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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Journal ArticleDOI
Stroke Care 2: Stroke rehabilitation
TL;DR: There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams and promising interventions that could be beneficial to improve aspects of gait include fitness training, high-intensity therapy, and repetitive-task training.
Journal ArticleDOI
Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association
Carolee J. Winstein,Joel M. Stein,Ross Arena,Barbara E. Bates,Leora R. Cherney,Steven C. Cramer,Frank DeRuyter,Janice J. Eng,Beth E. Fisher,Richard L. Harvey,Catherine E. Lang,Marilyn MacKay-Lyons,Kenneth J. Ottenbacher,Sue Pugh,Mathew J. Reeves,Lorie Richards,William Stiers,Richard D. Zorowitz +17 more
TL;DR: This guideline provides a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence.
Journal ArticleDOI
Virtual reality for stroke rehabilitation
TL;DR: Evidence that the use of virtual reality and interactive video gaming was not more beneficial than conventional therapy approaches in improving upper limb function is found and the evidence remains mostly low quality when rated using the GRADE system.
Journal ArticleDOI
Combining Brain-Computer Interfaces and Assistive Technologies: State-of-the-Art and Challenges.
José del R. Millán,Rüdiger Rupp,Gernot Müller-Putz,Rod Murray-Smith,Claudio Giugliemma,Michael Tangermann,Carmen Vidaurre,Febo Cincotti,Andrea Kübler,Robert Leeb,Christa Neuper,Klaus-Robert Müller,Donatella Mattia +12 more
TL;DR: This paper focuses on the prospect of improving the lives of countless disabled individuals through a combination of BCI technology with existing assistive technologies (AT) and identifies four application areas where disabled individuals could greatly benefit from advancements inBCI technology, namely, “Communication and Control”, ‘Motor Substitution’, ”Entertainment” and “Motor Recovery”.
Journal ArticleDOI
Brain–machine interface in chronic stroke rehabilitation: A controlled study
Ander Ramos-Murguialday,Doris Broetz,Massimiliano Rea,Leonhard Läer,Ozge Yilmaz,Fabricio Lima Brasil,Giulia Liberati,Marco Curado,Eliana Garcia-Cossio,Alexandros Vyziotis,Woosang Cho,Manuel Agostini,Ernesto Soares,Surjo R. Soekadar,Andrea Caria,Leonardo G. Cohen,Niels Birbaumer +16 more
TL;DR: Evaluated efficacy of daily brain–machine interface (BMI) training to increase the hypothesized beneficial effects of physiotherapy alone in patients with severe paresis in a double‐blind sham‐controlled design proof of concept study.
References
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Journal ArticleDOI
Functional Electrical Stimulation Enhancement of Upper Extremity Functional Recovery During Stroke Rehabilitation: A Pilot Study
TL;DR: Upper extremity task- oriented training that begins soon after stroke that incorporates FES may improve upper extremity functional use in patients with mild/moderate paresis more than task-oriented training without FES.
Journal ArticleDOI
Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study
Jeffery J. Summers,Florian A. Kagerer,Florian A. Kagerer,Michael I. Garry,Cynthia Yukiko Hiraga,Andrea M. Loftus,James H. Cauraugh +6 more
TL;DR: Overall, these findings suggest that a short-term bilateral training intervention may be effective in facilitating upper limb motor function in chronic stroke patients.
Journal ArticleDOI
Bilateral movement training and stroke rehabilitation: A systematic review and meta-analysis
TL;DR: These meta-analysis findings indicate that bilateral movements alone or in combination with auxiliary sensory feedback are effective stroke rehabilitation protocols during the sub-acute and chronic phases of recovery.
Journal ArticleDOI
Modified constraint-induced therapy in acute stroke: a randomized controlled pilot study.
TL;DR: In this paper, modified constraint-induced therapy (mCIT) was compared to traditional rehabilitation in acute stroke patients exhibiting upper limb hemiparesis and affected limb nonuse.
Journal ArticleDOI
Electromyogram-Triggered Neuromuscular Stimulation for Improving the Arm Function of Acute Stroke Survivors: A Randomized Pilot Study
Gerard E. Francisco,John Chae,Harmeen Chawla,Steven Kirshblum,Steven Kirshblum,Richard D. Zorowitz,Richard D. Zorowitz,Gerald Lewis,Schone Pang +8 more
TL;DR: Data suggest that EMG-stim enhances the arm function of acute stroke survivors and the feeding, grooming, and upper body dressing items of the Functional Independence Measure (FIM) were assessed at study entry and at discharge.
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