Archives

Effectiveness of Neuromuscular Electrical Stimulation for Management of Shoulder Subluxation Post-Stroke: A Systematic Review with Meta-Analysis (2017)

January 17, 2022 by Megan Berg.
Shoulder subluxation is one of the most common complications for patients with hemiplegia following a stroke. In this review, shoulder subluxation post-stroke is defined as partial separation of the humeral head from the glenoid cavity in the inferior direction. This review considered all randomized controlled trials (RCT) assessing the effect of NMES plus conventional therapy […]
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Efficacy of Occupational Therapy Task-Oriented Approach in Upper Extremity Post-Stroke Rehabilitation (2016)

January 17, 2022 by Megan Berg.
This study sought to evaluate the task-oriented approach (TO) using an RCT with participants randomized into either delayed intervention (n=10) or immediate intervention (n=10) groups. A cross-over design was used so participants both received the TO intervention. The immediate group had 6 weeks of 3 hours per week of TO intervention followed by 6 weeks […]
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Mirror Therapy and Task-Oriented Training for People with a Paretic Upper Extremity (2018)

January 17, 2022 by Megan Berg.
Four participants completed a 4-week intervention consisting of both mirror therapy and task-oriented training 2x/week for 45-60-minute sessions in the clinic and 4x/week at home. Frequency and duration of intervention was selected to simulate real-word clinical practice. All participants displayed clinically meaningful improvements in self- identified goals at the end of the intervention and at […]
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Improving Quality of Life and Depression After Stroke Through Telerehabilitation (2015)

January 16, 2022 by Megan Berg.
A prospective, multisite, single-blind, RCT was designed to assess the effectiveness of two home-based interventions on motor and nonmotor outcomes after stroke. Main criteria for eligibility included a unilateral ischemic or hemorrhagic stroke within the previous 6 months with some upper extremity (UE) voluntary movement as indicated by a score of 11–55 on the Fugl-Meyer […]
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Activities People with Cognitive Deficits Want to Continue Mastering – A Scoping Study (2018)

January 16, 2022 by Megan Berg.
Community-dwelling older adults with cognitive deficits are likely to experience challenges with everyday activities. Although cognitive deficits can result from many diagnoses, it has been shown that persons with different diagnoses meet similar challenges in everyday life, such as planning time and maintaining structure in activities. Identifying activities perceived as challenging is not enough when […]
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Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People with Stroke, Traumatic Brain Injury, and Spinal Cord Injury (2019)

January 16, 2022 by Megan Berg.
Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control. Interestingly, odds of employment were not predicted by specific type of injury. Participants who returned to work within three months were more likely to work with the same employer and to […]
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Forced Aerobic Exercise Preceding Task Practice Improves Motor Recovery Poststroke (2017)

January 16, 2022 by Megan Berg.
Stroke is a leading cause of long-term disability in the United States with as many as 50% of survivors experiencing residual hemiparesis. An abundance of research has shown that in healthy adults, aerobic exercise may impact brain structure as well as improve cardiovascular health and play a key role in neuroplasticity and potentially in motor […]
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Systematic Review of Yoga and Balance: Effect on Adults With Neuromuscular Impairment (2019)

January 16, 2022 by Megan Berg.
According to the Center for Disease Control and Prevention, falls are the leading cause of nonfatal injuries for people ages 18-85 yr in the United States with more than 800,000 adults hospitalized each year. The most common neurological conditions that pose a high risk for falls are traumatic brain injury (TBI), cerebrovascular accident (CVA), dementia […]
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Combined Cognitive-Strategy and Task-Specific Training Affects Cognition and Upper-Extremity Function in Subacute Stroke (2016)

January 16, 2022 by Megan Berg.
Most occupational therapy practitioners (OTP) continue to use impairment-based approaches that emphasize remediation of impairments, which are also called bottom-up approaches. Cognitive Orientation to Daily Occupational Performance (CO-OP) is a client-centered, performance-based, problem solving approach that enables skill acquisition through a process of strategy use and guided-discovery through a top-down approach. Study design This study […]
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Supporting Stroke Motor Recovery Through a Mobile Application: A Pilot Study (2017)

January 16, 2022 by Megan Berg.
Neuroplasticity and motor learning are promoted with repetitive movement, appropriate challenge, and performance feedback. Neuroplasticity, which is “the capacity of the nervous system for adaptation or regeneration after trauma.” ARMStrokes, a smartphone application, incorporates these qualities to support motor recovery. Engaging exercises are easily accessible for improved compliance. In a multiple-case, mixed- methods pilot study, […]
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