Stroke rehabilitation and research: consideration of the role of the cortico-reticulospinal system

Silva, Augusta; Vaughan-Graham, Julie; Sousa, Andreia S. P.; Cunha, Catarina; Ferreira, Rosália; Barbosa, Pedro

doi:10.1080/08990220.2018.1500363

Cited by 6 publications

(3 citation statements)

References 80 publications

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“…The Falls Efficacy Scale- International (FES-I) is a measure of “fear of falling” or, more properly, “concerns about falling”, which is also suitable for research and clinical practice. Stroke rehabilitation or Spanish studies about sarcopenic obesity or balance in the older people with instability include this instrument [ 12 – 14 ]. The identification of valid, reliable and clinically relevant outcome measures to document and evaluate the evolution or recovery of a health condition is vital in determining the effectiveness of interventions.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

et al. 2020

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Background The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. Methods We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). Results BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. Conclusions Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. Trial registration This study was registered in ClinicalTrials.gov with NCT 03403218 on 2018/01/17.

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Section: Introductionmentioning

confidence: 99%

Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

et al. 2020

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“…In these patients, there is a high probability for the dysfunction of the cortico-reticular pathway that enables the connection between the cerebral cortex, mostly in area 6, including the premotor cortex, and the supplementary area, to regulate the coordination between postural and movement control [ 55 , 56 ]. Therefore, to interfere in functional disability, FES should be used not only in movement-related muscles such as deltoids, triceps and the wrist and finger extensors/flexors [ 19 ] but also in postural control-related muscles in different UL tasks [ 57 ].…”

Section: Ul Post Stroke Rehabilitation Factors That Should Be Conside...mentioning

confidence: 99%

Usability of Functional Electrical Stimulation in Upper Limb Rehabilitation in Post-Stroke Patients: A Narrative Review

Sousa

Moreira

Silva

et al. 2022

Sensors

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Stroke leads to significant impairment in upper limb (UL) function. The goal of rehabilitation is the reestablishment of pre-stroke motor stroke skills by stimulating neuroplasticity. Among several rehabilitation approaches, functional electrical stimulation (FES) is highlighted in stroke rehabilitation guidelines as a supplementary therapy alongside the standard care modalities. The aim of this study is to present a comprehensive review regarding the usability of FES in post-stroke UL rehabilitation. Specifically, the factors related to UL rehabilitation that should be considered in FES usability, as well a critical review of the outcomes used to assess FES usability, are presented. This review reinforces the FES as a promising tool to induce neuroplastic modifications in post-stroke rehabilitation by enabling the possibility of delivering intensive periods of treatment with comparatively less demand on human resources. However, the lack of studies evaluating FES usability through motor control outcomes, specifically movement quality indicators, combined with user satisfaction limits the definition of FES optimal therapeutical window for different UL functional tasks. FES systems capable of integrating postural control muscles involving other anatomic regions, such as the trunk, during reaching tasks are required to improve UL function in post-stroke patients.

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“…Rehabilitation therapies offer a chance for an individual to improve recovery and adapt to the new situation following acute stroke. Effective rehabilitation can help remodel the residual cortex, establish synaptic connections, and improve neurological function (Silva et al, 2018). A number of studies have investigated methods of rehabilitation management, including task-oriented training (Carrico et al, 2016), impaired limb forced training (Kwakkel et al, 2015), movement science-based therapy, robotic-assisted movement, virtual reality (VR) training (Brunner et al, 2017), functional electrical stimulation (Kattenstroth et al, 2018), and skill acquisition training paired with impairment mitigation and motivational enhancement.…”

Section: Introductionmentioning

confidence: 99%

Adopting Text Mining on Rehabilitation Therapy Repositioning for Stroke

Meng

Huang

et al. 2019

Front. Neuroinform.

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Stroke is a common disabling disease that severely affects the daily life of patients. Accumulating evidence indicates that rehabilitation therapy can improve movement function. However, no clear guidelines have specific and effective rehabilitation therapy schemes, and the development of new rehabilitation techniques has been relatively slow. This study used a text mining approach, the ABC model, to identify an existing rehabilitation candidate therapy method that is most likely to be repositioned for stroke. In the model, we built the internal links of stroke (A), assessment scales (B), and rehabilitation therapies (C) in PubMed and the links were related to upper limb function measurements for patients with stroke. In the first step, using E-utility, we retrieved both stroke-related assessment scales and rehabilitation therapy records and then compiled two datasets, which were called Stroke_Scales and Stroke_Therapies, respectively. In the next step, we crawled all rehabilitation therapies co-occurring with the Stroke_Therapies and then named them as All_Therapies. Therapies that were already included in Stroke_Therapies were deleted from All_Therapies; therefore, the remaining therapies were the potential rehabilitation therapies, which could be repositioned for stroke after subsequent filtration by a manual check. We identified the top-ranked repositioning rehabilitation therapy and subsequently examined its clinical validation. Hand-arm bimanual intensive training (HABIT) was ranked the first in our repositioning rehabilitation therapies and had the most interaction links with Stroke_Scales. HABIT significantly improved clinical scores on assessment scales [Fugl-Meyer Assessment (FMA) and action research arm test (ARAT)] in the clinical validation study for acute stroke patients with upper limb dysfunction. Therefore, based on the ABC model and clinical validation, HABIT is a promising repositioned rehabilitation therapy for stroke, and the ABC model is an effective text mining approach for rehabilitation therapy repositioning. The findings in this study would be helpful in clinical knowledge discovery.

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Stroke rehabilitation and research: consideration of the role of the cortico-reticulospinal system

Cited by 6 publications

References 80 publications

Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly

Usability of Functional Electrical Stimulation in Upper Limb Rehabilitation in Post-Stroke Patients: A Narrative Review

Adopting Text Mining on Rehabilitation Therapy Repositioning for Stroke

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