scholarly journals Justification of a New Solution in the Field of Stroke Rehabilitation

2020 ◽  
Author(s):  
B.S. Gareev ◽  
A.N. Kulemin
Keyword(s):  
Brain Stimulation ◽  
Stroke Rehabilitation ◽  
Blood Circulation ◽  
Stroke Patients ◽  
Cns Diseases ◽  
Keywords Stroke ◽  
Software Complex ◽  
Transcranial Brain Stimulation ◽  
The Creation ◽  
Cerebral Blood Circulation

This research consists in the creation of a hardware-software complex for the rehabilitation of stroke patients. The device is designed for rehabilitation of patients after acute disorders of cerebral blood circulation with severe neurotraumas. The device is based on two existing rehabilitation technologies: the method of transcranial brain stimulation with the help of a magnetic neurostimulator, and the development of hand motility with the help of gloves. The combination of these two methods will allow patients to recover effectively, even at home, after they was suffering from neurotrauma. Keywords: stroke, ischemic, rehabilitation, biofeedback, paresis, brain, computer, mechanized glove, hardware, and software complex, CNS diseases, integration, TMS, magnetic neurostimulator

scholarly journals The impact of large structural brain changes in chronic stroke patients on the electric field caused by transcranial brain stimulation

2017 ◽  
Vol 15 ◽  
pp. 106-117 ◽  
Author(s):  
Sena Minjoli ◽  
Guilherme B. Saturnino ◽  
Jakob Udby Blicher ◽  
Charlotte J. Stagg ◽  
Hartwig R. Siebner ◽  
...  
Keyword(s):  
Electric Field ◽  
Brain Stimulation ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Transcranial Brain Stimulation ◽  
Brain Changes ◽  
The Impact ◽  
Structural Brain

Cerebral Blood Circulation in Premature Infants by Means of Mathematical Modeling

2015 ◽  
Vol 46 (S 01) ◽  
Author(s):  
R. Lampe ◽  
N. Botkin ◽  
V. Turova ◽  
T. Blumenstein ◽  
A. Alves-Pinto
Keyword(s):  
Mathematical Modeling ◽  
Premature Infants ◽  
Blood Circulation ◽  
Cerebral Blood Circulation

scholarly journals Impact of Multidisciplinary Stroke Post-Acute Care on Cost and Functional Status: A Prospective Study Based on Propensity Score Matching

2021 ◽  
Vol 11 (2) ◽  
pp. 161
Author(s):  
Chong-Chi Chiu ◽  
Jhi-Joung Wang ◽  
Chao-Ming Hung ◽  
Hsiu-Fen Lin ◽  
Hong-Hsi Hsien ◽  
...  
Keyword(s):  
Propensity Score ◽  
Functional Status ◽  
Propensity Score Matching ◽  
Acute Care ◽  
Medical Cost ◽  
Economic Burden ◽  
Stroke Rehabilitation ◽  
Stroke Patients ◽  
The Impact ◽  
Post Acute Care

Few papers discuss how the economic burden of patients with stroke receiving rehabilitation courses is related to post-acute care (PAC) programs. This is the first study to explore the economic burden of stroke patients receiving PAC rehabilitation and to evaluate the impact of multidisciplinary PAC programs on cost and functional status simultaneously. A total of 910 patients with stroke between March 2014 and October 2018 were separated into a PAC group (at two medical centers) and a non-PAC group (at three regional hospitals and one district hospital) by using propensity score matching (1:1). A cost–illness approach was employed to identify the cost categories for analysis in this study according to various perspectives. Total direct medical cost in the per-diem-based PAC cohort was statistically lower than that in the fee-for-service-based non-PAC cohort (p < 0.001) and annual per-patient economic burden of stroke patients receiving PAC rehabilitation is approximately US $354.3 million (in 2019, NT $30.5 = US $1). Additionally, the PAC cohort had statistical improvement in functional status vis-à-vis the non-PAC cohort and total score of each functional status before rehabilitation and was also statistically significant with its total score after one-year rehabilitation training (p < 0.001). Early stroke rehabilitation is important for restoring health, confidence, and safe-care abilities in these patients. Compared to the current stroke rehabilitation system, PAC rehabilitation shortened the waiting time for transfer to the rehabilitation ward and it was indicated as an efficient policy for treatment of stroke in saving medical cost and improving functional status.

scholarly journals Cognitive and Neurophysiological Effects of Non-invasive Brain Stimulation in Stroke Patients after Motor Rehabilitation

2016 ◽  
Vol 10 ◽  
Author(s):  
Federico D'Agata ◽  
Elena Peila ◽  
Alessandro Cicerale ◽  
Marcella M. Caglio ◽  
Paola Caroppo ◽  
...  
Keyword(s):  
Brain Stimulation ◽  
Motor Rehabilitation ◽  
Stroke Patients ◽  
Non Invasive

Psychometric Comparisons of 2 Versions of the Fugl-Meyer Motor Scale and 2 Versions of the Stroke Rehabilitation Assessment of Movement

2008 ◽  
Vol 22 (6) ◽  
pp. 737-744 ◽  
Author(s):  
I-Ping Hsueh ◽  
Miao-Ju Hsu ◽  
Ching-Fan Sheu ◽  
Su Lee ◽  
Ching-Lin Hsieh ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Stroke Patients ◽  
Chronic Patients ◽  
Retest Reliability ◽  
Intraclass Correlation Coefficients ◽  
Mild Stroke ◽  
Test Retest Reliability ◽  
Rehabilitation Assessment

Objective. To provide empirical justification for selecting motor scales for stroke patients, the authors compared the psychometric properties (validity, responsiveness, test-retest reliability, and smallest real difference [SRD]) of the Fugl-Meyer Motor Scale (FM), the simplified FM (S-FM), the Stroke Rehabilitation Assessment of Movement instrument (STREAM), and the simplified STREAM (S-STREAM). Methods. For the validity and responsiveness study, 50 inpatients were assessed with the FM and the STREAM at admission and discharge to a rehabilitation department. The scores of the S-FM and the S-STREAM were retrieved from their corresponding scales. For the test-retest reliability study, a therapist administered both scales on a different sample of 60 chronic patients on 2 occasions. Results. Only the S-STREAM had no notable floor or ceiling effects at admission and discharge. The 4 motor scales had good concurrent validity (rho ≥ .91) and satisfactory predictive validity (rho = .72-.77). The scales showed responsiveness (effect size d ≥ 0.34; standardized response mean ≥ 0.95; P < .0001), with the S-STREAM most responsive. The test-retest agreements of the scales were excellent (intraclass correlation coefficients ≥ .96). The SRD of the 4 scales was 10% of their corresponding highest score, indicating acceptable level of measurement error. The upper extremity and the lower extremity subscales of the 4 showed similar results. Conclusions. The 4 motor scales showed acceptable levels of reliability, validity, and responsiveness in stroke patients. The S-STREAM is recommended because it is short, responsive to change, and able to discriminate patients with severe or mild stroke.

scholarly journals Effect of Transcranial Brain Stimulation for the Treatment of Alzheimer Disease: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Raffaele Nardone ◽  
Jürgen Bergmann ◽  
Monica Christova ◽  
Francesca Caleri ◽  
Frediano Tezzon ◽  
...  
Keyword(s):  
Alzheimer Disease ◽  
Brain Stimulation ◽  
Cognitive Rehabilitation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Pharmacological Treatments ◽  
Noninvasive Methods ◽  
Functional Changes ◽  
Beneficial Effects ◽  
Limited Effectiveness ◽  
Transcranial Brain Stimulation

Available pharmacological treatments for Alzheimer disease (AD) have limited effectiveness, are expensive, and sometimes induce side effects. Therefore, alternative or complementary adjuvant therapeutic strategies have gained increasing attention. The development of novel noninvasive methods of brain stimulation has increased the interest in neuromodulatory techniques as potential therapeutic tool for cognitive rehabilitation in AD. In particular, repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are noninvasive approaches that induce prolonged functional changes in the cerebral cortex. Several studies have begun to therapeutically use rTMS or tDCS to improve cognitive performances in patients with AD. However, most of them induced short-duration beneficial effects and were not adequately powered to establish evidence for therapeutic efficacy. Therefore, TMS and tDCS approaches, seeking to enhance cognitive function, have to be considered still very preliminary. In future studies, multiple rTMS or tDCS sessions might also interact, and metaplasticity effects could affect the outcome.

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