TOPIC
Neurological research Everything we have read on neurological. Each paper is summarised from the full article rather than its abstract, so the limitations are in there too, and the funding wherever the paper declares it.
2,792 PAPERS · PAGE 43 OF 56 · NEWEST FIRST
PT OT Other 2025 Quantifying arm swing in Parkinson's disease: a method accounting for arm activities during free-living gait. Journal of neuroengineering and rehabilitation A new sensor method filters out arm activities like holding objects to measure arm swing during daily walking. In people with Parkinson's, this filtering revealed significantly larger increases in arm swing range after medication compared to unfiltered data. This offers a more sensitive tool for tracking treatment response in real-world settings. PT OT Cohort 2025 Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage. Journal of rehabilitation medicine Early sitting ability predicted recovery after intracerebral haemorrhage. Patients unable to sit without physical assistance or maintain sitting for 2 minutes had poorer function, motor recovery and transfers. This does not prove that training sitting improves outcomes. PT OT SLP Other 2025 Elevated parkinsonism symptoms in autism during middle and older adulthood are linked with psychosocial, physical health, and mental health outcomes. Autism research : official journal of the International Society for Autism Research Autistic adults aged 40-83 who screened positive for parkinsonism reported lower physical, environmental, and autism-specific quality of life, plus more memory, sleep, and depression issues. These links persisted when excluding those on antipsychotics, but daily living skills findings did not. PT OT Cohort 2024 Analysis of fall risk factors and environmental hazards for older adults in Japan: assessing fall situations and locations. Journal of physical therapy science In Japanese day-care homes, falls clustered in bedrooms, hallways, and entrances. Not using an assistive device predicted hallway and entrance falls, while Parkinson’s disease, orthopedic conditions, and cane use predicted bedroom falls. PT OT RCT 2025 Combined effects and timing of robotic training and botulinum toxin on upper limb spasticity and motor function: a single‑blinded randomized controlled pilot study. Journal of neuroengineering and rehabilitation In this small pilot, delaying robotic training until four weeks after botulinum toxin injection produced the greatest motor function gains. Spasticity reduction depended on the toxin alone, not the timing of the robot. PT OT SLP Other 2025 The REAsmash serious game for the post-stroke diagnosis of distractor inhibition: contrast between immersive and non-immersive virtual reality test versions. European journal of physical and rehabilitation medicine Post-stroke participants were slower than healthy controls on a serious game testing distractor inhibition. Immersive VR caused slower responses than non-immersive screens. However, the pattern of errors remained consistent across both VR types and groups, suggesting the test measures the same cognitive skill regardless of the device used. PT OT SLP Cohort 2025 Submovements in manual tracking: people with Parkinson's disease produce more submovements than age-matched controls. Journal of neuroengineering and rehabilitation People with Parkinson's made more small corrective movements and had larger timing and position errors than controls during manual tracking. This held true across all tested speeds. Older adults without Parkinson's showed similar error patterns to younger adults regarding movement smoothness. PT OT SLP Meta-Analysis 2025 Non-invasive cerebral and spinal cord stimulation for motor and gait recovery in incomplete spinal cord injury: systematic review and meta-analysis. Journal of neuroengineering and rehabilitation Pooled non-invasive brain and spinal stimulation improved lower limb strength and gait, but this benefit vanished when broken down by technique. rTMS helped strength more than walking; tDCS effects were small. Spinal stimulation data was too sparse to conclude anything. OT Other 2025 The association of upper limb sensorimotor capacity, everyday inpatient behavior, and the effects of neurorehabilitation in persons with multiple sclerosis and stroke: a mixed-design study. Journal of neuroengineering and rehabilitation In inpatient rehab, people with MS or stroke made fewer upper-limb movements per minute than healthy adults. Everyday movement matched lab tests only weakly, and rehab gains did not clearly translate into daily behavior. PT OT SLP Cohort 2025 Contextual Determinants of Health Disparities in Utilization of Community-Based Rehabilitation Services Among Medicare Fee-for-Service Beneficiaries With Traumatic Brain Injury. The Journal of head trauma rehabilitation Where older TBI patients live shapes whether they get home or clinic rehab. High unemployment and rural living linked to less home care and less outpatient care respectively. Severe housing problems linked to more outpatient care. Context matters for access. PT OT Cohort 2025 Rehabilitation training robot using mirror therapy for the upper and lower limb after stroke: a prospective cohort study. Journal of neuroengineering and rehabilitation Robot training did not improve daily living independence more than standard therapy. It increased shoulder flexor strength in upper-limb users and hip, knee, and ankle strength in lower-limb users. Brain scans showed connectivity changes in both groups. Standard care remains the benchmark for functional independence. PT OT SLP Cohort 2025 Environmental Barriers are Associated With Rehabilitation Needs 10 to 15 Years After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study. The Journal of head trauma rehabilitation Veterans with traumatic brain injury reported more unmet rehabilitation needs 10 to 15 years later when they faced environmental barriers. Attitudes of others, discrimination, and lack of accessible services were the strongest links, even after accounting for cognitive disability. PT OT Other 2025 Investigation of independence in the tasks involving the use of public transportation in patients with subacute stroke. Journal of rehabilitation medicine Among subacute stroke patients practising public transport, only 15.4% to 41.9% completed all tasks in their course independently; walking in crowds was hardest, with 61.9% independent. PT OT Case-Control 2024 Association between freezing of gait and anticipatory postural adjustments in Parkinson's disease. Journal of physical therapy science People with Parkinson's disease and freezing of gait showed delayed and smaller anticipatory postural adjustments when standing on one leg. These movement differences were distinct enough to separate those with freezing from those without, suggesting the pattern may serve as a biomarker for postural control problems. PT OT SLP Case Series 2024 Usefulness of automated tractography for outcome prediction in patients with recurrent stroke. Journal of physical therapy science In three patients with recurrent stroke, automated brain scans identified specific nerve tract damage that matched their long-term recovery levels. Patients with widespread tract damage had poor outcomes, while those with limited damage regained independence, suggesting scans may help predict rehabilitation potential. PT OT Cohort 2025 Trends in spasticity-reducing surgery and botulinum toxin treatment for post-stroke spasticity: a register study on 6,258 patients in Sweden, 2010-2021. Journal of rehabilitation medicine Patients who had surgery received fewer botulinum toxin injections afterward, but the registry could not show surgery caused this. Surgery use stayed flat while injection use rose. PT OT SLP Systematic Review 2025 Adherence of Clinical Practice Guidelines for Oropharyngeal Dysphagia in Parkinson Disease to Trustworthy Standards: A Systematic Survey. Dysphagia Most Parkinson's dysphagia guidelines fail trustworthy standards. They rarely specify screening or monitoring, rely on expert opinion, and offer vague advice. Clinicians should treat existing guidance as low-quality and prioritize individualized assessment over protocol adherence. PT OT Cohort 2025 Modeling Upper Limb Rehabilitation-Induced Recovery After Stroke: The Role of Attention as a Clinical Confounder. Physical therapy In stroke patients receiving about 1.5 hours of daily therapy, the amount of rehabilitation did not predict upper limb recovery. Baseline motor function was the only significant predictor. Attention levels confounded the results, suggesting cognitive status may mask rehabilitation effects. PT OT Other 2025 Investigating the cortical effect of false positive feedback on motor learning in motor imagery based rehabilitative BCI training. Journal of neuroengineering and rehabilitation In four stroke patients, false feedback during hand brain-computer training did not clearly change peak brain activation. In healthy volunteers, training without false feedback produced stronger activation, like active movement. PT OT SLP Other 2025 Efficacy of high- versus moderate-intensity spatially distributed sequential stimulation in subjects with spinal cord injury: an isometric study. Journal of neuroengineering and rehabilitation For whole-quadriceps stimulation, moderate intensity preserved force and fatigue resistance better than high intensity. For the vastus lateralis alone, high intensity did not reduce these benefits compared to moderate intensity. PT OT Qualitative 2025 Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals. Journal of rehabilitation medicine Patients were most motivated to exercise immediately after stroke, before daily life reorganized. Supervised hospital exercise felt safer and more engaging than municipal sessions, where patients felt less supported. Peer bonding and frequent follow-ups were key to maintaining activity. PT OT RCT 2025 MEP Status is Not Predictive of Response to Upper Limb Training in People With Chronic, Moderate-Severe Hemiparesis Post-Stroke. Neurorehabilitation and neural repair In chronic moderate-to-severe stroke, a motor evoked potential before upper limb training did not predict arm improvement. People with and without a baseline MEP improved similarly, with similar proportions achieving a 6-point improvement. MEP status alone did not help predict response. PT OT Pilot 2025 Home-Based Nonimmersive Virtual Reality Training After Discharge From Inpatient or Outpatient Stroke Rehabilitation: Parallel Feasibility Randomized Controlled Trial. JMIR rehabilitation and assistive technologies Home virtual reality balance and gait training after stroke was feasible and safe, but did not improve balance, gait or function more than iPad apps. Both groups improved some measures over six weeks. PT OT RCT 2025 EEG-fMRI neurofeedback versus motor imagery after stroke, a randomized controlled trial. Journal of neuroengineering and rehabilitation Stroke survivors with partial upper limb impairment who trained with EEG-fMRI neurofeedback improved more on arm function scores than those doing motor imagery alone. The gains held at one month, but the study was small and the neurofeedback felt harder. PT OT RCT 2025 Resting-state hemodynamic changes and effects on upper limb function after multi-channel transcranial direct current stimulation to the ipsilesional primary motor cortex and anterior intraparietal sulcus in stroke patients: an fNIRS pilot study. Journal of neuroengineering and rehabilitation FMA-UE upper limb scores did not improve more with real tDCS added to exercises than sham added to exercises. The Box and Block Test favoured real tDCS, but this pilot cannot show tDCS works. PT OT Case Report 2025 Diagnosis, treatment, and functional outcomes for two adolescent female patients with lupus myelitis: a case report. Frontiers in rehabilitation sciences Adolescent girls with lupus myelitis improved self-care and mobility during inpatient rehabilitation, but they received multiple immunomodulatory treatments and intensive therapy together. PT OT Other 2025 Rocking in a rocking chair activates trunk muscles in children with spinal cord injury and impaired trunk control. Journal of pediatric rehabilitation medicine Rocking in a custom chair significantly increased trunk muscle activity in children with spinal cord injury compared to quiet sitting. All eleven children with SCI could rock the chair independently, found it enjoyable, and experienced no injuries, suggesting it is a safe, accessible way to activate trunk muscles. PT OT Narrative Review 2025 Inducing asymmetric gait in healthy walkers: a review. Frontiers in rehabilitation sciences Researchers reviewed ways to make healthy walkers limp. Leg length differences and unilateral weights worked best. Sensory tricks like vibration or sound were inconsistent. These methods help test devices before recruiting patients. PT OT SLP Cohort 2025 Tongue Pressure and Grip Strength as Indicators of Persistent Dysphagia After Acute Stroke. Dysphagia Low tongue pressure and grip strength measured within 48 hours of acute stroke admission independently predicted dysphagia persisting to discharge. Skeletal muscle mass and stroke severity (NIHSS) did not. Early bedside measures of oral and general strength may help flag patients needing longer-term feeding or rehab planning. PT OT SLP Other 2025 Abnormal activity in the brainstem affects gait in a neuromusculoskeletal model. Journal of neuroengineering and rehabilitation Computer simulations suggest that different types of freezing of gait may stem from abnormal activity in two specific brainstem nuclei. This offers a theoretical model for why some patients respond to cues while others need medication, but it is not yet clinical evidence. PT OT Systematic Review 2025 Exploring balance control mechanisms in people with multiple sclerosis in virtual reality environment: a systematic review. Journal of neuroengineering and rehabilitation Virtual reality balance training for people with MS shows mixed results compared to standard therapy. While patients tolerated the technology well with minimal side effects, the evidence is too heterogeneous to confirm that VR is superior to traditional balance exercises for improving stability. PT OT Survey 2025 Sexual Function and Quality of Life in Individuals Post Stroke. Physiotherapy research international : the journal for researchers and clinicians in physical therapy Most stroke survivors in this South African study had sexual dysfunction, but it did not significantly lower their overall quality of life scores. Two-thirds did not know healthcare professionals could help, suggesting a major gap in patient education and support. PT OT RCT 2025 Hands-free Atalante exoskeleton in post-stroke gait and balance rehabilitation: a safety study. Journal of neuroengineering and rehabilitation Hands-free exoskeleton training was safe for stroke patients unable to walk. Skin cuts and knee pain were minor and rare. Patients improved walking speed and balance over five sessions, but without a control group, this cannot prove the device caused the change. PT OT Cohort 2025 Acute serum androgen levels and post-rehabilitation functioning in spinal cord injury: findings from SwiSCI. European journal of physical and rehabilitation medicine In men with new spinal cord injuries, lower baseline free testosterone was linked to slower functional recovery and lower discharge scores. These associations lost significance after correcting for multiple tests, and results for women were null due to small numbers. PT OT Cohort 2024 Brain regions associated with balance function assessed by the Berg Balance Scale in post-stroke patients. Journal of physical therapy science Balance scores in post-stroke patients correlated with damage in three brain tracts: the corticospinal, cingulum, and inferior fronto-occipital fasciculus. This suggests balance recovery depends on both motor pathways and association fibers, not just limb strength. OT Qualitative 2025 Improving Parent and Therapist Experiences of Codelivering Intensive Upper Limb Interventions for Children With Hemiplegia: A Qualitative Study Using the Theoretical Domains Framework. Child: care, health and development Parents and therapists found codelivering intensive upper limb therapy challenging due to travel, time, and unclear roles. Virtual sessions helped parents lead, but in-person clinics often kept them observing. Emotional support and clearer communication between hospital and community teams were key needs. PT OT SLP Systematic Review 2025 Is physical therapy recommended for people with parkinson's disease treated with subthalamic deep brain stimulation? a delphi consensus study. Journal of neuroengineering and rehabilitation Experts recommend conventional physical therapy for Parkinson's patients with deep brain stimulation, but the underlying evidence is weak. No randomized trials exist, so this is expert opinion, not proof of effectiveness. Do not treat it as a clinical guideline. PT OT SLP Cohort 2024 Examination of evaluation indicators for spasticity in stroke patients using ultrasound imaging equipment. Journal of physical therapy science Ultrasound measurement of muscle-tendon junction displacement correlated with spasticity severity in the arm and leg. The paretic side showed greater displacement than the non-paretic side. Other ultrasound indices did not track spasticity, suggesting displacement is a potential objective alternative to the subjective Ashworth scale. PT OT RCT 2025 Mirror therapy reduces excessive variability of motor network in stroke patients: a randomized controlled trial. European journal of physical and rehabilitation medicine Adding mirror visual feedback to conventional therapy improved upper-limb motor function more than conventional therapy alone in subacute stroke patients. MRI scans showed mirror therapy reduced excessive brain activity variability in the affected motor cortex, a change linked to clinical recovery. PT OT SLP Other 2025 Development and evaluation of Goal setting and Action Planning (G-AP) training to support person-centred rehabilitation practice. Frontiers in rehabilitation sciences Staff felt confident using G-AP with individual patients after online training, but team-level rollout stalled due to time pressures and role changes. The resource is free, but this study measured staff opinions, not patient outcomes. PT OT Other 2025 Achieving precision assessment of functional clinical scores for upper extremity using IMU-Based wearable devices and deep learning methods. Journal of neuroengineering and rehabilitation Wearable sensors and AI matched therapist scores for arm function in stroke patients. The system predicted Fugl-Meyer scores with high accuracy and identified recovery stages reliably, offering a tool for objective monitoring. PT OT Qualitative 2025 Resilience and adaptations-insights from Norwegian adolescents with pediatric-onset spinal cord injury. Frontiers in rehabilitation sciences Adolescents with spinal cord injuries prioritized independence and social connection over physical recovery alone. They valued peers who treated them normally and schools that adapted activities rather than excusing them. They sought autonomy in daily choices, often preferring self-directed exercise to supervised therapy. PT OT SLP Pilot 2025 A technology-enriched approach to increasing rehabilitation dose after stroke: Clinical feasibility study. Clinical rehabilitation Sub-acute stroke in-patients attended supervised group technology sessions of 52 minutes on average, in addition to usual therapy. Recruitment and dropout met feasibility targets, and no serious adverse reactions were reported. PT OT Cohort 2024 Caregiver burden among informal caregivers of stroke survivors in Harare, Zimbabwe. The South African journal of physiotherapy Caregivers of stroke survivors reported higher strain when they were anxious, depressed, overwhelmed, or had adjusted work, and when survivors had poor physical, motor, or social outcomes. This reports associations, not proof that treatment reduces burden. PT OT RCT 2025 A clinical trial evaluating feasibility and acceptability of a brain-computer interface for telerehabilitation in patients with stroke. Journal of neuroengineering and rehabilitation Seven people with chronic stroke could use a home brain-computer interface with electrical arm stimulation under remote supervision. They rated setup and use as easy by the end, and six had higher arm motor scores, but this was a feasibility pilot. PT OT Cohort 2025 Examination of Proprioceptive Reliance During Backward Walking in Individuals With Multiple Sclerosis. Journal of neurologic physical therapy : JNPT Backward walking speed in people with MS depended more heavily on foot sensation than forward walking did. Those who had fallen recently had worse sensation and walked slower backward. This suggests backward walking is a sensitive test for sensory-driven balance issues. PT OT SLP Protocol 2025 Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study. Frontiers in rehabilitation sciences No results yet. This paper describes a plan to introduce updated psychosocial guidelines to spinal cord injury teams in Australia. It outlines how researchers will measure whether staff adopt the guidelines, but reports no data on whether this improves patient care. PT OT SLP Other 2025 Brain Injury Sense of Self Scale: psychometric development of a new measure of strength of self-identity after traumatic brain injury. European journal of physical and rehabilitation medicine The new BISOSS scale identifies three distinct areas of self-identity trouble after brain injury: personal, societal, and relational. It helps clinicians pinpoint exactly where a patient feels lost, rather than just noting general low self-esteem. This allows for targeted conversation and care planning. PT OT RCT 2025 Transcranial direct current stimulation over the motor and premotor cortex with mirror therapy improves motor control, muscle function, and brain activity in chronic stroke: a double-blind randomized sham-controlled trial. Journal of neuroengineering and rehabilitation Compared with sham, brain stimulation over the premotor area before mirror therapy improved paretic hand speed and smoothness and reduced spasticity. Stimulation over the motor cortex reduced trunk displacement. All groups also practiced functional tasks. PT OT Other 2025 Exoskeleton-guided passive movement elicits standardized EEG patterns for generalizable BCIs in stroke rehabilitation. Journal of neuroengineering and rehabilitation Exoskeleton-guided passive hand movement produced more consistent EEG patterns than voluntary movement in 10 stroke patients and 20 healthy people. Deep learning decoded passive movement across participants at 72.63% in stroke and 86.00% in healthy, but motor recovery was not tested. ← Previous PAGE 43 OF 56 Next →