journal
https://read.qxmd.com/read/38277314/music-occupational-physical-and-speech-therapy-interventions-for-patients-in-disorders-of-consciousness-an-umbrella-review
#41
REVIEW
Brooke Murtaugh, Ann-Marie Morrissey, Susan Fager, Heather E Knight, Jess Rushing, Jennifer Weaver
BACKGROUND: Current clinical guidelines recommend that a multidisciplinary team inclusive of allied healthcare practitioners deliver assessment and intervention for disorders of consciousness. Allied health professionals include music, occupational, physical, and speech therapists. These allied health clinicians are challenged to select interventions due to a lack of evidence-based recommendations regarding rehabilitation interventions that support recovery of consciousness. This umbrella review synthesizes available systematic reviews (SRs) that describe occupational, speech and language, physical and/or musical therapeutic interventions for people with disorders of consciousness...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38277313/prognosis-and-enhancement-of-recovery-in-disorders-of-consciousness
#42
JOURNAL ARTICLE
Mary E Russell, Flora M Hammond, Brooke Murtaugh
Disorders of consciousness after severe brain injury encompass conditions of coma, vegetative state/unresponsive wakefulness syndrome, and minimally conscious state. DoC clinical presentation pose perplexing challenges to medical professionals, researchers, and families alike. The outcome is uncertain in the first weeks to months after a brain injury, with families and medical providers often making important decisions that require certainty. Prognostication for individuals with these conditions has been the subject of intense scientific investigation that continues to strive for valid prognostic indicators and algorithms for predicting recovery of consciousness...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38277312/ethical-issues-of-nosology-in-disorders-of-consciousness
#43
JOURNAL ARTICLE
Nathaniel M Robbins, James L Bernat
The current classification scheme for severe disorders of consciousness (DoC) has several shortcomings. First, there is no consensus on how to incorporate patients with covert consciousness. Second, there is a mismatch between the definitions of severe DoC, based on consciousness, and the diagnosis of these same DoC, which is based on observable motoric responsiveness. Third, current categories are grouped into large heterogeneous syndromes which share phenotype, but do not incorporate underlying pathophysiology...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38251070/assessing-consciousness-and-cognition-in-disorders-of-consciousness
#44
REVIEW
Caroline Schnakers
Detecting willful cognition in these patients is known to be challenging due to the patients' motor disabilities and high vigilance fluctuations but also due to the lack of expertise and use of adequate tools to assess these patients in specific settings. This review will discuss the main disorders of consciousness after severe brain injury, how to assess consciousness and cognition in these patients, as well as the challenges and tools available to overcome these challenges and reach an accurate diagnosis.
2024: NeuroRehabilitation
https://read.qxmd.com/read/38251069/neuro-orthopaedic-assessment-and-management-in-patients-with-prolonged-disorders-of-consciousness-a-review
#45
REVIEW
Aurore Thibaut, Marta Aloisi, Joëlle Dreessen, Naji Alnagger, Nicolas Lejeune, Rita Formisano
BACKGROUND: Following a severe acquired brain injury, neuro-orthopaedic disorders are commonplace. While these disorders can impact patients' functional recovery and quality of life, little is known regarding the assessment, management and treatment of neuro-orthopaedic disorders in patients with disorders of consciousness (DoC). OBJECTIVE: To describe neuro-orthopaedic disorders in the context of DoC and provide insights on their management and treatment. METHODS: A review of the literature was conducted focusing on neuro-orthopaedic disorders in patients with prolonged DoC...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38251068/pediatric-disorders-of-consciousness-considerations-controversies-and-caveats
#46
JOURNAL ARTICLE
Beth Slomine, Erika Molteni
Pediatric disorders of consciousness (PedDOC) encompass conditions that may occur following very severe traumatic or other forms of acquired brain injury sustained during childhood. As in adults, PedDOC is described as a disturbance of awareness and/or responsiveness. PedDOC is a complex condition that requires specialized care, infrastructures, and technologies. PedDOC poses many challenges to healthcare providers and caregivers during recovery and throughout development. In this commentary, we intend to highlight some considerations, controversies, and caveats on the diagnosis, prognosis and treatment of PedDOC...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38217621/swallowing-dysfunctions-in-patients-with-disorders-of-consciousness-evidence-from-neuroimaging-data-assessment-and-management
#47
REVIEW
Amandine Regnier, Evelyne Mélotte, Charlène Aubinet, Naji Alnagger, David Fischer, Aude Lagier, Aurore Thibaut, Steven Laureys, Jean-François Kaux, Olivia Gosseries
Following severe brain injuries, a subset of patients may remain in an altered state of consciousness; most of these patients require artificial feeding. Currently, a functional oral phase and the presence of exclusive oral feeding may constitute signs of consciousness. Additionally, the presence of pharyngo-laryngeal secretions, saliva aspiration, cough reflex and tracheostomy are related to the level of consciousness. However, the link between swallowing and consciousness is yet to be fully understood. The primary aim of this review is to establish a comprehensive overview of the relationship between an individual's conscious behaviour and swallowing (reflexive and voluntary)...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38217620/medical-comorbidities-in-patients-with-prolonged-disorder-of-consciousness-a-narrative-review
#48
REVIEW
Anna Estraneo, Marie-Michele Briand, Enrique Noé
BACKGROUND: A few studies specifically addressed medical comorbidities (MCs) in patients with severe acquired traumatic or non-traumatic brain injury and prolonged disorders of consciousness (pDoC; i.e., patients in vegetative state/unresponsive wakefulness syndrome, VS/UWS, or in minimally conscious state, MCS). OBJECTIVE: To provide an overview on incidence of MCs in patients with pDoC. METHODS: Narrative review on most impacting MCs in patients with pDoC, both those directly related to brain damage (epilepsy, neurosurgical complications, spasticity, paroxysmal sympathetic hyperactivity, PSH), and those related to severe disability and prolonged immobility (respiratory comorbidities, endocrine disorders, metabolic abnormalities, heterotopic ossifications)...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38217619/covert-consciousness
#49
JOURNAL ARTICLE
Michael J Young, Brian L Edlow, Yelena G Bodien
Covert consciousness is a state of residual awareness following severe brain injury or neurological disorder that evades routine bedside behavioral detection. Patients with covert consciousness have preserved awareness but are incapable of self-expression through ordinary means of behavior or communication. Growing recognition of the limitations of bedside neurobehavioral examination in reliably detecting consciousness, along with advances in neurotechnologies capable of detecting brain states or subtle signs indicative of consciousness not discernible by routine examination, carry promise to transform approaches to classifying, diagnosing, prognosticating and treating disorders of consciousness...
2024: NeuroRehabilitation
https://read.qxmd.com/read/38160369/effects-of-enriched-task-specific-training-on-sit-to-stand-tasks-in-individuals-with-chronic-stroke
#50
JOURNAL ARTICLE
Sara Vive, Roland Zügner, Roy Tranberg, Lina Bunketorp-Käll
BACKGROUND: Approximately 80% of stroke survivors experience motor impairment of the contralateral limb that severely affects their activities of daily living (ADL). OBJECTIVE: To evaluate whether an enriched task-specific training (ETT) program affected the performance and kinetics of sit-to-stand (STS) tasks. METHODS: The study was part of an exploratory study with a within-subject, repeated-measure-design, with assessments before and after a three-week-long baseline period, and six months after the intervention...
December 23, 2023: NeuroRehabilitation
https://read.qxmd.com/read/38143387/efficacy-of-brain-computer-interfaces-on-upper-extremity-motor-function-rehabilitation-after-stroke-a-systematic-review-and-meta-analysis
#51
REVIEW
Ming Zhang, Feilong Zhu, Fan Jia, Yu Wu, Bin Wang, Ling Gao, Fengming Chu, Wei Tang
BACKGROUND: The recovery of upper limb function is crucial to the daily life activities of stroke patients. Brain-computer interface technology may have potential benefits in treating upper limb dysfunction. OBJECTIVE: To systematically evaluate the efficacy of brain-computer interfaces (BCI) in the rehabilitation of upper limb motor function in stroke patients. METHODS: Six databases up to July 2023 were reviewed according to the PRSIMA guidelines...
December 22, 2023: NeuroRehabilitation
https://read.qxmd.com/read/38143386/transcranial-direct-current-stimulation-in-physical-therapy-treatment-for-adults-after-stroke-a-systematic-review
#52
REVIEW
Manuel Rodríguez-Huguet, Carmen Ayala-Martínez, Maria Jesus Vinolo-Gil, Pablo Góngora-Rodríguez, Rocío Martín-Valero, Jorge Góngora-Rodríguez
BACKGROUND: Stroke is a clinical syndrome that can cause neurological disorders due to a reduction or interruption in the blood flow at the brain level. Transcranial direct current stimulation (TDCS) is a non-invasive electrotherapy technique with the ability to modulate the function of nervous tissue. OBJECTIVE: The aim of this review is to analyze the effects derived from the application of the TDCS for post-stroke patients on functionality and mobility. METHODS: The data search was conducted in PubMed, PEDro, Cochrane Library, Web of Science and Scopus between July and August 2023...
December 21, 2023: NeuroRehabilitation
https://read.qxmd.com/read/38143385/validating-the-fatigue-scale-for-motor-and-cognitive-function-fsmc-in-chronic-stroke
#53
JOURNAL ARTICLE
Hui-Ting Goh, Jill Stewart, Kevin Becker
BACKGROUND: Post-stroke fatigue can manifest as both physical and mental fatigue. The Fatigue Scale for Motor and Cognitive Functions (FSMC) evaluates fatigue on the motor and cognitive domains separately, however, the psychometric properties of this measure in stroke have not been reported. OBJECTIVE: To determine the internal consistency, test-retest reliability, and concurrent validity of the FSMC in chronic stroke. METHODS: Thirty-four participants with chronic stroke (55...
December 21, 2023: NeuroRehabilitation
https://read.qxmd.com/read/38143384/potential-adverse-effects-of-face-mask-use-on-cardiopulmonary-function-and-thermoregulation-in-robotic-stroke-rehabilitation-during-the-covid-19-pandemic
#54
JOURNAL ARTICLE
Yundae Kwon, Chanhee Park, Wonjun Oh, Joshua Sung H You
BACKGROUND: The coronavirus disease (COVID-19) pandemic led to the implementation of wearing face masks and social distancing in stroke rehabilitation to prevent airborne transmission and contain the virus. The use of masks causes hypoxia and dyspnea in patients with stroke, predisposing them to other harmful medical conditions. Despite the clinical importance of the potential risk of wearing masks during robotic stroke rehabilitation, no clinical evidence is available in the literature...
December 21, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37927284/patterns-and-predictors-of-dental-hospitalizations-in-patients-with-acquired-brain-injury-from-pre-injury-to-acute-and-post-acute-injury
#55
JOURNAL ARTICLE
Somayyeh Azimi, Lakkhina Troeung, Angelita Martini
BACKGROUND: Acquired brain injury (ABI) can cause long-term disability and functional impairment. OBJECTIVE: This study aims to determine the prevalence of dental hospitalizations in an ABI cohort across different phases of injury and identify factors associated with such hospitalizations. METHODS: The cohort comprises patients with ABI (n = 683), traumatic (n = 282) and non-traumatic (n = 401) who were admitted to a neurorehabilitation service in Western Australia between 1991 and 2016...
October 28, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37458051/prism-adaptation-treatment-improves-spatial-neglect-after-severe-traumatic-brain-injury-a-case-series
#56
JOURNAL ARTICLE
Nicole Diaz-Segarra, Emily Steenburgh, Gabrielle Broadley, Amy Teale
BACKROUND: Spatial neglect (SN) after traumatic brain injury (TBI) is common, hindering rehabilitation progress and functional outcomes. Most research has focused on SN treatment after stroke with few published instances of post-TBI SN treated using prism adaptation treatment (PAT) in inpatient rehabilitation. OBJECTIVE: This case series characterizes the dose, after-effect, and treatment response of PAT in patients with SN after severe TBI. METHODS: Six patients exhibiting severe (n = 2), moderate (n = 2), or mild (n = 2) SN after severe TBI received 5 to 10 PAT sessions during their inpatient rehabilitation stay...
July 13, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37458050/lower-limb-muscle-strength-of-the-affected-side-in-stroke-patients-is-an-accurate-predictor-of-the-need-for-a-kafo
#57
JOURNAL ARTICLE
Hiroaki Abe, Takashi Seki, Naohide Tsujimoto, Toru Okanuka
BACKGROUND: Accurate prediction of recovery is essential to determine whether a knee-ankle-foot orthosis (KAFO) is required in the subacute phase of stroke. However, there are currently no reliable methods to predict such recovery. OBJECTIVE: This study aimed to determine whether muscle strength of the affected lower limb (affected side LL strength) in stroke patients in the subacute phase who cannot walk without a KAFO can be used to predict the continuous need for a KAFO, using a hand-held dynamometer...
July 13, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37424486/does-occupational-therapy-improve-activities-of-daily-living-and-or-cognitive-abilities-in-stroke-patients-with-cognitive-impairment-a-cochrane-review-summary-with-commentary
#58
JOURNAL ARTICLE
Francesca Cecchi
BACKGROUND: Cognitive Impairment (CI) after stroke is frequent and often persistent, and is associated with poor functional outcome. Occupational therapy (OT) is aimed at restoring functioning also by addressing CI. OBJECTIVE: Commentary on the review by Gibson et al. (2022) updating a previous Cochrane Review (Hoffmann et al., 2010) to investigate the effectiveness of OT on CI after stroke. METHODS: This review included randomised and quasi-randomised controlled trials evaluating OT for adults with clinically defined stroke and confirmed CI...
July 1, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37424485/venous-thromboembolism-and-anticoagulation-in-spinal-cord-lesion-rehabilitation-inpatients-a-10-year-retrospective-study
#59
JOURNAL ARTICLE
Vadim Bluvshtein, Amiram Catz, Ala Mahamid, Keren Elkayam, Dianne Michaeli, Lilach Front, Adi Kfir, Ilana Gelernter, Elena Aidinoff
BACKGROUND: Venous thromboembolism (VTE) is a concern following the onset of spinal cord lesions (SCL). OBJECTIVES: To assess the current efficacy and risks of anticoagulation after SCL and consider changes in thromboprophylaxis. METHODS: This retrospective cohort study included individuals admitted to inpatient rehabilitation within 3 months of SCL onset. Main outcome measures were the incidence of deep vein thrombosis (DVT), pulmonary embolism (PE), bleeding, thrombocytopenia, or death, which occurred within 1 year of the SCL onset...
July 1, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37424483/application-of-rectal-balloon-ice-water-stimulation-for-the-rehabilitation-of-stroke-patients-with-neurogenic-bowel-dysfunction
#60
JOURNAL ARTICLE
Di Zhang, Hong Tang, Ting Li, Ping Li, Xiangying Pan, Qin Jia, Lu Wang, Yanjun Zhao
BACKGROUND: Neurogenic bowel dysfunction (NBD) is a common complication in stroke patients. OBJECTIVE: To investigate the effect of rectal balloon ice water stimulation on the rehabilitation of patients with NBD after a cerebral stroke. METHODS: Forty stroke patients with NBD were selected between March and August 2022 and randomly divided into a study group (n = 20) and a control group (n = 20). Based on routine rehabilitation training, rectal balloon ice water stimulation or finger rectal stimulation were performed on the study or control group, respectively...
July 1, 2023: NeuroRehabilitation
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