Journal ArticleDOI
Motor recovery after stroke: a systematic review
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TLDR
Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.Abstract:
Loss of functional movement is a common consequence of stroke for which a wide range of interventions has been developed. In this Review, we aimed to provide an overview of the available evidence on interventions for motor recovery after stroke through the evaluation of systematic reviews, supplemented by recent randomised controlled trials. Most trials were small and had some design limitations. Improvements in recovery of arm function were seen for constraint-induced movement therapy, electromyographic biofeedback, mental practice with motor imagery, and robotics. Improvements in transfer ability or balance were seen with repetitive task training, biofeedback, and training with a moving platform. Physical fitness training, high-intensity therapy (usually physiotherapy), and repetitive task training improved walking speed. Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.read more
Citations
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A Simulation Framework for Virtual Prototyping of Robotic Exoskeletons
TL;DR: A systematic framework that allows for virtual prototyping, design, control, and experimentation of robotic exoskeletons and introduces biomechanical, morphological, and controller measures to optimize the exoskeleton performance is presented.
Journal ArticleDOI
Effectiveness of robotic-assisted gait training in stroke rehabilitation: A retrospective matched control study
TL;DR: The results suggested that RAGT can provide stroke patients extra benefits in terms of ambulation, mobility, and balance, and in the aspect of basic activities of daily living, the effect of R AGT on stroke patients is similar to that of traditional physiotherapy.
Journal ArticleDOI
Ipsilateral hemiparesis in ischemic stroke patients.
TL;DR: To investigate clinical characteristics of ipsilateral hemiparesis in ischemic stroke patients, a large number of patients are diagnosed with atypical central giant cell granuloma.
FEATHERS, A bimanual upper limb rehabilitation platform: A case study of user-centred approach in rehabilitation device design
Navid Shirzad,Bulmaro A. Valdés,Chai-Ting Hung,Mimi Law,Justin Hay,H. F. Machiel Van der Loos +5 more
TL;DR: This paper outlines a user-centred approach to design of physical therapy devices using a case study on developing an upper-body motor rehabilitation platform and highlights the need to engage users early and frequently in the design process.
Journal ArticleDOI
Chronic Stroke Survivors Improve Reaching Accuracy by Reducing Movement Variability at the Trained Movement Speed
Ulrike Hammerbeck,Nada Yousif,Damon Hoad,Richard Greenwood,Joern Diedrichsen,John C. Rothwell +5 more
TL;DR: The reduction in trial-to-trial variability without an alteration to endpoint bias suggests that improvements are achieved by better control over motor commands within the existing repertoire, and 4 days' training allows stroke survivors to improve movements that they can already make.
References
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Journal ArticleDOI
International Classification of Functioning, Disability and Health
TL;DR: The World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICF) has been revised to recognize that the concept of disability resides largely in the sociocultural domain of the authors' lives rather than being an attribute of the individual.
Journal ArticleDOI
Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial.
Steven L. Wolf,Carolee J. Winstein,J. Philip Miller,Edward Taub,Gitendra Uswatte,David M. Morris,Carol Giuliani,Kathye E. Light,Deborah S. Nichols-Larsen +8 more
TL;DR: The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial as mentioned in this paper showed that a 2-week program of constraint-induced movement therapy (CIMT) for patients more than 1 year after stroke who maintain some hand and wrist movement can improve upper extremity function that persists for at least 1 year.
Journal Article
Technique to improve chronic motor deficit after stroke
Edward Taub,Neal E. Miller,Thomas A. Novack,E W Cook rd,W C Fleming,C S Nepomuceno,J S Connell,Jean E. Crago +7 more
TL;DR: Extensive restraint of an unaffected upper extremity and practice of functional movements with the impaired limb proved to be an effective means of restoring substantial motor function in stroke patients with chronic motor impairment identified by the inclusion criteria of this project.
Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke
TL;DR: The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial as discussed by the authors was designed to compare the effects of a 2-week multisite program of CIMT vs usual andcustomary care.
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