Article
Rehabilitation
Jessica Barth, Kimberly J. Waddell, Marghuretta D. Bland, Catherine E. Lang
Summary: This study found that the use of an algorithm with clinical measures only is better than chance alone at predicting the upper limb capacity at 3 months post-stroke. The moderate to high values of sensitivity, specificity, positive predictive value, and negative predictive value demonstrate the clinical utility of the algorithm within healthcare settings in the US.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Nicholas Flynn, Elspeth Froude, Deirdre Cooke, Suzanne Kuys
Summary: This study aimed to measure the amount of upper limb practice by subacute stroke survivors, particularly those with severe impairments, before and after implementing robot-assisted therapy (RT-UL). The results showed a significant increase in practice, attributed to the supportive and efficient nature of RT-UL. Notably, RT-UL was able to be integrated into existing clinical practices with minimal training, showcasing its potential for widespread use.
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
(2022)
Article
Rehabilitation
Nicholas Flynn, Elspeth Froude, Deirdre Cooke, Jessica Dennis, Suzanne Kuys
Summary: The study found that RT-UL continued to be used regularly with stroke survivors in an inpatient rehabilitation setting two years after initial implementation. While the total number of RT-UL sessions decreased between audits, the average number and duration of sessions for patients remained stable. Physiotherapists were identified as the primary prescribers of RT-UL compared to occupational therapists.
DISABILITY AND REHABILITATION
(2022)
Article
Clinical Neurology
Aristela de Freitas Zanona, Daniele Piscitelli, Valquiria Martins Seixas, Kelly Regina Dias da Silva Scipioni, Marina Siqueira Campos Bastos, Leticia Caroline Kaspchak de Sa, Katia Monte-Silva, Miburge Bolivar, Stanislaw Solnik, Raphael Fabricio De Souza
Summary: This study investigated the effects of combining brain-computer interface (BCI) with mental practice (MP) and occupational therapy (OT) on the performance of stroke survivors in activities of daily living (ADL). The results showed that BCI combined with MP and OT can promote sensorimotor recovery and functional independence in subacute post-stroke survivors.
FRONTIERS IN NEUROLOGY
(2023)
Article
Computer Science, Information Systems
Tae-Yeun Kim, Sung-Hwan Kim, Hoon Ko
Summary: The study utilized brain wave information for intelligent upper limb rehabilitation, optimizing the system for reliability and performance. Results showed high accuracy in recognizing user intentions, facilitating continued rehabilitation exercise and improving quality of life.
ACM TRANSACTIONS ON INTERNET TECHNOLOGY
(2021)
Article
Multidisciplinary Sciences
Adriana Cancrini, Paolo Baitelli, Matteo Lavit Nicora, Matteo Malosio, Alessandra Pedrocchi, Alessandro Scano
Summary: This study investigates the effect of robot assistance on task performance and muscle synergies in healthy individuals. The results show that assistance improves task performance but has limited impact on muscle synergies.
Article
Rehabilitation
K. S. Hayward, L. Jolliffe, L. Churilov, A. Herrmann, G. C. Cloud, N. A. Lannin
Summary: In this study, we aimed to investigate the perspectives of stroke clinicians on upper limb rehabilitation after stroke, including when and where to begin therapy, how much and what therapy to provide, and who and why (or not) to provide therapy. The results showed that most Australian stroke clinicians did not have clear protocols or expectations regarding the timing, dosage, and type of therapy to provide. However, they ranked the optimal time to start therapy as 24 hours to 7 days post-stroke, and the optimal dose as 30 to 60 minutes per day. Within-participant experiments revealed that greater motor recovery increased the odds of offering therapy, while factors such as lack of motor recovery, shoulder pain, neurological decline, and being the sole therapist reduced the odds of therapy being provided.
DISABILITY AND REHABILITATION
(2022)
Review
Rehabilitation
Kierra Jean Falbo, Hannah Phelan, Dawn Hackman, Rebecca Vogsland, Tonya L. Rich
Summary: Graded motor imagery, specifically the three-phase approach, has shown success in chronic pain populations, but its application to phantom limb pain has mostly focused on mirror therapy alone. This scoping review explores the evidence for graded motor imagery and its phases in treating phantom limb pain. The findings highlight the need for more research on the effectiveness of graded motor imagery and indicators of patient success in this population.
CLINICAL REHABILITATION
(2023)
Review
Rehabilitation
Kierra Jean Falbo, Hannah Phelan, Dawn Hackman, Rebecca Vogsland, Tonya L. Rich
Summary: Three-phase graded motor imagery has been successful in chronic pain populations, but in the context of phantom limb pain, it is often limited to mirror therapy. Future research should evaluate the effects of graded motor imagery and indicators of patient success.
CLINICAL REHABILITATION
(2023)
Article
Clinical Neurology
Maricel Garrido, E. Evelyn Alvarez, P. Fabrizio Acevedo, V. Alvaro Moyano, N. Natalia Castillo, Gabriel Cavada Ch
Summary: Combining bihemispheric tDCS with mCIMT can improve upper limb recovery in hospitalized patients with acute and subacute stroke, enhancing motor function, joint pain, functional ability, and weight to box. This study demonstrates significant improvements in the active group compared to the simulated group, with differences in ADL independence and perceived quality of life recovery.
Article
Neurosciences
Marta Rodriguez-Hernandez, Begona Polonio-Lopez, Ana-Isabel Corregidor-Sanchez, Jose L. Martin-Conty, Alicia Mohedano-Moriano, Juan-Jose Criado-alvarez
Summary: This research showed that the combination of conventional treatment and virtual reality exposure therapy had a positive impact on motor function in stroke survivors, with virtual reality therapy being more effective in reducing muscle tone and improving functional activities compared to traditional therapy.
Article
Geriatrics & Gerontology
Alessandro Lanzoni, Christian Pozzi, Elena Lucchi, Andrea Fabbo, Maud J. L. Graff, Carola M. E. Dopp
Summary: This study aims to identify the barriers and facilitators in the implementation of the COTID-IT program in Italy. The survey results showed that lack of knowledge about Occupational Therapy and the COTID-IT program, as well as limited economic funds, were the main barriers to implementation. The presence of an interprofessional team interested in the program and scientific evidence supporting COTID-IT were identified as facilitators. Opportunities for better implementation included the creation of national and regional interprofessional education and support groups, as well as the availability of online resources.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2023)
Article
Genetics & Heredity
Hanna Hildenbrand, Jordan Wickstrom, Rebecca Parks, Cris Zampieri, Thuy-Tien Nguyen, Audrey Thurm, Kisha Jenkins, Katharine E. Alter, Jesse Matsubara, Dylan Hammond, Ariane Soldatos, Forbes D. Porter, An N. Dang Do
Summary: Impairments in upper limb motor function are particularly challenging for children with CLN3 in activities of daily living, and these difficulties are associated with poorer visual ability, disease severity, and cognitive function. Individualized treatment tailored to their specific needs is necessary as the disease progresses.
AMERICAN JOURNAL OF MEDICAL GENETICS PART A
(2021)
Article
Medicine, General & Internal
Eun Kyu Ji, Hae Hyun Wang, Sung June Jung, Kyoung Bo Lee, Joon Sung Kim, Leechan Jo, Bo Young Hong, Seong Hoon Lim
Summary: This study demonstrated that using GMI training at home can significantly improve upper limb motor function and activities of daily living in patients with chronic stroke. While there were no significant differences in the overall scores for MFT, FMA, and MBI between the GMI group and controls, the GMI group showed significantly better outcomes in MFT arm motion scores.
Article
Chemistry, Multidisciplinary
Andres Blanco-Ortega, Luis Vazquez-Sanchez, Manuel Adam-Medina, Jorge Colin-Ocampo, Arturo Abundez-Pliego, Claudia Cortes-Garcia, Carlos Daniel Garcia-Beltran
Summary: In this paper, a portable exoskeleton for the rehabilitation of upper extremities with three degrees of freedom is proposed. A robust generalized proportional integral (GPI) controller is proposed to provide smooth movements for rehabilitation with the exoskeleton. Simulation results demonstrate the controller's performance against different types of disturbances and are compared with a PID controller.
APPLIED SCIENCES-BASEL
(2022)
Article
Clinical Neurology
Elizabeth O'Shannessy, Sandra Reeder, Swarna Vishwanath, Sophie Hill, Andrew Perta, Laura Jolliffe, Jacqui Morarty, Peter Hunter, Natasha A. Lannin
Summary: This study aimed to explore the experiences of inpatients and their family members in a specialist acquired brain injury (ABI) rehabilitation service. The results showed high levels of satisfaction with the specialist service, but also highlighted issues with inconsistent communication, variable nursing care, and strengths and weaknesses of the rehabilitation environment. Key components of a positive experience included involvement in decision making and discharge planning, effective communication and information processes, and therapeutic relationships with staff.
Article
Rehabilitation
Vanessa L. Sharp, Jodie E. Chapman, Betina Gardner, Jennie L. Ponsford, Melita J. Giummarra, Natasha A. Lannin, John Olver, Renerus J. Stolwyk
Summary: This study explored the experience of rural major traumatic injury survivors accessing rehabilitation services in Australia. The results showed that rural residents face challenges in accessing rehabilitation services, including poor knowledge of local services, travel burden, high financial costs, and a lack of experienced local practitioners. However, rural survivors expressed strong determination for independence and self-management of their recovery.
DISABILITY AND REHABILITATION
(2023)
Article
Health Policy & Services
Joosup Kim, Rohan Grimley, Monique F. Kilkenny, Greg Cadigan, Trisha Johnston, Nadine E. Andrew, Amanda G. Thrift, Natasha A. Lannin, Vijaya Sundararajan, Dominique A. Cadilhac
Summary: This study aimed to describe the costs of hospital care for stroke and transient ischaemic attack (TIA) and investigate factors associated with costs. The results showed that medical and nursing costs were the major expenses for most patients with stroke or TIA and were relatively expensive.
HEALTH INFORMATION MANAGEMENT JOURNAL
(2023)
Review
Clinical Neurology
Emily J. Dalton, Natasha A. Lannin, Bruce C. Campbell, Leonid Churilov, Kathryn S. Hayward
Summary: This study examined the generalizability of findings in upper-limb motor trials conducted early post-stroke. The results showed that key information to support the generalizability of trial findings was insufficiently reported, and broadening eligibility criteria alone may not be enough to improve trial inclusivity due to internal validity constraints.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Rehabilitation
Eric Xie, Michael Pellegrini, Zhibin Chen, Laura Jolliff, Maria Crotty, Julie Ratcliffe, Jacqui Morarty, Terence J. O'Brien, Natasha A. Lannin
Summary: This study aimed to determine the potential benefit of rehabilitation and the influence of substance use on outcomes in patients with traumatic brain injury (TBI). It found that a history of substance use was associated with lower reported quality of life at 12 months post-TBI.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Kate Gledhill, Tracey K. Bucknall, Natasha A. Lannin, Lisa Hanna
Summary: This study explores the perceptions of discharge-readiness from the perspectives of key stakeholders in subacute care. Findings indicate that there are patient-related factors as well as environmental factors that influence discharge-readiness. These findings contribute to a better understanding of determining discharge-readiness in subacute care.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Rehabilitation
Amanda Baker, Petrea Cornwell, Louise Gustafsson, Natasha A. A. Lannin
Summary: This study aims to evaluate the process of implementing an evidence-based goal-setting package into rehabilitation services. Using a mixed methods approach and following MRC recommendations, the study evaluates the reach, adoption, implementation, and maintenance of the goal-setting package. The findings identify various barriers and enablers throughout the implementation process.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Nadia Moore, Sandra Reeder, Sophie O'Keefe, Serena Alves-Stein, Emma Schneider, Katelyn Moloney, Kate Radford, Natasha A. Lannin
Summary: The purpose of this study was to explore the experiences of vocational rehabilitation and the return to work pathway after stroke. The findings highlighted the importance of tailored vocational rehabilitation in addressing the challenges faced when returning to the workplace. Stroke survivors perceived employer liaison support, fatigue management, and support for cognition and executive processing skills as the most beneficial components of vocational rehabilitation.
DISABILITY AND REHABILITATION
(2023)
Article
Nursing
Sharon Kramer, Melissa J. Raymond, Peter Hunter, Bridey Saultry, Harry Gibbs, Francis Dignam, Natasha A. Lannin, Tracey Bucknall
Summary: The aim of this study was to determine the amount of time nurses spend on direct and indirect patient care in acute and subacute hospital settings. The findings showed that a third of nurses' time was spent on direct patient care, with interruptions and multitasking being common. This study highlights the importance of optimizing care quality and managing resources.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Nursing
Kate Gledhill, Tracey K. Bucknall, Natasha A. Lannin, Lisa Hanna
Summary: This qualitative study explored discharge planning in subacute care with key stakeholders and found that collaborative communication and shared expectations were crucial for effective discharge planning. Patient- and family-centered decision-making, early goal setting, teamwork, and patient/family education were identified as key themes. Effective inter- and intra-disciplinary teamwork was emphasized for successful discharge planning.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Clinical Neurology
Lachlan L. Dalli, Karen Borschmann, Shae Cooke, Monique F. Kilkenny, Nadine E. Andrew, David Scott, Peter R. Ebeling, Natasha A. Lannin, Rohan Grimley, Vijaya Sundararajan, Judith M. Katzenellenbogen, Dominique A. Cadilhac
Summary: Fracture rates significantly increase after stroke/TIA, and patients with prior fractures have poorer health-related quality of life (HRQoL) at 90 to 180 days after stroke/TIA.
Article
Psychology, Multidisciplinary
Alysse C. Baker, Elizabeth L. Cohen
Summary: This study found that grief for celebrities is as intense as grief for people in social relationships, and it is influenced by the level of closeness rather than the parasocial identity.
Article
Rehabilitation
Amanda Baker, Masters Comm Rehab, Petrea Cornwell, Louise Gustafsson, Claire Stewart, Natasha A. Lannin
Summary: This implementation study aimed to enhance the key elements of clinical practice goal-setting across 5 rehabilitation services, and the results showed that the implementation package was successful at enhancing the goal-setting process. However, how the package is implemented within the team may impact outcomes.
JOURNAL OF REHABILITATION MEDICINE
(2023)
Article
Rehabilitation
Sally Zingelman, Sarah J. Wallace, Joosup Kim, Simon Mosalski, Steven G. Faux, Dominique A. Cadilhac, Tara Alexander, Natasha A. Lannin, Muideen T. Olaiya, Ross Clifton, Christine T. Shiner, Susan Starr, Monique F. Kilkenny
Summary: The study found that the majority of stroke patients require communication support during rehabilitation, and communication gains post-stroke are associated with long-term outcomes such as quality of life and mortality. Factors such as aphasia, age, stroke severity, and previous stroke are associated with the need for communication support.
TOPICS IN STROKE REHABILITATION
(2023)