Stroke Rehabilitation Patients, Practice, and Outcomes: Is Earlier and More Aggressive Therapy Better?

Horn, Susan D.; DeJong, Gerben; Smout, Randall J.; Gassaway, Julie; James, Roberta; Conroy, Brendan

doi:10.1016/j.apmr.2005.09.016

Cited by 259 publications

(197 citation statements)

References 23 publications

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“…DeJong and colleagues recently published a longitudinal study that looked at factors important to stroke outcomes [11][12]. They found that early interventions (e.g., time postinjury) and intensity were factors that strongly correlated with gains in function.…”

Section: Rehabilitation Robotic Devicesmentioning

confidence: 99%

Automating activity-based interventions: The role of robotics

Hidler¹

2008

JRRD

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Abstract-We have seen a continued growth of robotic devices being tested in neurorehabilitation settings over the last decade, with the primary goal to improve upper-and lowermotor function in individuals following stroke, spinal cord injury, and other neurological conditions. Interestingly, few studies have investigated the use of these devices in improving the overall health and well-being of these individuals despite the capability of robotic devices to deliver intensive timeunlimited therapy. In this article, we discuss the use of robotic devices in delivering intense, activity-based therapies that may have significant exercise benefits. We also present preliminary data from studies that investigated the metabolic and cardiac responses during and after 6 months of lower-limb robotic training. Finally, we speculate on the future of robotics and how these devices will affect rehabilitation interventions.

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Section: Rehabilitation Robotic Devicesmentioning

confidence: 99%

Automating activity-based interventions: The role of robotics

Hidler¹

2008

JRRD

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“…5 İnme hastaları özellikle ilk 6 ayda rehabilitasyona daha yoğun katılmaları için desteklenmelidir. 6,7 Hastalara uygulanan aktif rehabilitasyon programı, haftada 5 gün günde 1 saat fizyoterapi ve uğraşı tedavisi şeklinde olmalıdır. 1 İnme sonrası 1 yılı aşkın dönemde rehabilitasyona dair az sayıda çalışma olup, veriler bu dönemdeki rehabilitasyona dair öneri getirmek için yetersizdir.…”

Section: Rehabilitasyonun Miktar Yoğunluk Ve Zamanlamasıunclassified

After Stroke: Guidelines Of Turkish Society Of Cerebrovascular Diseases – 2015

Bakar¹,

Ozdag²,

Melek³

et al. 2015

Türk Beyin Damar Hast Derg

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ÖZETBu bölümde, sensorimotor işlev bozulması, düşmeler, epilepsi, depresyon ve demans gibi inme sonrası komplikasyonlar ve bunlara yönelik güncel tedavi yaklaşım önerilerinden bahsedilecektir. Anahtar Sözcükler: İnme, sensorimotor işlev bozulması, düşme, epilepsi, depresyon, demans. AFTER STROKE: GUIDELINES OF TURKISH SOCIETY OF CEREBROVASCULAR DISEASES -2015 ABSTRACTIn this section, recommendation of recent management approaches about post-stroke complications such as sensorymotor function impairment, drops, epilepsy, depression and dementia will be offered.

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“…1 Adaptive plasticity in the lesioned side of the brain as well as the healthy side by rehabilitational training was observed in many clinical and experimental studies. 4 Horn et al 2 found earlier rehabilitation admission and higher level activities early in the rehabilitation process are associated with better stroke outcome.…”

Section: Introductionmentioning

confidence: 99%

“…The mismatch between the patient's needs and the provided therapies may fail to achieve preferred outcomes. 2 Challenging the patients to higher-order tasks as early as possible is associated with better outcomes. 3 Earlier and more intensive out-of-bed activity after stroke would reduce time to unassisted walking and improve independence in activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

Optimal Timing of Rehabilitation: Overview of the Evidence in the Literature

Kim

Paik

2012

Brain Neurorehabil

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Stroke results in chronic disability which is a major burden in various ways and thus regaining functional independence is an important goal for the stroke patients and caregivers. Early rehabilitative training after stroke onset takes place in most stroke centers. However, optimal timing of rehabilitation after stroke remains controversial and debate on the complications and other issues induced by the early rehabilitation is still ongoing despite considerable amount evidence in the literature that supports early rehabilitation. There is uncertainty about whether very early mobilization within 24 to 48 hours of stroke onset improves outcome after stroke. Emphasis on early mobilization with increasing frequency and dose of mobilization in the early phase of stroke may contribute to improved functional outcomes after stroke. In this article, superiority of the very early mobilization after stroke is demonstrated by reviewing supporting evidence from animal studies by showing changes in task performance and anatomy, clinical comparative data by comparing outcome measurement scores, AVERT studies, a large scale randomized controlled trial currently in progress to provide sufficient clinical evidence, and the current Clinical Practice Guidelines.

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Stroke Rehabilitation Patients, Practice, and Outcomes: Is Earlier and More Aggressive Therapy Better?

Cited by 259 publications

References 23 publications

Automating activity-based interventions: The role of robotics

Automating activity-based interventions: The role of robotics

After Stroke: Guidelines Of Turkish Society Of Cerebrovascular Diseases – 2015

Optimal Timing of Rehabilitation: Overview of the Evidence in the Literature

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