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
Force platform feedback for standing balance training after stroke
TL;DR: Force platform feedback (visual or auditory) improved stance symmetry but not sway in standing, clinical balance outcomes or measures of independence, but did not improve clinical measures of balance when moving or walking.
Journal ArticleDOI
The effect of a hinged ankle foot orthosis on hemiplegic gait: objective measures and users' opinions
Sarah Tyson,Heather Thornton +1 more
TL;DR: The hinged AFO improved objective measures of gait impairments and disability and patients were positive about it.
Journal Article
Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs.
John V. Basmajian,Carolyn Gowland,Finlayson Ma,Hall Al,Laurie R. Swanson,Paul W. Stratford,Trotter Je,M E Brandstater +7 more
TL;DR: Overall both forms of therapy obtained worthwhile clinical and statistical improvement, which was maintained at nine-month recheck testing; but there was no statistically significant superiority of one therapy over the other under the very specific circumstances of the research design.
Journal ArticleDOI
The Effect of a Task-Oriented Walking Intervention on Improving Balance Self-Efficacy Poststroke: A Randomized, Controlled Trial
PT Nancy M. Salbach MSc,PT Nancy E. Mayo PhD,RN Sylvie Robichaud-Ekstrand PhD,James A. Hanley,PT Carol L. Richards PhD,PT Sharon Wood-Dauphinee PhD +5 more
TL;DR: To evaluate the efficacy of a task‐oriented walking intervention in improving balance self-efficacy in persons with stroke and to determine whether effects were task‐specific, influenced by baseline level of self‐efficacy and associated with changes in walking and balance capacity.
Journal ArticleDOI
The rehabilitation of gait in patients with hemiplegia: a comparison between conventional therapy and multichannel functional electrical stimulation therapy
TL;DR: The superiority of the MFES method as compared with conventional therapy was mainly attributed to the enhanced motor learning accomplished by application of MFES.
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