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Repetitive transcranial magnetic stimulation and transcranial direct current stimulation in motor rehabilitation after stroke: An update / Wanalee Klomjai in Annals of physical and rehabilitation medicine, Vol. 58 n° 4 (September 2015)
[article] Repetitive transcranial magnetic stimulation and transcranial direct current stimulation in motor rehabilitation after stroke: An update [texte imprimé] / Wanalee Klomjai, Auteur ; Alexandra Lackmy-Vallée, Auteur ; Nicolas Roche, Auteur . - 2015 . - p. 220-224.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 4 (September 2015) . - p. 220-224
Catégories : PATHOLOGIE
Accident cérébrovasculaire
PRATIQUE MÉDICALE
Rééducation fonctionnelleTags : rTMS tDCS Stroke Plasticity Motor control Résumé : Stroke is a leading cause of adult motor disability. The number of stroke survivors is increasing in industrialized countries, and despite available treatments used in rehabilitation, the recovery of motor functions after stroke is often incomplete. Studies in the 1980s showed that non-invasive brain stimulation (mainly repetitive transcranial magnetic stimulation [rTMS] and transcranial direct current stimulation [tDCS]) could modulate cortical excitability and induce plasticity in healthy humans. These findings have opened the way to the therapeutic use of the 2 techniques for stroke. The mechanisms underlying the cortical effect of rTMS and tDCS differ. This paper summarizes data obtained in healthy subjects and gives a general review of the use of rTMS and tDCS in stroke patients with altered motor functions. From 1988 to 2012, approximately 1400 publications were devoted to the study of non-invasive brain stimulation in humans. However, for stroke patients with limb motor deficit, only 141 publications have been devoted to the effects of rTMS and 132 to those of tDCS. The Cochrane review devoted to the effects of rTMS found 19 randomized controlled trials involving 588 patients, and that devoted to tDCS found 18 randomized controlled trials involving 450 patients. Without doubt, rTMS and tDCS contribute to physiological and pathophysiological studies in motor control. However, despite the increasing number of studies devoted to the possible therapeutic use of non-invasive brain stimulation to improve motor recovery after stroke, further studies will be necessary to specify their use in rehabilitation. En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12740 [article]Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis / Sharareh Sharififar in Annals of physical and rehabilitation medicine, Vol. 61 n° 5 (September 2018)
[article] Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis [texte imprimé] / Sharareh Sharififar, Auteur ; Jonathan J. Shuster, Auteur ; Mark D. Bishop, Auteur . - 2018 . - p. 339-344.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 5 (September 2018) . - p. 339-344
Catégories : PATHOLOGIE
Accident cérébrovasculaire
PSYCHOLOGIE
Capacité sensorielle
MOTS OUTILS
StimulationTags : Sensory Stimulation Stroke Function Résumé : Background: Clinical studies have shown that sensory input improves motor function when added to active training after neurological injuries in the spinal cord.
Objective:We aimed to determine the effect on motor function of extremities of adding an electrical sensory modality without motor recruitment before or with routine rehabilitation for hemiparesis after stroke by a comprehensive systematic review and meta-analysis.
Methods: We searched databases including MEDLINE via PubMed and the Cochrane Central Register of Controlled Trials from 1978 to the end of November 2017 for reports of randomized controlled trials or controlled studies of patients with a clinical diagnosis of stroke who underwent 1) transcutaneous electrical nerve stimulation (TENS) or peripheral electromyography-triggered sensory stimulation over a peripheral nerve and associated muscles or 2) acupuncture to areas that produced sensory effects, without motor recruitment, along with routine rehabilitation. Outcome measures were motor impairment, activity, and participation outcomes defined by the International Classification of Functioning, Disability and Health.
Results: The search yielded 11studies with data that could be included in a meta-analysis. Electrical sensory inputs, when paired with routine therapy, improved peak torque dorsiflexion (mean difference [MD] 2.44 Nm, 95% confidence interval [CI] 0.26–4.63). On subgroup analysis, the combined therapy yielded a significant difference in terms of sensory stimulation without motor recruitment only on the Timed Up and Go test in the chronic phase of stroke (MD 3.51sec, 95% CI 3.05–3.98). The spasticity score was reduced but not significantly (MD−0.83 points, 95% CI -1.77−0.10).
Conclusion: Electrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16213 [article]Brain computer interfaces for neurorehabilitation – its current status as a rehabilitation strategy post-stroke / Liesjet van Dokkum in Annals of physical and rehabilitation medicine, Vol. 58 n° 1 (February 2015)
[article] Brain computer interfaces for neurorehabilitation – its current status as a rehabilitation strategy post-stroke [texte imprimé] / Liesjet van Dokkum, Auteur ; Tomas Ward, Auteur ; Isabelle Laffont (1965-....), Auteur . - 2015 . - p. 3-8.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 1 (February 2015) . - p. 3-8
Catégories : PATHOLOGIE
Accident cérébrovasculaire
TECHNOLOGIE
Ordinateur
Thesaurus Santé Publique
CerveauTags : Stroke Brain signal Neurorehabilitation Brain computer interfaces Mental imagery Résumé : The idea of using brain computer interfaces (BCI) for rehabilitation emerged relatively recently. Basically, BCI for neurorehabilitation involves the recording and decoding of local brain signals generated by the patient, as he/her tries to perform a particular task (even if imperfect), or during a mental imagery task. The main objective is to promote the recruitment of selected brain areas involved and to facilitate neural plasticity. The recorded signal can be used in several ways: (i) to objectify and strengthen motor imagery-based training, by providing the patient feedback on the imagined motor task, for example, in a virtual environment; (ii) to generate a desired motor task via functional electrical stimulation or rehabilitative robotic orthoses attached to the patient's limb – encouraging and optimizing task execution as well as “closing” the disrupted sensorimotor loop by giving the patient the appropriate sensory feedback; (iii) to understand cerebral reorganizations after lesion, in order to influence or even quantify plasticity-induced changes in brain networks. For example, applying cerebral stimulation to re-equilibrate inter-hemispheric imbalance as shown by functional recording of brain activity during movement may help recovery. Its potential usefulness for a patient population has been demonstrated on various levels and its diverseness in interface applications makes it adaptable to a large population. The position and status of these very new rehabilitation systems should now be considered with respect to our current and more or less validated traditional methods, as well as in the light of the wide range of possible brain damage. The heterogeneity in post-damage expression inevitably complicates the decoding of brain signals and thus their use in pathological conditions, asking for controlled clinical trials. En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12075 [article]Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials / Louis-David Beaulieu in Annals of physical and rehabilitation medicine, Vol. 61 n° 4 (July 2018)
[article] Changes in transcranial magnetic stimulation outcome measures in response to upper-limb physical training in stroke: A systematic review of randomized controlled trials [texte imprimé] / Louis-David Beaulieu, Auteur ; Marie-Hélène Milot, Auteur . - 2018 . - p. 224-234.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 61 n° 4 (July 2018) . - p. 224-234
Catégories : PATHOLOGIE
Accident cérébrovasculaire
SOCIOLOGIE
Entraînement sportif
MOTS OUTILS
Stimulation
INFORMATION & COMMUNICATION
Revue de littératureTags : Transcranial magnetic stimulation Stroke Upper-limb physical training Systematic review Brain plasticity Clinical outcome Résumé : Background: Physical training is known to be an effective intervention to improve sensorimotor impairments after stroke. However, the link between brain plastic changes, assessed by transcranial magnetic stimulation (TMS), and sensorimotor recovery in response to physical training is still misunderstood. We systematically reviewed reports of randomized controlled trials (RCTs) involving the use of TMS over the primary motor cortex (M1) to probe brain plasticity after upper-limb physical training interventions in people with stroke.
Methods: We searched 5 databases for articles published up to October 2016, with additional studies identified by hand-searching. RCTs had to investigate pre/post-intervention changes in at least one TMS outcome measure. Two independent raters assessed the eligibility of potential studies and reviewed the selected articles’ quality by using 2 critical appraisal scales.
Results: In total, 14 reports of RCTs (pooled participants=358; mean 26±12 per study) met the selection criteria. Overall, 11 studies detected plastic changes with TMS in the presence of clinical improvements after training, and these changes were more often detected in the affected hemisphere by using map area and motor evoked potential (MEP) latency outcome measures. Plastic changes mostly pointed to increased M1/corticospinal excitability and potential interhemispheric rebalancing of M1 excitability, despite sometimes controversial results among studies. Also, the strength of the review observations was affected by heterogeneous TMS methods and upper-limb interventions across studies as well as several sources of bias within the selected studies.
Conclusions: The current evidence encourages the use of TMS outcome measures, especially MEP latency and map area to investigate plastic changes in the brain after upper-limb physical training post-stroke. However, more studies involving rigorous and standardized TMS procedures are needed to validate these observations.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16032 [article]Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years / Diane Menoux in Annals of physical and rehabilitation medicine, Vol. 62 n° 6 (November 2019)
[article] Decrease in post-stroke spasticity and shoulder pain prevalence over the last 15 years [texte imprimé] / Diane Menoux, Auteur ; Marylène Jousse, Auteur ; Victorine Quintaine, Auteur . - 2019 . - p. 403-408.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 6 (November 2019) . - p. 403-408
Catégories : PATHOLOGIE
Accident cérébrovasculaire , Thrombose
PRATIQUE MÉDICALE
Rééducation fonctionnelle
Thesaurus Santé Publique
ÉpauleTags : Spasticity Stroke Shoulder pain Rehabilitation Thrombectomy Thrombolysis Résumé : Objectives: The usual complications after recent stroke such as disabling spasticity and shoulder pain seemed less frequent in recent years. This study examined the frequency of spasticity and shoulder pain in recent post-stroke patients over time in our physical and rehabilitation medicine department.
Methods: This was a retrospective study of post-stroke inpatients over the last 15 years. Spasticity and shoulder pain prevalence were analyzed, as were demographic, clinical and stroke characteristics.
Results: We reviewed medical records for 786 patients (506 men); mean age 58.1 years (SD 13.2); 530 (68%) with ischemic stroke and 256 (32.36%) hemorrhagic stroke. After a first increase from 2000 to 2006, the prevalence of disabling spasticity decreased from 2006 to 2015 (31%–10%; P <0.001). Shoulder pain at admission and during hospitalization also decreased (13% of patients in 2000 to 8% in 2015, P <0.001). Disabling spasticity was associated with shoulder pain (26% of patients with disabling spasticity presented shoulder pain at admission vs 7% with hyperreflexia of the deep tendon reflexes, P <0.05). Characteristics of stroke, time of admission after stroke and length of stay did not change over the years. We observed an increase in number of walking patients at admission and number with a functional paretic arm at admission and discharge (P <0.05), which may explain the increase in functional independence measure scores at admission and discharge (both P <0.05). Prevalence of cognitive disorders increased over the same period (24% in 2000 vs 63% in 2015, P <0.05).
Conclusions: Disabling spasticity and shoulder pain frequency in recent post-stroke patients decreased over the last 15 years, and functional abilities both at admission and discharge improved. Confirmation of these results in a multicentric study may be important evidence of an improvement in stroke healthcare both in stroke and physical and rehabilitation medicine units in the last 10 years in France and could affect future estimations of the need for rehabilitation care after stroke.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=17659 [article]Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: A review / Amira Boukadida in Annals of physical and rehabilitation medicine, Vol. 58 n° 3 (June 2015)
PermalinkEffect of chronic stretching interventions on the mechanical properties of muscles in patients with stroke: A systematic review / Thomas Lecharte in Annals of physical and rehabilitation medicine, Vol. 63 n° 3 (May 2020)
PermalinkEffect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis / Lu Luo in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
PermalinkEffect of single-session dual-tDCS before physical therapy on lower-limb performance in sub-acute stroke patients: A randomized sham-controlled crossover study / Wanalee Klomjai in Annals of physical and rehabilitation medicine, Vol. 61 n° 5 (September 2018)
PermalinkEffect of subtypes of neglect on functional outcome in stroke patients / Simona Spaccavento in Annals of physical and rehabilitation medicine, Vol. 60 n° 6 (November 2017)
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