Topics in Stroke Rehabilitation最新文献

{"title":"Carrying an unseen weight: the neuro-perceptual landscape of limb heaviness after stroke- a scoping review.","authors":"Anisha R Pednekar, Alisha Gracias","doi":"10.1080/10749357.2026.2723410","DOIUrl":"10.1080/10749357.2026.2723410","url":null,"abstract":"<p><strong>Background: </strong>Perceived limb heaviness is an under-recognised stroke symptom. Survivors may report heavy limbs or excessive effort to move without clear weakness or spasticity. This may indicate sensorimotor processing issues not detected by standard assessments. Proposed mechanisms include altered sensorimotor integration, impaired proprioception, disrupted body representation, altered sensory feedback, and perceived effort.</p><p><strong>Objective: </strong>To map and synthesise evidence on perceived limb heaviness after stroke, including mechanisms, functional impact, assessment, and rehabilitation.</p><p><strong>Eligibility criteria: </strong>We included studies of adults with stroke that examined perceived limb heaviness, perceived effort, or related perceptual constructs. Peer-reviewed articles and conference abstracts were included.</p><p><strong>Sources of evidence: </strong>PubMed, Scopus, and Google Scholar were searched from inception to November 2025.Charting Methods: Data were extracted using predefined methods and synthesised in accordance with PRISMA-ScR and JBI guidance.</p><p><strong>Results: </strong>Eighty-two records were identified. After removing 10 duplicates, 72 records were screened. Thirty were excluded, and 42 sources (30 full-text articles and 12 abstracts) were included. Evidence suggests that perceived limb heaviness is distinct from weakness and fatigue, although these may coexist and interact. Proposed mechanisms include altered sensorimotor integration, impaired efference-copy processing, disrupted body representation, and altered sensory feedback and perceived effort. Studies of sustained muscle contraction suggest contributions from perceived effort and fatigue.</p><p><strong>Conclusion: </strong>Perceived limb heaviness is a poorly defined post-stroke symptom that may affect motor performance, activity, and rehab participation. Greater recognition, standardised assessment, and neurorehabilitation are needed.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814220","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":"Outcome measures used in studies of vestibular rehabilitation after stroke: a scoping review.","authors":"Shota Hayashi, Tomohiko Kamo, Hirofumi Ogihara, Kazusa Saisu, Shinichiro Oka, Ryosuke Naito, Tsubasa Mitsutake","doi":"10.1080/10749357.2026.2723411","DOIUrl":"https://doi.org/10.1080/10749357.2026.2723411","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to identify and map outcome measures used in studies evaluating the effects of vestibular rehabilitation in adults with stroke.</p><p><strong>Methods: </strong>MEDLINE, Embase, and the Physiotherapy Evidence Database were searched on 10 June 2026, with no publication year restrictions. Using a population-concept-context framework, we included English-language randomized and non-randomized studies of adults (≥20 years) with stroke who received vestibular rehabilitation. Two reviewers independently screened records, extracted data using a standardized form, and grouped outcomes by primary construct. The frequency of use of each outcome measure was calculated, and the most frequently used measures, including those tied at the fifth rank, were identified. This scoping review was reported in accordance with the Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.</p><p><strong>Results: </strong>Eighteen studies (601 participants) were included. We identified 82 distinct outcome measures spanning balance scales, stabilometry, gait, visuospatial neglect, muscle strength, acceleration index, falls, activities of daily living, vestibular function, health-related quality of life, self-efficacy, and other outcomes. The most commonly used measures were the Berg Balance Scale, Timed Up and Go test, gait speed, cadence, stride length, and Dynamic Gait Index. Vestibular-related outcomes were rarely reported: Subjective Visual Vertical and gaze-stabilization testing were each used in one study.</p><p><strong>Conclusion: </strong>Evidence on post-stroke vestibular rehabilitation relies mainly on balance and gait outcomes, with limited use of vestibular-specific tests and dizziness-related patient-reported measures. Standardized outcome sets integrating functional, vestibular-specific, and patient-reported measures, alongside robust trials, are needed to strengthen the evidence base.</p><p><strong>Osf registration number: </strong>10.17605/OSF.IO/CNURX.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809031","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":"Post-stroke smoking and mental health burden: sex-specific analysis of NHIS 2019-2023.","authors":"Chris-Mike E Agbelie, Zahra Mojtahedi, Tanya H Lee, Griffin T Lee, Pamela R Bosch, Monica R Lininger","doi":"10.1080/10749357.2026.2722000","DOIUrl":"https://doi.org/10.1080/10749357.2026.2722000","url":null,"abstract":"<p><strong>Background: </strong>Behavioral health factors particularly depression/anxiety and smoking are common after stroke and directly influence secondary stroke prevention, rehabilitation engagement and outcomes, yet they remain under-integrated within routine physical therapy-led stroke care.</p><p><strong>Objectives: </strong>To estimate associations between stroke history, smoking, mental health burden and sociodemographic factors and propose pragmatic implications for integrated rehabilitation.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of pooled National Health Interview Survey (NHIS) data from 2019-2023 (<i>N</i> = 150,220 adults). Sex-stratified, survey-weighted logistic regression models estimated associations among stroke history, mental health burden, smoking, and sociodemographic factors. Among stroke survivors, models also examined the Covid-19 pandemic period.</p><p><strong>Results: </strong>Stroke was associated with higher odds of mental health burden (females OR 1.33; males OR 1.57) and current smoking (females OR 1.27; males OR 1.35) versus controls. Among survivors, the pandemic period was associated with increased smoking risk in females (OR 1.38), while Medicaid/public insurance was associated with higher odds of both smoking (females OR 1.77; males OR 1.66) and mental health burden in females (OR 1.33). Partnership conferred protection for mental health burden (females OR 0.70; males OR 0.75) and smoking in males (OR 0.63).</p><p><strong>Conclusions: </strong>Our study suggests that national patterns support embedding behavioral health screening, smoking and substance use cessation into standard stroke rehabilitation, with prioritization of female, Medicaid-insured survivors, and those without partners, and ensuring continuity during public health crises. Since smoking cessation is central to secondary stroke prevention, embedding behavioral health screening, cessation counseling, and warm handoffs into physical therapy-led rehabilitation offers a concrete, sex-sensitive, and equity-oriented target for improving post-stroke outcomes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798281","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":"Research progress on horticultural therapy in patients with post-stroke cognitive impairment: a narrative review.","authors":"Yifan Du, Xiaochen Zhang, Baihui Zhong, Xinyi Wang, Xue Dong","doi":"10.1080/10749357.2026.2706774","DOIUrl":"https://doi.org/10.1080/10749357.2026.2706774","url":null,"abstract":"<p><strong>Background: </strong>Post‑stroke cognitive impairment (PSCI) affects 64%-75% of stroke survivors, severely limiting daily independence and rehabilitation engagement. Conventional interventions often yield suboptimal outcomes due to poor patient psychological engagement.</p><p><strong>Objective: </strong>To review the therapeutic effects of horticultural therapy (HT) on cognition, mood, activities of daily living (ADL), and social participation in PSCI patients, and to explore the potential of combined regimens to shorten treatment duration.</p><p><strong>Methods: </strong>A narrative review of randomized controlled trials, systematic reviews, and meta‑analyses on HT for PSCI was conducted. HT protocols were categorized into five types based on activity content.</p><p><strong>Results: </strong>HT significantly improves memory, executive function, and orientation through sequential horticultural tasks, while alleviating anxiety and depression via nature contact. It enhances upper‑limb coordination and directly translates to improved ADL. Group‑based HT promotes social reintegration. Plant cultivation and comprehensive programs show the largest effect sizes. Notably, HT combined with cognitive behavioral therapy or intelligent feedback training can achieve significant gains within 4 weeks, suggesting that combined approaches may shorten overall treatment duration.</p><p><strong>Conclusions: </strong>HT is a feasible, low‑cost adjunctive intervention for PSCI. However, protocol heterogeneity and limited long‑term follow‑up constrain current evidence. Standardized, large‑scale RCTs with extended follow‑up are needed to validate optimal standalone and combined protocols.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148607901","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":"Information and communication technologies in implementation strategies promoting allied health professionals' guideline adherence in post-acute stroke care: a scoping review.","authors":"Katerina Luxemburgová, Heike Unger, Lukas Falterbaum, Emma Lehnhoff, Torsten Rackoll, Christian Dohle","doi":"10.1080/10749357.2026.2701021","DOIUrl":"https://doi.org/10.1080/10749357.2026.2701021","url":null,"abstract":"<p><strong>Background: </strong>The implementation of clinical guidelines by allied health professionals in post-acute stroke care is often inadequate. Utilization of information and communication technologies (ICTs) as a promising component of guideline implementation strategies remains underexplored.</p><p><strong>Objectives: </strong>This scoping review aims to identify and map ICTs in implementation strategies for stroke guidelines across health-care settings and professions.</p><p><strong>Methods: </strong>A systematic literature search was conducted in MEDLINE Ovid, Embase Ovid, CINAHL, and gray literature sources. Studies were screened and selected through a two-step process by two independent screeners using CADIMA software. ICTs were categorized according to the targeted determinants of practice based on the TICD framework and compared across health-care professions and settings.</p><p><strong>Results: </strong>The 22 included studies implemented 23 guidelines from six countries, with most published in the past 5 years. Multicomponent strategies were used in 86.4% of studies, and 77.3% were tailored to address identified needs and barriers. Web-based learning materials and electronic documents were the most frequently used ICTs. Most of the studies targeted health professionals' factors and resources, while no strategies addressing patient, guideline, and organizational factors were identified from the included literature.</p><p><strong>Conclusions: </strong>Although existing ICTs extensively support health professionals' factors and available resources, future research should explore the potential of ICTs in targeting patient engagement, organizational or policy factors, while considering contextual circumstances.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580221","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":"Transcutaneous spinal cord stimulation for stroke rehabilitation: a scoping review.","authors":"Mustapha Mangdow, Amna Khawaja, Derong Yang, Amir Tabatabaei, Hui Gao, Sarah Eickmeyer, Randolph Nudo, Wen Liu","doi":"10.1080/10749357.2026.2701030","DOIUrl":"https://doi.org/10.1080/10749357.2026.2701030","url":null,"abstract":"<p><strong>Background: </strong>Transcutaneous spinal cord stimulation (tSCS) is an emerging noninvasive neuromodulation approach for rehabilitation in individuals with stroke. Studies have suggested benefits, but evidence remains fragmented and methodologically heterogeneous.</p><p><strong>Objective: </strong>This scoping review maps and synthesizes current evidence on tSCS for stroke rehabilitation, focusing on study design, stimulation parameters, outcome measures, and reported effects.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines, we systematically searched five databases (PubMed, Embase, Web of Science, CINAHL, and Google Scholar) from inception to December 2025. Two independent reviewers screened titles and abstracts, with a third resolving discrepancies. We extracted data on participant characteristics, stimulation parameters, outcome measures, and findings.</p><p><strong>Results: </strong>Thirteen studies met inclusion criteria, comprising five randomized and eight non-randomized designs, with sample sizes ranging from 2 to 21 participants. Most studies enrolled predominantly male individuals with chronic stroke. Four studies used multi-session protocols while nine single session protocols. Stimulation parameters varied widely amplitude (5-250 mA), frequency (15-100 Hz), carrier frequency (0-10 kHz), and pulse width (0.5-2 ms). Ten studies targeted lower-extremity function, two upper extremity functions, and one autonomic function. Multi-session trials pairing tSCS with task-specific training reported improvements in selected outcomes, though small sample sizes limit generalization.</p><p><strong>Conclusions: </strong>tSCS remains an exploratory adjunctive intervention in stroke rehabilitation. Future research should prioritize adequately powered controlled trials with standardized stimulation protocols, stratification by stroke severity and chronicity, and long-term follow-up to establish clinical efficacy and optimal implementation in stroke rehabilitation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148472893","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":"Professional reintegration after stroke: experiences of Portuguese stroke survivors.","authors":"Ana Moura, Joana Matos, Ana Henriques, Elisabete Alves","doi":"10.1080/10749357.2026.2702038","DOIUrl":"https://doi.org/10.1080/10749357.2026.2702038","url":null,"abstract":"<p><strong>Background: </strong>Stroke incidence among working-age adults is increasing, making return to work (RTW) a key milestone in recovery and quality of life. However, post-stroke professional reintegration remains challenging, often requiring survivors to manage physical and cognitive impairments, fatigue, and insufficient workplace adaptations, in the absence of specific policies or guidelines and qualitative evidence.</p><p><strong>Objectives: </strong>This brief report explores Portuguese stroke survivors' RTW experiences, focusing on perceived consequences, barriers, and enablers.</p><p><strong>Methods: </strong>This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A total of 1,175 stroke survivors completed a questionnaire 18-24 months after stroke, and a heterogeneous subsample participated in semi-structured interviews (<i>n</i> = 22). Qualitative data from stroke survivors who were employed before the event were analyzed using thematic analysis.</p><p><strong>Results: </strong>Five major themes emerged. RTW was facilitated by employer and coworker support, workplace adaptations, and lower levels of post-stroke impairment. Survivors who returned to work reported positive emotional and social outcomes, such as restored normalcy and reduced social isolation, alongside negative experiences, including insecurity, stress, and fear of reduced performance. Barriers to RTW included persistent impairments, changes in workplace dynamics, and the lack of formal reintegration support. Participants highlighted the need for flexible working conditions, personalized and long-term monitoring, legal protection, and financial support. Conclusions: These findings emphasize the need for tailored, evidence-based professional reintegration strategies to support stroke survivors' sustainable RTW and overall well-being.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449763","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 contrast compression therapy for post-stroke complex regional pain syndrome: a randomized control trial.","authors":"Meltem Güneş Akıncı, Cemile Sevgi Polat, Ayşegül Tombak Demirçakan, Yusuf Ziya Bükün, Meltem Dalyan","doi":"10.1080/10749357.2025.2589193","DOIUrl":"10.1080/10749357.2025.2589193","url":null,"abstract":"<p><strong>Background: </strong>Complex regional pain syndrome (CRPS) is a frequent complication after stroke that negatively impacts pain, function, and rehabilitation outcomes.</p><p><strong>Objective: </strong>This study aimed to assess the effectiveness of additional contrast compression therapy combined with conventional rehabilitation on edema, pain, function, motor recovery, and spasticity in post-stroke CRPS.</p><p><strong>Methods: </strong>This prospective, assessor-blind randomized controlled trial was conducted at the inpatient stroke rehabilitation clinic. Seventy-two patients with upper extremity CRPS type-I in the subacute stage after a first-ever stroke were randomly assigned to an experimental or control group. Both groups underwent a standardized conventional rehabilitation program 5-day/week, 3-hours/day for 4 weeks, including positioning, range of motion, stretching, strengthening, and transcutaneous electrical nerve stimulation. The experimental group additionally received contrast compression therapy once daily 15-minutes/session for 10 days. Outcomes were edema (water displacement), rest and activity-related pain (Visual Analog Scale), neuropathic pain (painDETECT Questionnaire), functional status (Functional Independence Measure-Motor), motor recovery (Brunnstrom Stages), and spasticity (Modified Ashworth Scale) assessed at baseline and post-treatment 4 weeks.</p><p><strong>Results: </strong>Both groups showed significant improvements in all outcomes (<i>p</i> < .05). The experimental group demonstrated significantly greater reductions in edema volume and activity-related pain than the control group (<i>p</i> < .001 and <i>p</i> = .001, respectively). No between-group differences were observed in neuropathic pain, functional status, motor recovery, and spasticity.</p><p><strong>Conclusions: </strong>Contrast compression therapy provided superior short-term benefits for reducing upper extremity edema and activity-related pain when added to conventional rehabilitation in post-stroke CRPS. It may serve as an effective non-pharmacologic adjunct in stroke rehabilitation.<b>Clinical Trial Registration</b>: NCT07062913.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"566-575"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557890","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":"Global prevalence of stroke-associated pneumonia: a systematic review and meta-analysis of cross-sectional studies.","authors":"Sogand Sarmadi, Neda Sanaie, Akbar Zare-Kaseb","doi":"10.1080/10749357.2025.2585118","DOIUrl":"10.1080/10749357.2025.2585118","url":null,"abstract":"<p><strong>Background: </strong>Neurological damage resulting from stroke can impair the respiratory system, leaving stroke patients susceptible to pulmonary complications, such as stroke-associated pneumonia (SAP). Due to the substantial mortality risk associated with SAP and its complications, we conducted a systematic review and meta-analysis to estimate the global prevalence of SAP.</p><p><strong>Method: </strong>A comprehensive search of MEDLINE via PubMed, EMBASE, Scopus, and Web of Science was conducted from 1 January 2014 to 7 August 2024. The cross-sectional studies were selected. The primary study outcome was the prevalence of SAP. Subgroup analysis was implemented. The random-effects method was used to implement meta-analysis. The Joanna Briggs Institute tool for prevalence was used to assess risk of bias in the included studies.</p><p><strong>Result: </strong>A comprehensive search of MEDLINE via PubMed, EMBASE, Scopus, and Web of Science was conducted from 1 January 2014 to 7 August 2024. The cross-sectional studies were selected. The primary study outcome was the prevalence of SAP. Subgroup analysis was implemented. The random-effects method was used to implement meta-analysis. The Joanna Briggs Institute tool for prevalence was used to assess risk of bias in the included studies. Result The present systematic review and meta-analysis integrated data from 24 studies, encompassing 4,272,805 participants. The prevalence of SAP was 18.3% (95% CI: 13.7-23.0). Results showed significant heterogeneity among studies regarding prevalence estimates (I2= 99.74%, p<0.001). Subgroup analysis by country revealed a substantial reduction in heterogeneity within one specific subgroup (I2=0.00, P=0.67). Utilizing Begg's and Egger's tests showed no statistically significant evidence (P = 0.9013 and P = 0.8398, respectively) of publication bias. The trim-and-fill analysis did not impute additional studies, implying that publication bias is unlikely. A leave-one-out sensitivity analysis revealed that excluding the study by Asgedom et al. resulted in the most significant change in the overall prevalence of SAP.</p><p><strong>Conclusion: </strong>Our results emphasized the need to effectively identify and manage risk factors to reduce the likelihood of SAP.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"549-565"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459891","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":"Algorithms to support the choice of a wrist-hand orthosis for motor function recovery in post-stroke patients: a narrative systematic review.","authors":"Marie Pagès, Redha Taiar, Yoann Demangeot, Julie Pagès, Diane Haroutel, Gael Belassian, Sandy Carazo-Mendez, Amandine Rapin, François Constant Boyer","doi":"10.1080/10749357.2025.2598627","DOIUrl":"10.1080/10749357.2025.2598627","url":null,"abstract":"<p><strong>Background: </strong>Upper limb paresis and spasticity are predictors of limitations on activities of daily living and decrease in quality of life in post-stroke patients. The French National Authority for Health doesn't recommend the orthosis use; nevertheless, they are commonly used in clinical practice despite the lack of consensus.</p><p><strong>Objectives: </strong>To develop algorithms guiding specialists in choosing an orthosis as an adjunct therapy for motor function recovery in post-stroke patients, depending on their recovery stage, paresis impairment and level of spasticity.</p><p><strong>Methods: </strong>This is a scoping review, by searching four electronic databases up to August 2023 for reports of controlled trials comparing two different orthoses or an orthosis versus usual rehabilitation.</p><p><strong>Results: </strong>Twenty-eight studies were included evaluating static, dynamic, electromyography-drive, and/or robotic orthoses. None can be recommended, due to the low power of studies, but some showed positive results. The orthoses evaluated included, in the early subacute stage, the HANDS Therapy or the Gloreha Professional; in the late subacute stage, the NESS handmaster (new noninvasive hybrid neuroprosthesis which has been developed for therapy and restoration of hand function) or a 3D-printed orthosis; in the chronic stage, the TIGER device, a static splint in extension, a robotic hand exoskeleton, a static splint in neutral position post-botulinum toxin type A or a 3D-printed dynamic hand device.</p><p><strong>Conclusions: </strong>These are the first algorithms, to our knowledge, to classify wrist-hand orthoses studied for motor function recovery, in adults with an upper limb hemiparesis post stroke. No orthosis can be recommended, but some present promising results.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"514-532"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757826","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}