Brain Impairment最新文献_第2页

Association between adequate protein intake and quadriceps quantity and quality during rehabilitation in people with subacute stroke. 亚急性脑卒中患者康复期间足量蛋白质摄入与股四头肌数量和质量的关系

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-12-01 DOI: 10.1071/IB24035

Shu Tanaka, Mizue Suzuki, Yosuke Kimura, Shingo Koyama, Hiroaki Masuda, Iwao Kojima, Katsumi Suzukawa, Kenichiro Takasugi, Minoru Yamada

{"title":"Association between adequate protein intake and quadriceps quantity and quality during rehabilitation in people with subacute stroke.","authors":"Shu Tanaka, Mizue Suzuki, Yosuke Kimura, Shingo Koyama, Hiroaki Masuda, Iwao Kojima, Katsumi Suzukawa, Kenichiro Takasugi, Minoru Yamada","doi":"10.1071/IB24035","DOIUrl":"https://doi.org/10.1071/IB24035","url":null,"abstract":"Background We aimed to investigate the association between protein intake and quadriceps quantity and quality on the paretic and non-paretic sides during rehabilitation in people with subacute stroke. Method Eighty-six people with stroke were recruited from a rehabilitation ward. We measured quadriceps muscle quantity and quality on the paretic and non-paretic sides using ultrasonography at admission and after 4weeks. Protein intake was assessed 2 or 3weeks after admission, and participants were classified into two groups: adequate and inadequate protein intake groups. Analysis of covariance was used to determine the effects of protein intake on quadriceps muscle quantity and quality. Results The mean age (standard deviation), median interval between stroke onset and admission (interquartile range) and male proportion of the study participants were 67.6 (13.5) years, 22.5 (16.8-31.3) days, and 54.7%, respectively. The adequate protein intake group showed significantly greater improvements in paretic-side quadriceps thickness than the inadequate group (group-by-time interaction, F =8.771, P =0.004). In contrast, no significant interactions were observed in quadriceps thickness on the non-paretic side (F =2.383, P =0.127) and quadriceps echo intensity on both sides (paretic-side: F =0.020, P =0.887, non-paretic side: F =0.181, P =0.672). Conclusions Adequate protein intake may be useful for improving quadriceps quantity on the paretic side in people with subacute stroke undergoing rehabilitation. However, quadriceps quantity on the non-paretic side and quadriceps quality on both sides were not significantly associated with adequate protein intake.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775195","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}

引用次数: 0

Corrigendum to: The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen. 更正：为土著居民和/或托雷斯海峡岛民制定认知筛查协议：Guddi Way 筛查。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-11-01 DOI: 10.1071/IB23058_CO

Michelle McIntyre, Jennifer Cullen, Caoilfionn Turner, India Bohanna, Ali Lakhani, Kylie Rixon

引用次数: 0

Feasibility of accelerometry in a self-directed upper limb activity program of a subacute setting with stroke survivors. 加速度计在亚急性中风幸存者自我指导的上肢活动计划中的可行性。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-11-01 DOI: 10.1071/IB24008

Tamara Tse, Yvonne Y K Mak-Yuen, Wesley Young, Susan Darzins

{"title":"Feasibility of accelerometry in a self-directed upper limb activity program of a subacute setting with stroke survivors.","authors":"Tamara Tse, Yvonne Y K Mak-Yuen, Wesley Young, Susan Darzins","doi":"10.1071/IB24008","DOIUrl":"https://doi.org/10.1071/IB24008","url":null,"abstract":"Background Wearable devices, such as accelerometers, offer novel approaches to measuring post-stroke upper limb activity. Limited studies have explored feasibility of accelerometry. Guided by the Bowen Feasibility Framework, this feasibility study aimed to examine the practicality, acceptability, and limited efficacy of accelerometry in a self-directed upper limb program with stroke survivors using a pre-post study of sequentially eligible inpatients. Method Key metrics were: practicality (60% of participants had 10hours of wear per day for 3 or more days), acceptability (adherence to recommended wear-time), and limited efficacy (correlation between Wolf Motor Function Test (WMFT) and upper limb use from accelerometry data). Results Twelve stroke survivors were recruited over 7 months, mean age 73years (range 39-94years). Eight participants (67%) met the practicality and acceptability criteria. A moderate positive correlation existed between WMFT and upper limb use at admission (r s =0.33, P =0.42) and at discharge (r s =0.42, P =0.34). Conclusion Wearable devices were feasible and acceptable for most stroke survivors, however, one-third found the devices uncomfortable, and this should be factored into sample size calculations of future studies.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633494","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}

引用次数: 0

Perceptions and experiences of health professionals when supporting adults with stroke to engage in physical activity. 医护人员在支持中风成人参与体育锻炼时的看法和经验。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-10-01 DOI: 10.1071/IB23129

A Pepar, N Mahendran, E Preston, R Keegan

{"title":"Perceptions and experiences of health professionals when supporting adults with stroke to engage in physical activity.","authors":"A Pepar, N Mahendran, E Preston, R Keegan","doi":"10.1071/IB23129","DOIUrl":"https://doi.org/10.1071/IB23129","url":null,"abstract":"Background Understanding health professional perceptions and experiences when supporting post-stroke physical activity may assist with development of strategies targeting low physical activity observed in this group. The aims of this study were to explore health professionals' perceptions and experiences of post-stroke physical activity, the barriers they experience and potential facilitators when supporting people with stroke to be active. Methods Ten focus groups were conducted with 57 health professionals (physiotherapists, occupational therapists, nurses, exercise physiologists, psychologists and sports scientists) and allied health students. Data were analysed via inductive thematic analysis. Results Health professionals were reluctant to recommend moderate intensity physical activity. Barriers included: (1) post-stroke barriers being varied and individual; (2) resources being under pressure and (3) physical activity goals falling through the cracks. Suggested facilitators included: (1) clearly defined roles, processes and environments which encourage activity; (2) funding for more staff; (3) improving health professional skills and confidence and (4) using internal motivation and social supports after stroke. Conclusions Post-stroke physical activity is a complex goal. Varied and individual barriers require tailored solutions. Health professionals report insufficient time, resources and skills to address these individual barriers as well as limited pathways to access physical activity support. Resource-efficient interventions and care models that allow routine strategies targeting post-stroke physical activity are required.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513875","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}

引用次数: 0

Editorial: Clinical implementation to optimise outcomes for people with brain conditions. 社论：临床实施，优化脑病患者的治疗效果。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-10-01 DOI: 10.1071/IB24098

Dana Wong, Sharon Kramer, Natasha Lannin

{"title":"Editorial: Clinical implementation to optimise outcomes for people with brain conditions.","authors":"Dana Wong, Sharon Kramer, Natasha Lannin","doi":"10.1071/IB24098","DOIUrl":"https://doi.org/10.1071/IB24098","url":null,"abstract":"sion=\"1.0\" encoding=\"UTF-8\"?> IB Brain Impairment Brain I. 1443-9646 1839-5252 CSIRO Publishing 36 Gardiner Road Clayton 3168 Victoria Australia IB24098 10.1071/IB24098 Editorial Editorial: Clinical implementation to optimise outcomes for people with brain conditions D. Wong et al. https://orcid.org/0000-0001-9619-1929 Wong Dana A * Kramer Sharon B C https://orcid.org/0000-0002-2066-8345 Lannin Natasha B C Handling Editor Fleming Jenny School of Psychology & Public Health, La Trobe University , Melbourne , Vic , Australia . School of Translational Medicine, Monash University , Melbourne , Vic , Australia . Allied Health, Alfred Health , Melbourne , Vic , Australia . * Correspondence to: Dana Wong School of Psychology & Public Health, La Trobe University , Melbourne , Vic , Australia Email: D.Wong@latrobe.edu.au 29 October 2024 25 4 Collection: Clinical Implementation to Optimise Outcomes IB24098 20 September 2024 Received 20 September 2024 13 October 2024 Accepted 13 October 2024 29 October 2024 Published 29 October 2024 © 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment. 2024 The Authors This Editorial introduces the Collection on Clinical Implementation to Optimise Outcomes. It describes common issues in implementation research and how the papers in the special collection address these. The content and key messages from the papers are described, and an overview of relevant implementation theories and frameworks is provided. It finishes with a call to action for researchers, clinicians and policymakers. This article belongs to the Collection Clinical Implementation to Optimise Outcomes.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549215","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}

引用次数: 0

Health literacy after traumatic brain injury: characterisation and control comparison. 脑外伤后的健康素养：特征描述与对照比较。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-10-01 DOI: 10.1071/IB23116

Amelia J Hicks, Angelle M Sander, Dean P McKenzie, Sarah Carrier, Elinor Fraser, Bronwyn Hall, Monique R Pappadis, Jennie L Ponsford

{"title":"Health literacy after traumatic brain injury: characterisation and control comparison.","authors":"Amelia J Hicks, Angelle M Sander, Dean P McKenzie, Sarah Carrier, Elinor Fraser, Bronwyn Hall, Monique R Pappadis, Jennie L Ponsford","doi":"10.1071/IB23116","DOIUrl":"10.1071/IB23116","url":null,"abstract":"Background Little is known about health literacy in traumatic brain injury (TBI) survivors. The aims of this study were to compare health literacy in individuals with TBI with that of a control group; to examine the association between health literacy in individuals with TBI and demographic, injury, and cognitive factors; and compare the relationship between health literacy and physical and mental health outcomes. Methods A cross-sectional observational study design was used. Adults (≥18years) were recruited from an outpatient research centre in Victoria, Australia. There were 209 participants with a complicated mild to severe TBI at least 1year previously (up to 30years 6months) and 206 control participants. Results Individuals with TBI did not have poorer health literacy than controls (IRR=1.31, P =0.102, CI95% [0.947, 1.812]). Further analysis could not be completed due to the highly skewed Health Literacy Assessment Using Talking Touchscreen Technology - Short Form (Health LiTT-SF) data. Conclusion Health literacy performance in individuals with TBI was not significantly different to controls. Premorbid education may provide a critical cognitive reserve upon which TBI survivors can draw to aid their health literacy. These findings are specific to the Health LiTT-SF measure only and require replication using more comprehensive health literacy measures in culturally diverse samples.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367687","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}

引用次数: 0

The effect of cranioplasty on outcomes and complications of unresponsive wakefulness syndrome and minimally responsive state. 颅骨成形术对无反应清醒综合征和微反应状态的疗效和并发症的影响。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-09-01 DOI: 10.1071/IB23124

Elena Aidinoff, Hiela Lehrer, Ilana Gelernter, Ilil Dayan, Adi Kfir, Lilach Front, Ana Oksamitny, Amiram Catz

{"title":"The effect of cranioplasty on outcomes and complications of unresponsive wakefulness syndrome and minimally responsive state.","authors":"Elena Aidinoff, Hiela Lehrer, Ilana Gelernter, Ilil Dayan, Adi Kfir, Lilach Front, Ana Oksamitny, Amiram Catz","doi":"10.1071/IB23124","DOIUrl":"https://doi.org/10.1071/IB23124","url":null,"abstract":"Background Studies that have shown neurological improvement following cranioplasty (CP) after decompressive craniectomy (DC) in patients with unresponsive wakefulness syndrome (UWS) and minimally conscious state (MCS) did not include control groups. The aim of this study was to assess the justification of CP for these patients. Methods Data were collected from medical records of inpatients with UWS and MCS admitted between 2002 and 2018. Results Of the 144 participants (mean age 40 years, 76% males, 75% in UWS), 37% had CP following DC. The Loewenstein Communication Scale (LCS) gain was 12±17 and 16±17 for the control and study patients, respectively. The corresponding consciousness recovery rate (based on Coma Recovery Scale-Revised scores) was 51% and 53%, respectively. One-year survival rates were 0.80 and 0.93, and 5-year survival rates were 0.67 and 0.73, respectively. Mean outcome values were higher for the study group, but the differences between the groups did not reach statistical significance. Conclusions The study did not demonstrate that CP increases brain recovery or survival. Nevertheless, it showed that CP did not decrease them either, and it did not increase complications rate. The findings, therefore, support offering CP to patients with UWS and MCS as CP does not increase risks and can achieve additional goals for these patients.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302033","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}

引用次数: 0

Spanish translation and cross-cultural adaptation of the Box and Block Test: a pilot study in adults with chronic acquired brain injury. 盒块测验的西班牙文翻译和跨文化改编：一项针对慢性后天性脑损伤成人的试点研究。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-09-01 DOI: 10.1071/IB24014

María-Paula Noce, Desirée Valera-Gran, Miriam Hurtado-Pomares, Encarni Serrano-Reina, Carlos Soler-Pons, Eva-María Navarrete-Muñoz

{"title":"Spanish translation and cross-cultural adaptation of the Box and Block Test: a pilot study in adults with chronic acquired brain injury.","authors":"María-Paula Noce, Desirée Valera-Gran, Miriam Hurtado-Pomares, Encarni Serrano-Reina, Carlos Soler-Pons, Eva-María Navarrete-Muñoz","doi":"10.1071/IB24014","DOIUrl":"https://doi.org/10.1071/IB24014","url":null,"abstract":"Background The Box and Block Test (BBT) is a highly recommended outcome measure to assess unilateral gross motor activity of the upper limbs. The BBT has not previously been available in a version adapted to the Spanish context. Thus, this study aimed to cross-culturally adapt and translate the BBT's instructions and pilot test the Spanish version of BBT in adults with acquired brain injury (ABI). Methods The BBT was translated and cross-culturally adapted following standard procedures. An expert committee approved the final Spanish version of BBT and it was conceptually validated by four therapists with expertise in ABI. The tool was tested on 14 adults with ABI. Results The Spanish version of BBT included a new section of materials for the test and a record to count the number of blocks transferred from one compartment of the box to the other. Following the pilot study, a modification in terminology was implemented for referring to the dominant and non-dominant hands. Conclusions Our results suggest that the Spanish version of BBT is suitable for assessing manual dexterity in Spanish-speaking adults with ABI.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333444","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}

引用次数: 0

The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen. 为土著居民和/或托雷斯海峡岛民制定认知筛查方案：Guddi Way 筛查。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-09-01 DOI: 10.1071/IB23058

Michelle McIntyre, Jennifer Cullen, Caoilfionn Turner, India Bohanna, Ali Lakhini, Kylie Rixon

{"title":"The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen.","authors":"Michelle McIntyre, Jennifer Cullen, Caoilfionn Turner, India Bohanna, Ali Lakhini, Kylie Rixon","doi":"10.1071/IB23058","DOIUrl":"10.1071/IB23058","url":null,"abstract":"Background Many Aboriginal and/or Torres Strait Islander peoples are exposed to risk factors for cognitive impairment. However, culturally appropriate methods for identifying potential cognitive impairment are lacking. This paper reports on the development of a screen and interview protocol designed to flag possible cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults over the age of 16years. Methods The Guddi Way screen includes items relating to cognition and mental functions across multiple cognitive domains. The screen is straightforward, brief, and able to be administered by non-clinicians with training. Results Early results suggest the Guddi Way screen is reliable and culturally acceptable, and correctly flags cognitive dysfunction among Aboriginal and/or Torres Strait Islander adults. Conclusions The screen shows promise as a culturally appropriate and culturally developed method to identify the possibility of cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults. A flag on the Guddi Way screen indicates the need for referral to an experienced neuropsychologist or neuropsychiatrist for further assessment and can also assist in guiding support services.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121154","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}

引用次数: 0

Using the Knowledge to Action framework to improve housing and support for people with Multiple Sclerosis. 利用 "从知识到行动 "框架改善多发性硬化症患者的住房和支持。

IF 1.1 4区医学

Brain Impairment Pub Date : 2024-08-01 DOI: 10.1071/IB23102

Lee Cubis, Sharyn McDonald, Pamela Dean, Robin Ramme, Kate D'Cruz, Megan Topping, Fiona Fisher, Di Winkler, Jacinta Douglas

{"title":"Using the Knowledge to Action framework to improve housing and support for people with Multiple Sclerosis.","authors":"Lee Cubis, Sharyn McDonald, Pamela Dean, Robin Ramme, Kate D'Cruz, Megan Topping, Fiona Fisher, Di Winkler, Jacinta Douglas","doi":"10.1071/IB23102","DOIUrl":"https://doi.org/10.1071/IB23102","url":null,"abstract":"Background People with Multiple Sclerosis (MS) have unique housing and support needs that are essential for maintaining independence at home; however, there is limited research to guide the design of community living options for this population. The aim of this study was to examine housing and support needs and preferences of people with MS with the intention to inform the planning of a co-designed intervention based on the study's findings. Methods Using the Knowledge to Action (KTA) framework, quantitative (n =79) and qualitative (n =6) data from people with MS were extracted and integrated from projects completed by the research team that explored the housing and support needs and preferences of people with disability. Results were synthesised and presented to a reference group for validation, contextualisation, and adaptation to the Australian context. Results High physical support needs were common across participants. People most commonly required home modifications to improve accessibility, such as ramps, equipment such as heating and cooling, and assistive technology. Many people required more than 8 hours per day of paid support. Moving into individualised housing facilitated independence and community reintegration. People reported gaps between what they wanted from support workers and what they received, citing individual and systemic barriers. Conclusion People with MS have support needs that require proactive and responsive funding arrangements, housing design and support provision. In line with KTA principles, findings will inform the planning of a co-designed intervention that involves people with lived experience of MS and other stakeholders to influence policy and improve home and living outcomes for this population.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879922","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}

引用次数: 0