Posts Tagged Stroke

[ARTICLE] Application of Stem Cells in Stroke: A Multifactorial Approach – Full Text

Stroke has a debilitating effect on the human body and a serious negative effect on society, with a global incidence of one in every six people. According to the World Health Organization, 15 million people suffer stroke worldwide each year. Of these, 5 million die and another 5 million are permanently disabled. Motor and cognitive deficits like hemiparesis, paralysis, chronic pain, and psychomotor and behavioral symptoms can persist long term and prevent the patient from fully reintegrating into society, therefore continuing to add to the costly healthcare burden of stroke. Regenerative medicine using stem cells seems to be a panacea for sequelae after stroke. Stem cell-based therapy aids neuro-regeneration and neuroprotection for neurological recovery in patients. However, the use of stem cells as a therapy in stroke patients still needs a lot of research at both basic and translational levels. As well as the mode of action of stem cells in reversing the symptoms not being clear, there are several clinical parameters that need to be addressed before establishing stem cell therapy in stroke, such as the type of stem cells to be administered, the number of stem cells, the timing of dosage, whether dose-boosters are required, the route of administration, etc. There are upcoming prospects of cell-free therapy also by using exosomes derived from stem cells. There are several ongoing pre-clinical studies aiming to answer these questions. Despite still being in the development stage, stem cell therapy holds great potential for neurological rehabilitation in patients suffering from stroke.

Introduction

Stroke is one of the leading causes of chronic disability and mortality, with 102 million disability-adjusted life years lost annually (Steven, 2008). The Global Burden of Disease, Injuries, and Risk Factors Study (GBD 2015) reported a shift from communicable diseases toward non-communicable diseases like cerebrovascular events. While the incidence of stroke is decreasing in the developed world, it has peaked in low- and middle-income countries like India due to demographic transition and rapid shifts in the socioeconomic milieu (Thomson, 1998). The estimated adjusted prevalence rate of stroke is reported to have a range of 84–262/100,000 in rural and 334–424/100,000 in urban India (Wichterle et al., 2002Nagai et al., 2010).

The only neuroprotective agent developed for stroke in clinical use is recombinant tissue plasminogen activator (rtPA), which is employed for thrombolysis and has a therapeutic window of merely 3–4.5 h. There is thus a compelling need to develop therapeutic agents that extend beyond the first few hours after onset of stroke. This requires a paradigm shift to the usage of new strategies from neuroprotection to neuro-restoration that treat the injured or compromised brain tissue.

The majority of stroke survivors are left with some degree of disability, particularly upper limb dysfunction, despite several neurorehabilitation therapies. Physical therapy incorporating exercises, motor learning principles, motor cortex stimulation (using rTMS, TDCS), and assistive technologies aid the restoration of functional movements (Tae-Hoon and Yoon-Seok, 2012). The emergence of regenerative medicine has fueled interest across readers and clinicians to study its potential. Over the last decade, an enormous amount of work has been done exploring the potential of a variety of cells like adult stem cells, umbilical cord blood, and cells from adipose tissue and skin.

Pattern of Stroke Recovery

The recovery after stroke has been explained as a rich cascade of events encompassing cellular, molecular, genetic, demographic, and behavioral components. Such factors have been proven as covariates in therapeutic trials of restorative agents with a sound neurobiological basis. Advances in functional neuroimaging and brain mapping methods have provided a valuable parallel system of data collection for stroke recovery in humans. The recovery in a stroke-affected individual will largely depend on the size of lesion, the internal milieu of the brain injury, and the age and comorbid status of the patient. In general, the first epoch encompasses the initial hours after a stroke, when rapid change occurs in blood flow, edema, pro-inflammatory mechanisms. A second epoch is related to spontaneous behavioral recovery, which begins a few days after stroke onset and lasts several weeks. During this epoch, the brain is galvanized to initiate repair, as endogenous repair-related events reaching peak levels, suggesting a golden period for initiating exogenous restorative therapies. A third epoch begins weeks to months after stroke, when spontaneous behavioral gains have generally reached a plateau, and this stable state is responsive to many restorative interventions (Steven, 2008).

Mechanisms of Action of Stem Cells in Neural Repair

Stem cells have the capacity to differentiate into all types of cells. Exogenously administered cells appear to stimulate endogenous reparative processes and do not replace injured cerebral tissue. It was once thought that intravenously administered cells would home in on the injured site and replace the dead neurons, but the current ideology for the use of these cells holds that these cells release many trophic factors like VEGF, IGF, BDNF, and tissue growth factors that stimulate brain plasticity and recovery mechanisms. Upregulation of growth factors, prevention of ongoing cell death, and enhancement of synaptic connectivity between the host and graft are some of the common pathways through which intravenous stem cells work as “chaperones.” Regarding the timing of transplantation, preclinical studies have shown that cell therapy increases functional recovery after acute, sub-acute, and chronic stroke (Bliss et al., 2010), but few studies have compared different time windows, with differing results according to the model system and cell type studied. All of the possible modes of action of stem cells have been described in Figure 1.

Figure 1. Mechanisms of action of Mesenchymal Stem Cells in treating stroke.

[…]

Continue —->  Frontiers | Application of Stem Cells in Stroke: A Multifactorial Approach | Neuroscience

, , , , , ,

Leave a comment

[WEB PAGE] VIRTUAL GAMES HELP PEOPLE STAND, WALK IN REHAB

 

Virtual reality video games, activity monitors, and handheld computer devices can help people stand as well as walk, the largest trial worldwide into the effects of digital devices in rehabilitation has found. The study was undertaken at hospitals in Sydney and Adelaide, Australia, and had 300 participants ranging from 18 to 101 years old. Those who exercised using digital devices in addition to their usual rehabilitation were found to have better mobility (walking, standing up, and balance) after 3 weeks and after 6 months than those who just completed their usual rehabilitation. The results were published in PLOS Medicine.

Trial participants were recovering from strokes, brain injuries, falls, and fractures. Participants used on average 4 different devices while in hospital and 2 different devices when at home. Fitbits were the most used digital device but also tested were a suite of devices like Xbox, Wii, and iPads, making the exercises more interactive and enabling remote connection between patients and their physical therapists. Having a selection meant the physical therapist could tailor the choice of devices to meet the patient’s mobility problems while considering patient preferences.

Lead author Leanne Hassett, PhD, from the Faculty of Medicine and Health at the University of Sydney, said benefits reported by patients using the digital devices in rehabilitation included variety, fun, feedback about performance, cognitive challenge, that they enabled additional exercise, and the potential to use the devices with others, such as family, therapists, and other patients. “These benefits meant patients were more likely to continue their therapy when and where it suited them, with the assistance of digital healthcare,” she said.

Participants reported doing more walking at 6 months, meaning their rehabilitation was improved, but this was not detected in the physical activity measure (time spent upright) generally. In the younger age group, the devices also increased daily step count. Distinctions between physical activity were made through measurements with an activPAL, a small device attached to the thigh that records how much time is spent in different positions (sitting, standing, lying) as well as number of steps taken each day.

This study used research physical therapists to deliver the study; the next step will be to trial the approach in clinical practice by incorporating it into the work of physical therapists.

via VIRTUAL GAMES HELP PEOPLE STAND, WALK IN REHAB | Lower Extremity Review Magazine

, , , , , ,

Leave a comment

[WEB PAGE] ReStore Powered Exo-Suit Study Achieves Positive Results

Posted by  | Jun 23, 2020  

ReStore Powered Exo-Suit Study Achieves Positive Results

The majority of participants in a multi-center clinical study of the ReStore Soft Exo-Suit for the rehabilitation of individuals with lower limb disability due to stroke achieved meaningful walking speed improvements, according to ReWalk Robotics Ltd, in a media release.

The study examined patient safety and explored functional walking outcomes in stroke survivors who completed a series of gait training sessions with the ReStore device.

This research was conducted primarily to support the Company’s successful application to the U.S. Food and Drug Administration (FDA) for clearance of the ReStore Exo-Suit, which was issued in June 2019. The company also received CE Marking for the device in May 2019.

The study’s findings were published in the June issue of the Journal of NeuroEngineering and Rehabilitation, and were the result of investigation by five leading U.S. rehabilitation institutions:

  • Shirley Ryan AbilityLab in Chicago;
  • Spaulding Rehabilitation Hospital in Boston, in partnership with Boston University College of Health and Rehabilitation Sciences: Sargent College;
  • MossRehab Stroke and Neurological Disease Center in Elkins Park, Pa;
  • TIRR Memorial Hermann in Houston; and
  • Kessler Foundation in West Orange, NJ.

“This multi-site clinical trial of the safety and feasibility of the ReStore Exo-Suit is an important milestone in the field of rehabilitation technology,” Lou Awad, PT, DPT, PhD, Director of Boston University’s Neuromotor Recovery Laboratory and the site investigator at Spaulding Rehabilitation Hospital for this study, says in the release.

“Physical therapists have historically relied on passive assistive devices to help patients with post-stroke hemiparesis walk safely. As an active assistive device, the ReStore soft robotic exo-suit offers new opportunities to retrain walking after stroke.”

Thirty-six study participants with hemiplegia due to stroke each completed seven total study visits with the ReStore Exo-Suit. In addition to establishing device safety, which was the primary outcome for the study, several exploratory outcome measures were investigated, including a pre- and post-assessment of walking speeds, in which 64% of participants increased their unassisted walking speed by a clinically meaningful margin, the release continues.

Related Stories:
ReWalk Robotics Initiating Clinical Studies of Restore Exoskeleton for Stroke Patients
ReWalk Robotics Introduces Exoskeleton Designed for Stroke Patients
Wyss Institute Collaborating with ReWalk Robotics to Develop Soft Exosuit

“We are thrilled to see the results from the ReStore clinical trial being published in a joint paper authored by the primary investigators from all five of our highly regarded study sites,” says Kathleen O’Donnell, Director of Product Management and Strategy at ReWalk Robotics, headquartered in Marlborough, Mass.

“This work summarizes the first results from the largest soft exo-suit trial to date, and the positive findings in terms of safety and improved walking speeds showcase the potential of this technology to dramatically impact patient outcomes post stroke,” she adds.

The first-of-its-kind ReStore Exo-Suit was unveiled in 2017 and was designed to be a versatile, cost-effective gait therapy solution to train for improved gait by providing coordinated plantarflexion and dorsiflexion assistance to a patient’s impaired foot and ankle, according to the company.

[Source(s): ReWalk Robotics Ltd, PR Newswire]

via ReStore Powered Exo-Suit Study Achieves Positive Results – Rehab Managment

, , ,

Leave a comment

[Abstract + Referrences] Developing Technique for Arm Movement Rehabilitation of Post Stroke Patient – Proceedings

ABSTRACT

There are numerous studies and efforts to improve rehabilitation programs for stroke sufferers. Mostly, the sufferers are usually suffered from temporary or permanent paralysis. This leads to rehabilitation as a recommended program to implement so that the sufferers could return to a near-to-normal and independent life. Traditionally, rehabilitation to a certain paralyzed body part, i.e. arms, uses periodic and routine therapy. It is intended to make it pliable doing joint muscle coordination movements. Therefore, this study examines and develops progressive movements to optimize the therapy result. An economical movement principle in assembling systems that is Therbligh motion is applied to the therapy of arm stroke patient movements. The principle of this movement will be compared with the traditional motion therapy used by physiotherapists. From kinematics and biomechanics analysis, it can be known which parts of the joints and muscles which play a role in the movement and how much burden occurs on the muscles or joints. The results of measurements of muscles strength with EMG to both principles of the movement of therapy for arm stroke patients, it was found that the principle of Therbligh movement produced greater muscle strength. Muscles strength is measured in position passive and active muscles.

References

  1. Health Research and development Agency, 2018, Key Results of Riskesdas 2018, Ministry of Health of The Republic of Indonesia, Jakarta. (in Indonesian)Google Scholar
  2. http://www.crossfitempower.com/elbow-care/ 2020, (accessed on January 12, 2020)Google Scholar
  3. Skinner HB, Mc Mahon PJ, Current diagnosis and treatment in Orthopedic, http://www.accessurgery.com, 2019 (accessed on August 15, 2019)Google Scholar
  4. http://www.123rf.com/photo_124273641_stock-vector-arm-muscle-anatomy-3d-medical-vector-illustration-forearm.html (accessed on January 12, 2020)Google Scholar
  5. Ikawati, Z., Anurogo D., 2018, Governance of Central Nervous System Diseases (in Indonesian), ed.1, pp. 155–178, Bursa Ilmu, Yogyakarta.Google Scholar
  6. Suci D, 2018, Physiotherapy Efforts to Relieve Stroke (in Indonesian), Director General of Health Yankes Kemkes.go.idGoogle Scholar
  7. Danielle S. Murashige, MD, PhD Candidate|, Reviewed by Nervous Jeffrey M. Rothschild, MD, MPH and the Buoy Medical Review Team, 2019Google Scholar
  8. Pearce, E. C., 2013, Anatomy and Physiology for Paramedics (in Indonesian), ed. 4, pp. 44–133, PT.Gramedia Pustaka Utama, JakartaGoogle Scholar
  9. B.Kristyanto, B.B. Nugraha, A.K. Pamosoaji, K.A. Nugroho, 2017, Analysis of Human Arm Motions AtAssembly Work As A Basic Of Designing Dual Robot Arm System, Proceeding of IEEE, SingaporeGoogle Scholar
  10. B. Kristyanto, B.B Nugraha, A.K Pamosoaji, K.A. Nugroho, 2017, Therbligh Analysis, as a Basic of Movement Therapy for Stroke Patients, Proceeding of IHSED, France.Google Scholar
  11. Md. Anisur Rahman, Alimul Haque Khan, Dr. Tofayel Ahmed, Md. Mohsin Sajjad, 2013, Design, Analysis and Implementation of a Robotic Arm- The Animator, American Journal of Engineering Research, volume -02, Issue-10.Google Scholar
  12. Bimo Ariotejo, 2016, Stroke Healing by Sterno (in Indonesian).Google Scholar

via Developing Technique for Arm Movement Rehabilitation of Post Stroke Patient | Proceedings of the 2020 10th International Conference on Biomedical Engineering and Technology

, , , , , ,

Leave a comment

[Abstract + Similar articles] Interventions for Sexual Dysfunction Following Stroke

Abstract

Background: Sexual dysfunction following stroke is common but often is poorly managed. As awareness of sexual dysfunction following stroke increases as an important issue, a clearer evidence base for interventions for sexual dysfunction is needed to optimise management.

Objectives: To evaluate the effectiveness of interventions to reduce sexual dysfunction following stroke, and to assess adverse events associated with interventions for sexual dysfunction following stroke.

Search methods: We conducted the search on 27 November 2019. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; from June 2014), in the Cochrane Library; MEDLINE (from 1950); Embase (from 1980); the Cumulative Index to Nursing and Allied Health Literature (CINAHL; from 1982); the Allied and Complementary Medicine Database (AMED; from 1985); PsycINFO (from 1806); the Physiotherapy Evidence Database (PEDro; from 1999); and 10 additional bibliographic databases and ongoing trial registers.

Selection criteria: We included randomised controlled trials (RCTs) that compared pharmacological treatments, mechanical devices, or complementary medicine interventions versus placebo. We also included other non-pharmacological interventions (such as education or therapy), which were compared against usual care or different forms of intervention (such as different intensities) for treating sexual dysfunction in stroke survivors.

Data collection and analysis: Two review authors independently selected eligible studies, extracted data, and assessed study quality. We determined the risk of bias for each study and performed a ‘best evidence’ synthesis using the GRADE approach.

Main results: We identified three RCTs with a total of 212 participants. We noted significant heterogeneity in interventions (one pharmacological, one physiotherapy-based, and one psycho-educational), and all RCTs were small and of ‘low’ or ‘very low’ quality. Based on these RCTs, data are insufficient to provide any reliable indication of benefit or risk to guide clinical practice in terms of the use of sertraline, specific pelvic floor muscle training, or individualised sexual rehabilitation.

Authors’ conclusions: Use of sertraline to treat premature ejaculation needs to be tested in further RCTs. The lack of benefit with structured sexual rehabilitation and pelvic floor physiotherapy should not be interpreted as proof of ineffectiveness. Well-designed, randomised, double-blinded, placebo-controlled trials of long-term duration are needed to determine the effectiveness of various types of interventions for sexual dysfunction. It should be noted, however, that it may not be possible to double-blind trials of complex interventions.

Similar articles

via Interventions for Sexual Dysfunction Following Stroke – PubMed

, , ,

Leave a comment

[Abstract + Similar articles] Evidence of Chronic Stroke Rehabilitation Interventions in Activities and Participation Outcomes: Systematic Review of Meta-Analyses of Randomized Controlled Trials

Abstract

Introduction: Stroke is a leading cause of long-term disabilities worldwide. A great deal of meta-analyses of randomized controlled trials (RCTs) address rehabilitation in chronic stroke, several of them with focus on activities and participation, considered critical outcomes of successful rehabilitation. Nevertheless, substantial heterogeneity might exist between studies, the reported associations may be causal, but they might also be flawed, as inherent study biases such as residual confounding and selective reporting of positive results may exaggerate the effect of interventions in chronic phase. Furthermore, most RCTs might focus on specific rehabilitation domains, not paying the same attention to others.

Evidence acqusition: Formal evaluation of published systematic reviews of meta-analyses (January 2008 to November 2018) of rehabilitation in chronic phase to 1) assess the strength of evidence: participants, publication biases, heterogeneity, prediction intervals (PIs) 2) grade the evidence to perform qualitative analysis on effects sizes and heterogeneity, 3) perform meta-regressions and sensitivity analysis on relevant covariates 4) map outcomes to activities and participation domain of the World Health Organization’s International Classification of Functioning, Disability and Health (ICF). Systematic review on meta-analyses of RCTs addressing activities and participation will be performed in Medline, Web of Science, Scopus, Cochrane and Google Scholar.

Evidence synthesis: A total of 97 meta-analyses on 31 different rehabilitation interventions involving 25,275 participants were included. Thirty-nine meta-analyses (40.74%) reported statistically significant findings (P<0.05) in both fixed and random effects sizes. Their magnitude was small in 62.96% cases, moderate in 19.75% and large in 17.28%. Heterogeneity was low in 48,48%, moderate and high in 21.2%. The mean number of participants is 815, far away from the convincing, highly suggestive, or suggestive required evidence levels. All PIs include the null value. Mobility is addressed by 87% of the identified meta-analyses, with 75% of them focusing exclusively in mobility.

Conclusions: The findings of this study show a clear need for high quality RCTs examining the effectiveness of rehabilitation interventions addressing activities and participation. The ICF framework may contribute to a holistic approach in chronic stroke rehabilitation, including not only motor functioning but also the ability to participate in everyday life activities.

Similar articles

via Evidence of Chronic Stroke Rehabilitation Interventions in Activities and Participation Outcomes: Systematic Review of Meta-Analyses of Randomized Controlled Trials – PubMed

, ,

Leave a comment

[Abstract] Reliability of and Minimal Detectable Changes in Gait Performance Tests in Patients With Chronic Hemiplegic Stroke

Abstract

Purpose: This study aimed to determine the inter- and intra-rater reliability of and minimal detectable changes (MDCs) at the 95% confidence interval in gait performance tests in patients with chronic hemiplegic stroke who can walk independently.

Materials and Methods: Thirty patients with chronic hemiplegic stroke (24 men, 6 women, mean age 62.5 ± 11.6 years) were enrolled. Physical therapists (mean clinical experience: 9.1 ± 9.3 years) performed the timed up and go test (TUG), 10-m walk test (10MWT), and 6-min walk test (6MWT) 1 day apart. Reliability was evaluated using the intraclass correlation coefficient (ICC) and Bland–Altman analysis.

Results: The ICC was ≥0.9 for all tests, and no systematic bias was found. MDC at the 95% confidence interval was 1.9 s for the TUG, 0.16 m/s for the 10MWT, and 28.4 m for the 6MWT.

Discussion: We demonstrated excellent intra- and inter-rater reliability of all tests. These results suggest that gait performance tests are reliable.

Conclusion: These commonly used gait performance tests demonstrated high reliability and can be recommended to evaluate clinically meaningful improvements in patients with chronic hemiplegic stroke who can walk independently.

via Reliability of and Minimal Detectable Changes in Gait Performance Tests in Patients With Chronic Hemiplegic Stroke – Jun Hayakawa, Mitsuhiro Ochi, Yudai Yano, Ryutaro Matsugaki, Yuto Ogata, Takeshi Murakami, Satoshi Kuhara, Hideaki Itoh, Kenji Hachisuka, Satoru Saeki, 2020

, , , , ,

Leave a comment

[WEB SITE] The Best Tips for Stroke Survivors for Recovery and Participation

Physical health, work, and leisure are still options after stroke. Here are some of the the best things to know to stay productive and fulfilled as a stroke survivor.

The Best Tips for Stroke Survivors to Maximize Recovery and Participation

Navigating life after stroke is daunting, to say the least. In addition to changing your body and mind, a stroke can alter the way you engage in work, leisure, and social activities. Because the effects of stroke are varied and far-reaching, it can be hard to find advice tailored to your unique situation.

It helps to have a good medical team in your corner for targeted suggestions. Nevertheless, there are some pearls of wisdom that broadly benefit stroke survivors.

Here are some of the best things to know as a stroke survivor:

  1. It’s up to you to prevent your next stroke
  2. Use your affected side or lose its potential to improve
  3. Check in with your occupational or physical therapist yearly
  4. Consider adaptive solutions for work and hobbies
  5. Market your ideas to benefit the stroke survivor community

Prevent Another Stroke Through Lifestyle Changes

Having a first stroke increases your risk of having another. About 25 percent of people who have had one stroke will have a second, despite the fact that most strokes are preventable through lifestyle and behavior changes.

The American Heart Association recommends working with your doctor to create a stroke prevention plan focusing on medication, exercise, and diet. Stroke prevention strategies may include things like consistently taking high blood pressure medication, walking outdoors every day, and consuming less sodium.

Consider this: all of your progress can be erased in an instant by another stroke. Minimize future risk and lay the foundation for a successful recovery by making healthy choices as soon as possible.

Use It or Lose It

Many stroke survivors who have been through rehab are familiar with the phrase, “Use it or lose it”. This favorite saying among therapists describes the brain’s potential to remodel itself after damage through a process called neuroplasticity.

Consistently practicing skills like walking, reaching, grasping, or functional object use can develop new neural connections (pathways for brain messages), resulting in improved performance. However, unused neural circuits break down over time. Your therapist wasn’t kidding—if you don’t try to use your affected side early and often, your brain will reorganize itself in a way that will make it much harder to regain control in the future.

Incorporate your affected side into your daily routine, even if it takes more time. Ask your therapist for recommendations if you are unsure what skills you can safely practice at home or how often. He or she can provide guidance on activity choices, optimal postures and movement patterns, and frequency to ensure you are relearning skills effectively.

Check In With Your Therapist

Survivors who are dealing with side effects years after stroke can feel let down by the healthcare system, especially if they are no longer in therapy. Individuals who have completed a previous course of outpatient therapies may feel like they have done all there is to treat their symptoms and there is no point in going back.

There are many reasons to see a therapy team throughout your stroke journey. Your therapists can issue or update your home exercise program to ensure you are maintaining function at home and not backsliding. They can assess for orthopedic (bone and muscle) changes that can develop as a result of post-stroke weakness or spasticity and prevent you from developing additional complications. Your therapists will collaborate with you to incorporate your goals and priorities into their treatment plan.

Many health insurance plans cover therapy visits; however, your provider and home state can dictate what type and amount of services are available. Look into your plan details to see if you are eligible for additional outpatient therapy treatment, then discuss your concerns with your primary doctor. He or she can write a referral for therapy if they agree that it is warranted.

Get Back to Work, Volunteering, and Hobbies

Depending on the effects of their stroke, not all survivors are able to return to their previous job. If your medical team thinks you are able to return to work in some capacity, consider vocational rehabilitation. These professionals provide career assessment, counseling, and job placement services to allow individuals with physical or cognitive disabilities to find compatible occupations.

If returning to work is not an option, consider volunteering. Peer mentorship is a rewarding opportunity for stroke survivors to provide ongoing advice and encouragement to someone with a new stroke. Peer mentors are usually at least one year post-stroke and must undergo training before being matched with a mentee. Inquire at local hospitals or search online to learn more about how to become a peer mentor.

If returning to your previous pastimes seems impossible, look into them using the keyword “adaptive”. Adaptive activities are altered to allow individuals with physical or cognitive disabilities to participate. Options like adaptive sports,  accessible outdoor activities, and supported conversation groups are just the tip of the iceberg. AbleThrive’s online directory of adaptive hobbies is a great starting point to review old and new leisure pursuits.

Share Your Tips, Market Your Ideas

Necessity is truly the mother of invention for stroke survivors, who often develop unique strategies, tools, and solutions for everyday problems through trial and error. Some have even turned their ideas into products and services to benefit the survivor community.

Stroke survivor Rosanna Redding designed cooking products to ease meal preparation with one-sided weakness. She now sells inventions including an adaptive cutting board and jar opener on her website, where she also blogs about solutions for cooking and crafting with hemiplegia.

Survivor Christopher Ewing spun his previous experience as a TV host to create Life After Stroke, an online support group and resource network with webpage, podcast, and app formats. Survivor Ella Sofia’s stroke at age 14 contributed to her decision to become a habit coach and blogger, detailing strategies on how to retrain your brain on her website and YouTube channel.

Think about your own solutions and passions as well as a platform to convey them. Sharing your informed ideas may start as a fulfilling hobby that turns into a second career!

The Big Picture

Physical health, work, and leisure were likely a part of your life before stroke, and remain options after. Consider what areas you are currently succeeding in and what you are lacking. Make an action plans with your healthcare team or loved ones to tackle your new goals. Know that you might have to put in hard work or approach things differently, but a productive and meaningful life is within reach.

via The Best Tips for Stroke Survivors for Recovery and Participation

, , ,

Leave a comment

[Abstract + Similar articles] Recovering Functional Independence After a Stroke Through Modified Constraint-Induced Therapy

Abstract

Background: Population ageing and changes in the epidemiological profile of neurological pathologies has resulted in an increase in patients with disabilities. Rehabilitation strategies such as Modified Constraint-Induced Movement Therapy (CIMTm) play a key role in treating patients with neurologic deficiencies and motor impairments. This intervention is intended to mitigate disability, promote maximum functional independence, and optimize social and economic participation of patients with upper extremity weakness. Our goal was to assess the recovery of functional independence in patients after a stroke using to CIMTm.

Patients and method: Thirty-six subjects who had suffered stroke took part in a randomised clinical trial. The treatment was applied through either collective or individual modalities for three hours per day for a period of ten days. Participant’s functional independence was assessed using the Functional Independence Measure (FIM) scale at the before and after of the intervention.

Results: An analysis of covariance carried out on the pre-test assessments indicates that the dependent variable presents significant differences (F1.31 = 42.78, p < 0.001, η2p = 0.72) in favour of the collective intervention modality.

Conclusion: Both modalities of CIMTm intervention promote functional independence. However, the greatest improvements were observed in participants in the collective modality. Improvements in functional independence pursue a reduction in learned non-use behaviours through greater use of the paretic upper extremity in everyday activities.

Similar articles

via Recovering Functional Independence After a Stroke Through Modified Constraint-Induced Therapy – PubMed

, , , , , , , , , ,

Leave a comment

[WEB PAGE] Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke

Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke

Neofect announces the launch of its new app, Neofect Connect, developed to deliver customized exercises, educational tools, and motivation to guide patients at home as they work to regain the use of their hands and arms after experiencing a stroke.

The app provides reminders, daily exercises, and educational resources to help patients recovering from stroke stay engaged with their rehabilitation. For current users of Neofect’s Smart Rehabilitation Solutions — including the Neofect Smart Glove, the Neofect Smart Board, and the Neofect Smart Kids — the app also serves as a library to store and access activity summaries and progress reports, according to Neofect in a media release.

“Neofect Connect is designed to support, inspire, and empower stroke survivors through rehabilitation at home. Rehabilitation is a time-consuming and tedious process, and it can be hard for patients to stay motivated, especially without the benefit of in-person therapy. Connect is meant to help patients establish regular rehabilitation practices and reinforce lifelong behavioral changes that are essential to their health and wellness.”

— Scott Kim, co-founder and CEO of Neofect USA

The app first walks users through a detailed stroke evaluation to determine the affected side and user mobility, then encourages them to set goals that serve as the foundation for recommended exercises and educational resources.

With a user’s needs and ability level in mind, Connect then suggests daily activities — such as using a toothbrush with the affected hand, writing a name five times, or trying to operate scissors without assistance — best suited for their recovery. Most importantly, Connect sends users daily reminders and push notifications so that patients never miss an exercise and maintain an active rehabilitation schedule, the release continues.

“Consistency is critical to recovery,” Kim adds. “Connect keeps daily exercises and rehabilitation top of mind, so stroke survivors don’t miss a session and derail their progress.”

Connect also delivers educational materials and videos developed by Neofect’s licensed therapists to prepare patients for what to expect during rehabilitation. It offers advice, inspirational messages, and tips to establish better lifestyle habits, boost mental health, and improve a user’s overall well-being. Additionally, a diary function enables users to log personal notes about their activities and achievements.

Connect is now available on the Apple App Store and on Google Play.

[Source(s): Neofect, Business Wire]

via Get ‘Connect’-ed to Rehab the Hands and Arms Post-Stroke – Rehab Managment

, , , , , , , , , , ,

Leave a comment

%d bloggers like this: