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 45 OF 78 · NEWEST FIRST

• PTOTMeta-Analysis2023Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke.The South African journal of physiotherapyHigh-dose aerobic exercise in hospital settings significantly improved walking capacity after stroke, but did not improve balance. Combining aerobic and resistance training improved quality of life. Therapists should prescribe at least 120 minutes per week at 60% heart rate reserve for walking recovery.
• PTOTOther2023Novel evaluation of upper-limb motor performance after stroke based on normal reaching movement model.Journal of neuroengineering and rehabilitationA new method estimates a stroke patient's normal reaching ability using their stronger arm, then maps the weaker arm's performance against this personal baseline. It identifies specific directions and distances where movement is most impaired, offering a visual guide for targeted robotic training.
• PTQualitative2023Physical Therapists Use Different Motivational Strategies for Stroke Rehabilitation Tailored to an Individual's Condition: A Qualitative Study.Physical therapyExpert physical therapists described changing how they motivate stroke rehab based on the person's mood, pain, cognition, confidence, age, family, and care setting. They also described enjoyable conversation and trust as common tools.
• PTOTCohort2023Impairments of the arm and hand are highly correlated during subacute stroke.Journal of rehabilitation medicineArm and hand impairments in subacute stroke are highly correlated, with most patients scoring within one point of each other on clinical scales. Clinicians should not assume the hand is worse than the arm; assessing one segment often provides sufficient information about the other.
• PTOTPilot2023Autonomous Control of Music to Retrain Walking After Stroke.Neurorehabilitation and neural repairOne 30-minute session of automated, music-based gait training improved walking symmetry and reduced energy cost in 10 stroke survivors. The system adjusted music tempo and beat salience in real time based on foot sensors, offering a potential way to deliver skilled gait rehab without a therapist present.
• PTOTCohort2023Natural Walking Intensity in Persons With Parkinson Disease.Journal of neurologic physical therapy : JNPTHigh daily step counts in Parkinson's disease do not guarantee moderate intensity walking. Most participants accumulated minutes at very low intensities, with few reaching the 150-minute weekly target. Clinicians should ask patients directly about brisk walking rather than relying solely on step counts.
• PTOTOther2023System identification: a feasible, reliable and valid way to quantify upper limb motor impairments.Journal of neuroengineering and rehabilitationRobotic elbow perturbations took about 25 min and were tolerable, but stiffness measures were inconsistent and only weakly matched the impairment tests.
• PTOTSLPNarrative Review2023Proportional Recovery After Stroke: Addressing Concerns Regarding Mathematical Coupling and Ceiling Effects.Neurorehabilitation and neural repairStroke recovery is not just a measurement problem, according to this review. Baseline upper limb impairment still predicts how much function returns, but the Fugl-Meyer scale cannot measure recovery above its top score.
• PTCohort2023Association of Dual-Task Gait Cost and White Matter Hyperintensity Burden Poststroke: Results From the ONDRI.Neurorehabilitation and neural repairPoststroke adults who slowed more while walking and naming animals had greater white matter lesion burden in basal ganglia and thalamus. This pattern was not explained by brain atrophy.
• PTOTCohort2023Rural-urban disparities in healthcare factors and long-term health outcomes in individuals with pediatric-onset spinal cord injury.Frontiers in rehabilitation sciencesAdults with pediatric-onset spinal cord injury living in rural areas reported more pressure injuries, urinary tract infections, bowel incontinence, hospitalizations, and sleep difficulties than their urban counterparts. They also faced lower employment and insurance rates. However, there were no differences in depression, anxiety, or life satisfaction between the groups.
• PTOTSLPCohort2023Influence of visual symptoms on posturographic performance after stroke.CoDASStroke survivors with visual symptoms showed significantly worse balance when relying on vision, unlike those without such symptoms. This suggests these patients struggle to use visual cues for stability. Assessing visual complaints is crucial before prescribing balance exercises that rely on sight.
• PTOTOther2023Quantitative measurement of finger usage in stroke hemiplegia using ring-shaped wearable devices.Journal of neuroengineering and rehabilitationA ring device objectively measured finger use in 20 stroke patients, showing affected hands were used less. However, this objective data did not match patients' self-reported use on the Motor Activity Log, suggesting subjective interviews may not accurately reflect real-world finger movement.
• PTOTSLPPilot2023The Community Rehabilitation Assessment: patient and clinician-reported outcomes in ambulatory rehabilitation.Frontiers in rehabilitation sciencesPatients in ambulatory rehab showed large improvements in daily activities and walking speed. The new assessment captured these changes, but without a control group, it is unclear how much was due to treatment versus natural recovery.
• PTOTOther2023Cognitive Impairments After Stroke Do Not Attenuate Explicit Visuomotor Adaptation in Reaching and Savings With the Unaffected Arm.Neurorehabilitation and neural repairStroke participants using their unaffected arm adapted to a 40° reaching rotation and relearned it as well as age-matched controls, despite lower cognitive screening scores. Both older groups were less accurate than young controls.
• PTOTOther2023The Swedish King's Parkinson's disease Pain Scale: Validation and pain prevalence in persons with mild-moderate severity Parkinson's disease.Journal of rehabilitation medicineThe Swedish King's Parkinson's Pain Scale correlates strongly with visual pain scores and captures pain independently of balance. In mild-moderate Parkinson's, 57% reported pain, mostly musculoskeletal. Use this scale to identify pain types that require specific rehabilitation strategies.
• PTOTSLPSystematic Review2023Environmental determinants for participation among stroke survivors in Africa, a scoping review.Frontiers in rehabilitation sciencesStroke survivors in Africa faced severe environmental barriers to participation. Inaccessible transport, buildings, and homes restricted mobility and therapy access. While family support was often positive, societal stigma and lack of assistive devices hindered reintegration. These factors drove survivors to self-imposed isolation.
• PTOTSLPCohort2023Switching attention deficits in post-stroke individuals with different aphasia types.AphasiologyPeople with non-fluent aphasia made more errors and responded slower than controls when switching attention between tones. People with fluent aphasia also made more errors but responded at normal speeds. These deficits occurred even without language tasks, suggesting attention problems are distinct from language loss.
• PTOTQualitative2023Perspectives of users for a future interactive wearable system for upper extremity rehabilitation following stroke: a qualitative study.Journal of neuroengineering and rehabilitationTherapists and stroke survivors want wearable systems that adapt to each person's specific impairment level and goals. They prioritized devices that track both the quality and quantity of movement, capturing compensatory trunk motions during functional tasks like dressing or cooking.
• PTOTSLPPilot2023Cognitive-motor dual-task interference in adults with sickle cell disease.Gait & postureMost adults with sickle cell disease slowed down when walking and talking. They often prioritized the conversation over their gait. This dual-task assessment was feasible and acceptable. It may help identify functional decline earlier in this population.
• PTOTOther2023Assessing real-world gait with digital technology? Validation, insights and recommendations from the Mobilise-D consortium.Journal of neuroengineering and rehabilitationA lower-back wearable could identify walking bouts, steps, and cadence reasonably well in real life, but stride length was unreliable, especially for slow or short bouts.
• PTOTSLPOther2023Translation and adaptation of the stroke-specific quality of life scale into Swahili.The South African journal of physiotherapyA stroke quality-of-life questionnaire was translated into Swahili and checked with 32 people with stroke. 46 of 49 items were understood, and average scores were 82 for English and 81 for Swahili on a 49 to 245 scale, though vision items needed revision.
• PTOTCohort2023Hours and costs of formal and informal care following Traumatic Brain Injury and Spinal Cord Injury sustained through Motor Vehicle Accidents: A Cross-sectional Study.Journal of rehabilitation medicinePeople with spinal cord injury used more care hours and cost more annually than those with brain injury. Informal care by family or friends made up the largest share of costs for both groups, exceeding formal paid services.
• PTPilot2023The Immediate Effects of Different Types of Augmented Feedback on Fast Walking Speed Performance and Intrinsic Motivation After Stroke.Archives of rehabilitation research and clinical translationAll three feedback types produced small, non-significant increases in fast walking speed. The full VR-exergame yielded the highest interest and enjoyment scores, but this difference did not survive correction for multiple comparisons.
• PTOther2023Age-related differences in reactive balance control and fall-risk in people with chronic stroke.Gait & postureOlder adults with chronic stroke fell more during unexpected slips on their less affected side than younger adults, while slips on the affected side showed no age difference and routine balance tests were similar.
• PTOTPilot2023Remote Delivery of the Fugl-Meyer Assessment for the Upper Extremity: A Pilot Study to Assess Feasibility, Reliability, and Validity.Archives of rehabilitation research and clinical translationRemote administration of the Fugl-Meyer Upper Extremity test showed poor reliability and validity compared to in-person testing. Total scores disagreed significantly between therapists and between remote and in-person methods, meaning current remote protocols cannot accurately replace standard assessment.
• PTOTOther2023Characteristics of corticomuscular coupling during wheelchair Tai Chi in patients with spinal cord injury.Journal of neuroengineering and rehabilitationWheelchair Tai Chi produced stronger brain-to-muscle coupling in several pathways than aerobic exercise, but no difference in overall cortical activity. Patients showed higher muscle activation than healthy controls, suggesting they compensate for reduced connectivity by working harder.
• PTOTCase-Control2023Children With Cerebral Palsy Show Higher Static-But Not Higher Dynamic-Motor Fatigability in Grip and Pinch Tasks Than Children With Typical Development Do.Physical therapyChildren with unilateral spastic cerebral palsy lost more strength while holding a grip or pinch as hard as possible, especially in the nonpreferred hand. They did not show more fatigue during repeated squeeze tasks than typical children.
• PTOTSLPOther2023Mental health services and resources for children with developmental disabilities and their families: scan of local practices, gaps, and opportunities created.Frontiers in rehabilitation sciencesA scan of Montreal-area mental health services for children with developmental disabilities found they are hard to access. Most require referrals, have waitlists, or restrict age and location, and few offer follow-up care. Services often target the child but ignore the family unit.
• PTOTOther2023Outcomes of Implementing a Webinar-Based Strategy to Improve Spinal Cord Injury Knowledge and Community Building: Convergent Mixed Methods Study.JMIR rehabilitation and assistive technologiesMost attendees were people with SCI or health care providers in urban areas. They reported knowledge gains and changed disability views, but webinars strengthened existing peer ties rather than building a broad community.
• PTQualitative2023"It's a lot more complicated than it seems": physiotherapists' experiences of using compensation strategies in people with Parkinson's.Frontiers in rehabilitation sciencesPhysiotherapists described tailoring Parkinson's gait strategies to each person's cognition, preferences, mood and home support. They also said work settings and little formal training made consistent delivery difficult. This reports their experiences, not evidence that any strategy works.
• PTOTSurvey2023Perceived impact of the COVID-19 pandemic among people with spinal cord injury: A descriptive study.Archives of rehabilitation research and clinical translationMost people with spinal cord injury reported the pandemic negatively affected their community participation. Over half of those needing personal care attendants relied more on family, and a quarter delayed medical treatments due to fear of infection, though difficulties obtaining basic supplies were less common.
• PTOTSLPOther2023The Oxford Cognitive Screen for use with Australian people after stroke (OCS-AU): The adaptation process and determining cut scores for cognitive impairment using a cross-sectional normative study.Australian occupational therapy journalThe Oxford Cognitive Screen was adapted for Australian English. Normative data showed that Australian scores matched the original UK cut scores for almost all items, meaning clinicians can use the existing thresholds to identify specific cognitive deficits after stroke.
• PTOTSLPCohort2023Adherence to Guidelines for Acute Rehabilitation in the Norwegian Trauma Plan.Journal of rehabilitation medicineAdherence to Norwegian trauma rehabilitation guidelines was poor. Only 18% of ICU patients stayed 3+ days received a specialist assessment within 72 hours. Just 22% of all patients transferred directly to specialized rehabilitation, leaving many with severe injuries without timely acute care.
• PTOTOther2023Long-term forecasting of a motor outcome following rehabilitation in chronic stroke via a hierarchical bayesian dynamic model.Journal of neuroengineering and rehabilitationA computer model predicted upper-limb recovery in chronic stroke patients by combining their initial scores with repeated progress checks. Accuracy improved significantly as more data arrived. The model worked best after the second week of therapy, offering reliable forecasts for six months ahead.
• PTOTSLPOther2023Models of Telehealth Service Delivery in Adults With Spinal Cord Injuries: Scoping Review.JMIR rehabilitation and assistive technologiesTelehealth and telerehabilitation services for adults with spinal cord injury showed inconsistent effectiveness. While some studies reported improved physical activity, pain, and wound care outcomes, others showed no benefit for psychosocial health or quality of life.
• PTOTCohort2023Objective quantification of responses to the clinical pull-test in people with Parkinson's disease.Gait & postureAn instrumented pull-test measured on a gait mat showed people with Parkinson's took shorter and slower backward steps than controls. These measurements correlated with motor severity scores, offering a way to track subtle balance changes before clinical scores shift.
• PTOTSLPCohort2023Measurement Properties of the Patient-Specific Functional Scale in Rehabilitation for Patients With Stroke: A Prospective Observational Study.Physical therapyThe Patient-Specific Functional Scale works well for tracking patient goals during inpatient stroke rehabilitation, even when patients have cognitive or language impairments. A change of at least 2 points indicates real improvement beyond measurement error. However, the scale becomes less useful after discharge as patients hit a ceiling.
• PTPilot2023Ankle-targeted exosuit resistance increases paretic propulsion in people post-stroke.Journal of neuroengineering and rehabilitationA soft exosuit resisting the paretic ankle increased propulsion during walking and left immediate after-effects after removal. Higher resistance produced larger gains without compensatory movement from the hip, knee, or non-paretic leg.
• PTOTCohort2023Relative Aerobic Load of Daily Activities After Stroke.Physical therapyStroke survivors expend a much higher percentage of their limited aerobic capacity on daily tasks like walking and sweeping than healthy peers, even when moving slower. This suggests slow pace is a protective strategy against fatigue, not just a motor deficit.
• PTOTRCT2023Efficacy of interactive manual dexterity training after stroke: a pilot single-blinded randomized controlled trial.Journal of neuroengineering and rehabilitationDextrain training did not improve gross hand dexterity more than conventional therapy immediately after treatment. However, Dextrain showed greater gains in specific finger control tasks and a non-significant trend for better dexterity at 3-month follow-up.
• PTOTPilot2023Fully immersive virtual reality exergames with dual-task components for patients with Parkinson's disease: a feasibility study.Journal of neuroengineering and rehabilitationTwelve patients with Parkinson's disease completed a seated virtual reality boxing and stepping program without dropouts or serious side effects. Balance and executive function scores improved significantly, but walking speed and dual-task interference did not reach statistical significance.
• PTOTCohort2023Venous thromboembolism and anticoagulation in spinal cord lesion rehabilitation inpatients: A 10-year retrospective study.NeuroRehabilitationStandard low-dose enoxaparin prophylaxis reduced VTE rates compared to historical data but failed to prevent them in 3% of patients during rehabilitation. Late VTEs occurred after discontinuation, and side effects were rare, suggesting the current regimen is insufficient and requires risk-adapted dosing and duration.
• PTOTSLPOther2023Problem solving and collaborative involvement among adolescents with spinal cord injury and their caregivers.Frontiers in rehabilitation sciencesAdolescents with spinal cord injury who perceived their caregivers as collaborative partners in their daily care showed better positive and rational problem-solving skills. This association held even when accounting for the caregivers' own problem-solving abilities.
• PTOTPilot2023Suitability of visual cues for freezing of gait in patients with idiopathic Parkinson's disease: a case-control pilot study.Journal of neuroengineering and rehabilitationLaser shoes reduced freezing episodes in Parkinson's patients with milder symptoms and specific brain scan findings, but were ineffective for those with severe freezing. This pilot suggests early intervention may work better, but the small sample size prevents firm conclusions.
• PTOTCohort2023Determinants of gait dystonia severity in cerebral palsy.Developmental medicine and child neurologyExperts identified gait dystonia in cerebral palsy by looking for variable leg adduction and its effect on walking. Two simple video measurements matched these expert ratings: how much the ankles varied in distance and the smallest foot angle. These could help track severity without a gait lab.
• PTOTSLPCohort2023Executive function improvement in response to meta-cognitive training in chronic mTBI / PTSD.Frontiers in rehabilitation sciencesVeterans with mild TBI and PTSD who received Goal Management Training plus a smartphone app for home practice showed significant improvements in executive function and life role participation. This uncontrolled pilot suggests the combined approach aids transfer of skills to daily life.
• PTOTSLPPilot2023An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study.JMIR rehabilitation and assistive technologiesPeople with chronic stroke found a tech-heavy gym program feasible, attending 82% of planned sessions. They valued equipment feedback but needed professional supervision for safety. While physical scores improved, the study did not test whether the intervention caused these changes.
• PTOTQualitative2023Struggling to Keep Up and Have a Good Life: A Qualitative Study of Living With Impaired Balance Control Due to Multiple Sclerosis.Physical therapyPeople with multiple sclerosis described balance as shifting from an automatic skill to one requiring constant attention. Fatigue, unpredictable daily capacity, and busy environments made walking unsafe and exhausting. They managed this by prioritizing energy and accepting limits to keep doing what mattered.
• PTOTSLPNarrative Review2023Patient's assessment and prediction of recovery after stroke: a roadmap for clinicians.Archives of physiotherapyA stepwise guide to predicting stroke recovery using tools like PREP2 for arm function and TWIST for walking. These algorithms help set realistic goals but require clinical judgement, as long-term accuracy is only established for PREP2.
• PTOTOther2023Evaluating the usability of a co-designed power assisted exercise graphical user interface for people with stroke.Journal of neuroengineering and rehabilitationStroke survivors and therapists tested two versions of a power-assisted exercise interface. Version 2 fixed major navigation and feedback problems, but new features confused users and one safety change was judged too risky.