Topics in Stroke Rehabilitation最新文献

{"title":"The effectiveness of core stability exercises on functional outcomes in early subacute stroke recovery: a randomized controlled trial.","authors":"Rosa Cabanas-Valdés, Lídia Boix-Sala, Marta Ferrer-Solà, Montserrat Grau-Pellicer, Nuria Gracia-Pí, Neus Torrella-Vivó, Marta Morales-Zafra, Eric Esteve-Hernández, Juan-Antonio Guzmán-Bernal, Fernanda-Maria Caballero-Gómez, Begoña Molina-Hervás, Samira González-Hoelling, Ana Lobato-Bonilla, Carlos López-de-Celis, Esther Cánovas, Gerard Urrútia","doi":"10.1080/10749357.2024.2439712","DOIUrl":"10.1080/10749357.2024.2439712","url":null,"abstract":"<p><strong>Background: </strong>The core is important in providing local strength and balance and is central to almost all kinetic chains of daily activities.</p><p><strong>Objective: </strong>This study aimed to assess the effectiveness of additional Core Stability Exercises (CSE) to conventional physiotherapy (CP) versus CP alone to improve dynamic sitting balance, coordination, trunk function, and stepping (gait) as a primary outcome and functional sitting balance, postural control, standing balance and fall risk, lower limb spasticity, activities of daily living, degree of disability, and quality of life for early subacute stroke recovery.</p><p><strong>Methods: </strong>A multicentre parallel, randomized, controlled, assessor-blinded trial was conducted. Eighty-seven early stroke survivors initiated (≤30 days) were divided into two groups. Experimental group (EG) performed CSE in addition to CP and the control group (CG) performed CP alone for 5-day/week for 5-week. Outcomes were assessed at the beginning and end of the intervention (5-week) and follow-up (12-week). Quality of life was assessed at 5-week and 12- week. Variables were analyzed using a repeated-measures analysis of variance (ANOVA), with Bonferroni's post-hoc test. All statistical tests were performed for 0.05 significance level and 95% confidence interval.</p><p><strong>Results: </strong>Eighty-three individuals were analyzed 40 in the EG and 43 in the CG. Differences between groups were shown favoring EG regarding dynamic sitting balance, trunk coordination/function (Spanish-Trunk Impairment Scale), lower limb spasticity (modified-Ashworth Scale) and balance (Spanish-Postural Assessment Scale). No differences were observed for the other outcomes.</p><p><strong>Conclusions: </strong>CSE in addition to CP improves dynamic sitting balance, trunk coordination/function, lower-limb spasticity, and balance in early recovery post-stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"618-630"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915636","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":"Effectiveness of intermittent theta burst stimulation (iTBS) for managing post-stroke dysphagia: systematic review and meta-analysis.","authors":"Syed Muhammad Mehdi Zaidi, Mustafa Hassan Alvi, Syed Ashad Ahmed Fatmi, Laraib Abbasi, Ammar Hayat, Qunoot Irfan, Sana Zehra, Zainab Abbas, Syed Muhammad Askari Zaidi","doi":"10.1080/10749357.2024.2437325","DOIUrl":"10.1080/10749357.2024.2437325","url":null,"abstract":"<p><strong>Background: </strong>Post-Stroke Dysphagia (PSD) is a common complication that significantly affects the quality of life and health outcomes of stroke survivors. Traditional treatments often have limitations, necessitating the exploration of new therapeutic approaches. This systematic review and meta-analysis aimed to evaluate the efficacy of intermittent Theta Burst Stimulation (iTBS) as an innovative treatment for PSD.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, a comprehensive literature search was conducted in PubMed, Embase, and Cochrane Library up to July 2024. Studies included were randomized controlled trials (RCTs) involving stroke patients with confirmed dysphagia, comparing iTBS to control treatments. Data extraction and quality assessment were performed independently by two reviewers using the Cochrane RoB 2 tool. Primary outcomes were changes in the Penetration-Aspiration Scale (PAS) and Swallowing Severity Scale (SSA). Meta-analyses were conducted using Review Manager (RevMan) 5.4.</p><p><strong>Results: </strong>Four RCTs with a total of 199 participants were included. iTBS significantly improved SSA (MD = -3.26, 95% CI [-4.66, -1.86], <i>p</i> < 0.001) and PAS (MD = -1.67, 95% CI [-2.49, -0.86], <i>p</i> < 0.001) immediately after treatment compared to sham stimulation. No significant adverse events were reported.</p><p><strong>Conclusion: </strong>iTBS appears to have a positive immediate effect on improving swallowing function and reducing aspiration risk in PSD patients compared to sham stimulation. However, these effects may not persist in the long term, and further large-scale RCTs are needed to confirm these findings and establish standardized treatment protocols.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"652-661"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795128","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":"Effectiveness of Autogenic Relaxation Training as an Adjunct to Usual Physiotherapy in Enhancing Emotional Well-Being and Functional Independence in Stroke Survivors: A Randomized Controlled Study.","authors":"Nor Azlin Mohd Nordin, Deepak Thazhakkattu Vasu, Shazli Ezzat Ghazali","doi":"10.1080/10749357.2024.2444117","DOIUrl":"10.1080/10749357.2024.2444117","url":null,"abstract":"<p><strong>Background: </strong>Regular participation in stroke rehabilitation sessions and adherence to prescribed physical activities are crucial, however, emotional imbalances often act as barriers, resulting in low adherence among stroke survivors. The autogenic relaxation technique (ART) has shown positive effects in various conditions but remains underexplored in the stroke population.</p><p><strong>Objective: </strong>This experimental study evaluated the outcomes of ART in addition to usual physiotherapy for stroke survivors in improving emotional wellbeing and enhancing patients' commitment to physical activity and functional independence.</p><p><strong>Methodology: </strong>Sixty-six participants were randomly assigned to either an experimental group or a control group using stratified block randomization. Experimental group participants received 20 minutes of ART followed by 40 minutes of usual physiotherapy, and the control group received 60 minutes of usual physiotherapy. The 12-week program involved three 1-hour sessions per week (one supervised and two non-supervised). Intervention outcomes were assessed using the Hospital Anxiety and Depression Scale for Anxiety (HADS), the Recovery Locus of Control (RLOC) Scale for perceived control and beliefs about health, and Modified Barthel Index (MBI) for functional independence. Intervention effects were analyzed using mixed-model analysis of variance. Changes in the outcome measures were analyzed using paired and independent t-tests, with <i>p</i> < 0.05 considered statistically significant.</p><p><strong>Results: </strong>After the 12-week intervention, there were significant time and group effects for all outcomes (<i>p</i> < 0.01), with significant reductions in participants' HADS - Anxiety (<i>p</i> = 0.001) and HADS-Depression (<i>p</i> = 0.001) scores, and improvement in RLOC (<i>p</i> = 0.016) and MBI (<i>p</i> = 0.007) scores.</p><p><strong>Conclusion: </strong>These findings highlight the effectiveness of ART as a non-intimidating and readily accessible strategy with wide-ranging benefits for stroke survivors.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":"32 6","pages":"573-585"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800334","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":"Investigation of caregiver burden, quality of life, and occupational performance of primary caregivers of individuals having experienced a stroke with and without aphasia.","authors":"Sultan Aslan, Onur Altuntaş","doi":"10.1080/10749357.2024.2444110","DOIUrl":"10.1080/10749357.2024.2444110","url":null,"abstract":"<p><strong>Background: </strong>Individuals having experienced a stroke need the help of an individual to perform their activities of daily living. Therefore, the disease affects not only patients but also their caregivers.</p><p><strong>Objectives: </strong>This study aimed to investigate how aphasia affects caregivers' burden of care, quality of life, and occupational performance.</p><p><strong>Methods: </strong>This cross-sectional study involved Group 1, (<i>n</i>=51) the caregivers of individuals having experienced a stroke with aphasia, and Group 2 (<i>n</i> = 51), the caregivers of individuals having experienced a stroke without aphasia. The caregivers were evaluated using the sociodemographic information form, the Zarit Caregiver Burden Scale, the SF-36 Short Form, and Canadian Occupational Performance Measure tests.</p><p><strong>Results: </strong>Our study found that the caregiver burden in Group 1 was higher than in Group 2 (<i>t</i> = 3.8, <i>p</i> = 0.01). Caregivers in Group 1 also had higher pain levels (<i>t</i> = -2.21, <i>p</i> = 0.029) and lower social functions than those in Group 2 (<i>t</i> = -2.54, <i>p</i> = 0.013). There was no statistically significant difference between the other sub-parameters of quality of life (<i>p</i> > 0.05). It was observed that the occupational performance (<i>t</i> = -3.31, <i>p</i> = 0.001) and satisfaction levels (<i>t</i> = -3.57, <i>p</i> = 0.001) of the caregivers in Group 1 were lower than those of the caregivers in Group 2.</p><p><strong>Conclusions: </strong>Occupational therapy evaluation and intervention programs for caregivers should consider the occupational performance of caregivers of individuals with aphasia and include approaches to problem areas.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"608-617"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865585","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":"Effect of reformer-based hip abductor exercises on strength, balance, gait speed, step length, and fall efficacy in patients with chronic stroke: a randomized control trial.","authors":"Sangyong Han, Donghwan Park","doi":"10.1080/10749357.2025.2547615","DOIUrl":"https://doi.org/10.1080/10749357.2025.2547615","url":null,"abstract":"<p><strong>Background: </strong>Stroke patients often experience impaired balance and gait due to hip abductor weakness. Although Reformer exercises are recognized to enhance muscular strength and functional outcomes, their effects on specific muscle groups in stroke rehabilitation remain insufficiently investigated.</p><p><strong>Objectives: </strong>This study examined the effects of Reformer-based hip abductor strengthening exercises on muscle strength, balance, spatiotemporal gait parameters, and fall efficacy in patients with chronic stroke.</p><p><strong>Methods: </strong>This study utilized a single-blinded randomized controlled trial design. The participants were randomly assigned to an experimental group (Reformer-based hip abductor exercises, <i>n</i> = 12) or a control group (mat-based hip abductor exercises, <i>n</i> = 12). The intervention consisted of 15-minute sessions conducted five times per week for four weeks. Muscle strength, balance, spatiotemporal gait parameters, and fall efficacy were assessed before and after the intervention using mixed-design ANOVA.</p><p><strong>Results: </strong>Significant group × time interactions were observed for muscle strength, total center of pressure sway distance, timed up and go test, gait speed, step length (unaffected side), and fall efficacy scale (<i>p</i> < 0.05). Within-group comparisons showed significant improvements in all variables (<i>p</i> < 0.05), except for step length on the affected side.</p><p><strong>Conclusions: </strong>Reformer-based hip abductor strengthening exercises effectively improved muscle strength, balance, gait speed, step length on unaffected side, and fall efficacy in patients with chronic stroke, highlighting their potential benefits in stroke rehabilitation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970183","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":"Structural and mechanical alterations of the medial head of the gastrocnemius after stroke assessed by high-frequency ultrasound: a prospective study.","authors":"Cuicui Yuan, Zhaojue Wang, Qian Zhang, Xiaojun Wang, Li Dai, Wenbo Li, Qingli Zhu","doi":"10.1080/10749357.2025.2553602","DOIUrl":"https://doi.org/10.1080/10749357.2025.2553602","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the use of ultrasonography to evaluate lower-limb function during early stroke-induced hemiparesis rehabilitation.</p><p><strong>Objective: </strong>To investigate the changes in structural and mechanical parameters using high-frequency ultrasonography to identify parameters correlating with functional improvement.</p><p><strong>Methods: </strong>Forty-five patients with first-ever stroke within the past 6 months and unilateral lower-limb motor dysfunction were prospectively included. The patients were divided into groups based on the change in their Fugl-Meyer Assessment-Lower Extremities score after a 4-week comprehensive physical rehabilitation therapy: markedly effective (≥4 point increase), effective (1-3 point increase), and ineffective (no change/decrease). High-frequency ultrasonography was used to measure the ankle pennation angle (PA), muscle thickness (MT), fascicle length (FL), and shear wave velocity at the medial head of the gastrocnemius with patients in the neutral position. Pre-treatment and post-treatment comparisons were also performed.</p><p><strong>Results: </strong>The markedly effective, effective, and ineffective groups included 21, 18, and six patients, respectively. Before treatment, the PA, MT, and FL of the medial head of the gastrocnemius on the affected side were significantly lower than those on the unaffected side (<i>p</i> < 0.05). After treatment, PA and FL increased significantly in the markedly effective and effective groups (<i>p</i> < 0.05), but not in the ineffective group. No changes in these parameters were observed in the ineffective group.</p><p><strong>Conclusions: </strong>High-frequency ultrasonography provides a quantitative method to distinguish between paretic and non-paretic limbs and identify patients who benefit from treatment. PA and FL of the medial head of the gastrocnemius may be effective indicators of functional improvement.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.5,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970248","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":"Impact of post-stroke frailty index on functional outcomes: a retrospective cohort study.","authors":"Kazuki Majima, Masafumi Nozoe, Miho Yamamoto, Rio Ikeji, Shinichi Shimada","doi":"10.1080/10749357.2025.2553589","DOIUrl":"https://doi.org/10.1080/10749357.2025.2553589","url":null,"abstract":"<p><strong>Background: </strong>The frailty index (FI) has been reported as a useful measure for assessing premorbid conditions in stroke patients; however, its significance in evaluating post-stroke status remains unclear.</p><p><strong>Aims: </strong>This study aims to clarify the role of FI as a tool for assessing post-stroke conditions.</p><p><strong>Methods: </strong>This retrospective cohort study included stroke patients admitted to an acute-care hospital. The FI, based on the cumulative deficit model and comprising comorbidities, symptoms, and functional limitations, was assessed using 33 items at discharge from the acute-care hospital. The primary outcome was the mRS at three months post-onset. Multiple logistic regression was performed with poor functional outcomes as the dependent variable and mRS at discharge, FI at discharge, and both as explanatory variables. The cutoff value of FI for poor functional outcomes was also determined using a receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>A total of 241 patients with acute stroke were included in the final analysis. The median length of hospital stay was 14 days (IQR 9-20). In the adjusted model including both FI and mRS at discharge, FI at discharge was significantly associated with poor outcomes (aOR = 3.43, 95% CI = 1.66-7.09, <i>p</i> < 0.001). The cutoff value of FI for poor functional prognosis derived from the ROC curve was 0.288 (sensitivity 0.816, specificity 0.911).</p><p><strong>Conclusions: </strong>Our findings indicate that post-stroke FI is independently associated with poor outcomes. It is important to incorporate FI in addition to traditional assessment tools to predict post-stroke prognosis.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.5,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970186","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":"Long-term retention effects of overground walk-slip training on clinical outcomes among people with hemiparetic stroke.","authors":"Rudri Purohit, Rachana Gangwani, Shamali Dusane, Tanvi Bhatt","doi":"10.1080/10749357.2025.2547614","DOIUrl":"10.1080/10749357.2025.2547614","url":null,"abstract":"<p><strong>Background: </strong>A single session of perturbation-based training (PBT) reduces fall-risk and enhances reactive balance control in people with stroke (PwS). However, its long-term effect on clinical outcomes remains unclear. This study examined the retention effects of a single session of overground walk-PBT on clinical measures of body structure and function, activity limitation, and participation restriction in PwS.</p><p><strong>Methods: </strong>Forty-eight PwS were randomized to training (<i>n</i> = 25) or control (<i>n</i> = 23) groups. Participants completed baseline, 6- and 12-month sessions, including reactive balance and clinical assessments. The training group underwent overground walk-PBT, while the control group completed unperturbed walking alone. Outcomes were assessed using the International Classification of Functioning, Disability, and Health (ICF) framework: body structure and function (Modified Rankin Scale, Activities-specific Balance Confidence - ABC), activity limitation (Berg Balance Scale, Timed Up and Go - TUG, 10-Meter Walk Test - 10MWT, 6-Minute Walk Test), and participation restriction (Community Integration Questionnaire - CIQ). A Two-way ANOVA examined group × time interactions on all outcomes followed by post-hoc comparisons.</p><p><strong>Results: </strong>Significant group × time interactions were observed for ABC, TUG, 10MWT, and CIQ (<i>p</i> < 0.05). The training group demonstrated improvements from baseline to 6 months (<i>p</i> < 0.02), with no differences between the 6- and 12-month sessions (except improvements in CIQ) (<i>p</i> > 0.02). The control group showed no improvements (<i>p</i> > 0.02) and demonstrated a reduction in balance confidence from baseline to 6-months (<i>p</i> < 0.02).</p><p><strong>Conclusion: </strong>A single session of overground walk-PBT showed long-term improvements in outcomes across all ICF domains, highlighting its clinical utility as an effective rehabilitation strategy for PwS.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970333","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":"Intervention effect of nursing techniques of traditional Chinese medicine on post-stroke insomnia: a network meta-analysis.","authors":"Ling Zhang, Shuangying Huang, Huiting Mei, Fangying Wang","doi":"10.1080/10749357.2025.2549984","DOIUrl":"10.1080/10749357.2025.2549984","url":null,"abstract":"<p><strong>Background: </strong>Insomnia is a common problem after a stroke, affecting daily life and the recovery process. Among the many Traditional Chinese Medicine(TCM) nursing techniques, it is still unknown which measures are most effective.</p><p><strong>Objective: </strong>To evaluate the efficacy of different TCM nursing techniques on post-stroke insomnia(PSI) by network meta-analysis(NMA).</p><p><strong>Methods: </strong>A search was conducted across ten databases to identify randomized controlled trials (RCTs) investigating TCM nursing techniques for patients with PSI, up to April 25, 2024. The quality of the literature was assessed using the bias risk assessment tool recommended in Cochrane Handbook 5.1.0.The NMA was performed using Stata software. Intervention efficacy was ranked using Surface Under the Cumulative Ranking Curve (SUCRA) values.</p><p><strong>Results: </strong>A total of 4, 334 articles were identified, and 46 studies were finally included. A total of 20 TCM nursing techniques were included. In terms of clinical effectiveness rate, auricular acupressure combined with gua sha performed best (SUCRA = 74.3%), while acupoint application was the best intervention for improving PSQI score (SUCRA = 84.4%).</p><p><strong>Conclusions: </strong>TCM nursing techniques can effectively improve sleep in patients with PSI. However, caution is warranted due to the heterogeneity of the included studies, risk of bias, and limited sample sizes in some studies. In the future, more large-sample, high-quality randomized controlled studies are needed to provide more evidence-based evidence for clinical healthcare professionals.</p><p><strong>Trial registration: </strong>The core protocol of this study was registered at PROSPERO database (CRD42024585602) on September 2024.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-18"},"PeriodicalIF":2.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970274","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":"The role of cognitive load on motor performance of the ipsilesional arm in stroke survivors with severe hemiparesis.","authors":"Pramisha Thapa, Lelti Asgedom, Mark Folkertsma, Scott Lunos, Diane M Chappuis, Shanie A L Jayasinghe","doi":"10.1080/10749357.2025.2547619","DOIUrl":"10.1080/10749357.2025.2547619","url":null,"abstract":"<p><strong>Background: </strong>Ipsilesional arm motor deficits post stroke vary with the side of brain damage. Although stroke leads to both cognitive and motor impairments that can affect movement performance, the lateralized effects of cognition on motor control remain unclear.</p><p><strong>Objectives: </strong>To examine whether changes in cognitive processes post stroke affect ipsilesional arm motor performance differently depending on the side of brain damage.</p><p><strong>Methods: </strong>We designed a cognitively challenging upper limb reaching task on the Kinereach virtual reality motion tracking system to examine ipsilesional arm movement in 15 chronic stroke survivors with severe hemiparesis (6 left hemisphere damage, 9 right hemisphere damage; age 58 years +/- 3.09 SEM). Participants completed 170 trials in which they needed to internalize a set of pictorial instructions in order to locate and reach for the correct target.</p><p><strong>Results: </strong>We found that reaction time and movement error each increased with increased cognitive load (<i>p</i> < 0.0001). With increased cognitive load, there were differences between groups with respect to reaction time (<i>p</i> = 0.012), spatial efficiency of hand paths (<i>p</i> = 0.017), and movement accuracy (<i>p</i> = 0.032).</p><p><strong>Conclusion: </strong>We found evidence of lesion side differences with respect to key measures of ipsilesional arm motor performance during a reaching task with an added cognitive challenge. Thus, these findings suggest that rehabilitation strategies should be tailored based on the side of lesions to better address hemisphere-specific motor and cognitive impairments, particularly considering that day-to-day tasks involve both motor and cognitive processes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970341","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}