Article
Clinical Neurology
Jolanda M. B. Roelofs, Sarah B. Zandvliet, Ingrid M. Schut, Anouk C. M. Huisinga, Alfred C. Schouten, Henk T. Hendricks, Digna de Kam, Leo A. M. Aerden, Johannes B. J. Bussmann, Alexander C. H. Geurts, Vivian Weerdesteyn
Summary: In the chronic phase after mild stroke, individuals demonstrate persistent balance limitations and an increased risk of falling, as well as reduced confidence in their balance and lower levels of physical activity.
NEUROREHABILITATION AND NEURAL REPAIR
(2023)
Article
Clinical Neurology
Johanna Jonsdottir, Fabiola Giovanna Mestanza Mattos, Alessandro Torchio, Chiara Corrini, Davide Cattaneo
Summary: This cross-sectional study investigates the value of including stabilometric measures of sway with clinical measures of balance in models for identification of faller chronic stroke survivors, and the relations between variables. The results show that a model combining BBS, BI, and SwayML is best at accurately identifying faller status in persons in the chronic phase post stroke.
FRONTIERS IN NEUROLOGY
(2023)
Review
Rehabilitation
Claire Thwaites, Rohini Nayyar, Jannette Blennerhassett, Thorlene Egerton, Jasmine Tan, Kelly Bower
Summary: The study aimed to evaluate the effectiveness of telehealth interventions compared to in-person interventions in reducing falls risk or rates in adults with neurological conditions. The results suggest that telehealth interventions are safe, feasible, and acceptable in community-dwelling adults, and may improve balance outcomes in this population.
CLINICAL REHABILITATION
(2023)
Article
Health Care Sciences & Services
Jong Taek Lee, Eunhee Park, Tae-Du Jung
Summary: This study developed a framework for classifying dependence in ambulation using a 3D convolutional neural network on video data recorded by smartphones during inpatient rehabilitation therapy for stroke patients. The proposed framework can alert clinicians or caregivers when stroke patients with dependent ambulation move alone without assistance, facilitating the design of individualized rehabilitation strategies.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Engineering, Biomedical
Charles Van Liew, Leland E. Dibble, K. Bo Foreman, Daniel S. Peterson
Summary: This study showed that individuals with MS can experience improvements in reactive balance performance on the first trial after one day of training, with an increase in margin of stability as a key indicator. This suggests that MS patients may benefit from short-term improvements through low-dose perturbation training.
CLINICAL BIOMECHANICS
(2021)
Article
Rehabilitation
Kelly J. Bower, Shamala Thilarajah, Gavin Williams, Yong-Hao Pua, Dawn Tan, Ross A. Clark
Summary: The study aimed to examine the validity, predictive ability, and responsiveness of standing centre of pressure variables in subacute stroke patients. The results showed that some centre of pressure variables were moderately correlated with gait speed and step test scores, and also predicted falls risk. However, the standing centre of pressure variables had limited validity in reflecting dynamic balance and falls risk.
DISABILITY AND REHABILITATION
(2023)
Review
Biology
Phan The Nguyen, Li-Wei Chou, Yueh-Ling Hsieh
Summary: The present study conducted a systematic review and meta-analysis to determine the potential benefits of PNF on balance and gait function in patients with chronic stroke. The results indicated that PNF intervention showed statistically significant improvements in balance and gait speed compared to the control group. This suggests that PNF may be a potential treatment strategy in chronic stroke rehabilitation.
Review
Rehabilitation
Cathy W. T. Lo, Chung-Ying Lin, William W. N. Tsang, Chun Hoi Yan, Arnold Y. L. Wong
Summary: The synthesis of evidence from 24 studies found that the Brief-BESTest has good internal consistency and validity in different populations, but poor structural validity in patients with neurological conditions. Further research on the reliability of individual items and minimal clinically important difference of the Brief-BESTest is needed.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Flavia A. F. Oliveira, Camilla P. Martins, Laura A. S. de Oliveira, Erika C. Rodrigues, Arthur S. Ferreira, Thiago Lemos
Summary: This study investigated the optimization properties of postural stability in poststroke individuals using a direct search algorithm. The results showed that the asymmetric weight-bearing poststroke group had a faster convergence rate towards the local minimum of postural sway, while the low balance capability group had smaller values for average local minima and global minimum of postural sway coordinates. Significant correlations were found between the Berg Balance Scale and the local minima and global minimum.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Neurosciences
Hideyuki Tashiro, Yui Sato, Kanta Fukumoto, Megumi Toki, Naoki Kozuka
Summary: This study compared the spatiotemporal characteristics of reactive stepping induced by lateral perturbations in stroke patients and age-matched controls. The results showed that stroke patients had a lower stepping threshold and more frequently used medial steps. Additionally, stroke patients exhibited longer delays prior to foot-off in lateral steps perturbed toward the nonparetic side and in medial steps perturbed toward both sides, compared to controls.
JOURNAL OF MOTOR BEHAVIOR
(2022)
Article
Engineering, Biomedical
Melisa Junata, Kenneth Chik-Chi Cheng, Hok Sum Man, Charles Wai-Kin Lai, Yannie Oi-Yan Soo, Raymond Kai-Yu Tong
Summary: The Kinect-based Rapid Movement Training (RMT) was found to significantly improve balance control, gait control, and motor functions in chronic stroke survivors, showing effectiveness in promoting balance recovery.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2021)
Article
Rehabilitation
Saeideh Monjezi, Farshad Molhemi, Mohammad-Jafar Shaterzadeh-Yazdi, Reza Salehi, Mohammad Mehravar, Davood Kashipazha, Saeed Hesam
Summary: Perturbation-based Balance Training is at least as effective as conventional balance training in improving proactive postural control in people with multiple sclerosis. It has superiority over conventional balance training in improving reactive postural control. Further research is needed to confirm the results.
DISABILITY AND REHABILITATION
(2023)
Article
Engineering, Biomedical
Shirley Handelzalts, Flavia Steinberg-Henn, Nachum Soroker, Guy Shani, Itshak Melzer
Summary: The study found that individuals with stroke demonstrate delayed upper-extremity movement initiation compared to healthy controls, especially when losing balance toward the paretic side. This delay may increase the risk of falls towards the paretic side in stroke survivors.
CLINICAL BIOMECHANICS
(2021)
Article
Rehabilitation
Franco Franchignoni, Andrej Bavec, Urska Zupanc, Andrea Giordano, Caterina Albensi, Helena Burger
Summary: This study examined the psychometric properties of the Slovene version of the Activities-specific Balance Confidence (ABC) scale using Rasch analysis, and found that the simplified scale is a valid and reliable measure for individuals with lower-limb amputation. The study also demonstrated the possibility of transforming the ordinal summed raw scores of the ABC-5/SLO into interval-level measurements using a nomogram.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Cell Biology
Thanwarat Chantanachai, Daina L. Sturnieks, Stephen R. Lord, Narelle Payne, Lyndell Webster, Morag E. Taylor
Summary: This systematic review identified risk factors for prospectively ascertained falls in older people with cognitive impairment living in the community. Balance deficits, poor mobility, slow gait speed, and depressive symptoms were found to be associated with fallers. Global cognition was not significantly associated with falls, suggesting interventions should focus on improving balance impairment. More high-quality research is needed to support these findings.
AGEING RESEARCH REVIEWS
(2021)
Article
Rehabilitation
Katherine Dittmann, Kay-Ann Allen, Ashley Bergner, Joyce Chen, Elizabeth Inness, Elizabeth Linkewich, Sandra Pacione, Jennifer Shaffer, Ada Tang, Sara McEwen
Summary: This study examined the feasibility and preliminary outcomes of a cognitive augmented mobility program (CAMP) for persons with stroke (PWS), and found that CAMP was feasible and effective in improving endurance, balance, mobility, and goal attainment in PWS.
PHYSIOTHERAPY THEORY AND PRACTICE
(2022)
Article
Clinical Neurology
Andresa R. Marinho-Buzelli, Cindy Gauthier, Katherine Chan, Alison M. Bonnyman, Avril Mansfield, Kristin E. Musselman
Summary: This study aimed to understand the knowledge and current practice of aquatic therapy (AT) for individuals with spinal cord injury or disorder (SCI/D) among physiotherapists, physiotherapy assistants, and kinesiologists in Canada. The findings revealed that respondents using AT had greater knowledge and confidence in applying AT, despite challenges with pool accessibility and various constraints.
JOURNAL OF SPINAL CORD MEDICINE
(2022)
Article
Rehabilitation
Jessica Powers, Aaron Wallace, Avril Mansfield, George Mochizuki, Kara K. Patterson
Summary: The study findings suggest that providing high-frequency visual feedback during overground walking training can alter TGA post-stroke without decreasing gait speed. An investigation on overground gait intervention with high-frequency visual feedback to improve TGA post-stroke is warranted.
TOPICS IN STROKE REHABILITATION
(2022)
Article
Rehabilitation
David Jagroop, Stephanie Houvardas, Cynthia J. Danells, Jennifer Kochanowski, Esme French, Nancy M. Salbach, Kristin Musselman, Elizabeth L. Inness, Avril Mansfield
Summary: The study explored how clinicians implement Reactive Balance Training (RBT) to treat balance and mobility issues. It found that there is variability in RBT approaches, knowledge can be a barrier and facilitator to RBT, reactive balance control is viewed as an advanced skill, and RBT experience builds confidence.
DISABILITY AND REHABILITATION
(2022)
Article
Orthopedics
Elizabeth L. Inness, David Jagroop, Angie Andreoli, Mark Bayley, Louis Biasin, Cynthia Danells, Jayne Hall, Avril Mansfield, Alison McDonald, Diane Nishri, Nancy M. Salbach, Denise Taylor, Karl Wong, Ada Tang
Summary: This study aimed to understand the barriers and enablers to aerobic exercise (AEx) implementation in stroke rehabilitation. The results showed that resource constraints, healthcare system pressures, and patient goals were barriers to AEx implementation, while an interprofessional approach and team engagement were enablers. Education, skill development, and consultation with content experts helped to improve healthcare providers' confidence and capability in implementing AEx.
Review
Rehabilitation
O. J. Manning, S. Rancourt, J. R. Tomasone, M. Finlayson, V. DePaul
Summary: This study aims to describe the status of water-based therapeutic exercise (WBTE) for stroke survivors, summarize the effects of WBTE interventions, and identify the gaps in the literature. The results show that WBTE has a strong effect on balance and gait outcomes in stroke survivors. Future research should focus on developing standardized treatment protocols, qualitative or mixed methodology studies, and including individuals with more severe stroke-related impairments.
DISABILITY AND REHABILITATION
(2023)
Article
Orthopedics
Andrew S. Monaghan, Avril Mansfield, Jessie M. Huisinga, Daniel S. Peterson
Summary: This study assessed the relationship between reactive step latency and length and a history of falls in people with multiple sclerosis (PwMS). The results showed that delayed step onset during backward reactive stepping significantly increased the odds of having experienced a fall. Targeting step latency may be relevant for fall prevention and rehabilitation in PwMS.
Article
Geriatrics & Gerontology
Vincent G. DePaul, Simone Parniak, Paul Nguyen, Carri Hand, Lori Letts, Colleen McGrath, Julie Richardson, Debbie Rudman, Imaan Bayoumi, Helen Cooper, Joan Tranmer, Catherine Donnelly
Summary: The study outlines methods to identify and engage NORCs for supportive service programming in Canada, including using census data, collaboration with property owners for communal programming, and involving older adult residents in program design. Six NORCs were successfully established with programs focusing on social and physical activities.
Article
Geriatrics & Gerontology
Christine Marie Mills, Simone Parniak, Carri Hand, Colleen McGrath, Debbie Laliberte Rudman, Cassandra Chislett, Mariah Giberson, Lauren White, Vincent DePaul, Catherine Donnelly
Summary: This study examines the experiences of older adults participating in the Oasis Senior Supportive Living program and finds that the program expands social networks and improves mental health and well-being.
Article
Rehabilitation
Jessica Nolan, Angela Jacques, Erin Godecke, Hiroaki Abe, Suzanne Babyar, Jeannine Bergmann, Melissa Birnbaum, Shenhao Dai, Cynthia Danells, Taiza G. S. Edwards, Marialuisa Gandolfi, Klaus Jahn, Ryan Koter, Avril Mansfield, Junji Nakamura, Vicky Pardo, Dominic Perennou, Celine Piscicelli, David Punt, Devra Romick-Sheldon, Wim Saeys, Nicola Smania, Nathalie Vaes, Abigail L. Whitt, Barbara Singer
Summary: This study aimed to provide consensus-based clinical practice recommendations for managing post-stroke lateropulsion using an international expert panel. After four rounds of surveys, a total of 119 recommendations for rehabilitation approaches and considerations were achieved. These recommendations can guide interventions for post-stroke lateropulsion.
CLINICAL REHABILITATION
(2023)
Article
Neurosciences
David Jagroop, Raabeae Aryan, Alison Schinkel-Ivy, Avril Mansfield
Summary: This study aimed to investigate the test-retest reliabilities of unconventional measures of quiet standing balance control in people with chronic stroke. The results showed that centre of pressure measures extracted from a single 30-second quiet standing trial may have sufficient reliability for some chronic stroke research studies, but clinical applications may require the average of at least two trials.
Article
Geriatrics & Gerontology
Noam Margalit, Ilan Kurz, Oren Wacht, Avril Mansfield, Itshak Melzer
Summary: This study aimed to evaluate the extent of Reactive Balance Training (RBT) usage in physical therapy clinics in Israel and identify barriers and facilitators for implementing RBT in clinical practice. The results showed that the majority of physical therapists used RBT, with insufficient space for equipment being the most prevalent barrier, and having a colleague who uses RBT being the most prevalent facilitator.
Article
Computer Science, Information Systems
Vida Adeli, Navid Korhani, Andrea Sabo, Sina Mehdizadeh, Avril Mansfield, Alastair Flint, Andrea Iaboni, Babak Taati
Summary: Machine learning models were used to accurately predict the risk of falls in older adults with dementia in long-term care settings over a four-week period, based on clinical assessments, ambient gait analysis, and daily medication intake. The best model achieved a sensitivity and specificity of 72.8 and 73.2, respectively, with an area under the receiver operating characteristic curve (AUROC) of 76.2.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2023)
Article
Multidisciplinary Sciences
Raabeae Aryan, Elizabeth Inness, Kara K. Patterson, George Mochizuki, Avril Mansfield
Summary: This study aimed to investigate the relative and absolute reliabilities of force plate-based balance measures in individuals with sub-acute stroke. The findings suggest that mean speeds of centre of pressure, directional weight-bearing asymmetry, and speed-based symmetry index are the most reliable force plate-based measures for assessing balance in this population.
Article
Rehabilitation
Megan Towns, Sally Lindsay, Kelly Arbour-Nicitopoulos, Avril Mansfield, F. Virginia Wright
Summary: Youth with cerebral palsy generally engage in less physical activity than their typically developing peers. This study found that balance confidence may have a greater impact on physical activity participation for youth in lower Gross Motor Function Classification System levels. Interventions targeting balance confidence may be particularly beneficial for youth in Levels I-II.
DISABILITY AND REHABILITATION
(2022)
