Bloodletting at the ear apex for acute stroke: A systematic review and meta-analysis of randomized controlled trials DOI Creative Commons
Mikyung Kim, Chang-ho Han

Medicine, Journal Year: 2024, Volume and Issue: 103(49), P. e40694 - e40694

Published: Dec. 6, 2024

Stroke is a major cause of death and disability worldwide. Despite innovative developments in acute stroke treatment techniques modern society, many survivors still experience complications, leading to demand for complementary alternative medicines, including traditional medicine. Bloodletting at the ear apex (BLEA) nonpharmacological intervention used various diseases, stroke, medicine East Asian countries, China Korea. This study aimed evaluate clinical efficacy BLEA recovery.

Language: Английский

External validation and update of minimal important change in the 6-minute walk test in hospitalized patients with subacute stroke DOI
Hiroki Kubo, Kazuhiro Miyata, Shuntaro Tamura

et al.

Archives of Physical Medicine and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0
Feasibility of Smartphone-Based Exercise Training Integrated with Functional Electrical Stimulation After Stroke (SETS): A Preliminary Study DOI Creative Commons
Rudri Purohit, Juan Pablo González Appelgren, Gonzalo Varas‐Díaz

et al.

Sensors, Journal Year: 2025, Volume and Issue: 25(4), P. 1254 - 1254

Published: Feb. 19, 2025

One emerging method in home stroke rehabilitation is digital technology. However, existing approaches typically target one domain (e.g., upper limb). Moreover, interventions do not cater to older adults with (OAwS), especially those high motor impairment, who require adjunct therapeutic agents independently perform challenging exercises. We examined the feasibility of Smartphone-based Exercise Training after Stroke (SETS) Functional Electrical Stimulation (FES). A total 12 participants (67 ± 5 years) (onset > 6 months) exhibiting moderate-to-high impairment (Chedoke McMaster Leg ≤ 4/7) underwent weeks multicomponent (gait, functional strength, dynamic balance) training integrated FES paretic lower limb muscles. Primary measures included safety and adherence. Secondary motivation, acceptability attitude, usability, clinical gait balance function like 10-Meter Walk Test Mini-BESTest. Participants reported no adverse events adherence (84.17 11.24%) improvement (up 40%) acceptability, attitude system usability. also showed pre-post improvements all (p < 0.05). Integrating SETS feasible yields short-term gains among OAwS. Future studies could validate our findings by examining its efficacy control groups identify differential effects FES.

Language: Английский

Citations

0
Examination of effect and responder to real-time auditory feedback during overground gait for stroke: a randomized cross-over study DOI Creative Commons
Sota Araki, Takasuke Miyazaki,

Jun Shibasaki

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: March 12, 2025

Real-time auditory feedback for overground gait was developed to simulate realistic practice. This study aimed assess the effects of different conditions and identify patients with stroke who might benefit from based on physical function. Twenty participated in three 6-min trials: no (control), focused increasing ankle plantar flexion (ankle trial), lower-leg extension angle (leg trial). Physical function evaluated using Short Performance Battery (SPPB); assessed through speed, cadence, stride length, joint motion inertial sensors before after each trial. Gait speed (P = 0.001), length < 0.014), leg angles 0.020) improved significantly over time. Interaction between time trial were observed 0.001) 0.003). Among trials, 0.012), length-time difference 0.003), 0.008) increased compared control SPPB scores independently associated (odds ratio: 2.217, 95% confidence interval: 1.152–4.266, P 0.017). during may enhance by improving optimizing spatial strategies.

Language: Английский

Citations

0
Minimal important difference of Berg Balance Scale, performance-oriented mobility assessment and dynamic gait index in chronic stroke survivors DOI

Parvaneh Taghavi Azar Sharabiani,

Maryam Mehdizadeh, Sepideh Goudarzi

et al.

Journal of Stroke and Cerebrovascular Diseases, Journal Year: 2024, Volume and Issue: 33(11), P. 107930 - 107930

Published: Aug. 29, 2024

Language: Английский

Citations

1
Feedback Interventions in Motor Recovery of Lateropulsion after Stroke: A Literature Review and Case Series DOI Creative Commons
Maria Gomez-Risquet, Anja Hochsprung, Eleonora Magni

et al.

Brain Sciences, Journal Year: 2024, Volume and Issue: 14(7), P. 682 - 682

Published: July 5, 2024

Lateropulsion is a post-stroke phenomenon marked by an active push of the body across midline towards more affected side and/or resistance weight shift less side. Within mechanisms treatment, feedback systems have been shown to be effective. The aim present study was create knowledge performing literature review on use in treatment lateropulsion and report two cases patients who had undergone feedback-based treatment.

Language: Английский

Citations

0
Motor imagery priming improves activity and impairment outcomes in people after stroke but the effects of other types of priming are unclear: a systematic review DOI Creative Commons
Simone Dorsch, Vaughan Nicholson,

Emilia Roman

et al.

Journal of physiotherapy, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 1, 2024

Language: Английский

Citations

0
Robot-mediated impairment-oriented and task-specific training on upper limb post stroke: feasibility and preliminary effects on physical function and quality of life DOI Creative Commons
San San Tay, Fuquan Zhang, Christine Alejandro Visperas

et al.

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 11, 2024

Objective To assess the feasibility and safety of conducting robot-mediated impairment training (RMIT) task-specific (RMTT). The device deployed is Optimo Regen (OR ® ), capable delivering both impairment-oriented training. Methods This was a single-centre, randomized, single-blinded, two-arm, parallel group, controlled trial. Patients fulfilling criteria were randomized into either RMIT or + RMTT group provided with 20 h robotic therapy on top standard care. Results A total 4 patients recruited, 2 receiving treatment in each arm. study feasible, 66.7% enrolment rate, 75% completion 100% attendance for intervention session. We achieved 90% satisfaction rate no serious adverse effects. All had improvement motor power, Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Functional Independence Measure (FIM), Hospital Anxiety Depression Scale (HADS), quality life scores at 1 month. FIM continued to improve 3 months post-commencement intervention. There relative ease use device. Conclusion trial feasible. full-scale warranted, compare against RMTT, which novel application.

Language: Английский

Citations

0
Bloodletting for Acute Stroke Recovery: A Systematic Review and Meta-Analysis DOI Open Access
Mikyung Kim, Chang-ho Han

Healthcare, Journal Year: 2024, Volume and Issue: 12(20), P. 2060 - 2060

Published: Oct. 17, 2024

Background: Bloodletting is a non-pharmacological treatment commonly used for acute stroke in traditional East Asian medicine. This study evaluated the efficacy and safety of bloodletting recovery. Methods: We conducted comprehensive search eight electronic databases up to 4 June 2024 identify relevant randomized controlled trials (RCTs). Review Manager 5.4 was meta-analysis, with methodological quality assessed using Cochrane Risk Bias 2 tool GRADE approach. Results: Seventeen RCTs were included this meta-analysis. The group showed statistically significant improvements neurological deficits compared non-bloodletting group, as measured National Institutes Health Stroke Scale (mean difference [MD]: −2.08, 95% confidence interval [CI]: −3.13 −1.02) effective rate (risk ratio: 1.17, CI: 1.11 1.22). Motor function also improved significantly both upper (Fugl-Meyer Assessment, MD: 12.20, 9.67 14.73) lower extremities (MD: 3.86, 2.16 5.56). effect on daily living activities not overall, but benefits observed patients treated within three days onset (Barthel Index, standardized 0.85, 0.01 1.69). No differences frequency adverse events between groups. Conclusion: may be an safe adjunctive therapy receiving conventional Western medical treatment. However, further research necessary because small sample sizes low studies.

Language: Английский

Citations

0
Improvements in Walking During Subacute Stroke Rehabilitation Translate to Physical Activity at the Chronic Stage: A Sub-Analysis From the Phys Stroke Trial DOI Creative Commons
Torsten Rackoll, Timo Hinrichs, Konrad Neumann

et al.

Brain & Neurorehabilitation, Journal Year: 2024, Volume and Issue: 17(3)

Published: Jan. 1, 2024

Stroke frequently results in mobility impairments, contributing to an increased cardiovascular risk. Despite efforts promote physical activity, stroke survivors fail meet recommended levels. This secondary analysis of the 'Physical Fitness Patients with Subacute Stroke' (Phys-Stroke) trial analyzes activity at 6 months post-stroke, and examines effect gains walking capacity during subacute phase on chronic stage. Phys-Stroke compared aerobic exercise vs relaxation 200 patients. Data from 6-minute walk test (6MWT) pre post intervention as well accelerometry questionnaire data were used. was analyzed using mixed linear models function-on-scalar regression. At after stroke, participants exhibited low daily step counts (5,623 ± 2,998 steps/day), most occurring morning midday. Per meter gained 6MWT period, steps by 8.2 (95% confidence interval, 1.6 14.8, p = 0.017) months. Questionnaire showed that engagement sports activities minimal, basic being primary activity. demonstrated suboptimal levels but increases stage did result meaningful chronically.

Language: Английский

Citations

0
Bloodletting at the ear apex for acute stroke: A systematic review and meta-analysis of randomized controlled trials DOI Creative Commons
Mikyung Kim, Chang-ho Han

Medicine, Journal Year: 2024, Volume and Issue: 103(49), P. e40694 - e40694

Published: Dec. 6, 2024

Stroke is a major cause of death and disability worldwide. Despite innovative developments in acute stroke treatment techniques modern society, many survivors still experience complications, leading to demand for complementary alternative medicines, including traditional medicine. Bloodletting at the ear apex (BLEA) nonpharmacological intervention used various diseases, stroke, medicine East Asian countries, China Korea. This study aimed evaluate clinical efficacy BLEA recovery.

Language: Английский

Citations

0