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Ana Maria Furkima, Roberta Gonçalves da Silva, Gabriela Vanin, Rosemary Martino
INTRODUCTION: Temporal features of swallowing physiology vary with age in healthy normals and have the potential to impact swallow safety and efficiency in patients with dysphagia. We conducted a meta-analysis to assess the relation between temporal features of swallowing with penetration, aspiration and residue in adult patients with dysphagia regardless of etiology. METHODS: Operational definitions of relevant terms were defined a priori. A search of 5 databases was conducted to November 2016 without restriction to language...
February 9, 2019: NeuroRehabilitation
Sinisa Maslovara, Silva Butkovic-Soldo, Mihaela Peric, Ivana Pajic Matic, Anamarija Sestak
BACKGROUND: The minimal number of studies have documented the impact of Vestibular rehabilitation (VR) on the recovery rate of patients with Chronic Unilateral Vestibular Hypofunction (CUVH) and Bilateral Vestibular Hypofunction (BVH). OBJECTIVES: The goal of the study was to show and compare the impact of vestibular rehabilitation (VR) in patients with CUVH and BVH. METHODS: We analysed the data of 30 patients with CUVH and 20 with BVH treated with VR...
February 7, 2019: NeuroRehabilitation
H Honoré, K Eggertsen, S Sondergaard
BACKGROUND: Patients suffering brain injury may experience paroxystic sympathetic hyperactivity, presenting diagnostic and therapeutic challenges in neurointensive rehabilitation. The syndrome has been modelled as peripheral and central excitatory:inhibitory ratios of autonomous nervous activity. Another model represents the symptoms as oscillations of the two components of the autonomous nervous system. In therapeutic framework, the syndrome is perceived as the patient misconstruing sensory input relating body positioning...
February 4, 2019: NeuroRehabilitation
Dohee Jung, Ji-Won Park, Yun-Hee Kim, Joshua Sung Hyun You
BACKGROUND: Intermanual transfer of learning is an important movement basis for a keyboard and instrument playing movement. However, the issue of where neural plastic mechanism occurs in the brain after intermanual transfer training remains both controversial and unresolved. OBJECTIVE: The aim of present study is to investigate the neuroplastic mechanism associated with the interlimb transfer learning from non-dominant hand to dominant hand. METHODS: Twenty healthy right-handed adults were classified into either the control group (no-training) or the experimental group (training serial button-press motor task, SPMT), 5 days a week for two consecutive weeks...
February 4, 2019: NeuroRehabilitation
Mohammad Alwardat, Tommaso Schirinzi, Giulia Di Lazzaro, Donatella Franco, Paola Imbriani, Paola Sinibaldi Salimei, Nicola Biagio Mercuri, Antonio Pisani
BACKGROUND: Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson's disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A). OBJECTIVES: to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD). METHODS: Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A...
February 4, 2019: NeuroRehabilitation
Jin Park, Tae-Ho Kim
BACKGROUND: Stroke patients have a lower quality of life than other people. OBJECTIVE: The purpose of this study was to examine the effect of balance and gait function of stroke patients on their quality of life. METHODS: Twenty-seven subjects participated in the experiment. Balance ability was assessed using a SpaceBalance 3D and a Berg Balance Scale (BBS). Gait function was measured with a Biodex Gait Trainer 2 treadmill system. The quality of life of the subjects was assessed through the Stroke specific Quality of Life Scale (SS-QOL)...
February 2, 2019: NeuroRehabilitation
Wendy E Schell, Victoria S Mar, Carolyn P Da Silva
BACKGROUND: Persons diagnosed with Amyotrophic Lateral Sclerosis (ALS) often demonstrate neurological deficits that predispose them to repeated falls and associated adverse consequences. Determining contributing factors to falls in this population is critical to improve safety and patient outcomes. OBJECTIVE: The purpose of this study was to correlate clinical measures of gait speed, balance, strength, spasticity, and a self-reported rating scale of function with fall incidence in individuals with ALS...
January 29, 2019: NeuroRehabilitation
Marilia Simonelli, Giovanni Ruoppolo I, Marco Iosa, Giovanni Morone, Augusto Fusco, Maria Grazia Grasso, Andrea Gallo, Stefano Paolucci
BACKGROUND: Oropharyngeal dysphagia is a common problem in subacute stroke patients leading to aspiration pneumonia and malnutrition. Non-invasive neuromuscular electrical stimulation (NMES) coupled with traditional therapy could be best treatment option for patients with post-stroke dysphagia, however results are still inconclusive and more studies are requested. OBJECTIVE: The aim of the study was to investigate the effect of laryngopharyngeal neuromuscular electrical stimulation on dysphagia caused by stroke...
January 29, 2019: NeuroRehabilitation
Camila R Simão, Isabelly Cristina R Regalado, Ana Paula Spaniol, Débora O S Fonseca, Tatiana de Souza Ribeiro, Ana R Lindquist
BACKGROUND: Children with hemiparetic cerebral palsy are often characterized by reduced speed progression, shorter step length, and increased support base. These kinematic alterations result in inefficient gait. OBJECTIVE: To assess the immediate effects of treadmill training with additional lower limb loading on kinematic gait parameters in children with Cerebral Palsy (CP). METHODS: This cross-sectional, observational study, involved 20 children with hemiparetic CP that underwent single treadmill session with ankle loading...
January 29, 2019: NeuroRehabilitation
Katsuyuki Iwatsuki, Minoru Hoshiyama, Shintaro Oyama, Shingo Shimoda, Hitoshi Hirata
BACKGROUND: The effect of tacit learning systems (TLSs) on brain plasticity are as of yet unknown. We developed a myoelectric hand prosthesis equipped with a TLS to auto-regulate forearm rotation in response to upper extremity movement patterns. OBJECTIVE: To evaluate the effects of tacit learning on the central nervous system during a prosthesis control exercise. METHODS: The experienced prosthetic user performed a series of simple mechanical tasks with the TLS inactivated (the baseline condition) and then with it activated (the enhanced, experimental condition)...
January 29, 2019: NeuroRehabilitation
Lili Zhang, Yimei Liu, Ziyun Zhou, Yan Wei, Jie Wang, Jie Yang, Yanling Wu, Yan Sun
BACKGROUND: OBJECTIVE:This study aimed to investigate the effects of long-term rehabilitation and related factors affecting the recovery of autistic children. METHODS: A total of 137 autistic children were followed up for 3 years. They received two neuropsychological assessments at the first visit and 3 years after referral. Assessments included Childhood Autism Rating Scale (CARS), Autism Behavior Checklist (ABC), and Developmental Diagnostic Scale of Children Aged 0-6 Years...
January 29, 2019: NeuroRehabilitation
Linda Clare, Julia C Teale, Gill Toms, Aleksandra Kudlicka, Isobel Evans, Sharon Abrahams, Laura H Goldstein, John V Hindle, Aileen K Ho, Marjan Jahanshahi, Dawn Langdon, Robin Morris, Julie S Snowden, Rhys Davies, Ivana Markova, Monica Busse, Jo Thompson-Coon
BACKGROUND: Despite their potentially significant impact, cognitive disability may be overlooked in a number of progressive neurodegenerative conditions, as other difficulties dominate the clinical picture. OBJECTIVE: We examined the extent, nature and range of the research evidence relating to cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in Parkinsonian disorders, multiple sclerosis (MS), frontotemporal dementias (FTD), motor neuron disease and Huntington's disease...
November 8, 2018: NeuroRehabilitation
Muhammed D Al-Jarrah, Nour S Erekat
BACKGROUND: Induction of Parkinson disease (PD) causes IL-1β and TNF-α upregulation in gastrocnemius skeletal muscles. Endurance exercise suppresses iNOS and HSP90 overexpression in PD skeletal muscle. The purpose of this study is to test the impact of treadmill exercise training on PD-associated IL-1β and TNF-α upregulation in the gastrocnemius muscle. METHODS: Thirty normal albino mice were randomly selected and divided into three equal groups: sedentary control (SC), sedentary PD (SPD), and Exercised PD (EPD)...
November 2, 2018: NeuroRehabilitation
Vasileios C Skoutelis, Anastasios Kanellopoulos, Stamatis Vrettos, Georgios Gkrimas, Vasileios Kontogeorgakos
BACKGROUND: Selective Percutaneous Myofascial lengthening (SPML) is an innovative minimally invasive surgical procedure, using micro incisions often combined with alcohol nerve block, for managing muscle contractures and stiffness in children with cerebral palsy (CP). There is lack of evidence of effects of a combined intervention of SPML and physiotherapy on gait function and muscle strength in CP. OBJECTIVE: This study investigated the change in gait function and muscle strength in children with CP who underwent gait laboratory assessment before and after SPML, combined with obturator nerve blocks, and 9-month post-surgical functional physiotherapy...
November 2, 2018: NeuroRehabilitation
Nigel V Marsh
OBJECTIVE: This study reports the results from a 5-year longitudinal investigation of the prevalence and severity of cognitive deficits following significant (i.e., ventilation required for >  24 hours) traumatic brain injury. The changes in performance, either improvement or decline, across five domains of cognitive functioning are described. METHOD: A group of 56 adults was assessed at approximately 6 months, 1 year, and 5 years following injury. RESULTS: Impairment was evident on all measures but prevalence and rate of improvement varied...
November 2, 2018: NeuroRehabilitation
Kazuya Takeda, Shigeo Tanabe, Soichiro Koyama, Koji Shomoto, Yuki Naoi, Hiroaki Sakurai, Yoshikiyo Kanada
BACKGROUND: The relationship between peak torque of the knee extensor muscles and gait speed was previously investigated in patients with chronic stroke, but whether the rate of force development (RFD), another indicator of muscle strength, affected gait speed remained unknown. OBJECTIVE: To clarify the relationships between the RFD of the knee extensor muscles over multiple time intervals and gait speed in patients with chronic stroke. METHODS: Twenty chronic stroke patients participated in this study...
November 2, 2018: NeuroRehabilitation
Norah Alhwoaimel, Ruth Turk, Martin Warner, Geert Verheyden, Liselot Thijs, Seng Kwee Wee, Ann-Marie Hughes
BACKGROUND: Post-stroke trunk control is reported to be associated with trunk performance and recovery of the upper limb, but the evidence for the influence of trunk exercise on both of these is unclear. OBJECTIVE: To evaluate the effect of trunk exercises on trunk performance post-stroke, and to determine if these exercises result in improved upper limb function. METHODS: A comprehensive search of the literature published between January 1990 and February 2017 was conducted using the following electronic databases; AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDiscus...
November 2, 2018: NeuroRehabilitation
T Foley, A McKinlay, N Warren, R J Stolwyk
INTRODUCTION: While cognitive impairment is a recognised feature of Parkinson's disease (PD), few studies have evaluated the validity of brief cognitive screening measures compared to a comprehensive neuropsychological assessment. This studies aim was to evaluate the sensitivity and specificity of the Mini-Mental State Examination (MMSE), Modified Mini-Mental State Examination and Dementia Rating Scale (DRS-2) to detect cognitive impairment in individuals with PD. METHOD: Fifty-eight participants were administered the MMSE, 3MS, DRS-2 and a neuropsychological battery...
November 2, 2018: NeuroRehabilitation
Brenda Jeng, Brian M Sandroff, Robert W Motl
BACKGROUND: The energetic cost of walking (Cw) is elevated in persons with multiple sclerosis (MS). This may be explained by spasticity and spatiotemporal parameters of gait. OBJECTIVE: To examine the associations among Cw, spasticity of ankle plantarflexors, and spatiotemporal gait parameters in persons with MS who had moderate disability. METHODS: The sample included 44 persons with MS who had moderate disability. Cw was measured over-ground during the 6-Minute Walk using indirect calorimetry and was calculated based on net oxygen consumption and walking speed (i...
October 31, 2018: NeuroRehabilitation
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