Brain & NeuroRehabilitation最新文献_第9页

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

Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study. 居住在社区的中风幸存者残疾的原因和趋势：基于人口的研究。

Brain & NeuroRehabilitation Pub Date : 2022-03-17 eCollection Date: 2022-03-01 DOI: 10.12786/bn.2022.15.e5

Yeon Woo Ju, Jung Soo Lee, Young-Ah Choi, Yeo Hyung Kim

{"title":"Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study.","authors":"Yeon Woo Ju, Jung Soo Lee, Young-Ah Choi, Yeo Hyung Kim","doi":"10.12786/bn.2022.15.e5","DOIUrl":"10.12786/bn.2022.15.e5","url":null,"abstract":"Many stroke survivors live with disabilities in the community. This study aimed to investigate the causes and trends of disabilities among community-dwelling stroke survivors. A total of 1547 community-dwelling stroke survivors ≥ 19 years were identified using the Korea National Health and Nutrition Examination Survey (KNHANES) database from 2007 to 2018. We analyzed the causes and trends of disabilities in strokes survivors using complex-samples procedures. During 2007-2018, 38.0% of stroke survivors were found to have disabilities. Stroke itself was the most common cause of disabilities (21.3%). Musculoskeletal (back or neck problems, 7.0%; arthritis, 5.7%; and leg pain excluding arthritis, 2.3%), sensory (visual problems, 3.6%; and auditory problems, 1.4%), and medical problems (diabetes 2.6%; hypertension, 2.3%; heart disease, 1.5%) accounted for the rest of the other causes of disabilities. Upon analyzing the trends, we found that both the proportion of stroke survivors with disabilities and that of stroke survivors with stroke-related disabilities decreased from KNHANES IV (2007-2009) to V (2010-2012). After 2010-2012, the proportion of both groups stayed constant. The burden of disabilities in non-hospitalized stroke survivors has decreased but still remains high. Attention is warranted because many other problems than a stroke can cause disabilities in community-dwelling stroke survivors.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 1","pages":"e5"},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/17/bn-15-e5.PMC9833459.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10667736","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

Transient Anarthria in a Patient With Non-Dominant Hemispheric Lesion: A Case Report. 非显性半球病变患者的一过性无音1例报告。

Brain & NeuroRehabilitation Pub Date : 2022-03-01 DOI: 10.12786/bn.2022.15.e8

Yu Jin Im, Jihong Choi, Yun-Hee Kim, Won Hyuk Chang

引用次数: 0