study to evaluate the relation between the consumption (...) of a nutritional supplement (ALAnerv®) and the dynamic of the inflammatory status in post-acute stroke patients undergoing rehabilitation. The study population comprised 28 patients which were assigned into two study groups, named (-) ALA and (+) ALA. All subjects followed the same rehabilitation program. There were no significant differences in respect to the standard medication between the groups. Moreover, patients from the (+) ALA group received ALAnerv® for two weeks (2 pills/day). We assessed IL-1α, IL-6

2013 Maedica Controlled trial quality: uncertain

64. Cognitive rehabilitation for spatial neglect following stroke. Full Text available with Trip Pro

Cognitive rehabilitation for spatial neglect following stroke. Unilateral spatial neglect causes difficulty attending to one side of space. Various rehabilitation interventions have been used but evidence of their benefit is lacking.To assess whether cognitive rehabilitation improves functional independence, neglect (as measured using standardised assessments), destination on discharge, falls, balance, depression/anxiety and quality of life in stroke patients with neglect measured immediately (...) post-intervention and at longer-term follow-up; and to determine which types of interventions are effective and whether cognitive rehabilitation is more effective than standard care or an attention control.We searched the Cochrane Stroke Group Trials Register (last searched June 2012), MEDLINE (1966 to June 2011), EMBASE (1980 to June 2011), CINAHL (1983 to June 2011), PsycINFO (1974 to June 2011), UK National Research Register (June 2011). We handsearched relevant journals (up to 1998), screened

2013 Cochrane

65. 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

66. Optimal Onset-to-Admission Interval for Inpatient Stroke Rehabilitation

duplicates from 27 CINAHL # Query S1 (MH "Stroke") S2 (MH "Cerebral Ischemia+") S3 (MH "Intracranial Hemorrhage+") S4 (stroke or tia or transient ischemic attack or cerebrovascular apoplexy or cerebrovascular accident or cerebrovascular infarct* or brain infarct* or CVA or (brain N2 isch?emia) or (cerebral N2 isch?emia) or (intracranial N2 hemorrhag*) or (brain N2 hemorrhag*)) S5 (MH "Stroke Patients") S6 S1 OR S2 OR S3 OR S4 OR S5 S7 (MH "Rehabilitation+") OR (MH "Rehabilitation Centers+") OR (MH (...) Optimal Onset-to-Admission Interval for Stroke Rehabilitation: A Rapid Review. March 2013; pp. 1–33. 22 CRD Line Search 1 MeSH DESCRIPTOR stroke EXPLODE ALL TREES 2 MeSH DESCRIPTOR brain ischemia EXPLODE ALL TREES 3 MeSH DESCRIPTOR intracranial hemorrhages EXPLODE ALL TREES 4 ((stroke or tia or transient ischemic attack or cerebrovascular apoplexy or cerebrovascular accident or cerebrovascular infarct* or brain infarct* or CVA or (brain adj2 isch?emia) or (cerebral adj2 isch?emia) or (intracranial

2013 Health Quality Ontario

67. Effectiveness of Increased Intensity of Rehabilitation in Post-Stroke Patients

Ischemia+") S3 (MH "Intracranial Hemorrhage+") S4 (stroke or tia or transient ischemic attack or cerebrovascular apoplexy or cerebrovascular accident or cerebrovascular infarct* or brain infarct* or CVA or (brain N2 isch?emia) or (cerebral N2 isch?emia) or (intracranial N2 hemorrhag*) or (brain N2 hemorrhag*)) S5 (MH "Stroke Patients") S6 S1 OR S2 OR S3 OR S4 OR S5 S7 (MH "Rehabilitation+") OR (MH "Rehabilitation Centers+") OR (MH "Rehabilitation Patients") S8 (MH "Rehabilitation Nursing") or (MH (...) 2000 to 2013 Effectiveness of Increased Intensity Post-Stroke Rehabilitation: A Rapid Review. Updated March 2013; pp. 1–24. 21 CRD Line Search 1 MeSH DESCRIPTOR stroke EXPLODE ALL TREES 2 MeSH DESCRIPTOR brain ischemia EXPLODE ALL TREES 3 MeSH DESCRIPTOR intracranial hemorrhages EXPLODE ALL TREES 4 ((stroke or tia or transient ischemic attack or cerebrovascular apoplexy or cerebrovascular accident or cerebrovascular infarct* or brain infarct* or CVA or (brain adj2 isch?emia) or (cerebral adj2 isch

2013 Health Quality Ontario

68. Stroke rehabilitation in adults

Stroke rehabilitation in adults Strok Stroke rehabilitation in adults e rehabilitation in adults Clinical guideline Published: 12 June 2013 nice.org.uk/guidance/cg162 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Stroke rehabilitation in adults (CG162) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 43Contents Contents Introduction 5 Current guidelines 5 Why this guideline was developed 6 Patient-centred

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

69. Effectiveness of Increased Intensity of Rehabilitation in Post-Stroke Patients: A Rapid Review

Effectiveness of Increased Intensity of Rehabilitation in Post-Stroke Patients: A Rapid Review Effectiveness of increased intensity of rehabilitation in post-stroke patients: a rapid review Effectiveness of increased intensity of rehabilitation in post-stroke patients: a rapid review Sehatzadeh S 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 Sehatzadeh S. Effectiveness of increased intensity of rehabilitation in post-stroke patients: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this analysis is to investigate whether increasing the intensity of rehabilitation for the first few weeks after stroke can improve functional independency in terms of activities of daily living in patients with stroke. Authors' conclusions The majority of the studies analyzed were randomized

2013 Health Technology Assessment (HTA) Database.

70. Optimal Onset-to-Admission Interval for Inpatient Stroke Rehabilitation: A Rapid Review

Optimal Onset-to-Admission Interval for Inpatient Stroke Rehabilitation: A Rapid Review Optimal onset-to-admission interval for inpatient stroke rehabilitation: a rapid review Optimal onset-to-admission interval for inpatient stroke rehabilitation: a rapid review Health Quality Ontario 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 (...) Health Quality Ontario. Optimal onset-to-admission interval for inpatient stroke rehabilitation: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this rapid review is to determine the optimal onset-to-admission interval (OAI) for inpatient stroke rehabilitation therapy. Authors' conclusions There is evidence of very low quality that an earlier onset of rehabilitation post stroke (onset of rehabilitation before 14 days) results in increased

2013 Health Technology Assessment (HTA) Database.

71. Prediction of discharge walking ability from initial assessment in a stroke inpatient rehabilitation facility population Full Text available with Trip Pro

Prediction of discharge walking ability from initial assessment in a stroke inpatient rehabilitation facility population To (1) determine which clinical assessments at admission to an inpatient rehabilitation facility (IRF) most simply predict discharge walking ability, and (2) identify a clinical decision rule to differentiate household versus community ambulators at discharge from an IRF.Retrospective cohort study.IRF.Two samples of participants (n=110 and 159) admitted with stroke.A multiple (...) that a person with stroke is highly likely to only achieve household ambulation speeds at discharge from an IRF.Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

2012 EvidenceUpdates

72. [Organization and provision of rehabilitation services for stroke patients and their families: a review of the evidence]

[Organization and provision of rehabilitation services for stroke patients and their families: a review of the evidence] L'organisation et la prestation de services de réadaptation pour les personnes ayant subi un accident vasculaire cérébral (AVC) et leurs proches: recension des données probantes [Organization and provision of rehabilitation services for stroke patients and their families: a review of the evidence] L'organisation et la prestation de services de réadaptation pour les personnes (...) ayant subi un accident vasculaire cérébral (AVC) et leurs proches: recension des données probantes [Organization and provision of rehabilitation services for stroke patients and their families: a review of the evidence] L'Institut national d'excellence en sante et en services sociaux (INESSS) 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

2012 Health Technology Assessment (HTA) Database.

73. Dose-response relationship of robot-assisted stroke motor rehabilitation: the impact of initial motor status Full Text available with Trip Pro

Dose-response relationship of robot-assisted stroke motor rehabilitation: the impact of initial motor status The increasing availability of robot-assisted therapy (RT), which provides quantifiable, reproducible, interactive, and intensive practice, holds promise for stroke rehabilitation, but data on its dose-response relation are scanty. This study used 2 different intensities of RT to examine the treatment effects of RT and the effect on outcomes of the severity of initial motor (...) those with severe or mild deficits after the higher-intensity RT.This study demonstrated the higher treatment intensity provided by RT was associated with better motor outcome for patients with stroke, which may shape further stroke rehabilitation. Clinical Trial Registration- URL: http://clinicaltrials.gov. Unique identifier: NCT00917605.

2012 EvidenceUpdates Controlled trial quality: uncertain

74. Selection for inpatient rehabilitation after acute stroke: a systematic review of the literature (Abstract)

Selection for inpatient rehabilitation after acute stroke: a systematic review of the literature To identify patient-related factors that have been found to correlate with functional outcomes post acute stroke to guide clinical decision making with regard to rehabilitation admission after acute stroke.We systematically searched the scientific literature between 1966 and January 2010. The primary source of studies was the electronic databases Medline, CINAHL, and Embase. The search (...) was supplemented with citation tracking.Two reviewers independently applied the inclusion criteria to identify relevant articles from the citations obtained through the literature search. Eligible studies included systematic reviews of prognostic indicators, studies of prognostic indicators of acute discharge disposition, and studies of rehabilitation admission criteria after acute stroke. Of the 8895 studies identified, 83 articles, representing 79 studies, were included in the review.One reviewer extracted

2012 EvidenceUpdates

75. Fall risk six weeks from onset of stroke and the ability of the Prediction of Falls in Rehabilitation Settings Tool and motor function to predict falls (Abstract)

Fall risk six weeks from onset of stroke and the ability of the Prediction of Falls in Rehabilitation Settings Tool and motor function to predict falls To investigate whether the Prediction of Falls in Rehabilitation Settings Tool (Predict FIRST) and motor function could be used to identify people at risk of falling during the first six weeks after stroke, and to compare the risk of falling according to Predict FIRST with real falls frequency.A longitudinal, prospective study.Sixty-eight people (...) newly diagnosed with stroke admitted to an acute stroke unit.The participants underwent an assessment of motor ability (Modified Motor Assessment Scale according to Uppsala University Hospital version 99 (M-MAS UAS-99)) and falls risk (Predict FIRST) on the first to fourth day at the acute stroke unit. Falls occurring in the acute stroke unit were recorded and falls occurring after discharge were reported by telephone follow-up. The prediction of falls was analysed with binary logistic

2012 EvidenceUpdates

76. Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention

Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention Olson DM, Prvu Bettger J, Alexander KP, Kendrick (...) AS, Irvine JR, Wing L, Coeytaux RR, Dolor RJ, Duncan PW, Graffagnino C 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 Olson DM, Prvu Bettger J, Alexander KP, Kendrick AS, Irvine JR, Wing L, Coeytaux RR, Dolor RJ, Duncan PW, Graffagnino C. Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation

2012 Health Technology Assessment (HTA) Database.

77. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis (Abstract)

Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: a systematic review and meta-analysis To compare the effectiveness of modified constraint-induced movement therapy (CIMT) with traditional rehabilitation (TR) therapy in patients with upper-extremity dysfunction after stroke.Computerized database searches and hand-searches, as 2 main search strategies, were used to collect studies. A comprehensive search (...) with upper-extremity dysfunction after stroke were identified in this systematic review. Participants included adults age over 18 years with a clinical diagnosis of stroke and met the inclusion criteria of modified CIMT. DATE EXTRACTION: Two reviewers extracted relevant information from included studies according to a date extraction form. The methodologic quality of the included studies was assessed using a quality-scoring instrument, which was a 5-point scale that included a description

2011 EvidenceUpdates

78. Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians Full Text available with Trip Pro

Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians Approximately two thirds of stroke survivors continue to experience motor deficits of the arm resulting in diminished quality of life. Conventional rehabilitation provides modest and sometimes delayed effects. Virtual reality (VR) technology is a novel adjunctive therapy that could be applied in neurorehabilitation. We performed a meta-analysis to determine the added benefit of VR technology on arm motor (...) , 11.0%-33.8%) improvement in motor function after VR.VR and video game applications are novel and potentially useful technologies that can be combined with conventional rehabilitation for upper arm improvement after stroke.

2011 EvidenceUpdates

79. Influence of continuous positive airway pressure on outcomes of rehabilitation in stroke patients with obstructive sleep apnea Full Text available with Trip Pro

Influence of continuous positive airway pressure on outcomes of rehabilitation in stroke patients with obstructive sleep apnea In stroke patients, obstructive sleep apnea (OSA) is associated with poorer functional outcomes than in those without OSA. We hypothesized that treatment of OSA by continuous positive airway pressure (CPAP) in stroke patients would enhance motor, functional, and neurocognitive recovery.This was a randomized, open label, parallel group trial with blind assessment (...) of outcomes performed in stroke patients with OSA in a stroke rehabilitation unit. Patients were assigned to standard rehabilitation alone (control group) or to CPAP (CPAP group). The primary outcomes were the Canadian Neurological scale, the 6-minute walk test distance, sustained attention response test, and the digit or spatial span-backward. Secondary outcomes included Epworth Sleepiness scale, Stanford Sleepiness scale, Functional Independence measure, Chedoke McMaster Stroke assessment

2011 EvidenceUpdates Controlled trial quality: uncertain

80. Constraint-Induced Movement Therapy for Rehabilitation of Arm Dysfunction After Stroke in Adults

Constraint-Induced Movement Therapy for Rehabilitation of Arm Dysfunction After Stroke in Adults OHTAC Recommendation Constraint-Induced Movement Therapy for Rehabilitation of Arm Dysfunction After Stroke in Adults. November 2011 Presented to the Ontario Health Technology Advisory Committee in May 27, 2011 OHTAC Recommendation: Constraint-Induced Movement Therapy for Rehabilitation of Arm Dysfunction after Stroke in Adults. 2 Issue Background A stroke is a sudden loss of brain function caused (...) by the interruption of blood flow to the brain (ischemic stroke) or the rupture of blood vessels in the brain (hemorrhagic stroke). Stroke is the leading cause of adult neurological disability in Canada with 1% of the population living with its effects, which may include difficulty with or the inability to move, see, remember, speak, reason, read and/or write. Up to 85% of persons who experience a complete stroke may have arm dysfunction, which will interfere with their ability to live independently

2011 Health Quality Ontario