1,720,961 research outputs found
Dosage of upper extremity training in neurological disorders: evidence, recommendations and clinical messages
No full textOR Upper limb rehabilitation dosage for people with neurological conditions: different approaches in research and clinical practice… OR evidence, recommendations and clinical messages Chair/moderator: Prof. Peter Feys Speakers: • Prof. dr. Annemie Spooren, [email protected], Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium. Presentation title : Therapy dose in upper limb rehabilitation in cervical spinal cord injury: linking evidence to clinical practice Annemie Spooren is assistant professor in Neurological Rehabilitation and teaches in both master programs of physical and occupational therapy. Her research focuses on goal-oriented and task-oriented upper limb training in persons with different neurological disorders with special interest in spinal cord injury and therapy doses within an interdisciplinary context. • Prof. dr. Lisa Tedesco Triccas, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium. Presentation title: High-dosage therapy in the early phase post stroke with a focus on moderate to severe upper limb impairment Lisa Tedesco Triccas is an assistant professor of Neurological rehabilitation and her research focuses on exploring the feasibility and the clinical and neurophysiological effect of high dosage upper limb training programme with functional electrical stimulation in the acute and early subacute phase of stroke, focussing on moderate of severe impairment. • Prof. dr. Hayward ______ Abstract Integrating the measurement of therapy dosage dimensions is essential when implementing upper limb rehabilitation programs for persons with different neurological conditions. However, at present the optimal therapy dose for these persons is uncertain or not even measured. This symposium will commence with an overview of the general framework of therapy dosage dimensions, that could be taken into account while configuring a training program on the upper limb will be elaborated. A state of the art overview will be focused exploring different therapy dosage dimensions such as duration, session length and intensity within persons with stroke, multiple sclerosis and spinal cord injury will then be provided. Different research approaches and results to therapy dose dimensions are demonstrated including dose escalation study approach, perspective of patient and therapist on dose dimensions as well as perspective of in low income countries. To conclude take clinical messages will be provided on what is identifie
Dosage of upper extremity training in neurological disorders: evidence, recommendations and clinical messages
No full textOR Upper limb rehabilitation dosage for people with neurological conditions: different approaches in research and clinical practice… OR evidence, recommendations and clinical messages Chair/moderator: Prof. Peter Feys Speakers: • Prof. dr. Annemie Spooren, [email protected], Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium. Presentation title : Therapy dose in upper limb rehabilitation in cervical spinal cord injury: linking evidence to clinical practice Annemie Spooren is assistant professor in Neurological Rehabilitation and teaches in both master programs of physical and occupational therapy. Her research focuses on goal-oriented and task-oriented upper limb training in persons with different neurological disorders with special interest in spinal cord injury and therapy doses within an interdisciplinary context. • Prof. dr. Lisa Tedesco Triccas, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium. Presentation title: High-dosage therapy in the early phase post stroke with a focus on moderate to severe upper limb impairment Lisa Tedesco Triccas is an assistant professor of Neurological rehabilitation and her research focuses on exploring the feasibility and the clinical and neurophysiological effect of high dosage upper limb training programme with functional electrical stimulation in the acute and early subacute phase of stroke, focussing on moderate of severe impairment. • Prof. dr. Hayward ______ Abstract Integrating the measurement of therapy dosage dimensions is essential when implementing upper limb rehabilitation programs for persons with different neurological conditions. However, at present the optimal therapy dose for these persons is uncertain or not even measured. This symposium will commence with an overview of the general framework of therapy dosage dimensions, that could be taken into account while configuring a training program on the upper limb will be elaborated. A state of the art overview will be focused exploring different therapy dosage dimensions such as duration, session length and intensity within persons with stroke, multiple sclerosis and spinal cord injury will then be provided. Different research approaches and results to therapy dose dimensions are demonstrated including dose escalation study approach, perspective of patient and therapist on dose dimensions as well as perspective of in low income countries. To conclude take clinical messages will be provided on what is identifie
Upper limb rehabilitation in (sub)acute stroke in West African low-income countries: An observational prospective study focusing on dose and content
No full textUpper limb rehabilitaon in (sub)acute stroke in West African low-income countries: An observaonal prospecve study focusing on dose and content Introducon: The content and dose of upper limb training, the main components of rehabilitaon aer a stroke, is not known in low-resource income countries. Objecve: To idenfy the content and dose of upper limb rehabilitaon in early phase poststroke in Burkina Faso and Benin. Methods and paents: An observaonal prospecve study was conducted in hospital and rehabilitaon centre sengs in Burkina Faso and Benin. Sessions of paents in the acute and subacute phase of stroke were observed for 4 weeks by recording the content and dose of upper limb rehabilitaon using a standardized taxonomy of acvies form. Results: Eighty-one paents (Burkina Faso n=59 and Benin n=22) and 35 physiotherapists were observed. The median number of sessions during 4 weeks was 8 with 30 minutes median session length and a median duraon of upper limb training of 15 minutes per session. The dose of therapy is higher in Benin than in Burkina Faso (P< 0.001). The upper limb training consisted of performing pre-funconal acvies for 85% of the me. Conclusion: Upper limb physiotherapy in the early phase poststroke in low income countries was focused only on pre-funconal acvies and provided at a low dose. Future research should invesgate how higher dose involving funconal training could be provided in countries such as Burkina Faso and Benin taking into account the importance of improving upper limb in daily acvies with the limited resources available
Upper limb rehabilitation in (sub)acute stroke in West African low-income countries: An observational prospective study focusing on dose and content
No full textUpper limb rehabilitaon in (sub)acute stroke in West African low-income countries: An observaonal prospecve study focusing on dose and content Introducon: The content and dose of upper limb training, the main components of rehabilitaon aer a stroke, is not known in low-resource income countries. Objecve: To idenfy the content and dose of upper limb rehabilitaon in early phase poststroke in Burkina Faso and Benin. Methods and paents: An observaonal prospecve study was conducted in hospital and rehabilitaon centre sengs in Burkina Faso and Benin. Sessions of paents in the acute and subacute phase of stroke were observed for 4 weeks by recording the content and dose of upper limb rehabilitaon using a standardized taxonomy of acvies form. Results: Eighty-one paents (Burkina Faso n=59 and Benin n=22) and 35 physiotherapists were observed. The median number of sessions during 4 weeks was 8 with 30 minutes median session length and a median duraon of upper limb training of 15 minutes per session. The dose of therapy is higher in Benin than in Burkina Faso (P< 0.001). The upper limb training consisted of performing pre-funconal acvies for 85% of the me. Conclusion: Upper limb physiotherapy in the early phase poststroke in low income countries was focused only on pre-funconal acvies and provided at a low dose. Future research should invesgate how higher dose involving funconal training could be provided in countries such as Burkina Faso and Benin taking into account the importance of improving upper limb in daily acvies with the limited resources available
Effect of virtual reality-based upper limb training on activity of daily living and quality of life among stroke survivors: a systematic review and meta-analysis
No full textBackground Stroke is a leading cause of disability worldwide, significantly impairing upper limb (UL) function and reducing patients' ability to perform activities of daily living (ADL) and quality of life (QoL). Virtual reality (VR) has emerged as a promising tool; for UL rehabilitation, offering immersive and engaging environments for motor recovery. However, the effectiveness of VR, its integration with conventional therapy, and their efficacy across different stroke recovery stages remain unclear. Therefore, this systematic review and meta-analysis aimed to evaluate the effectiveness of VR-based UL interventions in improving ADL and QoL among stroke survivors. Method This study adhered to PRISMA guidelines and was registered on PROSPERO (CRD42023426256). A systematic search of PubMed, Scopus, and Web of Science identified randomized controlled trials (RCTs) published in English. Inclusion criteria focused on studies using immersive VR (IVR) and non-immersive VR (NIVR) interventions to assess ADL and QoL in stroke survivors. Data extraction and quality assessment were performed independently by two reviewers using the PEDro scale to assess quality. Meta-analyses were conducted to determine the efficacy. Subgroup analyses were performed to compare IVR and NIVR, VR combined with conventional therapy versus standalone VR, and potential differences between stroke recovery stages. Result Thirty RCTs, representing 1,661 participants, were included. Overall, VR interventions significantly improved ADL (SMD = 0.27, 95% CI [0.11; 0.43], p < 0.001) and QoL (SMD = 0.94 [0.09; 1.79], p = 0.035) compared to conventional therapy. IVR demonstrated superior outcomes for ADL compared to NIVR (SMD = 0.54 [0.13; 0.95] Vs. 0.17 [0.02; 0.36], p = 0.03). Subacute stroke survivors exhibited the most significant gains in ADL (SMD = 0.52 [0.16; 0.88], p = 0.004), compared to chronic (SMD = 0.05 [-0.36; 0.46]) or acute patients (SMD = 0.08 [-0.11; 0.27]). Conclusion VR interventions, particularly IVR and VR combined with conventional therapy, significantly enhance ADL and QoL in stroke survivors with moderate certainty of evidence. These findings underscore the value of VR in rehabilitation, especially during the subacute phase, but highlight the need for further research into long-term effects and implementation in low-resource settings.Funding
The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was supported by the NASCERE program.
Acknowledgements
The authors would like to express appreciation to all the NASCERE project coordinators and their teams, at Ghent University, Hasselt University and Jimma University, for the funding and other facilities
The Place of Botulinum Toxin in Spastic Hemiplegic Shoulder Pain after Stroke: A Scoping Review
No full textStroke is a common pathology worldwide, with an age-standardized global rate of new strokes of 150.5 per 100,000 population in 2017. Stroke causes upper motor neuron impairment leading to a spectrum of muscle weakness around the shoulder joint, changes in muscle tone, and subsequent soft tissue changes. Hemiplegic shoulder pain (HSP) is the most common pain condition in stroke patients and one of the four most common medical complications after stroke. The importance of the appropriate positioning and handling of the hemiplegic shoulder for prevention of HSP is therefore of high clinical relevance. Nevertheless, HSP remains a frequent and disabling problem after stroke, with a 1-year prevalence rate up to 39%. Furthermore, the severity of the motor impairment is one of the most important identified risk factors for HSP in literature. Spasticity is one of these motor impairments that is likely to be modifiable. After ruling out or treating other shoulder pathologies, spasticity must be assessed and treated because it could lead to a cascade of unwanted complications, including spastic HSP. In clinical practice, Botulinum toxin A (BTA) is regarded as the first-choice treatment of focal spasticity in the upper limb, as it gives the opportunity to target specifically selected muscles. It thereby provides the possibility of a unique patient tailored focal and reversible treatment for post stroke spasticity. This scoping review aims to summarize the current evidence of BTA treatment for spastic HSP. First, the clinical manifestation and outcome measures of spastic HSP will be addressed, and second the current evidence of BTA treatment of spastic HSP will be reviewed. We also go in-depth into the elements of BTA application that may optimize the therapeutic effect of BTA. Finally, future considerations for the use of BTA for spastic HSP in clinical practice and research settings will be discussed
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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