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 62 OF 78 · NEWEST FIRST
PT OT SLP Pilot 2025 Co-designing and testing a management programme with peer support for post-stroke fatigue: Nottingham fatigue after stroke study (NotFAST3). Clinical rehabilitation Stroke survivors with fatigue and trained peer supporters tested a self-management programme. Participants reported feeling supported and found the workbook helpful. Fatigue and mood scores improved, but without a control group, it is unknown if the programme caused these changes. PT OT SLP Pilot 2025 The Spinal Cord Injury Self-Management Program: A Pilot. OTJR : occupation, participation and health A 6-week virtual self-management program for spinal cord injury was feasible and acceptable to participants. It showed positive effects on secondary health conditions and goal attainment, but self-efficacy scores decreased, possibly due to participants understanding the challenges better after the intervention. PT OT Pilot 2025 Preparing Adults with Cerebral Palsy to Move from Assisted to Independent Living. Canadian journal of occupational therapy. Revue canadienne d'ergotherapie Seven adults with severe cerebral palsy improved their ability to manage daily tasks like cooking and finances after a 20-week coaching program. The intervention helped them reach personal goals and increased confidence in using powered wheelchairs. PT Cohort 2025 Are the 6-minute walk test and the 2-minute walk test equivalent in acute and subacute stroke survivors in Belgium and Vietnam: a multicultural study. Journal of rehabilitation medicine In 119 acute and subacute stroke survivors who could walk independently, the 2-minute walk test showed similar stroke-related distance reduction, speed, and heart-rate response to the 6-minute test, with high repeat-test consistency. PT OT SLP Other 2025 Components of frontal assessment battery and clinical features in patients with stroke. Journal of rehabilitation medicine Most stroke patients scored well on frontal lobe tests, but a small group had severe executive dysfunction. This group showed specific deficits in behavioural control and attention tasks, yet their daily independence and general cognition scores were similar to others. Screening total scores may miss this specific impairment. PT Narrative Review 2025 TECAR Therapy: A Clinical Commentary on its Evolution, Application, and Future in Rehabilitation. International journal of sports physical therapy This article reviews the theoretical basis and existing literature on TECAR therapy for musculoskeletal and neurological conditions. It highlights the lack of large, standardized trials and does not present new evidence to support or refute the treatment's efficacy. PT OT Other 2025 Age-related trajectories of muscle strength and power in individuals with cerebral palsy and the relationship to walking capacity. Gait & posture Knee muscle power tracks walking speed better than raw strength in cerebral palsy. Unlike typical development, muscle strength and power do not keep pace with body mass growth from childhood to adulthood in this population. PT OT Systematic Review 2025 Manual wheelchair training approaches and intended training outcomes for adults who are new to wheelchair use: A scoping review. Australian occupational therapy journal Most wheelchair training programs for adults focus on basic skills, confidence, and propulsion mechanics rather than long-term community participation. They rarely address the needs of older adults with progressive conditions or those with cognitive impairments, leaving therapists without clear guidance on effective, tailored approaches. PT Pilot 2025 High-Intensity Gait Training for Patients After Stroke: A Feasibility Study. Physiotherapy research international : the journal for researchers and clinicians in physical therapy High-intensity gait training was feasible for 15 severely impaired stroke patients, including non-ambulatory ones. Most completed at least eight sessions with no serious adverse events. Patients reported high satisfaction. Gait measures improved, but without a control group, the training's specific effect cannot be separated from natural recovery or other rehab. PT OT Survey 2025 Motivation Matters: Elucidating Factors Driving Exercise in People With Parkinson Disease. Physical therapy Most people with Parkinson disease who exercise are motivated by wanting to stay independent and seeing physical benefits, not by external rewards. Fatigue is the top barrier. Prior exercise habits and self-compassion predict current motivation more strongly than disease severity or age. PT Case Report 2025 Spinal cord injury and electrical stimulation: analysis of neuroplasticity in a case report. Frontiers in rehabilitation sciences Both patients with spinal cord injury showed neurological and muscle activation changes during neuromuscular electrical stimulation. With no control or comparison, the paper cannot show the stimulation caused these changes. PT OT Narrative Review 2025 Exploring the Landscape of Biomarkers in Spinal Cord Injury. Topics in spinal cord injury rehabilitation Spinal cord injury lacks FDA-approved biomarkers for predicting recovery, so clinicians must still rely on the ISNCSCI exam despite its variability. This review maps emerging candidates like serum proteins and MRI tissue bridges, but none are ready for routine clinical use yet. PT OT SLP Cohort 2025 Examining and comparing the clinical characteristics of adults with persisting post-concussion symptoms presenting for outpatient rehabilitation following a mild traumatic brain injury or a minimal head injury. Journal of rehabilitation medicine Patients referred to rehab with persisting symptoms after a mild head injury report similar high symptom burdens and disability whether their injury met criteria for mild TBI or was even milder. Nearly half had no loss of consciousness or amnesia. Treat symptoms and function, not just injury severity. PT OT SLP Other 2024 A Delphi Exploration of Toileting Activity Performance in Individuals With Cerebral Palsy Within the ICF-CY Framework: Unveiling Influential Factors. Occupational therapy international Experts agreed that caregiver awareness of a child's readiness and neuromusculoskeletal function are the top factors affecting toileting in cerebral palsy. They also highlighted the critical role of toilet environment, communication feedback, and cultural attitudes toward menstruation and hygiene. PT OT Other 2025 Exploratory development of human-machine interaction strategies for post-stroke upper-limb rehabilitation. Journal of neuroengineering and rehabilitation A new upper-limb exoskeleton accurately recognized subtle movement intentions in healthy volunteers (99.7% accuracy) and stopped safely when excessive force was applied in a single post-stroke patient. Clinical trials are needed to confirm rehabilitation effectiveness. PT OT Other 2025 Neuroimaging and biological markers of different paretic hand outcomes after stroke. Journal of neuroengineering and rehabilitation A brain scan metric called ALFF accurately distinguished stroke patients with partial hand weakness from those with complete paralysis. It also predicted hand function scores. This suggests a potential tool for assessing recovery, but clinical use requires further validation. PT OT Pilot 2025 Wristful thinking: exploring the effects of robotic rehabilitation and cross-education for persons with multiple sclerosis. Journal of neuroengineering and rehabilitation In people with MS, robot-guided wrist training of a single arm increased wrist strength and tracking accuracy in both arms, but daily hand function scores did not change. PT OT RCT 2025 Effectiveness of a rehabilitation program involving functional proprioceptive stimulation for postural control and motor recovery among stroke patients: a double-blinded, randomized, controlled trial. Journal of neuroengineering and rehabilitation With physiotherapy, standing practice and daily-activity training in both groups, adding real focal vibration improved balance more than sham vibration in stroke patients. PT RCT 2025 Effect of the Kickstart exoskeleton lower extremity walking system on improving lower extremity walking ability in subacute stroke patients: a randomized controlled trial. Journal of neuroengineering and rehabilitation In subacute stroke, adding Kickstart to conventional rehab improved lower-limb motor scores more at 4 and 8 weeks, but gait speed, stride length and symmetry did not differ between groups. PT RCT 2025 Electromyography (EMG)-triggered transcutaneous spinal cord and hip stimulation for gait rehabilitation in persons with chronic stroke: a randomized, controlled trial. Journal of neuroengineering and rehabilitation No significant difference was found between groups in 10-m walking time after adding EMG-triggered spinal and hip stimulation to treadmill training. The combined group improved within itself, but that alone does not show it beats treadmill training. PT OT Cohort 2025 Multicenter study on predictors of rehabilitation outcome and home discharge in people with non-traumatic spinal cord injuries. European journal of physical and rehabilitation medicine Functional scores at discharge predicted going home better than scores at admission in people with non-traumatic spinal cord injury. Longer stay, higher admission score, younger age, being married, and no central venous catheter were linked to home discharge. PT OT RCT 2025 Different light color temperatures in the morning on the effectiveness of rehabilitation training in patients with ischemic stroke: a prospective, single-center, randomized controlled clinical trial. Journal of neuroengineering and rehabilitation Morning exposure to cold light (6500 K) during rehabilitation improved neurological function, sleep quality, and physical health scores in stroke patients compared to warm or standard light. Warm light showed no benefit over standard conditions. The effect was seen after four weeks of morning sessions. PT OT Other 2025 Psychometric validation of comprehensive coordination scale to assess the advanced coordination ability in people with stroke. European journal of physical and rehabilitation medicine The Comprehensive Coordination Scale reliably measures motor coordination in chronic stroke survivors. A total score below 62.5 effectively distinguishes those with stroke from healthy older adults. However, the scale's bilateral and unaffected-side subscores showed poor reliability or diagnostic power. PT OT Case Report 2025 Effects of body weight-supported overground training on gait recovery in severe stroke-induced hemiplegia: a single-case ABAB design. Journal of physical therapy science A woman with severe stroke-related paralysis walked faster and took fewer steps when body weight-supported overground training was added to standard therapy. Her walking speed rose to 0.58 m/s during the training phase, dropping when it stopped and rising again when it resumed. PT Other 2025 Impact of Individual Factors on Exercise Dose During a Walking Intervention in People With Stroke. Journal of neurologic physical therapy : JNPT People with chronic stroke grouped by walking endurance, daily steps, comorbidity, balance confidence, and depression still reached similar treadmill walking dose during a 12-week high-intensity program. Baseline profiles did not predict attained exercise dose. PT Pilot 2025 A personalised, gait training telerehabilitation programme for people with Parkinson's Disease: A long-term pilot study. Clinical rehabilitation Nine-month home gait training was safe and feasible for people with Parkinson's, but overall adherence missed the 75% target. Those with moderate disease stuck to it and showed some improvement; those with advanced disease struggled to keep up and reported lower satisfaction. PT Case Series 2025 Radiographic Findings in the Lower Extremity Joints of Long-Term Users of Implanted Standing Neuroprostheses with Spinal Cord Injuries. Archives of rehabilitation research and clinical translation No lower-extremity joint showed a significant change in arthritis grade in four long-term users of implanted standing neuroprostheses after spinal cord injury over an average of 51 months. PT OT Cohort 2025 The Longitudinal Course of Physical Activity Behavior Poststroke and Its Variation Across Subgroups: The Norwegian Cognitive Impairment After Stroke Study. Physical therapy Stroke survivors' physical activity declined steadily over three years. A quarter of participants remained in the least active group, with only the most active group meeting step recommendations. No subgroup increased activity over time, suggesting early intervention is critical to prevent long-term decline. PT OT Meta-Analysis 2025 Upper limb robotic rehabilitation following stroke: a systematic review and meta-analysis investigating efficacy and the influence of device features and program parameters. Journal of neuroengineering and rehabilitation Dose-matched robotic therapy gave a tiny, short-lived boost to arm capacity that patients did not feel in daily life. It did not beat conventional therapy for activities. Games and feedback added nothing when a therapist supervised the session. PT OT SLP Other 2025 Item-Level Psychometrics for the Functional Gait Assessment in Persons With Stroke. Archives of rehabilitation research and clinical translation The Functional Gait Assessment measures one thing in chronic stroke: walking balance. A new scoring sheet lets therapists see exactly which tasks a patient can handle and which are just out of reach, guiding treatment targets without needing to calculate complex statistics. PT OT SLP Case Series 2025 Effect of Dual-Task Training on the Number of EEG Bands in Stroke Patients. Physiotherapy research international : the journal for researchers and clinicians in physical therapy Five women with stroke showed reduced brain wave activity in all four EEG bands after 12 sessions of dual-task training. All improved on manual dexterity tests, but the authors state these clinical changes cannot yet be considered relevant or proven effective. PT OT Meta-Analysis 2025 Clinical relevance of the effects of robotic rehabilitation for upper limb recovery after stroke in randomized studies: a systematic review with meta-analysis. Archives of physiotherapy Robot-assisted upper limb training after stroke did not produce benefits large enough for patients to consider clinically important, despite gains in daily activities, dexterity, arm function, and strength over control therapy. PT OT SLP Cohort 2025 Amantadine Continuation After Hospital Discharge for Acute Stroke Requiring Inpatient Rehabilitation: A Long-term Follow-up Study. Archives of rehabilitation research and clinical translation In 28 stroke patients continuing amantadine into rehab, dosing varied widely but appeared safe. Most patients improved in mobility and speech, yet confusion and agitation often emerged when doses were reduced, not increased. This offers no guidance on optimal dosing or timing. PT OT Cohort 2025 Investigating Balance Perception and Balance Performance in Neurological Disorders for Targeted Rehabilitation Strategies. Physical therapy For people with Parkinson disease and stroke, confidence in daily activities linked strongly to dynamic balance tasks like stairs and turning. For multiple sclerosis, links were weak. Prioritize dynamic gait and sensory challenges for PD and stroke; results for MS are less clear. PT OT SLP Systematic Review 2025 A Systematic Scoping Review of Poststroke Engagement in Physical Activity. Archives of rehabilitation research and clinical translation Community-dwelling stroke survivors typically walk about 4000 steps a day, falling short of guidelines. Objective measures show lower activity than self-reports. Interventions with coaching or education increased activity in the short term, but long-term adherence and support quality remain unclear. PT OT Cohort 2025 Safety and Effectiveness of Early Rehabilitation in Patients With Stroke and Concomitant Kidney Disease: A Cohort Study With Claims Data. Archives of rehabilitation research and clinical translation Starting rehabilitation 24 to 48 hours after admission did not increase death rates or shorten hospital stays compared to starting later. The primary outcome was null for both chronic kidney disease and end-stage kidney disease groups. PT OT RCT 2025 Variants of active assist robotic therapy: feasibility of virtual assistance and proprioceptive training as gauged by their effects on success and motivation during finger movement training after stroke. Journal of neuroengineering and rehabilitation Two new robotic hand-training modes kept stroke survivors engaged and successful. Virtual assistance worked without physical support, but users felt less competent than those with physical help. Proprioceptive games were harder and less enjoyable, though still feasible with high assistance. PT Qualitative 2025 'Feeling like you can't do anything because you don't know where to start'-Parents' Perspectives of Barriers and Facilitators to Accessing Early Detection for Children at Risk of Cerebral Palsy. Child: care, health and development Mothers of children referred late to cerebral palsy early detection services described feeling lost, unsupported, and forced to become advocates. They said plain language information, stable relationships, and clearer referral pathways would have helped. PT OT Systematic Review 2025 Mapping of ultrasonography methods and shoulder soft-tissue injury locations in patients with stroke: a scoping review. Journal of rehabilitation medicine Ultrasonography is rarely used to map shoulder soft-tissue injuries after stroke. When it is, clinicians consistently use a linear probe at 5–7 MHz with the patient sitting. The most common findings are biceps tendon effusion and supraspinatus tears. PT OT Case Report 2025 Case Report: Rehabilitation assessment and exercise using cardiopulmonary exercise test after coronavirus-disease pneumonia. Frontiers in rehabilitation sciences Two men with persistent respiratory distress after severe COVID-19 improved their exercise tolerance and oxygen needs after rehabilitation guided by cardiopulmonary exercise testing. They completed a multi-component programme including respiratory training and prone positioning, so the specific contribution of the testing protocol cannot be isolated. PT Systematic Review 2025 Dual Task Training Interventions and Mobility-Based Outcomes in Children with Cerebral Palsy: A Scoping Review. Physical & occupational therapy in pediatrics Dual task training may improve balance, walking, gross motor function and functional mobility in children with cerebral palsy. Six studies cannot show which dose works, and no study measured performance change when tasks are done together. PT OT Qualitative 2025 The use of robotic upper limb therapy in routine clinical practice for stroke survivors: Insights from Australian therapists. Australian occupational therapy journal Nine therapists accepted robot arm therapy as extra practice for stroke survivors with dense arm weakness, but occupational therapists used it less because the device sat in the physiotherapy gym. PT Systematic Review 2025 Measurement properties of observational gait analysis in patients with stroke: a systematic review. Journal of physical therapy science Four observational gait tools for stroke patients show varying reliability and validity, but most studies had methodological flaws. Video recording protocols were inconsistent across studies, making it difficult to standardize assessments or compare results reliably in clinical practice. PT Cohort 2025 The effect of physical therapy with goal attainment scaling on gait function in patients with subacute stroke. Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao Subacute stroke patients whose gait goal was met or exceeded showed larger gains in walking, balance, strength and daily mobility. This is an association after mixed rehabilitation, not proof goal setting caused the gains. PT OT Cohort 2025 Prediction of independent ambulation in subacute stroke patients: a retrospective observational study using lower limb motor and balance assessments. Journal of rehabilitation medicine Admission scores on the Berg Balance Scale and Fugl-Meyer lower limb test predicted independent walking at discharge in subacute stroke patients. A Berg score of 38.5 or higher on admission best identified those likely to walk independently. PT OT RCT 2025 Effects and neural mechanisms of a brain-computer interface-controlled soft robotic glove on upper limb function in patients with subacute stroke: a randomized controlled fNIRS study. Journal of neuroengineering and rehabilitation Adding brain-computer interface control to a soft robotic glove improved arm movement scores more than the glove alone in subacute stroke patients. However, this did not translate to better independence in daily activities, and the study was small and short-term. PT Case Report 2025 Changes in gait parameters using two types of step training in a patient following hemiplegic stroke. Journal of physical therapy science In one patient recovering from stroke, anterior-posterior step training improved gait symmetry, but platform step training worsened walking speed and symmetry. This suggests platform training may hinder forward propulsion in early recovery, while specific floor-based steps can help. PT OT Pilot 2025 Cross-cultural adaptation and validation of the Japanese translation of the Fugl-Meyer Assessment for upper and lower extremity sensorimotor function after stroke. Journal of rehabilitation medicine The Japanese Fugl-Meyer Assessment was translated and tested in 10 patients with chronic stroke. Raters agreed on most items, with agreement above 90% for the majority. Only two sensation items showed scoring inconsistencies, which were corrected in the final version. PT OT SLP Cohort 2025 The proportion and clinical characteristics of patients with stroke who returned to work six months after discharge from a convalescent rehabilitation ward: a descriptive study. Frontiers in rehabilitation sciences Two-thirds of working-age stroke patients returned to work six months after discharge. Those who did not return had higher rates of aphasia and lower cognitive scores, even when motor function and daily living skills were similar to those who returned. PT OT SLP Cohort 2025 Delayed inpatient rehabilitation and functional outcomes for acute stroke: a retrospective cohort study in an Australian regional hospital. Journal of rehabilitation medicine Stroke patients waiting more than 24 hours for a rehab bed after being medically ready gained less function relative to their potential and recovered more slowly. These delays, mostly caused by bed shortages, also led to longer hospital stays. Timely admission matters for functional recovery. ← Previous PAGE 62 OF 78 Next →