Recovery of walking ability in stroke patients through postacute care rehabilitation DOI Creative Commons
Chan‐Lin Chu, Tsong‐Hai Lee,

Yueh-Peng Chen

et al.

Biomedical Journal, Journal Year: 2022, Volume and Issue: 46(4), P. 100550 - 100550

Published: July 21, 2022

Walking entails orchestration of the sensory, motor, balance, and coordination systems, walking disability is a critical concern after stroke. How to what extent these systems influence stroke recovery have not been comprehensively studied. We retrospectively analyzed patients with in Post-acute care-Cerebrovascular Diseases (PAC-CVD) program. compared characteristics patient groups stratified by their ability complete 5-m walk test across various time points rehabilitation. then used stepwise linear regression examine degree which each characteristic functional could predict gait performance. Five hundred seventy-three were recruited, was defined timing test. The proportion who at admission, 3 weeks rehabilitation, 6 between 7 12 rehabilitation 52.2%, 21.8%, 8.7%, 8.6%, respectively. At postacute care discharge, regained earlier had higher chance achieving levels activity. Stepwise showed that Berg Balance Scale (BBS) (β: 0.011, p < .001), age −0.005, = National Institutes Health Stroke (NIHSS) (6a + 6b; β: −0.042, .018), Mini-Nutritional assessment (MNA) −0.007, .027), Fugl–Meyer upper extremity (FuglUE) 0.002, .047) scores predicted patient's speed discharge. Balance, age, leg strength, nutritional status, limb function before are predictors performance

Language: Английский

Transcutaneous vagus nerve stimulation (tVNS) in stroke: the evidence, challenges and future directions DOI
Sheharyar Baig, Marharyta Kamarova, Ali Ali

et al.

Autonomic Neuroscience, Journal Year: 2021, Volume and Issue: 237, P. 102909 - 102909

Published: Nov. 13, 2021

Language: Английский

Citations

39
Monitoring of Gait Parameters in Post-Stroke Individuals: A Feasibility Study Using RGB-D Sensors DOI Creative Commons
Claudia Ferraris, Verônica Cimolin, Luca Vismara

et al.

Sensors, Journal Year: 2021, Volume and Issue: 21(17), P. 5945 - 5945

Published: Sept. 4, 2021

Stroke is one of the most significant causes permanent functional impairment and severe motor disability. Hemiplegia or hemiparesis are common consequences acute event, which negatively impacts daily life requires continuous rehabilitation treatments to favor partial complete recovery and, consequently, regain autonomy, independence, safety in activities. Gait impairments frequent stroke survivors. The accurate assessment gait anomalies therefore crucial a major focus neurorehabilitation programs prevent falls injuries. This study aims estimate, using single RGB-D sensor, patterns parameters on short walkway. solution may be suitable for monitoring improvement worsening disorders, including domestic unsupervised scenarios. For this purpose, some relevant spatiotemporal parameters, estimated by proposed cohort post-stroke individuals, were compared with those gold standard system simultaneous instrumented 3D analysis. Preliminary results indicate good agreement, accuracy, correlation between two systems. suggests that employed as an intermediate tool analysis environments where systems impractical, such home ecological settings real-life contexts.

Language: Английский

Citations

34
Targeting Sensory and Motor Integration for Recovery of Movement After CNS Injury DOI Creative Commons

Ahmet S. Asan,

James R. McIntosh, Jason B. Carmel

et al.

Frontiers in Neuroscience, Journal Year: 2022, Volume and Issue: 15

Published: Jan. 21, 2022

The central nervous system (CNS) integrates sensory and motor information to acquire skilled movements, known as sensory-motor integration (SMI). reciprocal interaction of the systems is a prerequisite for learning performing movement. Injury various nodes sensorimotor network causes impairment in movement execution learning. Stimulation methods have been developed directly recruit modulate neural networks restore after CNS injury. Part 1 reviews main processes anatomical interactions responsible SMI health. 2 details effects injury on sites critical SMI, including spinal cord, cerebellum, cerebral cortex. Finally, 3 application activity-dependent plasticity ways that specifically target systems. Understanding each these components needed advance strategies targeting improve rehabilitation humans

Language: Английский

Citations

26
Point of View on Outcome Prediction Models in Post-Stroke Motor Recovery DOI Creative Commons
Onno van der Groen, Manonita Ghosh, Richard Norman

et al.

Neurorehabilitation and neural repair, Journal Year: 2024, Volume and Issue: 38(5), P. 386 - 398

Published: March 18, 2024

Stroke is a leading cause of disability worldwide which can significant and persistent upper limb (UL) impairment. It difficult to predict UL motor recovery after stroke forecast the expected outcomes rehabilitation interventions during acute subacute phases when using clinical data alone. Accurate prediction response treatment could allow for more timely targeted interventions, thereby improving recovery, resource allocation, reducing economic impact post-stroke disability. Initial impairment currently strongest predictor recovery. Despite progress, current models be refined with additional predictors, an emphasis on time dependency patient-specific predictions profiles. In paper panel experts provide their opinion predictors aspects literature that help advance outcome models. Potential strategies include close attention collection timeframes adoption individual-computerized modeling methods connected patient’s health record. These should account non-linear variable pattern spontaneous neurological Additionally, input extended cognitive, genomic, sensory, neural injury, function measures as The accuracy may further improved by including standardized outcome. Finally, we consider potential healthcare costs.

Language: Английский

Citations

6
Gamifying Motor Rehabilitation Therapies: Challenges and Opportunities of Immersive Technologies DOI Creative Commons
Bruno Ferreira, Paulo Menezes

Information, Journal Year: 2020, Volume and Issue: 11(2), P. 88 - 88

Published: Feb. 7, 2020

Recovering from a traumatic incident (e.g, stroke) implies rigorous and demanding therapies to ensure recovery of the lost capabilities. Due lack short-term visible results, stroke patients tend lose interest in their process frequently do not follow therapists’ suggestions continue performing training at home, between physiotherapy sessions. This article explores extent which common computer games or specifically crafted can serve as rehabilitation practice, but also how conventional therapeutic devices might be transformed incorporated into games. Furthermore, we propose platform that follows opportunity creating serious are designed for with reduced upper limb mobility while following same principles procedures. was carefully built purpose allowing comply tele-rehabilitation promoting execution recommended home. Following these ideas, integrated two have been tested validated our previous works, added top-layer characterized by an online back-end application therapists allows them observe patients’ progress over time draw different conclusions.

Language: Английский

Citations

34
Combination of Stem Cells and Rehabilitation Therapies for Ischemic Stroke DOI Creative Commons

Reed Berlet,

Stefan Anthony,

Beverly Brooks

et al.

Biomolecules, Journal Year: 2021, Volume and Issue: 11(9), P. 1316 - 1316

Published: Sept. 6, 2021

Stem cell transplantation with rehabilitation therapy presents an effective stroke treatment. Here, we discuss current breakthroughs in stem research along strategies that may have a synergistic outcome when combined together after stroke. Indeed, offers promising new approach and add to therapies. By reviewing the pathophysiology of mechanisms by which cells attenuate this inflammatory process, hypothesize will provide better functional outcomes for patients. Using preclinical data, explore prominent types cells, existing theories repair, treatments inside brain, modalities outside evidence pertaining benefits therapy. In review article, assess advantages disadvantages using mitigate devastating effects

Language: Английский

Citations

32
Dual‐tDCS combined with sensorimotor training promotes upper limb function in subacute stroke patients: A randomized, double‐blinded, sham‐controlled study DOI Creative Commons
Chong Li, Yun Chen,

Shuting Tu

et al.

CNS Neuroscience & Therapeutics, Journal Year: 2023, Volume and Issue: 30(4)

Published: Nov. 23, 2023

Abstract Background Dual transcranial direct current stimulation (tDCS) over the bilateral primary somatosensory cortex (PSC) has potential benefits in stroke. In addition, compared with traditional rehabilitation training, sensorimotor training can significantly improve function of patients. However, efficacy dual‐tDCS combined patients subacute stroke is unknown. Objective To assess whether may enhance on upper limb functions this study aims to explore clinical mechanism combination therapy. Methods We randomized 52 individuals first‐ever, unilateral subcortical into experimental group ( n = 26) and control 26). Patients received 20 min PSC 40 each session, while sham dual‐tDCS. The treatment cycle was a 1‐h session therapy day, 5 days per week for 4 weeks. Fugl–Meyer Assessment Upper Extremity (FMA–UE) subscale, Action Research Arm Test (ARAT), Box Block test (BBT), Erasmus MC revised Nottingham sensory assessment scale (Em‐NSA), Neurometer nerve quantitative detector (CPT), Barthel index (BI), Hospital Anxiety Depression Scale (HADS) were used function, activities daily living (ADL), mental health before after 4‐week period. functional near‐infrared spectroscopy (fNIRS) brain mechanisms. Results Both groups showed significant improvement all scales (All p < 0.05) treatment. Compared sham‐tDCS plus active coupled FMA‐UE, ARAT, Em‐NSA‐Stereognosis, CPT‐2K Hz. activate left pre‐Motor supplementary motor (PM–SMC) connection between association (SAC) RPM–SMC. Furthermore, difference FMA–UE positively correlated connectivity RPM‐SMC‐LSAC r 0.815, 0.001). Conclusion Dual‐tDCS dysfunction, ADL, alleviate depression anxiety Our results indicated that be therapeutic targets

Language: Английский

Citations

12
Brain–computer interface treatment for gait rehabilitation in stroke patients DOI Creative Commons
Marc Sebastián-Romagosa, Woosang Cho, Rupert Ortner

et al.

Frontiers in Neuroscience, Journal Year: 2023, Volume and Issue: 17

Published: Oct. 18, 2023

The use of Brain-Computer Interfaces (BCI) as rehabilitation tools for chronically ill neurological patients has become more widespread. BCIs combined with other techniques allow the user to restore function by inducing neuroplasticity through real-time detection motor-imagery (MI) perform therapy tasks. Twenty-five stroke gait disability were recruited this study. Participants performed 25 sessions MI-BCI and assessment visits track functional changes during therapy. results study demonstrated a clinically significant increase in walking speed 0.19 m/s, 95%CI [0.13-0.25], p < 0.001. Patients also reduced spasticity improved their range motion muscle contraction. BCI treatment was effective promoting long-lasting improvements chronic survivors. have movements lower limb; therefore, they can walk better safer. This improvement be explained central nervous system.

Language: Английский

Citations

11
Novel Wearable Device for Mindful Sensorimotor Training: Integrating Motor Decoding and Somatosensory Stimulation for Neurorehabilitation DOI Creative Commons
Mirka Buist, Shahrzad Damercheli, Jan Zbinden

et al.

IEEE Transactions on Neural Systems and Rehabilitation Engineering, Journal Year: 2024, Volume and Issue: 32, P. 1515 - 1523

Published: Jan. 1, 2024

Sensorimotor impairment is a prevalent condition requiring effective rehabilitation strategies.This study introduces novel wearable device for Mindful Training (MiSMT) designed sensory and motor rehabilitation.Our MiSMT combines training using myoelectric pattern recognition along two tactile displays.This offers comprehensive solution, integrating electromyography haptic feedback, lacking in existing devices.The features eight channels, rechargeable battery, wireless Bluetooth or Wi-Fi connectivity seamless communication with computer mobile device.Its flexible material allows adaptability to various body parts, ensuring ease of use diverse patients.The displays, 16 electromagnetic

Language: Английский

Citations

4
After-effects of peripheral neurostimulation on brain plasticity and ankle function in chronic stroke: The role of afferents recruited DOI
Louis‐David Beaulieu, Hugo Massé‐Alarie,

Samuel Camiré-Bernier

et al.

Neurophysiologie Clinique, Journal Year: 2017, Volume and Issue: 47(4), P. 275 - 291

Published: March 15, 2017

Language: Английский

Citations

38