Effect of a task-oriented rehabilitation program on upper extremity recovery following motor stroke: The ICARE randomized clinical trial.

NeuroRehab Team
Friday, October 11th, 2019


 

Winstein CJ, Wolf SL, Dromerick AW, et al. JAMA 2016;315(6):571-581.

 

This clinical trial recruited 361 participants, approximately 45 days post-stroke with mild to moderate impairments, for upper extremity retraining in order to improve functional use of the impaired upper extremity. Participants received either a new problem solving approach, Accelerated Skill Acquisition Program (ASAP) for 30, 1 hour sessions, Dose Equivalent Usual Customary Care (DEUCC), or Usual and Customary Care which varied from 0-46 hours. Findings demonstrated that all three groups improved in function (Wolf Motor Function Test) and quality of life (Stroke Impact Scale).

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Mobility and Leg Recovery Following Stroke and Other Neurological Injuries

NeuroRehab Team
Friday, August 2nd, 2019


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One of the most common impairments resulting from stroke is paralysis, which can affect a portion or the entire side of the body. Problems with body posture, walking, and balance can be significant. Two thirds of the patients are unable to walk without assistance in the first week after stroke (Jorgensen HS et al. Arch Phys Med Rehabil, 1995). Approximately 35% of survivors with initial paralysis of the leg do not regain useful walking function (Hendricks HT et al. Arch Phys Med Rehabil, 2002). Although 65% to 85% of stroke survivors learn to walk independently by 6 months post stroke, gait abnormalities and poor endurance persists through the chronic stages of the condition (Wade DT et al. Scand J Rehabil Med, 1987).

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The Use of Aquatic Therapy as a Stroke Treatment

Dorothee Zuleger, MOT, OTR/L, ATRIC
Monday, January 28th, 2019


 

What is Aquatic Therapy?

Aquatic therapy is a type of therapy that takes place in a pool or other aquatic environment. It is a physical and medical rehabilitation specialty that requires the supervision of a trained professional. 

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Left Side Neglect Following Stroke – There is more to the picture

Dorothee Zuleger, MOT, OTR/L, ATRIC
Thursday, April 26th, 2018


 

 

 

Damage to one side of the brain can cause a lack of attention to the opposite side. Most common is an inattention or neglect to the left side of the body after an injury to the right side of the brain due to stroke or traumatic brain injury. The brain attends to the right side with both hemispheres but attends to the left side with only the right hemisphere.

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Transcranial Magnetic Stimulation (TMS) May Help Stroke Survivors Improve Recovery

NeuroRehab Team
Tuesday, March 27th, 2018


 

Anyone who’s done physical or occupational therapy knows how hard it is not to cheat. The body wants to get back to work, and the easiest way to do that is to use the uninjured limbs to help out. The therapist is there to make sure it’s the injured limb that’s doing the work.

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Intensive Arm Exercises After Stroke Improves Strength and Function

NeuroRehab Team
Wednesday, January 17th, 2018


Intensive therapy can help people who have suffered a stroke recover motor function—even if the treatment begins a year or more after the stroke occurred. After a stroke, the brain and body can start recovering immediately and can show improvement up to six months afterward.

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Improve Functional Mobility With Lower Extremity Stroke Technology

NeuroRehab Team
Tuesday, December 26th, 2017


One of the most common impairments resulting from stroke is paralysis, which can affect a portion or the entire side of the body. Problems with body posture, walking, and balance can be significant. A patient’s rehabilitation should start as soon as he or she is stable. That could be anywhere from a couple of days to a few weeks or longer. Established guidelines, as well as a huge body of literature, insist that the earlier therapy is initiated the better.

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Neuro Rehab Products. What’s right for me?

NeuroRehab Team
Thursday, April 27th, 2017


 

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Listed below are various clinical product categories that you may have learned while in therapy. Feel free to click on any category to see a list of products that may be appropriate for your needs.

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Stroke/Neuro Products That Improve Strength and Function

NeuroRehab Team
Monday, April 3rd, 2017


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It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice? As a clinician, are you stuck using numerous theoretical-based treatment concepts that have not scientifically been proven to be effective?

Listed below are some of the common interventions supported by research that have shown positive results. How many of the below techniques are in your current therapy toolbox? If just a few, then why?

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Stroke Recovery Using Constraint-Induced Movement Therapy (CIMT)

NeuroRehab Team
Monday, January 23rd, 2017


What is it?

Constraint-induced movement therapy (CI, CIT, or CIMT) is a form of rehabilitation therapy that improves upper extremity function in stroke and other neurological injuries by increasing the use of their affected upper limb. The focus of CIMT is to combine restraint of the unaffected limb and intensive use of the affected limb. Types of restraints include a sling, a splint, a sling combined with a resting hand splint, a half glove, and a mitt. Determination of the type of restraint used for therapy depends on the required level of safety vs. intensity of therapy.

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Virtual Reality And Gaming Technology Helps Stroke Patients Recover

NeuroRehab Team
Tuesday, November 15th, 2016


 

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There is strong evidence that repetitive task specific training techniques improve upper extremity function. Task training yields long lasting cortical reorginization specific to the corresponding areas being used. Traditional treatment interventions are based primarily on routine exercises and/or purposeful activities. For many patients, the road to recovery is long and difficult and clinicians are challenged with the daunting task of maintaining patient motivation and compliance while alleviating boredom. Computer based games and virtual reality have recently emerged as novel strategies to maintain motivation and compliance while providing the necessary repetitive training.

Read more…

New Stroke App Recommends Evidence-Based Treatment For Arm and Hand Impairment

NeuroRehab Team
Friday, October 21st, 2016


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It is true that recovering from a stroke will be an uphill battle for many, however, it is also accurate that the latest research findings regarding neuro recovery are more promising than ever before. How serious are you with embracing evidence into your practice?

Read more…

Top 7 Stroke Apps for Cognitive Deficits

NeuroRehab Team
Thursday, September 29th, 2016


 

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Damage to the brain after a stroke can cause many cognitive changes. Doing things that once were easy may now be hard. Problems with memory and thinking are very common after a stroke and most people will have some difficulties. After a stroke, cognitive rehabilitation can aid the mind just as physical therapy aids the body, according to Psych Central, an online mental health and psychology network. The purpose of cognitive therapy is to improve damaged mental abilities and language skills caused by a stroke.

 

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Leg and Mobility Neuro Stroke Courses

NeuroRehab Team
Tuesday, September 13th, 2016


 

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Are you caught up with the latest advances in neurorehabilitation? Find relevant stroke neuro courses below to be sure.

 

Find Leg and Mobility NeuroRehab Courses

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Top Stroke Treatment and Technology To Improve Recovery and Function.

NeuroRehab Team
Wednesday, September 7th, 2016


Following an extensive search of 100’s of stroke rehabilitation products and programs, we have summarized the best available products currently on the market for stroke recovery. The products are organized into relevant categories list below. Feel free to click on any category to see a list of products that may be appropriate for your needs.

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10 Apps That Assist Stroke Patients With Vision Loss.

NeuroRehab Team
Monday, August 15th, 2016


 

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Most people who have decreased vision or double vision after a stroke do not fully recover. Some recovery is possible and it usually happens in the first few months after a stroke.

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Stroke patients in wheelchairs able to walk again after stem cell transplant.

NeuroRehab Team
Saturday, July 23rd, 2016


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Written by Honor Whiteman

 

The results of a small clinical trial offer hope for people left with motor impairment following a stroke, after finding that an injection of adult stem cells into the brain restored motor function for such individuals, to the extent that some patients regained the ability to walk.

 

Read more…

Tips for Hand and Arm Exercises after a Stroke.

NeuroRehab Team
Monday, July 11th, 2016


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Amit Kumar, Occupational Therapist, LS Life Skills Therapy Services Inc., Surrey, BC

 

Every stroke survivor’s impairment is unique. By doing regular functional activities and exercises, you can increase your quality of movement and independence in all stages following stroke. Activity may be too easy or too hard depending on the extent of impairment and function. Your occupational therapist can help you develop a daily activity and exercise program appropriate for you. Activities and exercises to improve your hand function should be simple and done at home at any time.

What is neuroplasticity?

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Hand Mobility Exercises and Stretches Following a Stroke

NeuroRehab Team
Thursday, June 16th, 2016


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The latest research shows that the brain is capable of reorganizing after a stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper extremity, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly.

Listed below are 2 good videos that review simple ways to stretch and exercise the affected hand and fingers.

 

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What is a Stroke? Can I Recover?

NeuroRehab Team
Thursday, June 9th, 2016


 

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A stroke is a “brain attack”. It occurs when blood flow to an area of brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.

Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke). A TIA(transient ischemic attack), or “mini stroke”, is caused by a temporary clot.

Read more…

Stroke Exercise Videos for the Arm and Leg

NeuroRehab Team
Monday, May 30th, 2016


 

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Recovering from a stroke can be quite challenging from both a psychological and physical perspective. In addition to completely experiencing a life-changing event, staying motivated with a daily intensive home exercise program can be a struggle. Once a client is discharged from the hospital, it will be important to maintain or improve their recovery by beginning an aggressive home exercise program immediately.

Read more…

Stroke Arm Treatment: Using Mobile Arm Supports For Function and Exercise.

NeuroRehab Team
Tuesday, May 24th, 2016


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Stroke is one of the main causes of disability throughout the world. Due to hemorrhagic or ischemic damage to brain, many clients will suffer from impaired strength leading to poor gross motor movements and motor planning. In order to perform every day tasks such as grooming, eating, typing on a computer, or writing, adequate proximal strength (shoulder/elbow) is required to allow for normal distal control (hand/wrist).

Read more…

Arm and Hand Stroke Exercises Using Mental Practice

NeuroRehab Team
Monday, May 16th, 2016


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A stroke is the rapid loss of brain function(s) due to disturbance in the blood supply to the brain. When you have an ischemic stroke, there is an interruption, or reduction, of the blood supply. Eighty percent of all strokes occur due to ischemia. With a hemorrhagic stroke, there is bleeding in the brain. After about 4 minutes without blood and oxygen, brain cells become damaged and may die. When brain cells are damaged or die, the body parts controlled by those cells cannot function. The loss of function may be mild or severe and temporary or permanent. This depends on where and how much of the brain is damaged and how fast the blood supply can be returned to the affected cells.

Read more…

Mirror Therapy Exercises for Improving Arm and Hand Function After Stroke

NeuroRehab Team
Thursday, April 21st, 2016


 

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Mirror therapy, a treatment technique first described by V.S. Ramachandran for phantom limb pain following amputation, is a form of motor imagery in which a mirror is used to process visual feedback about motor performance of the unaffected body part as it performs various movements. It is primarily used to speed up and improve motor function after stroke and other neurological disorders.

Read more…

Vision Recovery Following Stroke

NeuroRehab Team
Thursday, March 17th, 2016


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Approximately 30% of all stroke patients suffer from post-stroke visual impairment (Sand KM. Acta Neurol Scand Suppl. 2013). Following a stroke or other neurological injuries, various types of vision deficits can occur including the inability to recognize objects, color vision deficits and difficulty with perceiving various types of motion. Approximately 20% experience permanent visual deficits (Romano JG. J of Neurol Sci. 2008). According to the National Stroke Association homonymous hemianopia, which is the loss of one half of the visual field in each eye, is the most common visual disorder.

Read more…

Arm and Hand Recovery Following Stroke and Other Neurological Injuries

NeuroRehab Team
Friday, February 26th, 2016


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The latest research shows that the brain is capable of rewiring and adapting after stroke. Therefore, arm and hand recovery is more possible than previously thought. However, in order to improve function in the upper limb, the client must be willing to incorporate the affected side purposefully, functionally, and repeatedly. In addition to functional training, other beneficial strategies include strength training, mental imagery, robotics, and gravity compensation.

Below are the key takeaway’s that highlight the current thinking from the scientific community.

Read more…

Stroke Overview and Recovery – Key Facts

NeuroRehab Team
Thursday, February 25th, 2016


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What is a Stroke?

 

A stroke, or cerebrovascular accident (CVA), is the rapid loss of brain function(s) due to disturbance in the blood supply to the brain. When you have an ischemic stroke, there is an interruption, or reduction, of the blood supply. Eighty percent of all strokes occur due to ischemia. With a hemorrhagic stroke, there is bleeding in the brain. After about 4 minutes without blood and oxygen, brain cells become damaged and may die. When brain cells are damaged or die, the body parts controlled by those cells cannot function. The loss of function may be mild or severe and temporary or permanent. This depends on where and how much of the brain is damaged and how fast the blood supply can be returned to the affected cells.

Read more…

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