Neurorehabilitation and neural repair,
Год журнала:
2020,
Номер
35(1), С. 23 - 32
Опубликована: Ноя. 9, 2020
Background
Intermittent
theta-burst
stimulation
(iTBS)
has
been
suggested
to
improve
poststroke
rehabilitation.
The
cerebellum
is
considered
crucial
for
motor
control.
However,
the
effects
of
cerebellar
iTBS
with
routine
physical
therapy
on
balance
and
recovery
in
subacute
chronic
stroke
patients
have
not
explored.
Objective
To
measure
short-term
physiotherapy
functional
outcomes
hemiparesis.
Methods
Thirty
hemiparetic
were
recruited
this
randomized,
double-blinded,
sham-controlled
trial,
randomized
into
either
treatment
or
sham
group.
Both
groups
participated
5
times
per
week
2
weeks,
was
performed
daily,
immediately
before
physiotherapy.
primary
outcome
Berg
scale
(BBS)
score.
Secondary
included
trunk
impairment
(TIS)
score,
Fugl-Meyer
assessment
score
lower
extremities
(FMA-LE),
Barthel
index
(BI),
corticospinal
excitability,
as
measured
by
transcranial
magnetic
stimulation.
1
weeks
after
intervention.
Results
Compared
those
at
baseline,
significant
increases
identified
all
clinical
scores
(BBS,
TIS,
FMA-LE,
BI)
both
2-week
BBS
TIS
improved
more
group
than
Conclusions
Cerebellar
promotes
patients.
Therefore,
method
can
be
used
low-cost,
fast,
efficient
protocols
rehabilitation
(Chinese
Clinical
Trial
Registry:
ChiCTR1900026450).
Lower
Limb
Exoskeleton
robot
that
can
facilitate
stair
walking
is
a
big
challenge,
most
systems
could
only
provide
level
ground
walking.
In
this
study,
lightweight
(0.5kg
at
ankle,
0.5kg
waist
for
control
box)
and
autonomous
exoskeleton
Ankle
Robot
was
proposed
to
power
assistance
gait
training
of
chronic
stroke
patients
it
three
conditions
in
real-time:
(1)
walking,
(2)
ascending,
(3)
descending.
Chronic
(n=3)
with
drop
foot
deficit
moderate
motor
impairment
were
recruited
evaluate
the
system
under
different
(Functional
Ambulatory
Category:
FAC=4.7±0.5
Fugl-Meyer
Assessment
lower-extremity:
FMA-LE=13.7±2.9).
The
consisted
specially
designed
carbon
fiber
AFO,
servomotor,
gear
transmission
system,
IMU
force
sensors,
box.
sensors
embedded
shank
measured
acceleration
angular
velocity
identify
distinct
features
leg
tilting
angle
between
conditions.
results
showed
powered
ankle
dorsiflexion
reduce
dropped
swing
phase
better
pattern.
A
demo
will
be
conducted
conference.
Frontiers in Neurology,
Год журнала:
2019,
Номер
10
Опубликована: Март 26, 2019
Virtual-reality
training
can
influence
gait
recovery
in
children
with
cerebral
palsy
and
acquired
brain
injury.
However,
a
consensus
concerning
its
on
spatiotemporal
parameters,
specific
dosage
is
still
needed.
This
study
aims
to
analyse
the
of
virtual-reality
(relevant
dosage)
A
search
was
performed
by
two
reviewers
according
PRISMA
guidelines
nine
databases:
PEDro,
EBSCO,
MEDLINE,
Cochrane,
Web
science,
EMBASE,
ICI,
Scopus,
PROQUEST.
Of
989
records,
14
studies
involving
total
396
injury
met
our
inclusion
criteria.
81%
reported
significant
enhancements
performance
after
virtual
reality.
Meta-analyses
revealed
positive
effects
velocity
(Hedge's
g:
0.76),
stride
length
(0.76),
cadence
(0.80)
Gross
motor
function
measure
(0.45).
Sub-group
analysis
duration
20-30
minutes
session
for
≤4
times
per
week
across
≥8
weeks
allow
maximum
velocity.
provides
evidence
beneficial
rehabilitation
Neurorehabilitation and neural repair,
Год журнала:
2020,
Номер
35(1), С. 23 - 32
Опубликована: Ноя. 9, 2020
Background
Intermittent
theta-burst
stimulation
(iTBS)
has
been
suggested
to
improve
poststroke
rehabilitation.
The
cerebellum
is
considered
crucial
for
motor
control.
However,
the
effects
of
cerebellar
iTBS
with
routine
physical
therapy
on
balance
and
recovery
in
subacute
chronic
stroke
patients
have
not
explored.
Objective
To
measure
short-term
physiotherapy
functional
outcomes
hemiparesis.
Methods
Thirty
hemiparetic
were
recruited
this
randomized,
double-blinded,
sham-controlled
trial,
randomized
into
either
treatment
or
sham
group.
Both
groups
participated
5
times
per
week
2
weeks,
was
performed
daily,
immediately
before
physiotherapy.
primary
outcome
Berg
scale
(BBS)
score.
Secondary
included
trunk
impairment
(TIS)
score,
Fugl-Meyer
assessment
score
lower
extremities
(FMA-LE),
Barthel
index
(BI),
corticospinal
excitability,
as
measured
by
transcranial
magnetic
stimulation.
1
weeks
after
intervention.
Results
Compared
those
at
baseline,
significant
increases
identified
all
clinical
scores
(BBS,
TIS,
FMA-LE,
BI)
both
2-week
BBS
TIS
improved
more
group
than
Conclusions
Cerebellar
promotes
patients.
Therefore,
method
can
be
used
low-cost,
fast,
efficient
protocols
rehabilitation
(Chinese
Clinical
Trial
Registry:
ChiCTR1900026450).
