Brain & NeuroRehabilitation最新文献_第9页

Diagnosis of Post-Stroke Aphasia: A Review of Language Tests in Korea. 中风后失语症的诊断:韩国语言测试的回顾。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e18

Jeong Min Kim, Seung Nam Yang

{"title":"Diagnosis of Post-Stroke Aphasia: A Review of Language Tests in Korea.","authors":"Jeong Min Kim, Seung Nam Yang","doi":"10.12786/bn.2022.15.e18","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e18","url":null,"abstract":"Aphasia is one of the most serious cognitive impairments in stroke patients. An accurate diagnosis of aphasia is important for early interventions that optimize patients' functional status. Therefore, we present a review of the aphasia assessment tools currently available in Korea. Aphasia is usually evaluated using a standardized comprehensive assessment battery to establish the diagnosis of aphasia, its severity, and the treatment plan. Before a comprehensive language test, a brief screening test for aphasia can be useful to identify whether any further assessment is necessary. Several standardized evaluation tools are readily available in Korea. The Paradise-Korean version of the Western Aphasia Battery (PK-WAB) is a commonly used comprehensive aphasia test for determining the presence, type, and severity of aphasia. The Korean version of the Boston Naming Test (K-BNT) is an in-depth test to evaluate naming ability. Several screening tests, such as the Korean version of the Frenchay Aphasia Screening Test (K-FAST), the Screening Test for Aphasia and Neurologic Communication Disorders (STAND), and Semantic Verbal Fluency (SVF), can be applied to identify patients at risk in terms of language performance. Depending on the outcome of these tests, patients can be referred for further evaluation.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 2","pages":"e18"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/d9/bn-15-e18.PMC9833477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10663205","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

Correlation of Body Composition via Bioelectrical Impedance Analysis and Motor Function and Recovery of Upper Extremity in Patients Undergoing Stroke Rehabilitation. 脑卒中康复患者体成分与运动功能及上肢恢复的相关性研究

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e20

Sunha Park, Jaewon Kim, Youngmin Kim, Min-Wook Kim

{"title":"Correlation of Body Composition via Bioelectrical Impedance Analysis and Motor Function and Recovery of Upper Extremity in Patients Undergoing Stroke Rehabilitation.","authors":"Sunha Park, Jaewon Kim, Youngmin Kim, Min-Wook Kim","doi":"10.12786/bn.2022.15.e20","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e20","url":null,"abstract":"Bioelectrical impedance analysis (BIA) has been used to investigate the body compositions and predict functional outcomes in patients with stroke, while the role of BIA to predict motor function or recovery in stroke has not been clarified. This study aimed to investigate relationship between body composition measured by BIA and upper limb motor function and recovery. Body compositions (soft tissue lean mass, phase angle, body fat mass and body water) of fifty patients who are admitted to the stroke rehabilitation unit were segmentally analyzed via BIA. The motor recovery of upper extremity (UE) was evaluated via Fugl-Meyer Assessment (UE-FMA) at the time of transfer and discharge. Correlations between body composition and UE-FMA at discharge were analyzed using Spearman correlation coefficient. Multiple regression analysis was used to determine the regression between body composition and motor function and recovery. The Δ Phase angle, the difference of both sides was significantly linearly inversely correlated with UE-FMA at discharge. However, in multiple regression analysis, body compositions including phase angle did not significantly predict motor function at discharge or motor recovery. The Δ Phase angle is related to the severity of upper limb motor function at discharge in subacute stroke patients, and further studies are needed to determine its value as a predictor for motor recovery.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 2","pages":"e20"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/64/bn-15-e20.PMC9833470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230746","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: 1

Update on Stroke Rehabilitation for Non-Motor Impairment. 非运动障碍脑卒中康复研究进展。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e13

Jin Gee Park

引用次数: 3

Assessment of Upper Extremity Function in People With Stroke Based on the Framework of the ICF: A Narrative Review. 基于ICF框架的中风患者上肢功能评估:叙述性回顾。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e16

Hanna Kim, Joon-Ho Shin

引用次数: 3

Update on Parkinson's Disease Rehabilitation. 帕金森病康复的最新进展。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e15

Seo Yeon Yoon

{"title":"Update on Parkinson's Disease Rehabilitation.","authors":"Seo Yeon Yoon","doi":"10.12786/bn.2022.15.e15","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e15","url":null,"abstract":"Parkinson's disease (PD) is the second most common neurodegenerative disorder. Although dopaminergic drugs are the mainstay for improving PD symptoms, there are still few effective disease-modifying therapies. With the increasing prevalence of PD and the rapid transition to an aging society, more emphasis needs to be placed on rehabilitation that could slow the disease progression combined with pharmacological therapy. In this review, we present an update on evidence related to rehabilitation programs for motor function, swallowing difficulty, and speech disorders in PD. Aerobic exercise, music therapy, dance, virtual reality, and non-invasive brain stimulation have been shown to improve motor function, and telerehabilitation could also be feasibly applied in PD. Recent studies have shown the effectiveness of expiratory muscle strengthening exercises and Lee Silverman Voice Treatment for swallowing difficulty and speech disorders, respectively. Although many rehabilitation programs have been tried, the evidence is still limited. Well-designed future randomized controlled trials with large numbers of participants are needed to establish evidence for rehabilitation in PD.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 2","pages":"e15"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/cc/bn-15-e15.PMC9833476.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230744","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: 1

Erratum: Role of Intensive Inpatient Rehabilitation for Prevention of Disability after Stroke: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study. 强化住院康复对预防中风后残疾的作用:韩国卒中功能和康复队列(KOSCO)研究。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e22

Won Hyuk Chang, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Sam-Gyu Lee, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, Eun Young Han, Junhee Han, Yun-Hee Kim

引用次数: 0

Efficacy of Unilateral and Bilateral Parietal Transcranial Direct Current Stimulation on Right Hemispheric Stroke Patients With Neglect Symptoms: A Proof-of-Principle Study. 单侧和双侧顶叶经颅直流电刺激对右半脑卒中忽视症状患者的疗效:一项原理证明研究。

Brain & NeuroRehabilitation Pub Date : 2022-07-01 DOI: 10.12786/bn.2022.15.e19

Anna Gorsler, Ulrike Grittner, Torsten Rackoll, Nadine Külzow

{"title":"Efficacy of Unilateral and Bilateral Parietal Transcranial Direct Current Stimulation on Right Hemispheric Stroke Patients With Neglect Symptoms: A Proof-of-Principle Study.","authors":"Anna Gorsler, Ulrike Grittner, Torsten Rackoll, Nadine Külzow","doi":"10.12786/bn.2022.15.e19","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e19","url":null,"abstract":"Different transcranial direct current stimulation (tDCS) protocols have been tested to improve visuospatial neglect (VSN). So far, methodological heterogenity limits reliable conclusions about optimal stimualtion set-up. With this proof-of-principle study behavioral effects of two promising (uni- vs. bilateral) stimulation protocols were directly compared to gain more data for an appropriate tDCS protocol in subacute neglect patients. Notably, each tDCS set-up was combined with an identical sham condition to improve comparability. In a double-blind sham-controlled cross-over study 11 subacute post-stroke neglect patients received 20 minutes or 30 seconds (sham) tDCS (2 mA, 0.8 A/m2) parallel to neglect therapy randomized in unilateral (anode-reference: P4-Fp2 10-20 electroencephalography [EEG] system) and bilateral manner (anode-cathode: P4-P3) and 48h wash-out in-between. Before and immediately after stimulation performance were measured in cancellation task (bell test), and line bisection (deviation error). Significant difference between active and assigned sham condition was found in line bisection but not cancellation task. Particularly, deviation error was reduced after bilateral tDCS (hedges g* = 0.6) compared to bilateral sham, no such advantage were obtained for unilateral stimulation (hedges g* = 0.2). Using a direct comparison approach findings add further evidence that stimulating both hemispheres (bilateral) is superior in alleviating VSN symptoms than unilateral stimulation in subacute neglect.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 2","pages":"e19"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/d1/bn-15-e19.PMC9833469.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10663204","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: 2

Nutrition Management in Patients With Traumatic Brain Injury: A Narrative Review. 创伤性脑损伤患者的营养管理：叙述性综述。

Brain & NeuroRehabilitation Pub Date : 2022-03-28 eCollection Date: 2022-03-01 DOI: 10.12786/bn.2022.15.e4

Hoo Young Lee, Byung-Mo Oh

{"title":"Nutrition Management in Patients With Traumatic Brain Injury: A Narrative Review.","authors":"Hoo Young Lee, Byung-Mo Oh","doi":"10.12786/bn.2022.15.e4","DOIUrl":"10.12786/bn.2022.15.e4","url":null,"abstract":"Traumatic brain injury (TBI) is a major cause of long-term physical and psychological disability and death. In patients with TBI, undernutrition is associated with an increased mortality rate, more infectious complications, and worse neurologic outcomes. Therefore, timely and effective nutritional therapy is particularly crucial in the management of TBI to improve patients' prognoses. This narrative review summarizes the issues encountered in clinical practice for patients with neurotrauma who receive acute and post-acute in-patient rehabilitation services, and it comprehensively incorporates a wide range of studies, including recent clinical practice guidelines (CPGs), with the aim of better understanding the current evidence for optimal nutritional therapy focused on TBI patients. Recent CPGs were reviewed for 6 topics: 1) hypermetabolism and variation in energy expenditure in patients with TBI, 2) delayed gastric emptying and intolerance to enteral nutrition, 3) decision-making on the route and timing of access in patients with TBI who are unable to maintain volitional intake (enteral nutrition versus parenteral nutrition), 4) decision-making on the enteral formula (standard or immune-modulating formulas), 5) glycemic control, and 6) protein support. We also identified areas that need further research in the future.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 1","pages":"e4"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/39/bn-15-e4.PMC9833460.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10667739","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

Percutaneous Endoscopic Gastrostomy: Procedure, Complications and Management. 经皮内镜胃造瘘术：手术、并发症和处理。

Brain & NeuroRehabilitation Pub Date : 2022-03-28 eCollection Date: 2022-03-01 DOI: 10.12786/bn.2022.15.e2

In Hyoung Choi, Yu Kyung Cho

引用次数: 0

Nutritional Supplementation in Stroke Rehabilitation: A Narrative Review. 中风康复中的营养补充：叙述性综述。

Brain & NeuroRehabilitation Pub Date : 2022-03-25 eCollection Date: 2022-03-01 DOI: 10.12786/bn.2022.15.e3

Sung-Hwa Ko, Yong-Il Shin

{"title":"Nutritional Supplementation in Stroke Rehabilitation: A Narrative Review.","authors":"Sung-Hwa Ko, Yong-Il Shin","doi":"10.12786/bn.2022.15.e3","DOIUrl":"10.12786/bn.2022.15.e3","url":null,"abstract":"Malnutrition is associated with increased mortality and poor functional recovery after stroke. Most guidelines for stroke rehabilitation strongly recommend nutritional screening for malnutrition. Nutritional status after stroke is related to long-term outcomes, and nutritional supplementation is recommended for stroke patients with malnutrition and those at risk of malnutrition. However, routine nutritional supplementation in stroke patients, regardless of nutritional status, is not correlated with improved functional outcomes, and nutritional supplementation is not recommended if the nutritional status is adequate. Nutritional supplementation with protein, amino acids, vitamins, and minerals positively affects recovery after stroke, with improvements seen in motor function, cognition, activities of living, and mood. However, the evidence is insufficient due to the small number of studies and the lack of well-designed randomized controlled studies. Therefore, nutritional supplementation for stroke patients in rehabilitation should not be uniform, and individual nutritional interventions based on an assessment of the patient's nutritional status should be provided.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 1","pages":"e3"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/9b/bn-15-e3.PMC9833461.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10660621","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