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.
3,875 PAPERS · PAGE 41 OF 78 · NEWEST FIRST
PT OT SLP Systematic Review 2022 Cognitive impairment, anxiety and depression: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition. European journal of physical and rehabilitation medicine Cochrane reviews show cognitive training, exercise, and memory rehabilitation can help thinking and mood in stroke, cancer, and dementia. Evidence quality is low to very low. These findings apply to other conditions, not directly to post-COVID-19. PT Other 2022 Active cooling of twisted coiled actuators via fabric air channels. Frontiers in rehabilitation sciences A fabric channel with forced air cooled artificial muscles for wearable devices faster than passive cooling, but it reduced their movement and slightly increased heating. The work tested bench prototypes only, not stroke patients or rehabilitation exercises. PT OT SLP Cohort 2022 Rehabilitation of Patients With Acute Ischemic Stroke Who Required Assistance Before Hospitalization Contributes to Improvement in Activities of Daily Living: A Nationwide Database Cohort Study. Archives of rehabilitation research and clinical translation Starting rehabilitation early and increasing daily duration improved daily living activities in stroke patients who needed help before admission. This benefit held for those with moderate disability, but early rehabilitation did not improve outcomes for the most severely disabled group. PT OT SLP RCT 2023 Optimized Home Rehabilitation Technology Reduces Upper Extremity Impairment Compared to a Conventional Home Exercise Program: A Randomized, Controlled, Single-Blind Trial in Subacute Stroke. Neurorehabilitation and neural repair Patients using a sensor-based home exercise system improved upper limb function more than those using paper instructions. The trial stopped early due to the pandemic with only 25 participants analyzed, so the result is promising but not yet definitive for routine care. PT OT SLP Qualitative 2023 Exemplary post-discharge stroke rehabilitation programs: A multiple case study. Clinical rehabilitation Exemplary post-discharge stroke care relies on three pillars: deep clinical knowledge, a respectful personalized relationship, and team commitment. Patients valued providers who treated them like friends, explained stroke impacts clearly, and offered flexible timing rather than rigid intensity. PT OT SLP Cohort 2023 The Moderating Role of Motivation in the Real-Time Associations of Fatigue, Cognitive Complaints, and Pain With Depressed Mood Among Stroke Survivors: An Ecological Momentary Assessment Study. Archives of physical medicine and rehabilitation For stroke survivors, feeling tired, in pain, or mentally slow was linked to feeling depressed in the moment. However, doing activities because they were personally meaningful, rather than out of pressure or obligation, weakened this link. Clinicians should support autonomous motivation. PT Other 2022 Playfully Assessing Lower Extremity Selective Voluntary Motor Control in Children With Cerebral Palsy: Psychometric Study. JMIR rehabilitation and assistive technologies A playful game using leg sensors could separate children with cerebral palsy from peers, but it did not match standard clinical scores well. It may add detail, not replace usual assessment. PT OT SLP Other 2022 Effect of exoskeleton-assisted Body Weight-Supported Treadmill Training on gait function for patients with chronic stroke: a scoping review. Journal of neuroengineering and rehabilitation Exoskeleton-assisted treadmill training improved walking in 10 of 11 studies, but it was not better than therapist-assisted training. The robot's value appears to be reducing physical burden on therapists while maintaining similar gait gains, not adding superior efficacy. PT OT SLP Systematic Review 2022 Dysphagia, dysphonia and olfactory disease: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition. European journal of physical and rehabilitation medicine No Cochrane reviews exist for treating voice or smell loss in post-COVID. For swallowing, one review of stroke patients suggests behavioral strategies and TMS may help, but evidence quality is low and does not directly prove these treatments work for post-COVID patients. PT OT SLP Other 2022 Interaction of network and rehabilitation therapy parameters in defining recovery after stroke in a Bilateral Neural Network. Journal of neuroengineering and rehabilitation In a computer model of stroke, exploratory movements across a full workspace improved reaching accuracy more than repetitive stereotypic movements. This benefit occurred regardless of whether the healthy arm was restrained or used. The model suggests movement variety, not hand selection, drives recovery. PT OT Cohort 2022 Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury. Archives of rehabilitation research and clinical translation Among employed people with spinal cord injury, 24.6% perceived themselves as underemployed. Higher earnings, health benefits, and being married were linked to lower odds of feeling underemployed, while working in sales or management/professional roles was linked to higher odds. PT OT Other 2023 Psychometric Properties of a New Measure of Upper Limb Performance in Post-Stroke Individuals: Trunk-Based Index of Performance. Neurorehabilitation and neural repair A new measure called IPt combines speed, accuracy, and trunk compensation in stroke reaching. It showed excellent stability over time and could distinguish mild from moderate-to-severe impairment, offering a way to track motor skill changes beyond standard clinical scores. PT OT SLP Cohort 2022 Successful Community Discharge Among Older Adults With Traumatic Brain Injury Admitted to Inpatient Rehabilitation Facilities. Archives of rehabilitation research and clinical translation Most older adults with traumatic brain injury return home after inpatient rehab. Those living alone before injury were less likely to succeed than those living with others. Higher motor and cognitive scores on admission predicted a better chance of going home. PT OT SLP Systematic Review 2022 Service Delivery Models for the Management of Pediatric and Adolescent Concussion: A Systematic Review. Archives of rehabilitation research and clinical translation Most concussion studies measure provider habits or costs, not patient recovery. Specialists deliver active exercise and multidisciplinary care, while generalists often lack standardized tools. Telemedicine improves access for rural families but cannot replace in-person neurologic exams. PT OT Other 2022 Assessing Participation in Adolescents With Cerebral Palsy: Comparison of Life-Habits and USER-Participation. Archives of rehabilitation research and clinical translation The Life-H and USER-Participation agree on how much adolescents with cerebral palsy do, but not on how satisfied they are. Use the USER-Participation for a quick overall picture and the Life-H when you need to find specific daily restrictions or sources of dissatisfaction. PT OT SLP Cohort 2022 Factors Associated With Time to Achieve Physical Functional Recovery in Patients With Severe Stroke After Inpatient Rehabilitation: A Retrospective Nationwide Cohort Study in Japan. Archives of rehabilitation research and clinical translation Only 40.4% of patients with severe stroke achieved physical independence by discharge. Younger age and higher initial motor scores predicted faster recovery. Patients who reached this goal received 10 more minutes of therapy per day than those who did not. PT Other 2022 Defining usual physiotherapy care in ambulant children with cerebral palsy in the United Kingdom: A mixed methods consensus study. Child: care, health and development UK paediatric physiotherapists agreed usual care for ambulant children with cerebral palsy includes long-term monitoring, advice, goal setting, sport and activity, and task-specific training. Only two of six proposed exercise interventions reached consensus. It defines usual care. It does not prove effectiveness. PT OT Other 2022 A Scoping Review of the Characteristics of Activity-based Therapy Interventions Across the Continuum of Care for People Living With Spinal Cord Injury or Disease. Archives of rehabilitation research and clinical translation Across 140 studies, activity-based therapy for spinal cord injury varied widely, with most research done in labs. Intensity was rarely reported. Clinicians should not assume a standard protocol exists; document specific exercises, dosage, and technology used for each patient. PT OT Cohort 2022 Longitudinal Median Nerve Ultrasound Changes in Individuals With Spinal Cord Injury and an Age- and Sex-Matched Nondisabled Cohort. Archives of rehabilitation research and clinical translation One year after spinal cord injury, patients reported more carpal tunnel symptoms than age-matched controls. Ultrasound changes in the median nerve were subtle and mostly appeared in the nondominant hand, suggesting monitoring for symptoms rather than relying on imaging alone. PT OT SLP Cohort 2022 Is the Activity Measure for Postacute Care "6-Clicks" Tool Associated With Discharge Destination Postacute Stroke? Archives of rehabilitation research and clinical translation In 721 people after ischemic stroke, higher mobility and daily-activity scores near discharge were associated with going home rather than a facility. The same scores did not distinguish inpatient rehab from skilled nursing. PT OT SLP Cohort 2022 Clarification of Factors Determining Discharge Destination Among Elderly Patients After Stroke With Low Levels of Independence in Activities of Daily Living: A Retrospective Study. Archives of rehabilitation research and clinical translation Among stroke survivors with severe disability, those who could eat by mouth, had better cognitive scores, and lived with family were more likely to go home. Patients living alone all went to long-term care, regardless of their physical ability. PT OT Pilot 2022 Pilot Study of a Fall Prevention and Management Intervention Program for People With Multiple Sclerosis Who Use a Wheelchair or Scooter Full-Time. Archives of rehabilitation research and clinical translation Falls did not change in a way the study could show after a six-session group program for full-time wheelchair or scooter users with MS. Transfer quality, fall prevention strategies, and perceived importance of community participation improved. PT OT Other 2022 The Influence of Age at Pediatric-Onset Spinal Cord Injury and Years of Wheelchair Use on Shoulder Complex Joint Dynamics During Manual Wheelchair Propulsion. Archives of rehabilitation research and clinical translation Shoulder movement during wheelchair propulsion changes based on age at injury and years of use. Those injured younger showed specific motion patterns linked to impingement risk as they aged, but pain was not measured. PT OT SLP Cohort 2023 The virtual family conference in stroke rehabilitation: Education, preparation, and transition planning. Clinical rehabilitation Carers reported significantly better stroke knowledge, satisfaction with information, and confidence in transition planning after virtual family conferences. Stress levels also improved in most areas. This was a pre-post study without a control group, so it shows feasibility and perceived benefit, not proof of effectiveness. PT RCT 2023 Exercise Training Does Not Attenuate Cardiac Atrophy or Loss of Function in Individuals With Acute Spinal Cord Injury: A Pilot Study. Archives of physical medicine and rehabilitation In adults with recent spinal cord injury, six months of arms-only or electrical stimulation rowing did not slow left ventricular shrinkage or loss of heart pumping function. Electrical stimulation rowing raised peak oxygen use, but heart structure did not follow. PT OT Survey 2022 Parent-report health-related quality of life in school-aged children with cerebral palsy: A cross-sectional study. Frontiers in rehabilitation sciences Portuguese parents of 68 school-aged children with cerebral palsy reported clinically low quality of life in physical well-being, mood and emotions, autonomy, and bullying compared with European norms. Mobility and cognitive impairment were linked to lower scores. PT OT Other 2023 Interpreting the CPASS Trial: Do Not Shift Motor Therapy to the Subacute Phase. Neurorehabilitation and neural repair Do not shift standard stroke rehabilitation to the subacute phase. The trial compared added therapy at different times, not moving care. Standard therapy was already concentrated early. Participants received an average of 27.9 hours of standard therapy in the first two months. PT OT SLP Cohort 2023 Returning to Work after Stroke: Associations with Cognitive Performance, Motivation, Perceived Working Ability and Barriers. Journal of rehabilitation medicine Stroke survivors with higher cognitive scores, better self-perceived working ability, and fewer perceived barriers were more likely to return to work. Self-assessments predicted return-to-work at 12 months, while early cognitive screening predicted it at 6 months. PT OT Qualitative 2022 Wrist-Worn devices to encourage affected upper limb movement in unilateral cerebral palsy: Participatory design workshops. Frontiers in rehabilitation sciences Children with unilateral cerebral palsy and their therapists told researchers that wrist-worn devices must look like standard fitness trackers and be easy to fasten with one hand. School policies on phones and trackers were the biggest practical barrier to using them daily. PT OT SLP Cohort 2022 Rehabilitation after paediatric acquired brain injury: Longitudinal change in content and effect on recovery. Developmental medicine and child neurology Rehabilitation focus shifts significantly during admission. More active practice predicted faster daily activity recovery. However, teams often swapped emotional support for medical management when early recovery was slow, complicating any simple dose-response link. PT OT Meta-Analysis 2023 Effects of non-invasive brain stimulation on motor function after spinal cord injury: a systematic review and meta-analysis. Journal of neuroengineering and rehabilitation Non-invasive brain stimulation improved lower-limb strength and balance in people with spinal cord injury, but did not improve walking speed, endurance, or upper-limb function. Most participants received concurrent rehabilitation, so the specific contribution of the brain stimulation remains unclear. PT OT SLP Narrative Review 2023 Stroke Rehabilitation in Low- and Middle-Income Countries: Challenges and Opportunities. American journal of physical medicine & rehabilitation Stroke rehabilitation in low- and middle-income countries is severely under-resourced, with few therapists and high patient costs. Current guidelines often fail because they are not adapted to local realities. Effective solutions require community-based care, task-shifting to caregivers, and tele-rehabilitation. PT OT Cohort 2023 Effects of dynamic body weight support on functional independence measures in acute ischemic stroke: a retrospective cohort study. Journal of neuroengineering and rehabilitation Patients with acute stroke who used dynamic body weight support during therapy gained more functional independence than those receiving standard care. The average gain was 7.8 points higher on the 18 to 126 point FIM scale. This small retrospective study suggests a potential benefit but requires confirmation. PT OT SLP Other 2023 A Learning Health System Infrastructure for Precision Rehabilitation After Stroke. American journal of physical medicine & rehabilitation This paper describes building a database to track stroke recovery, not testing a treatment. It details how clinicians can enter data consistently, such as labeling fields to prevent mixing up time and speed. It offers no findings on patient outcomes or intervention efficacy. PT OT SLP Cohort 2023 Depression, Anxiety, and Suicidality in Individuals With Chronic Traumatic Brain Injury Before and During the COVID-19 Pandemic: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study. Archives of physical medicine and rehabilitation Depression, anxiety, and suicidal thoughts in people with chronic traumatic brain injury did not increase during the COVID-19 pandemic compared with before it. Symptoms remained stable, though disability and substance use consistently predicted higher distress. PT OT SLP Cohort 2023 Relationship Between Nutritional Status and Severity of Cerebral Palsy: A Multicentre Cross-Sectional Study. Journal of rehabilitation medicine Undernutrition affects half of children with cerebral palsy and worsens as motor and eating difficulties increase. Blood tests failed to identify nutritional status, so clinical assessment of eating ability and growth remains essential for screening. PT OT SLP Cohort 2022 Declining trends in birth prevalence and severity of singletons with cerebral palsy of prenatal or perinatal origin in Australia: A population-based observational study. Developmental medicine and child neurology The number of Australian singletons with cerebral palsy has dropped significantly. This decline was seen in all gestational age groups, but was most pronounced in very preterm and term babies. The proportion of children with bilateral spasticity decreased, while those with dyskinetic or hypotonic presentations increased. PT OT Survey 2023 Diet, Physical Activity, and Stress Among Wheelchair Users With Multiple Sclerosis: Examining Individual and Co-Occurring Behavioral Risk Factors. Archives of physical medicine and rehabilitation Wheelchair users with MS who had two or three behavioral risk factors reported worse depression, anxiety, sleep quality, and health-related quality of life than those with zero or one. Insufficient physical activity was the most common single risk factor, present alone in 28% of participants. PT OT Other 2023 Exaggerated pressor response to static squats in Parkinson's disease (PD) and healthy subjects is likely an individual trait, not influenced by whole body vibration (WBV). NeuroRehabilitation Whole body vibration did not increase blood pressure during squats in people with Parkinson's. The rise in blood pressure was an individual trait, ranging from 10 mmHg in some to 50 mmHg in others, regardless of the vibration. PT OT Other 2023 Exploring high-density corticomuscular networks after stroke to enable a hybrid Brain-Computer Interface for hand motor rehabilitation. Journal of neuroengineering and rehabilitation Stroke patients showed weaker brain-muscle coupling and more abnormal muscle recruitment during hand movement attempts than healthy controls. These network features correlated with clinical impairment scores, offering a way to measure motor deficits for guiding future hybrid brain-computer interface therapy design. PT Other 2022 Accounting for the valley of recovery during post-stroke rehabilitation training via a model-based analysis of macaque manual dexterity. Frontiers in rehabilitation sciences In two monkeys with motor cortex lesions, a computational model explained the temporary performance drop when switching from a compensatory grip to a precision grip. The model suggests that training that shares overlapping neural pathways between these two skills can prevent this drop. PT SLP Cohort 2023 Salivary Cortisol Dynamics After Mild Traumatic Brain Injury. The Journal of head trauma rehabilitation One week after mild traumatic brain injury, patients had higher resting cortisol and a larger stress response to exercise than uninjured controls. This suggests activity prescriptions should be tailored to individual tolerance rather than following general advice. PT OT SLP Systematic Review 2023 Effect of mobile application types on stroke rehabilitation: a systematic review. Journal of neuroengineering and rehabilitation Mobile apps showed inconsistent benefits across stroke outcomes. Therapy apps improved motor paresis and aphasia in small studies, and rehab videos helped exercise adherence. However, neglect, daily living independence, quality of life, and depression showed no clear benefit or mixed results. PT OT Cohort 2023 Cost-effectiveness analysis of overground robotic training versus conventional locomotor training in people with spinal cord injury. Journal of neuroengineering and rehabilitation Conventional training was more cost-effective for incomplete SCI, while robotic training showed better value for complete SCI. Robotic training had higher costs and therapy minutes. The study did not measure walking ability, only quality-of-life gains and costs. PT OT SLP Cohort 2022 Modelling quality of life in children with intellectual disability using regression trees. Developmental medicine and child neurology Daytime sleepiness and low community participation were the strongest factors linked to poorer quality of life in children with intellectual disability. Eye contact during communication also mattered. These findings suggest clinicians should prioritize screening for sleep issues and facilitating social engagement. PT OT RCT 2023 Comparative effects of kinect-based versus therapist-based constraint-induced movement therapy on motor control and daily motor function in children with unilateral cerebral palsy: a randomized control trial. Journal of neuroengineering and rehabilitation Kinect-based therapy matched traditional therapist-led CIMT for hand use and daily function in children with unilateral cerebral palsy, but it reduced trunk compensation during reaching. The small sample and lack of follow-up mean this is promising, not definitive. PT OT Other 2023 The Berlin Bimanual Test for Tetraplegia (BeBiTT): development, psychometric properties, and sensitivity to change in assistive hand exoskeleton application. Journal of neuroengineering and rehabilitation A 9-item bimanual hand test for tetraplegia was feasible, safe, and scored consistently by raters. Scores lined up with self-care and function questionnaires. With a one-hand exoskeleton, average total scores improved in the 10 participants tested, but manipulation did not. PT OT Other 2023 Speed-dependent biomechanical changes vary across individual gait metrics post-stroke relative to neurotypical adults. Journal of neuroengineering and rehabilitation Walking faster improves some stroke gait mechanics but worsens others relative to neurotypical adults. For many patients, fast walking alone does not make their overall gait pattern look like a typical walker's, suggesting speed training needs to be paired with other techniques to fix specific movement faults. PT OT SLP Cohort 2023 Visual Problems are Associated with Long-Term Fatigue after Stroke. Journal of rehabilitation medicine Stroke survivors with pronounced visual problems were significantly more likely to report severe fatigue years after their stroke. This association held even after adjusting for mood and energy levels. Clinicians should screen for visual deficits in fatigued patients, as treating vision issues may help reduce fatigue burden. PT Case-Control 2023 The use of machine learning and deep learning techniques to assess proprioceptive impairments of the upper limb after stroke. Journal of neuroengineering and rehabilitation Machine learning models sorted people with recent stroke from healthy controls using robotic arm position matching, slightly better than a single overall score. This was a test of analysis methods, not a new stroke diagnosis tool. ← Previous PAGE 41 OF 78 Next →