{"title":"Does SLT combined with NIBS enhance naming recovery in post-stroke aphasia? A meta-analysis and systematic review.","authors":"Linsong Chai, Yunshi Huang, Xinqi Guo, Ailing Xiong, Bingbing Lin, Jia Huang","doi":"10.3233/NRE-240065","DOIUrl":"10.3233/NRE-240065","url":null,"abstract":"<p><strong>Background: </strong>Non-invasive brain stimulation has been widely used as an adjunctive treatment for aphasia following stroke.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effect of non-invasive brain stimulation as an adjunctive treatment on naming function in aphasia following stroke.</p><p><strong>Methods: </strong>This review included randomized controlled trials (RCTs) involving 5 databases (Web of Science, Embase, Cochrane Library, OVID and PubMed) that investigated the effects of electrical stimulation on stroke patients. The search included literature published up to November 2023.</p><p><strong>Results: </strong>We identified 18 studies, and the standardized mean differences (SMDs) showed that the effect sizes of TMS and tDCS were small to medium. Moreover, the treatment effects persisted over time, indicating long-term efficacy.</p><p><strong>Conclusion: </strong>This study suggested that NIBS combined with speech and language therapy can effectively promote the recovery of naming function in patients with post-stroke aphasia (PSA) and that the effects are long lasting.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"543-561"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seonmi Park, Jongeun Choi, Yonghoon Kim, Joshua Sung H You
{"title":"Clinical machine learning predicting best stroke rehabilitation responders to exoskeletal robotic gait rehabilitation.","authors":"Seonmi Park, Jongeun Choi, Yonghoon Kim, Joshua Sung H You","doi":"10.3233/NRE-240070","DOIUrl":"https://doi.org/10.3233/NRE-240070","url":null,"abstract":"<p><strong>Background: </strong>Although clinical machine learning (ML) algorithms offer promising potential in forecasting optimal stroke rehabilitation outcomes, their specific capacity to ascertain favorable outcomes and identify responders to robotic-assisted gait training (RAGT) in individuals with hemiparetic stroke undergoing such intervention remains unexplored.</p><p><strong>Objective: </strong>We aimed to determine the best predictive model based on the international classification of functioning impairment domain features (Fugl- Meyer assessment (FMA), Modified Barthel index related-gait scale (MBI), Berg balance scale (BBS)) and reveal their responsiveness to robotic assisted gait training (RAGT) in patients with subacute stroke.</p><p><strong>Methods: </strong>Data from 187 people with subacute stroke who underwent a 12-week Walkbot RAGT intervention were obtained and analyzed. Overall, 18 potential predictors encompassed demographic characteristics and the baseline score of functional and structural features. Five predictive ML models, including decision tree, random forest, eXtreme Gradient Boosting, light gradient boosting machine, and categorical boosting, were used.</p><p><strong>Results: </strong>The initial and final BBS, initial BBS, final Modified Ashworth scale, and initial MBI scores were important features, predicting functional improvements. eXtreme Gradient Boosting demonstrated superior performance compared to other models in predicting functional recovery after RAGT in patients with subacute stroke.</p><p><strong>Conclusion: </strong>eXtreme Gradient Boosting may be an invaluable prognostic tool, providing clinicians and caregivers with a robust framework to make precise clinical decisions regarding the identification of optimal responders and effectively pinpoint those who are most likely to derive maximum benefits from RAGT interventions.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"54 4","pages":"619-628"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141469948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aurore Thibaut, Marta Aloisi, Joëlle Dreessen, Naji Alnagger, Nicolas Lejeune, Rita Formisano
{"title":"Neuro-orthopaedic assessment and management in patients with prolonged disorders of consciousness: A review.","authors":"Aurore Thibaut, Marta Aloisi, Joëlle Dreessen, Naji Alnagger, Nicolas Lejeune, Rita Formisano","doi":"10.3233/NRE-230137","DOIUrl":"10.3233/NRE-230137","url":null,"abstract":"<p><strong>Background: </strong>Following a severe acquired brain injury, neuro-orthopaedic disorders are commonplace. While these disorders can impact patients' functional recovery and quality of life, little is known regarding the assessment, management and treatment of neuro-orthopaedic disorders in patients with disorders of consciousness (DoC).</p><p><strong>Objective: </strong>To describe neuro-orthopaedic disorders in the context of DoC and provide insights on their management and treatment.</p><p><strong>Methods: </strong>A review of the literature was conducted focusing on neuro-orthopaedic disorders in patients with prolonged DoC.</p><p><strong>Results: </strong>Few studies have investigated the prevalence of spastic paresis in patients with prolonged DoC, which is extremely high, as well as its correlation with pain. Pilot studies exploring the effects of pharmacological treatments and physical therapy show encouraging results yet have limited efficacy. Other neuro-orthopaedic disorders, such as heterotopic ossification, are still poorly investigated.</p><p><strong>Conclusion: </strong>The literature of neuro-orthopaedic disorders in patients with prolonged DoC remains scarce, mainly focusing on spastic paresis. We recommend treating neuro-orthopaedic disorders in their early phases to prevent complications such as pain and improve patients' recovery. Additionally, this approach could enhance patients' ability to behaviourally demonstrate signs of consciousness, especially in the context of covert awareness.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"75-90"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amitesh Narayan, Abraham M Joshua, Romita Fernandes, Shreekanth D Karnad, Abdulaziz Alammari, Namrata S Chauhan, Mohand Taleb D Almgamese
{"title":"Immediate effects of a novel hand rehabilitation board on fine motor skills in children with cerebral palsy: A pilot study.","authors":"Amitesh Narayan, Abraham M Joshua, Romita Fernandes, Shreekanth D Karnad, Abdulaziz Alammari, Namrata S Chauhan, Mohand Taleb D Almgamese","doi":"10.3233/NRE-230286","DOIUrl":"10.3233/NRE-230286","url":null,"abstract":"<p><strong>Background: </strong>In children with cerebral palsy (CP), fine motor skills limit forearm supination and active extension of the elbow, wrist, or fingers. Therapeutic interventions focusing on improving the ranges at these joints while facilitating active movements are the key to augmenting fine motor skills.</p><p><strong>Objective: </strong>This pilot study examines if children with CP (with UE involvement) exposed to the Novel Hand Rehabilitation (NHR) Board will demonstrate 1) changes in spasticity and passive ROM of forearm and wrist/finger muscles, and 2) improvement in fine motor abilities.</p><p><strong>Methods: </strong>The forearm and wrist/fingers of children with spastic CP (N = 15; M = 7, F = 8) aged 49-72 months (65.33±6.355 months) were positioned on the NHR board till their tolerance limit or a minimum duration of 30 minutes. The outcome measures, i.e., spasticity (Modified Ashworth Scale), passive range of motion (PROM) of wrist and fingers, and fine motor skills (PDMS-2 - Fine motor scale), were recorded.</p><p><strong>Results: </strong>The spasticity of forearm pronators (0.001) and wrist flexors (0.008) reduced significantly, but not in wrist extensors. Post-intervention improvements in wrist extension (p = 0.005) and ulnar deviation ROM (p = 0.007) were significant. In thumb, changes were non-significant for the CMC flexion, but extension (0.003) and abduction (0.001) as well as MCP extension (0.004) were significant. The post-intervention MCP extension ROM for the 2nd (0.001), 3rd (0.007), and 4th fingers (0.014) were also substantial, but not for PIP and DIP joints. The post-intervention percentage change in the Grasping and Visual-motor integration subtests of PDMS-2 was 11.03% (p = 0.002) and 5.09% (p = 0.001) respectively.</p><p><strong>Conclusion: </strong>The immediate effects on fine motor skills in children with CP after the NHR board application were positive and encouraging. Hence, the NHR board can be recommended as an intervention to improve the fine motor abilities of children with CP.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"237-244"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139567157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadia Mohamed Abdelhakiem, Tarek H Mahmoud, Haitham M Saleh, Hossam Mohammed Alsaid, Shymaa Salem, Moataz Mohamed El Semary
{"title":"Effect of cryotherapy in controlling spasticity of calf muscles in patients with multiple sclerosis.","authors":"Nadia Mohamed Abdelhakiem, Tarek H Mahmoud, Haitham M Saleh, Hossam Mohammed Alsaid, Shymaa Salem, Moataz Mohamed El Semary","doi":"10.3233/NRE-240006","DOIUrl":"10.3233/NRE-240006","url":null,"abstract":"<p><strong>Background: </strong>Spasticity is a common symptom of multiple sclerosis (MS), affecting 80% of patients. Many studies have aimed to detect methods to reduce spasticity under these conditions and found that spasticity can be efficiently reduced using cryotherapy.</p><p><strong>Objective: </strong>To examine the impact of cryotherapy on spasticity among patients with MS.</p><p><strong>Methods: </strong>Thirty-two participants were randomized into two groups. The study group was given airflow cryotherapy and a selected physical therapy program, whereas the control group was only given a selected physical therapy program. The treatment was administered three times each week for a total of twelve consecutive sessions. The outcome measures were the modified Ashworth scale and the H/M ratio.</p><p><strong>Results: </strong>The study group showed significant decrease in calf muscle spasticity, indicated by a reduction in spasticity grade (p = 0.001) and a decrease in the H/M ratio of 33.81% (p = 0.001). The control group also showed significant reduction in calf muscle spasticity, as indicated by a reduction in spasticity grade (p = 0.001) and a reduction in the H/M ratio of 19.58% (p = 0.001). There was a significant decrease in the spasticity grade and H/M ratio of the study group posttreatment compared with those of the control group (p = 0.02 and p = 0.001).</p><p><strong>Conclusion: </strong>The combined effect of cryotherapy and a selected physical therapy program are more effective in controlling the spasticity of calf muscles in patients with MS than a selected physical therapy program alone.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"653-661"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bo Wang, Minjun Yan, Congyu Liu, Zhijun Yang, Xingchao Wang, Fu Zhao, Zhenmin Wang, Peng Li, Ying Wang, Shiwei Li, Gemingtian Liu, Pinan Liu
{"title":"Auditory brainstem implants for hearing rehabilitation in NF2-schwannomatosis: A systematic review and single-arm meta-analysis.","authors":"Bo Wang, Minjun Yan, Congyu Liu, Zhijun Yang, Xingchao Wang, Fu Zhao, Zhenmin Wang, Peng Li, Ying Wang, Shiwei Li, Gemingtian Liu, Pinan Liu","doi":"10.3233/NRE-230198","DOIUrl":"10.3233/NRE-230198","url":null,"abstract":"<p><strong>Background: </strong>NF2-schwannomatosis (NF2) is an autosomal dominant disorder prone to hearing loss. Auditory brainstem implants (ABIs) offer a promising solution for hearing rehabilitation in NF2.</p><p><strong>Objective: </strong>To synthesize existing literature on ABI implantation in NF2, focusing on audiological outcomes and ABI-related complications.</p><p><strong>Methods: </strong>The systematic review followed PRISMA guidelines and was registered in the PROSPERO database (CRD42022362155). Relevant studies were identified by searching PubMed, EMBASE, CENTRAL, CMB, and CNKI from inception to August 2023. Data on environmental sound discrimination, open-set discrimination, closed-set discrimination, and ABI-related complications were extracted and subjected to meta-analysis. Publication bias was evaluated using funnel plots and Egger's test.</p><p><strong>Results: </strong>Thirty-three studies were included. The pooled estimate was 58% (95% CI 49-66%) for environmental sound discrimination and 55% (95% CI 40-69%) for closed-set discrimination. Regarding open-set discrimination, the pooled estimates were 30% (95% CI 19-42%) for sound only, 46% (95% CI 37-54%) for lip-reading only, and 63% (95% CI 55-70%) for sound plus lip-reading. The pooled occurrence of ABI-related complications was 33% (95% CI 15-52%).</p><p><strong>Conclusion: </strong>This meta-analysis underscores the effectiveness and safety of ABIs in NF2, providing valuable insights for evidence-based decision-making and hearing rehabilitation strategies.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"213-225"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gary O Vargas, Stephanie Neaves, Tri Pham, Mu Huang, Ahmad Fawzi Turki, Chaowei Wang, Kathleen R Bell, Shannon B Juengst, Rong Zhang, Ming Li, Simon Driver, Khosrow Behbehani, Linda S Hynan, Kan Ding
{"title":"Community-based exercise program, self-reported health-related symptoms, and quality of life in persons with traumatic brain injury 45 + years old.","authors":"Gary O Vargas, Stephanie Neaves, Tri Pham, Mu Huang, Ahmad Fawzi Turki, Chaowei Wang, Kathleen R Bell, Shannon B Juengst, Rong Zhang, Ming Li, Simon Driver, Khosrow Behbehani, Linda S Hynan, Kan Ding","doi":"10.3233/NRE-230223","DOIUrl":"10.3233/NRE-230223","url":null,"abstract":"<p><strong>Background: </strong>Individuals with moderate to severe traumatic brain injury (msTBI) have reported a lack of motivation, lack of time, and fatigue as perceived barriers to exercise.</p><p><strong>Objective: </strong>To evaluate the effects of an exercise program on self-reported health-related symptoms and quality of life in persons 45-years and older with msTBI.</p><p><strong>Methods: </strong>Post-hoc analysis of a prospective community-based 12-week exercise program of 20 adults, age 45-80 years, with msTBI. Ten were in aerobic exercise training (AET) program and 10 in a stretching and toning (SAT) program. The AET group was instructed to exercise based on their estimated maximal heart rate (HR) for 150 minutes weekly. The SAT group was to stretch for the same target time without significantly increasing HR or level of exertion. Outcome measures were Traumatic Brain Injury Quality of Life (TBI-QOL) for global, cognitive, emotional, and social health, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, and Pittsburgh Sleep Quality Index (PSQI) for sleep quality.</p><p><strong>Results: </strong>AET was associated with improved self-reported cognitive health and sleep compared to SAT. Moderate to large, positive effect sizes were also observed in the AET group in the QOL categories of global, emotional, and social health, and depressive symptoms.</p><p><strong>Conclusions: </strong>This study offers preliminary evidence that AET may improve health-related QOL, especially for cognition and sleep, in middle-aged and older adults with msTBI.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"373-381"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moataz Mohamed El Semary, Youssef M Elbalawy, Radwa T El Shorbagy, Ahmed Nagaty, Rasha Mohamed El Rewainy
{"title":"Efficacy of intensive cervical traction on depression, insomnia, and quality of life in patients with cervical radiculopathy.","authors":"Moataz Mohamed El Semary, Youssef M Elbalawy, Radwa T El Shorbagy, Ahmed Nagaty, Rasha Mohamed El Rewainy","doi":"10.3233/NRE-240133","DOIUrl":"10.3233/NRE-240133","url":null,"abstract":"<p><strong>Background: </strong>Radiculopathy can cause pain and numbness along a pinched nerve.</p><p><strong>Objective: </strong>To investigate how people with cervical radiculopathy respond to intense cervical traction in terms of depression, sleeplessness, and quality of life (QoL).</p><p><strong>Methods: </strong>Two equal groups of forty male patients with unilateral cervical radiculopathy were randomly assigned. In addition to transcutaneous electrical nerve stimulation (TENS) and other treatments, twenty individuals in group I received mechanical cervical traction. Group II consisted of twenty individuals who received only TENS treatment. Before and after treatment, every participant completed the Arabic versions of the Hospital Anxiety and Depression Scale (HADS), the Insomnia Severity Index (ISI), and Short-Form 36 Health Survey (SF-36).</p><p><strong>Results: </strong>While there was no significant difference in group II, there was a significant decline in group I visual analog scale (P = 0.001), depression subscale of the hospital anxiety and depression score (P = 0.001), and ISI (P = 0.001). Eight domains of SF-36 showed a significant increase in group I. These domains included physical functioning (P = 0.001), role limitations due to physical health (P = 0.001), role limitations due to emotional problems (P = 0.001), and energy (P = 0.001). In group II, there was a non-significant increase nevertheless.</p><p><strong>Conclusion: </strong>Cervical traction improved individuals' QoL, depression, and insomnia, suggesting the effectiveness of it with TENS for cervical radiculopathy patients.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"51-58"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laiene Olabarrieta-Landa, Diego Rivera, Bridget Xia, Oswaldo Moreno, Daniela Ramos Usuga, Gloria M Morel Valdés, Enrique Lopez, Miriam J Rodriguez, Carmen I Carrión, Anthony H Lequerica, Christin I Drago, Patricia García, Patricia M Rivera, Paul B Perrin, Juan Carlos Arango-Lasprilla
{"title":"Normative data for verbal fluency and naming tests in Spanish-speaking adults in the United States.","authors":"Laiene Olabarrieta-Landa, Diego Rivera, Bridget Xia, Oswaldo Moreno, Daniela Ramos Usuga, Gloria M Morel Valdés, Enrique Lopez, Miriam J Rodriguez, Carmen I Carrión, Anthony H Lequerica, Christin I Drago, Patricia García, Patricia M Rivera, Paul B Perrin, Juan Carlos Arango-Lasprilla","doi":"10.3233/NRE-240087","DOIUrl":"10.3233/NRE-240087","url":null,"abstract":"<p><strong>Background: </strong>Linguistic deficits are common across neurological and neurodegenerative disorders. Currently there are limited neuropsychological norms available for Spanish-speaking adults residing in the U.S.</p><p><strong>Objective: </strong>To generate norms for two verbal fluency tests and the Boston Naming Test (BNT) in a Spanish-speaking population in the U.S., with adjustments for demographic and cultural variables.</p><p><strong>Methods: </strong>The sample consisted of 245 adults from the U.S. Participants completed phonological and semantic verbal fluency tests and the BNT. A standardized four-step statistical procedure was used.</p><p><strong>Results: </strong>For the phoneme F, interactions between Spanish proficiency, age, and education arose. Better performance on phonemes A, S, and M was related to education. Spanish proficiency, acculturation, and time in the U.S. were associated with the phonemes S, A, P, M, and R. An age by education interaction was found for phonemes M and R. The FAS and PMR triads were related to age, sex, time in U.S., and Spanish proficiency. For the semantic verbal fluency tests, an interaction between education and Spanish proficiency arose. For the BNT, test scores were related to education, and significant interactions were also found based on education's interaction with Spanish proficiency and acculturation.</p><p><strong>Conclusion: </strong>This study highlights the importance of accounting for sociodemographic and acculturative factors when developing normative data for verbal fluency tests and the BNT for dominant Spanish-speaking adults in the U.S. These sociodemographically-adjusted norms will help improve accuracy of diagnosis and interpretation of linguistic test performance in Spanish speakers living in the U.S.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"195-208"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictive factors of rehabilitation outcomes of perioperative stroke after surgery of the coronary artery and aorta: A pilot study.","authors":"Soojeong Han, Jeong-Jun Park, Jee Hyun Suh","doi":"10.3233/NRE-240106","DOIUrl":"https://doi.org/10.3233/NRE-240106","url":null,"abstract":"<p><strong>Background: </strong>Perioperative stroke is a devastating complication of coronary artery and aortic surgery, resulting in significantly increased mortality and morbidity rates. As such, predicting rehabilitation outcomes after perioperative stroke would be valuable in establishing rehabilitation plans.</p><p><strong>Objective: </strong>To identify prognostic factors of rehabilitation outcomes in perioperative stroke after surgery of the aorta and coronary arteries.</p><p><strong>Methods: </strong>This study included patients who experienced perioperative stroke after coronary artery bypass grafting and aortic surgery, and underwent 3-weeks of rehabilitation. Demographic data included age, sex, diagnosis, brain lesions, and Charlson Comorbidity Index (CCI). To identify prognostic factors and the effectiveness of rehabilitation, the Modified Barthel Index (MBI), National Institutes of Health Stroke Scale (NIHSS), Medical Research Council (MRC) sum score, modified Rankin Scale (mRS) score, and Mini-Mental State Examination (MMSE) scores were investigated before and after a three-week rehabilitation period. Spearman rank correlation analyses were performed.</p><p><strong>Results: </strong>Statistically significant improvements were observed in NIHSS, MBI, and MMSE scores after rehabilitation. Spearman rank correlation analysis revealed a significant correlation between sex, stroke type, and improvement in MRC sum score.</p><p><strong>Conclusion: </strong>The most crucial factors influencing the prognosis of perioperative stroke occurring after coronary artery or aortic surgery included sex and stroke type.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"55 1","pages":"11-15"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}