Article
Rehabilitation
Giulio Gasperini, Matteo Rota, Eleonora Guanziroli, Luciano Bissolotti, Fabrizio Balestrieri, Carmelo Chisari, Antonio Curra, Alessandra Del Felice, Nico Farina, Paolo Manganotti, Marzia Millevolte, Domenico A. Restivo, Andrea Santamato, Francesco Sciarrini, Alessandro Specchia, Carlo Trompetto, Stefano Calza, Franco Molteni
Summary: Objective of this study was to develop and validate a fast observational clinical tool called the Functional ASsessment Test for Upper Limb (FAST-UL) for evaluating upper limb impairment after stroke. The results showed that the FAST-UL is a quick and easy-to-use observational assessment tool for upper limb motor impairment with good item-level psychometric properties.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Rehabilitation
Kurt Kroenke, Timothy A. Miksch, Aaron C. Spaulding, Gina L. Mazza, Christopher C. DeStephano, Shehzad K. Niazi, Allie J. Canoy Illies, Mohamad Bydon, Paull Novotny, Anshit Goyal, Minji K. Lee
Summary: This overview addresses key factors and practical decisions related to the use of patient-reported outcome (PRO) measures, as well as highlights clinical decision support issues.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
Rebecca Ataman, Aliki Thomas, Jacqueline Roberge-Dao, Michelle McKerral, Claudine Auger, Walter Wittich, Pascaline Kengne Talla, Zachary Boychuck, Sara Ahmed
Summary: This study aims to evaluate the measurement properties of the Mayo-Portland Adaptability Inventory-version 4 (MPAI-4) and related measures, assess the quality of evidence supporting these results, and identify the interpretability and feasibility of the MPAI-4 and related measures. Through a systematic review and data synthesis, it was found that the MPAI-4 and M2PI have sufficient content validity, construct validity, and responsiveness in TBI and stroke outpatient settings, but the interpretability in inpatient settings needs improvement.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Clinical Neurology
Harry T. Jordan, Joia Che, Winston D. Byblow, Cathy M. Stinear
Summary: This study aimed to develop decision trees using a subset of ARAT tasks to accurately categorize upper limb motor outcomes at the late subacute and chronic stages of stroke. The results showed that these decision trees had high accuracy in classifying patients' upper limb outcomes and remained accurate at 6 months poststroke according to ARAT scores.
Article
Rehabilitation
Johanna Wangdell, Bridget Hill, Jennifer A. Dunn
Summary: The objective of this study is to evaluate the reliability, construct validity, and responsiveness of the Tetraplegia Upper Limb Activities Questionnaire (TUAQ). The results show that TUAQ has good reliability and internal consistency in individuals with tetraplegia, and it demonstrates good responsiveness and construct validity in surgical reconstruction of hand function for these individuals. This indicates that the TUAQ is appropriate for use as a patient-reported outcome measure in both clinical and research settings for this population.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Johanna Wangdell, Bridget Hill, Jennifer A. Dunn
Summary: This study aims to develop a patient-reported outcome measure for assessing performance and satisfaction with upper extremity activities in individuals with tetraplegia. The study utilized exploratory factor analysis and Rasch analysis to identify a questionnaire with 10 items, and conducted preliminary testing and evaluation.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Claire Villepinte, Arpana Verma, Chloe Dimeglio, Xavier De Boissezon, David Gasq
Summary: The study showed that the responsiveness of Motor Activity Log score was higher when assessing upper-limb function post-stroke. Combining kinematic and clinical measures allows for comprehensive and accurate evaluation of upper-limb function after stroke.
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2021)
Review
Rehabilitation
Gdiom Gebreheat, Adele Goman, Alison Porter-Armstrong
Summary: The objective of this study was to identify, map, and synthesize existing studies on the use of home-based digital technology to support post-stroke upper limb rehabilitation. A comprehensive literature search was conducted and 76 articles were included in the analysis. The thematic analysis revealed six major categories of digital technologies used in post-stroke upper limb rehabilitation: tele-rehabilitation, games, virtual reality, sensors, mobile technology, and robotics.
CLINICAL REHABILITATION
(2023)
Review
Clinical Neurology
Silke Wolf, Christian Gerloff, Winifried Backhaus
Summary: This study highlights the challenges in assessing upper limb motor recovery after stroke and the importance of mechanism evaluation and data collection to facilitate standardization and comparison of assessment methods in the future.
FRONTIERS IN NEUROLOGY
(2021)
Review
Rehabilitation
Sarah P. Newton, Emily J. Dalton, Jia Y. Ang, Marlena Klaic, Vincent Thijs, Kathryn S. Hayward
Summary: The objective of this systematic review is to describe the dose and content of usual care upper limb motor intervention for inpatients following stroke and explore if context factors affect the dose and content. Eight studies from four countries were included, indicating an increase in the dose of upper limb motor intervention in usual care compared to previous reports. However, there is still a need for consistent reporting of the multiple dimensions of dose and content to better understand usual care offered during inpatient rehabilitation.
CLINICAL REHABILITATION
(2023)
Review
Engineering, Biomedical
Elena Bardi, Marta Gandolla, Francesco Braghin, Ferruccio Resta, Alessandra L. G. Pedrocchi, Emilia Ambrosini
Summary: Soft robotic wearable devices, known as exosuits, have great potential for daily upper limb support as an alternative to rigid exoskeletons. This review explores the current approaches in design and production steps, focusing on different actuation types and intention detection strategies to support key joints such as elbow and shoulder.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2022)
Article
Medicine, General & Internal
Cristina Fernandez-Garcia, Laura Ternent, Tara Marie Homer, Helen Rodgers, Helen Bosomworth, Lisa Shaw, Lydia Aird, Sreeman Andole, David Cohen, Jesse Dawson, Tracy Finch, Gary Ford, Richard Francis, Steven Hogg, Niall Hughes, H. Krebs, Christopher Price, Duncan Turner, Frederike Van Wijck, Scott Wilkes, Nina Wilson, Luke Vale
Summary: The study found that neither robot-assisted training nor EULT were likely to be cost-effective compared to usual care in terms of healthcare resource use and QALYs. Although EULT group had the highest QALYs value among participants, it did not show better cost-effectiveness compared to robot-assisted training or usual care.
Review
Public, Environmental & Occupational Health
Khadijeh Moulaei, Kambiz Bahaadinbeigy, Ali Akbar Haghdoostd, Mansour Shahabi Nezhad, Abbas Sheikhtaheri
Summary: This study aimed to investigate the role of robots in improving upper limb disability and rehabilitation. A total of 55 relevant articles were included, and it was found that robots can improve musculoskeletal functions and provide safe and reliable treatment without adverse effects on patients.
ARCHIVES OF PUBLIC HEALTH
(2023)
Review
Rehabilitation
Liga Savicka, Santa Salaka, Guna Berzina
Summary: This study aims to identify the most frequently used outcome measures for malnutrition risk and malnutrition, analyze their content and psychometric properties. The study found that the most commonly used outcome measures include body mass index, albumin, Mini Nutritional Assessment, hemoglobin, and Subjective Global Assessment. Among them, the Mini Nutritional Assessment has the most psychometrically sound properties, while the Patient-Generated Subjective Global Assessment covers the most meaningful concepts.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Review
Chemistry, Multidisciplinary
Lorenzo Lippi, Alessio Turco, Stefano Moalli, Mauro Nascimben, Claudio Curci, Alessandro de Sire, Lia Rimondini, Marco Invernizzi
Summary: Upper-limb lymphedema is a chronic condition characterized by lymphatic fluid accumulation, leading to swelling and impairment in the arm or hand. Various methods for volumetric assessment of upper-limb lymphedema have been proposed, but each has specific strengths and limitations. Factors such as operator experience and equipment availability also impact the accuracy and practicality of volume assessment. Precise volumetric assessment is crucial for improving rehabilitation, patient education, and research outcomes.
APPLIED SCIENCES-BASEL
(2023)
Review
Clinical Neurology
Cigdem Yilmazer, Ilse Lamers, Claudio Solaro, Peter Feys
Summary: This article provides an overview of the current knowledge on pain in multiple sclerosis, including its definitions, assessments, treatments, and rehabilitation. It also highlights the lack of experimental studies focusing on pain reduction.
MULTIPLE SCLEROSIS JOURNAL
(2022)
Article
Rehabilitation
Nastasia Marinus, Dominique Hansen, Peter Feys, Raf Meesen, Annick Timmermans, Joke Spildooren
Summary: This study analyzed the impact of television images on the motivation and exercise intensity of older adults in residential care during cycling exercises. The results indicated that the addition of television images may increase the exercise intensity and motivation of older adults.
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
(2023)
Article
Multidisciplinary Sciences
Renee Veldkamp, Lousin Moumdjian, Kim van Dun, Joren Six, Antoine Vanbeylen, Daphne Kos, Peter Feys
Summary: Motor sequence learning in individuals with multiple sclerosis in a stepping task showed similar levels to healthy controls, regardless of learning conditions or group differences.
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
(2022)
Article
Rehabilitation
Mehwish Ikram, Syed Shakil Ur Rehman, Katharina S. Sunnerhagen, Margit Alt Murphy
Summary: The study found that the Urdu FMA is reliable and valid for assessing sensorimotor function in people with chronic stroke, with acceptable internal consistency and reliability. It also showed moderate correlations with Functional Independence Measure, Modified Rankin Scale, and National Institute of Health Stroke Severity. Factor analysis revealed that two factors (upper and lower extremity) explained 67.8% of the variance.
DISABILITY AND REHABILITATION
(2022)
Article
Rehabilitation
Elisabeth Ekstrand, Margit Alt Murphy, Katharina S. Sunnerhagen
Summary: Clinically meaningful cutoff scores for different levels of perceived manual ability after stroke can be determined using the ABILHAND questionnaire, providing a useful tool for clinicians to interpret logit scores and select individualized treatment options.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Multidisciplinary Sciences
Lousin Moumdjian, Joren Six, Renee Veldkamp, Jenke Geys, Channa Van der Linden, Mieke Goetschalckx, Johan Van Nieuwenhoven, Ilse Bosmans, Marc Leman, Peter Feys
Summary: This study investigated the effects of embodied learning on motor and cognitive functions in persons with multiple sclerosis (PwMS). The results showed that balance impairment and information processing speed predicted the speed of executing cognitive sequences. Furthermore, participants who learned performed the sequence faster in the melody condition and overall improved their speed over time.
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
(2022)
Review
Neurosciences
Maria Munoz-Novoa, Morten B. Kristoffersen, Katharina S. Sunnerhagen, Autumn Naber, Margit Alt Murphy, Max Ortiz-Catalan
Summary: This review and meta-analysis evaluated the effectiveness of different types of sEMG-driven interventions on upper limb function in stroke patients. The results did not show significant differences between sEMG interventions compared to non-sEMG interventions or between different types of sEMG interventions in improving upper limb function. Further research with larger sample sizes is needed to determine the specific effects of sEMG interventions on upper limb function in stroke populations.
FRONTIERS IN HUMAN NEUROSCIENCE
(2022)
Article
Rehabilitation
Ines Hochleitner, Leonardo Pellicciari, Chiara Castagnoli, Anita Paperini, Angela Maria Politi, Silvia Campagnini, Silvia Pancani, Benedetta Basagni, Filippo Gerli, Maria Chiara Carrozza, Claudio Macchi, Margit Alt Murphy, Francesca Cecchi
Summary: The purpose of this study was to assess the reliability of the Italian version of the Fugl-Meyer Assessment in patients with sub-acute stroke. The results showed that the FMA had satisfactory intra- and inter-rater reliability at the item-level, and reliability levels above 70% were achieved at the subscale and total score level when considering one- or two-points difference. Systematic disagreements were found for some items of the FMA-UE, but not for FMA-LE. The study concludes that the Italian version of the FMA is a reliable instrument for clinical and research purposes.
DISABILITY AND REHABILITATION
(2023)
Article
Multidisciplinary Sciences
Margit Alt Murphy, Ahmad Al-Shallawi, Katharina S. Sunnerhagen, Anand Pandyan
Summary: This study aimed to develop a prediction algorithm using a set of simple early clinical bedside measures to predict upper limb capacity at 3-months post-stroke. The algorithm achieved high sensitivity, specificity, and accuracy in differentiating between poor, limited, and good outcomes. Simple bedside assessments have advantages and can be integrated into routine clinical practice and used in data registries to aid therapy decisions and guide patient selection in clinical trials.
SCIENTIFIC REPORTS
(2022)
Review
Environmental Sciences
Zuhal Abasiyanik, Renee Veldkamp, Amber Fostier, Carolien Van Goubergen, Alon Kalron, Peter Feys
Summary: This review examines the patient perspective and assessment methods for dual-task (DT) impairment. Five patient-reported outcome measures (PROMs) were identified, and the Dual-Task-Impact on Daily-life Activities Questionnaire (DIDA-Q) showed the highest measurement quality in individuals with multiple sclerosis.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Review
Rehabilitation
Elogni R. Amanzonwe, Lisa Tedesco Triccas, Leopold Codjo, Dominique Hansen, Peter Feys, Oyene Kossi
Summary: This study analyzed the optimal dosage and effectiveness of aerobic training (AT) and resistance training (RT) on balance, walking capacity, and quality of life (QoL) in stroke survivors. The results showed that AT was the most effective in improving walking capacity, while combining AT and RT was beneficial for improving QoL. High-dose aerobic exercise conducted in rehabilitation facilities was more effective in improving walking capacity in chronic stroke patients.
SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY
(2023)
Article
Multidisciplinary Sciences
Lamprini Lili, Katharina S. Sunnerhagen, Tiina Rekand, Margit Alt Murphy
Summary: A better understanding of the relationship between independence in activities of daily living (ADL) and upper extremity functioning is crucial for guiding rehabilitation practices in individuals with spinal cord injury (SCI).
SCIENTIFIC REPORTS
(2023)
Article
Medicine, General & Internal
Cecilia Brannmark, Sofia Klasson, Tara M. Stanne, Hans Samuelsson, Margit Alt Murphy, Katharina S. Sunnerhagen, N. David Aberg, Oscar Jalnefjord, Isabella Bjorkman-Burtscher, Katarina Jood, Turgut Tatlisumak, Christina Jern
Summary: This study aims to explore the trajectories of recovery and biomarkers after stroke by evaluating stroke patients using various methods. A total of 500 first-ever stroke patients from the stroke unit at the Sahlgrenska University Hospital in Sweden are involved in the study. The evaluation includes clinical assessments, neuroimaging, and blood sample analysis, and the study also records clinical variables that may influence recovery outcomes. The results of this study will provide novel data on stroke recovery and biomarkers.
Article
Medicine, General & Internal
Peter Feys, Marijke Duportail, Daphne Kos, Stephan Ilsbroukx, Ilse Lamers, Paul Van Asch, Werner Helsen, Lousin Moumdjian
Summary: This study investigated the effect of peripheral upper limb cooling on tremor severity and functional performance in multiple sclerosis patients with intention tremor. The results showed that cooling the forearm significantly reduced tremor severity and improved functional performance, and cooling the whole upper limb had a noticeable effect on tremor severity during the first half-hour after cooling.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Rehabilitation
Markku Paanalahti, Margit Alt Murphy, Malin Holmstrom Rising, Eija Viitasara
Summary: This study aimed to explore the perceptions of community-living individuals with perceived cognitive impairment or dementia and their next-of-kin regarding functioning and disability in major life domains. Individual interviews were conducted with 26 participants and their next-of-kin, and the transcripts were analyzed using qualitative content analysis and International Classification of Functioning, Disability, and Health (ICF) linking methods. The results showed that next-of-kin perceived higher levels of disability among individuals with perceived cognitive impairment or dementia compared to the participants themselves.
JOURNAL OF REHABILITATION MEDICINE
(2023)
