Article
Clinical Neurology
Jesse Dawson, Azmil H. Abdul-Rahim
Summary: The use of paired vagus nerve stimulation (VNS) for the treatment of upper extremity motor deficits associated with chronic ischemic stroke has been approved by the US FDA. This treatment aims to enhance neuroplasticity during rehabilitation therapy and has shown significant improvements in upper extremity impairment and function in patients with moderate-to-severe arm weakness for up to 3 years after stroke. Further research is needed to explore the effectiveness of this treatment for other post-stroke impairments and to evaluate the use of non-invasive VNS.
INTERNATIONAL JOURNAL OF STROKE
(2022)
Article
Rehabilitation
Han-Chin Hsieh, Ruei-Dan Liao, Tsung-Hsun Yang, Chau-Peng Leong, Hui-Hsin Tso, Jia-Ying Wu, Yu-Chi Huang
Summary: The combined administration of kinesio taping (KT) and modified constraint-induced movement therapy (mCIMT) shows significant improvement in upper extremity function and spasticity in hemiplegic patients with stroke, providing extra benefit in motor performance with a more long-lasting effect.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
(2021)
Article
Rehabilitation
Adam de Havenon, Laura Heitsch, Abimbola Sunmonu, Robynne Braun, Keith R. Lohse, John W. Cole, Eva Mistry, Arne Lindgren, Bradford B. Worrall, Steven C. Cramer
Summary: The study aimed to develop a simple and effective risk score for predicting persistent impairment of upper extremity motor function in stroke patients at 90 days poststroke. By analyzing data from multiple clinical trials, the researchers identified the PUPPI index as a predictive tool in the validation cohort.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Natapatchakrid Thimabut, Pattarapol Yotnuengnit, Jittima Charoenlimprasert, Thipwimon Sillapachai, Satoshi Hirano, Eiichi Saitoh, Krisna Piravej
Summary: The study found that the robot-assisted gait training device combined with physiotherapy has better effects on improving ambulatory functions in patients with subacute stroke with hemiplegia compared to physiotherapy alone. It can lead to early improvements in walking ability and Barthel Index for Activities of Daily Living.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Neurosciences
Kerim Kerimov, Ilke Coskun Benlidayi, Cigdem Ozdemir, Ozgur Gunasti
Summary: The study aimed to evaluate the efficacy of isokinetic strengthening in paretic upper extremity among patients with post-stroke hemiplegia, showing significant improvements in muscle strength in the isokinetic training group compared to the control group. The conclusion suggests that isokinetic strengthening may provide motor and functional improvement among patients with post-stroke hemiplegia.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2021)
Article
Engineering, Biomedical
Nahid Norouzi-Gheidari, Philippe S. Archambault, Katia Monte-Silva, Dahlia Kairy, Heidi Sveistrup, Michael Trivino, Mindy F. Levin, Marie-Helene Milot
Summary: The personalized upper extremity rehabilitation intervention (SUPER) using robotics, virtual reality activities, and NMES showed promising feasibility and efficacy in improving upper extremity function in individuals with moderate to severe stroke impairments.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2021)
Article
Rehabilitation
Shashwati Geed, Christianne J. Lane, Monica A. Nelsen, Steven L. Wolf, Carolee J. Winstein, Alexander W. Dromerick
Summary: The study found that in stroke rehabilitation trials, using a Rasch-rescaled UEFM can improve the accuracy of effect size, reduce the required sample size, decrease costs, shorten duration, and decrease the number of subjects exposed to experimental risks compared to using the simple summation of ordinal UEFM items.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Neurosciences
Zeinab Mahmoudi, Roghayeh Mohammadi, Tahereh Sadeghi, Gita Kalbasi
Summary: This study systematically reviewed the effect of functional electrical stimulation (FES) compared to conventional therapy alone on balance in post-stroke patients. The results showed that combining FES with conventional therapy was more beneficial in improving balance among stroke patients. However, the studies were limited by small sample sizes, lack of blinding, and reporting of missing data.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2021)
Article
Neurosciences
Xiaofang Wu, Rui Wang, Qunqiang Wu, Chunhua Liao, Jianshe Zhang, Huiduo Jiao, Baolin Chen, Shuyan Wang, Rui Liu
Summary: Upper limb motor impairments after stroke severely impact the quality of life of patients and their families. Transcranial magnetic stimulation (TMS) has been shown to be effective in promoting upper limb motor recovery. This study investigated the combined effect of high frequency repetitive TMS and cervical nerve root magnetic stimulation on functional improvement in stroke patients.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Clinical Neurology
Akhil Mohan, Jayme S. Knutson, David A. Cunningham, Morgan Widina, Kyle O'Laughlin, Tarun Arora, Xin Li, Ken Sakaie, Xiaofeng Wang, Ken Uchino, Ela B. Plow
Summary: This study aims to investigate the potential benefits of combining Contralaterally Controlled Functional Electrical Stimulation (CCFES) with a new rTMS approach that stimulates intact, contralesional higher motor cortices (cHMC) on severely impaired stroke survivors. By targeting spared neural substrates and engaging the unimpaired limb in movement of the impaired limb, a more favorable effect on paretic upper limb function is anticipated.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Hyunjin Kim, Junghyun Kim, Sungbae Jo, Kyeongjin Lee, Junesun Kim, Changho Song
Summary: This study investigated the effects of mirror therapy using a newly developed video augmented wearable reflection device on reach-to-grasp motor control and upper extremity motor function. The results showed that mirror therapy using the video augmented wearable reflection device was more efficient than traditional mirror therapy in improving motor control and proximal upper limb function for stroke patients.
JOURNAL OF NEUROLOGY
(2023)
Article
Engineering, Biomedical
Donovan B. Smith, Stephen H. Scott, Jennifer A. Semrau, Sean P. Dukelow
Summary: This study assessed ipsilesional arm motor impairments using a robot-based assessment over the first 6 months post-stroke. The robot-based assessment revealed a higher incidence of ipsilesional arm impairments than clinical measures. The severity of ipsilesional arm impairments was moderately correlated with contralesional arm impairment severity, but not with the hemisphere of lesion.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)
Article
Multidisciplinary Sciences
Jiahao Meng, Zeya Yan, Feng Gu, Xinyu Tao, Tao Xue, Dan Liu, Zhong Wang
Summary: This study analyzed data from four randomized clinical trials and found that the combination of transcranial direct current stimulation (tDCS) with virtual reality (VR) did not significantly improve upper extremity rehabilitation in stroke patients compared to VR alone. However, tDCS combined with VR was shown to enhance Barthel Index scores, thereby improving the quality of daily living in stroke patients.
Review
Health Care Sciences & Services
Xiaoyi Wang, Yan Fu, Bing Ye, Jessica Babineau, Yong Ding, Alex Mihailidis
Summary: This systematic review analyzes the application of technology-based methods in assessing and detecting compensation during stroke upper extremity (UE) rehabilitation. The findings indicate that body-worn technology, marker-based motion capture system, and marker-free vision sensor technology are the most commonly used sensor technologies. Furthermore, most studies utilize statistical methods for compensation assessment, while machine learning algorithms are applied for automatic detection. The review suggests exploring technology-based compensation predictions and overcoming the drawbacks of each sensor in compensation assessment and detection.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Clinical Neurology
Kathleen M. Friel, Claudio L. Ferre, Marina Brandao, Hsing-Ching Kuo, Karen Chin, Ya-Ching Hung, Maxime T. Robert, Veronique H. Flamand, Ana Smorenburg, Yannick Bleyenheuft, Jason B. Carmel, Talita Campos, Andrew M. Gordon
Summary: This study demonstrates that for children with unilateral spastic cerebral palsy, the efficacy of CIMT and Bimanual training in improving hand function is not dependent on the corticospinal tract connectivity pattern. Children with an ipsilateral CST can improve just as well as those with a contralateral or bilateral CST following intensive CIMT or Bimanual training.
FRONTIERS IN NEUROLOGY
(2021)
Article
Rehabilitation
Stephen J. Page, Colleen Murray, Valerie Hermann, Peter Levine
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2011)
Article
Rehabilitation
Stephen J. Page, Peter Levine, Erinn Hade
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2012)
Article
Clinical Neurology
Stephen J. Page, Valerie Hill Hermann, Peter G. Levine, Ela Lewis, Joel Stein, Jennifer DePeel
JOURNAL OF NEUROLOGIC PHYSICAL THERAPY
(2011)
Article
Rehabilitation
Stephen J. Page, Peter Levine, Valerie Hill
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY
(2015)
Article
Neurosciences
Stephen J. Page, Shaun Boe, Peter Levine
RESTORATIVE NEUROLOGY AND NEUROSCIENCE
(2013)