Brain & NeuroRehabilitation最新文献

{"title":"The Effect of Robot-Assisted Training on Arm Function, Walking, Balance, and Activities of Daily Living After Stroke: A Systematic Review and Meta-Analysis.","authors":"Seung Don Yoo, Hyun Haeng Lee","doi":"10.12786/bn.2023.16.e24","DOIUrl":"10.12786/bn.2023.16.e24","url":null,"abstract":"<p><p>This meta-analysis aimed to compare the effects of robot-assisted training (RAT) with those of conventional therapy (CT), considering the potential sources of heterogeneity in the previous studies. We searched three international electronic databases (MEDLINE, Embase, and the Cochrane Library) to identify relevant studies. Risk of bias assessment was performed using the Cochrane's Risk of Bias 1.0 tool. The certainty of the evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluations method. The meta-analyses for each outcome of the respective domains were performed using 24 randomized controlled trials (RCTs) on robot-assisted arm training (RAAT) for arm function, 7 RCTs on RAAT for activities of daily living (ADL), 12 RCTs on robot-assisted gait training (RAGT) for balance, 6 RCTs on RAGT for walking, and 7 RCTs on RAGT for ADL. The random-effects model for the meta-analysis revealed that RAAT has significant superiority over CT in improving arm function, and ADL. We also showed that RAGT has significant superiority over CT in improving balance. Our study provides high-level evidence for the superiority of RAT over CT in terms of functional recovery after stroke. Therefore, physicians should consider RAT as a therapeutic option for facilitating functional recovery after stroke.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e24"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerebral Air Embolism After Air-Powder Abrasive Dental Treatment: A Case Report.","authors":"Seung Tae Seong, Jae Hyun Lee, Young-Joo Sim, Ho Joong Jeong, Ghi Chan Kim","doi":"10.12786/bn.2023.16.e22","DOIUrl":"10.12786/bn.2023.16.e22","url":null,"abstract":"<p><p>Cerebral air embolism (CAE) occurs in various clinical situations such as surgery, angiography, and hemodialysis; most are iatrogenic. Here we report the case of a 57-year-old man who developed CAE immediately after air-powder abrasive treatment, which is commonly used in dentistry. The patient underwent air-powder abrasive treatment for peri-implantitis, and immediately after the treatment, cardiac arrest occurred and cardio- pulmonary resuscitation was performed. After resuscitation, brain computed tomography performed in the emergency room showed scattered dark density presumed to be air. The day after admission, the patient showed right hemiplegia and a multifocal cerebral infarction was observed on brain magnetic resonance imaging. Therefore, CAE was strongly suspected. After hyperbaric oxygen treatment (HBOT), which started 4 days after the incident, the patient regained consciousness and showed improvement in cognitive impairment, and only grade 4 muscle weakness was observed in the right lower extremity on the manual muscle test. This case highlights the importance of considering CAE as a possible cause of neurological symptoms occurring during clinical procedures involving air, and adds to the accumulation of evidence of therapeutic effects of delayed HBOT.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e22"},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Personalized Cognitive Training Using Mental Workload Monitoring on Executive Function in Older Adults With Mild Cognitive Impairment.","authors":"Jin-Hyuck Park","doi":"10.12786/bn.2023.16.e21","DOIUrl":"10.12786/bn.2023.16.e21","url":null,"abstract":"<p><p>Although a variety of cognitive training has been performed, its optimally personalized delivery is still unknown. This study established the mental workload classification model using a convolutional neural network based on functional near-infrared spectroscopy-derived data. The dorsolateral prefrontal cortex (DLPFC) while thirty individuals with mild cognitive impairment (MCI) performed spatial working memory testing was found to be a considerable indicator to classify 3 levels of mental workload with an accuracy of over 86%. In the next step, forty subjects with MCI were randomly allocated into the experimental group (EG) that received cognitive training with mental workload-based difficulty adjustment or the control group (CG) that received conventional cognitive training. To compare both groups, the Trail Making Test Part B (TMT-B) and hemodynamic responses in the DLPFC during the TMT-B were measured. After the 16 training sessions, the EG subjects achieved a greater improvement in the TMT-B than the CG subjects (p < 0.05). Also, the EG subject showed a significantly lower DLPFC activity during the TMT-B than the CG subject (p < 0.05). In sum, the EG subjects better performed executive function with lower energy from the DLPFC. These findings imply that the importance of mental workload monitoring to provide personalized cognitive training.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 3","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10689865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Practice Guideline for Stroke Rehabilitation in Korea-Part 1: Rehabilitation for Motor Function (2022).","authors":"Doo Young Kim, Byungju Ryu, Byung-Mo Oh, Dae Yul Kim, Da-Sol Kim, Deog Young Kim, Don-Kyu Kim, Eun Joo Kim, Hoo Young Lee, Hyoseon Choi, Hyoung Seop Kim, Hyun Haeng Lee, Hyun Jung Kim, Hyun Mi Oh, Hyun Seok, Jihye Park, Jihyun Park, Jin Gee Park, Jong Moon Kim, Jongmin Lee, Joon-Ho Shin, Ju Kang Lee, Ju Sun Oh, Ki Deok Park, Kyoung Tae Kim, Min Cheol Chang, Min Ho Chun, Min Wook Kim, Min-Gu Kang, Min-Keun Song, Miyoung Choi, Myoung-Hwan Ko, Na Young Kim, Nam-Jong Paik, Se Hee Jung, Seo Yeon Yoon, Seong Hoon Lim, Seong Jae Lee, Seung Don Yoo, Seung Hak Lee, Seung Nam Yang, Si-Woon Park, So Young Lee, Soo Jeong Han, Sook Joung Lee, Soo-Kyung Bok, Suk Hoon Ohn, Sun Im, Sung-Bom Pyun, Sung Eun Hyun, Sung Hoon Kim, Sung-Hwa Ko, Sungju Jee, SuYeon Kwon, Tae-Woo Kim, Won Hyuk Chang, Won Kee Chang, Woo-Kyoung Yoo, Yeo Hyung Kim, Yeun Jie Yoo, Yong Wook Kim, Yong-Il Shin, Yoon Ghil Park, Yoon-Hee Choi, Youngkook Kim","doi":"10.12786/bn.2023.16.e18","DOIUrl":"10.12786/bn.2023.16.e18","url":null,"abstract":"<p><p>This clinical practice guideline (CPG) is the fourth edition of the Korean guideline for stroke rehabilitation, which was last updated in 2016. The development approach has been changed from a consensus-based approach to an evidence-based approach using the Grading of Recommendations Assessment Development and Evaluation (GRADE) method. This change ensures that the guidelines are based on the latest and strongest evidence available. The aim is to provide the most accurate and effective guidance to stroke rehabilitation teams, and to improve the outcomes for stroke patients in Korea. Fifty-five specialists in stroke rehabilitation and one CPG development methodology expert participated in this development. The scope of the previous clinical guidelines was very extensive, making it difficult to revise at once. Therefore, it was decided that the scope of this revised CPG would be limited to Part 1: Rehabilitation for Motor Function. The key questions were selected by considering the preferences of the target population and referring to foreign guidelines for stroke rehabilitation, and the recommendations were completed through systematic literature review and the GRADE method. The draft recommendations, which were agreed upon through an official consensus process, were refined after evaluation by a public hearing and external expert evaluation.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e18"},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/8d/bn-16-e18.PMC10404807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10337538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Traumatic Craniocervical Disorders From a Postural Control Perspective: A Narrative Review.","authors":"Serge Belhassen,&nbsp;Quentin Mat,&nbsp;Claude Ferret,&nbsp;Robert Clavel,&nbsp;Bernard Renaud,&nbsp;Pierre Cabaraux","doi":"10.12786/bn.2023.16.e15","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e15","url":null,"abstract":"Mild traumatic brain injury (mTBI) and whiplash injury (WI) may lead to long-term disabling consequences known as post-concussive syndrome (PCS) and whiplash-associated disorders (WADs). PCS and WAD patients commonly complain of conditions encompassing dizziness, vertigo, headache, neck pain, visual complaints, anxiety, and neurocognitive dysfunctions. A proper medical work-up is a priority in order to rule out any acute treatable consequences. However investigations may remain poorly conclusive. Gathered in the head and neck structures, the ocular sensorimotor, the vestibular, and the cervical proprioceptive systems, all involved in postural control, may be damaged by mTBI or WI. Their dysfunctions are associated with a wide range of functional disorders including symptoms reported by PCS and WAD patients. In addition, the stomatognathic system needs to be specifically assessed particularly when associated to WI. Evidence for considering the post-traumatic impairment of these systems in PCS and WAD-related symptoms is still lacking but seems promising. Furthermore, few studies have considered the assessment and/or treatment of these widely interconnected systems from a comprehensive perspective. We argue that further research focusing on consequences of mTBI and WI on the systems involved in the postural control are necessary in order to bring new perspective of treatment.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e15"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/16/bn-16-e15.PMC10404808.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effectiveness of Physical Rehabilitation Interventions for Post-Stroke Function and Mobility Recovery: A Meta-Analysis.","authors":"Seung Nam Yang,&nbsp;Doo Young Kim","doi":"10.12786/bn.2023.16.e17","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e17","url":null,"abstract":"<p><p>Various interventions to physical rehabilitation have been used after stroke, including musculoskeletal, neurophysiological, and motor learning interventions, with ongoing debates and controversies about their relative effectiveness. In this systematic review, we searched 3 international electronic databases (MEDLINE, Embase, and Cochrane Library) to identify relevant studies. We included only randomized controlled trials (RCTs) that directly compared motor relearning, neurophysiological, and musculoskeletal interventions for improving motor function in adult stroke patients. Risk of bias (RoB) assessment was performed using Cochrane's RoB tool, and meta-analysis was conducted using Revman 5.4 with a random effects model. Certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations method. The meta-analysis for immediate outcome for physical rehabilitation included 9 RCTs for balance, 10 RCTs for gait velocity, 7 RCTs for lower extremity motor function and 8 RCTs for performance of activities of daily living. There was no statistically significant different on improvement of balance, gait velocity, lower extremity motor function and performance of activity among physical rehabilitation interventions. Moderate-level evidence supports that no single intervention is superior. Clinicians and therapist should consider individual patient characteristics, preferences, and available resources when selecting the intervention for stroke rehabilitation.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e17"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/37/bn-16-e17.PMC10404812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Way Back.","authors":"Seong Hoon Lim","doi":"10.12786/bn.2023.16.e13","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e13","url":null,"abstract":"Why should wait for some days to get or receive the the way back book that you order? Why should you take it if you can get the faster one? You can find the same book that you order right here. This is it the book that you can receive directly after purchasing. This the way back is well known book in the world, of course many people will try to own it. Why don't you become the first? Still confused with the way?","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e13"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/ad/bn-16-e13.PMC10404804.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9959918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relation between Lower Urinary Tract Dysfunction and Functional Outcome in Patients After Brain Tumor Resection.","authors":"Ga Ram Hong,&nbsp;Min Ho Chun","doi":"10.12786/bn.2023.16.e11","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e11","url":null,"abstract":"<p><p>This study aimed to compare functional outcomes after rehabilitation with initial degree of urinary retention (UR) in patients operated on for brain tumors. Medical records of 61 patients transferred to the Department of Rehabilitation Medicine of single center, from January 2011 to December 2021, were reviewed retrospectively. Patient data included post-void residual (PVR) urine, tumor characteristics, and functional status. Functional status was evaluated on the Mini-Mental Status Examination (MMSE), Modified Barthel Index (MBI), Functional Ambulation Category (FAC), Modified Rankin Scale (mRS), Motricity Index (MI)-lower limb, and Berg Balance Scale (BBS). MMSE, FAC, mRS, and MI-lower limb were re-evaluated 3 weeks after standard inpatient rehabilitation. Twenty-four patients were in the UR group and 37 in the non-UR group. Initial MMSE, MBI, BBS, FAC, and mRS were significantly worse in the UR group, and both groups showed significant functional improvement after rehabilitation. After rehabilitation, MMSE, FAC, MRS, MI-lower were still worse in the UR group, but the degree of improvement between the groups was not significantly different. Rehabilitation was shown to be effective for brain tumor patients regardless of UR. Initial UR after brain tumor surgery is significantly associated with poor functional status in both the early stages of rehabilitation and after rehabilitation.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e11"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/43/bn-16-e11.PMC10404806.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessibility for Rehabilitation Therapy According to Socioeconomic Status in Patients With Stroke: A Population-Based Retrospective Cohort Study.","authors":"Seo Yeon Yoon,&nbsp;Yong Wook Kim,&nbsp;Jong Mi Park,&nbsp;Seung Nam Yang","doi":"10.12786/bn.2023.16.e16","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e16","url":null,"abstract":"<p><p>This study aimed to investigate accessibility for rehabilitation therapy according to socioeconomic status (SES) after stroke using nationwide population-based cohort data. We selected patients with a diagnosis with stroke (International Classification of Diseases, 10th Revision code: I60-64) and SES including residential area, income level, and insurance type were also assessed. Receiving continuous rehabilitation therapy was defined as accumulation of \"Rehabilitative developmental therapy for disorder of central nervous system (claim code: MM105)\" more than 41 times. Logistic regression analyses were performed to investigate the association between SES and rehabilitation therapy using odds ratios (ORs) and 95% confidence intervals (CIs). A total of 18,842 patients with stroke were enrolled. Rural area (OR, 0.745; 95% CI, 0.664-0.836) and medical aid (OR, 0.605; 95% CI, 0.494-0.741) were associated with lower rate of receiving rehabilitation therapy. As for income level, when lowest income group was used as a reference group, low-middle group showed an increased rate of receiving rehabilitation therapy (OR, 1.206; 95% CI, 1.020-1.426). Although rehabilitation therapy after stroke is covered with national health insurance program in Korea, there still existed disparities of accessibility for rehabilitation therapy according to SES. Our results would suggest helpful information for health policy in patients with stroke.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e16"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/6c/bn-16-e16.PMC10404810.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9956242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syringomyelia: A New Phenotype of <i>SPG11</i>-Related Hereditary Spastic Paraplegia?","authors":"Ga Hye Kim,&nbsp;Taeyoung Song,&nbsp;Jaewoong Lee,&nbsp;Dae-Hyun Jang","doi":"10.12786/bn.2023.16.e14","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e14","url":null,"abstract":"<p><p>Hereditary spastic paraplegia (HSP) refers to a group of neurodegenerative disorders affecting motor neurons in the central nervous system. HSP type 11 is the most frequent subtype of autosomal recessive HSPs. Caused by pathogenic variants in <i>SPG11</i>, HSP type 11 has a heterogeneous clinical presentation, including various degrees of cognitive dysfunction, spasticity and weakness predominantly in the lower extremities among other features. An 8-year-old boy visited our rehabilitation clinic with a chief complaint of intellectual impairment. Motor weakness was not apparent, but he exhibited a mild limping gait with physical signs of upper motor neuron involvement. Next generation sequencing revealed biallelic pathogenic variants, c.2163dupT and c.5866+1G>A in <i>SPG11</i>, inherited biparentally which was confirmed by Sanger sequencing. Brain imaging study showed thinning of corpus callosum, consistent with previous reports, however whole spine imaging study revealed extensive syringomyelia in his spinal cord, a rare finding in HSP type 11. Further studies are needed to determine whether this finding is a true phenotype associated with HSP type 11.</p>","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e14"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/1c/bn-16-e14.PMC10404805.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}