Brain & NeuroRehabilitation最新文献_第6页

Accessibility for Rehabilitation Therapy According to Socioeconomic Status in Patients With Stroke: A Population-Based Retrospective Cohort Study. 脑卒中患者社会经济地位对康复治疗的可及性:一项基于人群的回顾性队列研究

Brain & NeuroRehabilitation Pub Date : 2023-07-01 DOI: 10.12786/bn.2023.16.e16

Seo Yeon Yoon, Yong Wook Kim, Jong Mi Park, Seung Nam Yang

{"title":"Accessibility for Rehabilitation Therapy According to Socioeconomic Status in Patients With Stroke: A Population-Based Retrospective Cohort Study.","authors":"Seo Yeon Yoon, Yong Wook Kim, Jong Mi Park, Seung Nam Yang","doi":"10.12786/bn.2023.16.e16","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e16","url":null,"abstract":"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.","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}

引用次数: 0

Syringomyelia: A New Phenotype of SPG11-Related Hereditary Spastic Paraplegia? 脊髓空洞:与spg11相关的遗传性痉挛性截瘫的新表型?

Brain & NeuroRehabilitation Pub Date : 2023-07-01 DOI: 10.12786/bn.2023.16.e14

Ga Hye Kim, Taeyoung Song, Jaewoong Lee, Dae-Hyun Jang

{"title":"Syringomyelia: A New Phenotype of SPG11-Related Hereditary Spastic Paraplegia?","authors":"Ga Hye Kim, Taeyoung Song, Jaewoong Lee, Dae-Hyun Jang","doi":"10.12786/bn.2023.16.e14","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e14","url":null,"abstract":"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 SPG11, 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 SPG11, 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.","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}

引用次数: 0

Cognitive Impairment in a Child With Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Case Report. 儿童抗n -甲基- d -天冬氨酸受体脑炎的认知障碍1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-07-01 DOI: 10.12786/bn.2023.16.e12

Seongsik Son, Kil-Byung Lim, Jeehyun Yoo, Pamela Song, Jiyong Kim

{"title":"Cognitive Impairment in a Child With Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Case Report.","authors":"Seongsik Son, Kil-Byung Lim, Jeehyun Yoo, Pamela Song, Jiyong Kim","doi":"10.12786/bn.2023.16.e12","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e12","url":null,"abstract":"Anti-N-methyl-D-aspartate-receptor encephalitis is a complex autoimmune inflammatory neurological disorder that presents with epileptic seizures and rapid functional deterioration, including movement disorders and cognitive impairment, especially in young patients. Despite aggressive initial treatment with immune therapy, such as corticosteroids, intravenous immunoglobulin, and plasmapheresis, patients often need intensive rehabilitative therapies for their long-lasting deficits. We report a pediatric case of anti-N-methyl-D-aspartate receptor encephalitis in Korea that presented with symptoms of muscle weakness of the four extremities, dysarthria, dysphagia, and cognitive impairment in the acute phase. The patient underwent 4 weeks of comprehensive rehabilitative treatment, including physical therapy, occupational therapy, swallowing rehabilitation therapy, cognitive rehabilitation therapy, and speech therapy. At the follow-up evaluation after 4 weeks of treatment, she showed significant improvements in limb muscle strength, balance ability, swallowing, language function, and the ability to perform activities of daily living. However, when assessed using the Korean Wechsler Intelligence Scale for Children-IV, there was little improvement in cognitive function, particularly in working memory. While only a few cases have reported the progression of cognitive function using a standardized cognitive evaluation tool in patients with anti-N-methyl-D-aspartate receptor encephalitis, this present case report adds to the accumulation of evidence of neurocognitive deficits in these patients.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e12"},"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/71/71/bn-16-e12.PMC10404809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9965185","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}

引用次数: 0

Ipsilateral Motor Evoked Potentials in a Preschool-age Child With Traumatic Brain Injury: A Case Report. 外伤性脑损伤的学龄前儿童同侧运动诱发电位1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-07-01 DOI: 10.12786/bn.2023.16.e20

Seong-Yeol Kim, Choong-Hee Roh, Da-Sol Kim, Gi-Wook Kim, Yu Hui Won, Myoung-Hwan Ko, Jeong-Hwan Seo, Sung-Hee Park

引用次数: 0

The Efficacy of Spinal Cord Stimulators in the Reduction of Multiple Sclerosis Spasticity: A Narrative Systematic Review. 脊髓刺激器减少多发性硬化症痉挛的疗效:一项叙述性系统综述。

Brain & NeuroRehabilitation Pub Date : 2023-07-01 DOI: 10.12786/bn.2023.16.e19

Brandon J Goodwin, Rahyan Mahmud, Saumya TomThundyil, Gerardo Rivera-Colon, Victoria Wong Murray, Kelly O'Donnell

{"title":"The Efficacy of Spinal Cord Stimulators in the Reduction of Multiple Sclerosis Spasticity: A Narrative Systematic Review.","authors":"Brandon J Goodwin, Rahyan Mahmud, Saumya TomThundyil, Gerardo Rivera-Colon, Victoria Wong Murray, Kelly O'Donnell","doi":"10.12786/bn.2023.16.e19","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e19","url":null,"abstract":"A systematic review was employed utilizing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, to analyze all primary clinical data on the efficacy of spinal cord stimulation (SCS) in the treatment of multiple sclerosis (MS) induced spasticity. Databases include: Embase, PubMed, Scopus, Cochrane, and Web of Science. The review included case series, case studies, and clinical trials. Outcomes of interest were spasticity reduction. Grading of Recommendations Assessment, Development and Evaluation criteria was utilized to grade the certainty of evidence. Five hundred thirty-two articles were retrieved following database systematic review. One hundred eighty-eight articles were removed as duplicates utilizing the \"Detect Duplicates\" function on Rayyan.ai. A further 344 articles were excluded following abstract and title appraisal. As a result, 16 articles were subjected to full text appraisal. The dates of publication ranged from 1973 to 2019. Although a unique modality, there is not enough evidence to support the employment of SCS over current medical standard of care. Further high-quality randomized control trials are required to elucidate SCS's role in MS induced spasticity algorithm.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 2","pages":"e19"},"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/fd/98/bn-16-e19.PMC10404813.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9956240","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}

引用次数: 0

Erratum: Peduncular Hallucinosis 7 Months After Pontine Hemorrhage With Hypertrophic Olivary Degeneration: A Case Report. 勘误:脑桥出血伴肥厚性橄榄变性7个月后出现足柄幻觉:1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-03-01 DOI: 10.12786/bn.2023.16.e2

Woosik Choi, So Jung Lee, Sung-Hwa Ko, Yong-Il Shin, Ji Hong Min

引用次数: 0

Cardiopulmonary Response to Robot-Assisted Tilt Table With Regard to Its Components. 机器人辅助倾斜台的心肺反应及其组成。

Brain & NeuroRehabilitation Pub Date : 2023-03-01 DOI: 10.12786/bn.2023.16.e9

Myeong Sun Kim, Ha Yeon Kim, Gyulee Park, Tae-Lim Kim, Joon-Ho Shin

{"title":"Cardiopulmonary Response to Robot-Assisted Tilt Table With Regard to Its Components.","authors":"Myeong Sun Kim, Ha Yeon Kim, Gyulee Park, Tae-Lim Kim, Joon-Ho Shin","doi":"10.12786/bn.2023.16.e9","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e9","url":null,"abstract":"Cardiopulmonary function is exceptionally critical during the early stages of rehabilitation after neurological disorders such as stroke, spinal cord injury and Parkinson's disease. This study aimed to demonstrate how robot-assisted and tilt table exercises affect cardiopulmonary function. In this study, ten healthy young adults performed six combinations of conditions according to robot-assisted mode (on/off), angle of tilt table (20°/60°), and functional electrical stimulation (FES) mode (on/off). Four conditions had FES mode off with combinations of robot-assisted mode (on/off) and tilt angle (20°/60°) and two conditions had robot-assisted mode and FES on with tilt angle (20°/60°). Cardiopulmonary effects (oxygen uptake [VO2], peak oxygen uptake [VO2peak], metabolic energy cost [MET], rate pressure product [RPP], heart rate [HR], maximum heart rate [%HRmax], and minute ventilation [VE]) were compared in each condition. As a result, in the angle and FES mode effect, VO2, VO2peak, MET, RPP, HR, and %HRmax, unlike that for VE, showed major effects in angle. In addition, in the robot-assisted mode and angle effect, when the FES was switched off, VO2, METs, and VE values showed major effects in the robot-assisted mode, whereas all other values showed major effects in angle. Compared to earlier reported findings, we can expect that robot-assisted tilt table training can lead to changes in the cardiopulmonary function.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 1","pages":"e9"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/29/bn-16-e9.PMC10079472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9277925","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}

引用次数: 0

Response to Letter to the Editor: Effects of Cognitive-Physical Dual-Task Training on Executive Function and Activity in the Prefrontal Cortex of Older Adults With Mild Cognitive Impairment. 给编辑的回复:认知-物理双任务训练对轻度认知障碍老年人前额皮质执行功能和活动的影响。

Brain & NeuroRehabilitation Pub Date : 2023-03-01 DOI: 10.12786/bn.2023.16.e6

Jin-Hyuck Park

引用次数: 0

Isolated Oculomotor Nerve Palsy After Temporoparietal Lobar Hemorrhage With a Mass Effect: A Case Report. 颞顶叶出血后孤立性动眼神经麻痹伴肿块效应1例报告。

Brain & NeuroRehabilitation Pub Date : 2023-03-01 DOI: 10.12786/bn.2023.16.e1

Seung-Min Baek, Seung-Bok Lee, Eun-Ae Yoo, Yeong-Il Na, Kwang-Jae Lee

引用次数: 0

Gerstmann Syndrome as a Disconnection Syndrome: A Single Case Diffusion Tensor Imaging Study. Gerstmann综合征作为一种断连综合征:一例弥散张量成像研究。

Brain & NeuroRehabilitation Pub Date : 2023-03-01 DOI: 10.12786/bn.2023.16.e3

Soo Hoon Yoon, Jae Ik Lee, Mun Jeong Kang, Hae In Lee, Sung-Bom Pyun

{"title":"Gerstmann Syndrome as a Disconnection Syndrome: A Single Case Diffusion Tensor Imaging Study.","authors":"Soo Hoon Yoon, Jae Ik Lee, Mun Jeong Kang, Hae In Lee, Sung-Bom Pyun","doi":"10.12786/bn.2023.16.e3","DOIUrl":"https://doi.org/10.12786/bn.2023.16.e3","url":null,"abstract":"Gerstmann syndrome (GS) is a rare syndrome that occurs when there is a lesion of the dominant inferior parietal lobule (IPL), causing agraphia, acalculia, finger agnosia, and right-left disorientation. A 49-year-old right-handed male was diagnosed as GS after left parieto-occipital lobe hemorrhage. The patient showed mild anomic aphasia with agraphia in the language test and the neuropsychological test revealed acalculia, impaired right-left discrimination, and finger agnosia. In diffusion tensor tractography, the tracts of left superior longitudinal fasciculus (SLF), middle longitudinal fasciculus, U-fibers and posterior corpus callosum (CC) were disrupted around the left IPL. In addition, fractional anisotropy (FA) values were markedly decreased in left SLF, and posterior CC when compared to twelve healthy control subjects. Our clinical and neuroimaging findings support that GS is a disconnection syndrome caused by lesion in the white matter pathway surrounding IPL. In future, more studies of the correlation between the white matter disconnection and the development of GS including high quality imaging technique are needed.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"16 1","pages":"e3"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/e4/bn-16-e3.PMC10079479.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9277924","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}

引用次数: 0