Non-invasive Brain Stimulation and Prism Adaptation in Art Constructive Errors of Painting

Introduction: This study aimed to investigate the influence of neglect and the effect of Prism Adaptation (PA) combined with continuous Theta-Burst Transcranial Magnetic Stimulation (cTBS) on the art constructive errors of painting rehabilitation of stroke patients with neglect. Methods: Fourteen patients with neglect and art constructive errors of painting secondary to stroke were randomly assigned to the rehabilitation group and received PA combined with inhibitory protocol of cTBS over the intact parietal cortex; the control group received PA combined with sham cTBS for 2 weeks in 10 daily sessions. Patients have assessed for art constructive errors of painting in Figure Copying Test (FCT), and Coloring Test (CT) before and after the intervention. Art constructive errors of painting were classified into omission, deformation, size, neglect of warm colors, and perseveration of errors. Neglect was evaluated using the Line Bisection task (LBT), Figure Copying Test (FCT), and Coloring Test (CT). Results: All patients showed significant improvement in art constructive errors of painting (measured using pattern of painting’ errors in Figure Copying Test and Coloring Test), and neglect (measured using LBT, FCT, and CT) (p<0.05). Omission, neglect of warm colors, and deformation were the most frequent errors. Conclusion: Neglect and rehabilitation influences the painting system in stroke patients. Both approaches improved art constructive errors of painting and neglect symptoms.

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Cerebellar rTMS in PSP: a Double-Blind Sham-Controlled Study Using Mobile Health Technology

The Cerebellum ◽

10.1007/s12311-021-01239-6 ◽

2021 ◽

Author(s):

Andrea Pilotto ◽

Maria Cristina Rizzetti ◽

Alberto Lombardi ◽

Clint Hansen ◽

Michele Biggi ◽

...

Keyword(s):

Digital Technology ◽

Repetitive Transcranial Magnetic Stimulation ◽

Health Technology ◽

Controlled Study ◽

Double Blind ◽

Non Invasive ◽

Lower Back ◽

Before And After ◽

Double Blind Design ◽

Theta Burst

AbstractThere are no effective treatments in progressive supranuclear palsy (PSP). The aim of this study was to test the efficacy of theta burst repetitive transcranial magnetic stimulation (rTMS) on postural instability in PSP. Twenty PSP patients underwent a session of sham or real cerebellar rTMS in a crossover design. Before and after stimulation, static balance was evaluated with instrumented (lower back accelerometer, Rehagait®, Hasomed, Germany) 30-s trials in semitandem and tandem positions. In tandem and semitandem tasks, active stimulation was associated with increase in time without falls (both p=0.04). In the same tasks, device-extracted parameters revealed significant improvement in area (p=0.007), velocity (p=0.005), acceleration and jerkiness of sway (p=0.008) in real versus sham stimulation. Cerebellar rTMS showed a significant effect on stability in PSP patients, when assessed with mobile digital technology, in a double-blind design. These results should motivate larger and longer trials using non-invasive brain stimulation for PSP patients.

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Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients

Brain Sciences ◽

10.3390/brainsci10110773 ◽

2020 ◽

Vol 10 (11) ◽

pp. 773

Author(s):

Pablo I. Burgos ◽

Oriana Lara ◽

Alejandro Lavado ◽

Ignacia Rojas-Sepúlveda ◽

Carolina Delgado ◽

...

Keyword(s):

Treatment Effectiveness ◽

Inertial Sensors ◽

Low Cost ◽

Functional Results ◽

Berg Balance Scale ◽

Control Group ◽

Stroke Patients ◽

Subacute Stroke ◽

System Usability Scale ◽

Before And After

Stroke is currently the world’s second cause of disability. It can cause deficits such as postural control, and telerehabilitation could improve the therapeutic dose as well as functional results. The aim of this work is to determine the effectiveness and usability of a low-cost telerehabilitation system in patients with stroke. We developed a telerehabilitation system based on exergames on smartphones, inertial sensors, and a cloud database. We trained the balance of six participants (three men and three women) in early subacute stroke (seven weeks of progress). In addition to their conventional treatment, these participants trained for a total of nine sessions of 30 min per week, for four weeks. The telerehabilitation group was compared with a control group of four clinically similar participants (three men and one woman). Clinical and usability measurements were made before and after the training. The results show a significant improvement of 11.3 ± 3.5 points in the Berg Balance Scale, 8.3 ± 3.01 points in the Mini-BESTest, and 17.5 ± 9.87 points in the Barthel scale for the telerehabilitation group. However, only the improvements of Berg and Barthel scales were statistically higher for the telerehabilitation group compared to the control group. The proposed system achieved excellent usability on the System Usability Scale (87.5 ± 11.61). Our results demonstrate that a complementary low-cost telemedicine approach is feasible, and that it can significantly improve the balance of stroke patients; therefore, the proposed clinical strategy could potentially improve dosage and overall treatment effectiveness.

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Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/2019.ikfr.07(1).01 ◽

2019 ◽

pp. 2-12

Author(s):

M. Kamaluddin K ◽

Erna Setiawati ◽

Tanti Ajoe Kesoema

Keyword(s):

Shock Wave ◽

Motor Function ◽

Hand Function ◽

Chronic Stroke ◽

Control Group ◽

Shock Wave Therapy ◽

Stroke Patients ◽

Before And After ◽

And Control ◽

Experimental Group

IIntroduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

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Cerebellar rTMS in PSP: a double blind sham-controlled study using mobile health technology

10.1101/2020.11.09.20226068 ◽

2020 ◽

Author(s):

Andrea Pilotto ◽

Maria Cristina Rizzetti ◽

Alberto Lombardi ◽

Clint Hansen ◽

Michele Biggi ◽

...

Keyword(s):

Digital Technology ◽

Repetitive Transcranial Magnetic Stimulation ◽

Postural Instability ◽

Controlled Study ◽

Double Blind ◽

Non Invasive ◽

Lower Back ◽

Before And After ◽

Double Blind Design ◽

Theta Burst

SUMMARYThere are no effective treatments for postural instability and falls in Progressive Supranuclear Palsy (PSP). Objective of the study was to test the efficacy of theta burst repetitive transcranial magnetic stimulation (rTMS) on postural instability in PSP. Twenty probable PSP patients underwent a session of sham or cerebellar rTMS in a cross-over design. Before and after stimulation, static balance was evaluated with instrumented (lower back accelerometer, Rehagait®, Hasomed, Germany) 30-seconds-trials in semitandem and tandem positions. In tandem and semitandem tasks, active stimulation was associated with longer time without support falls (both p=0.04). In the same tasks, device-extracted parameters revealed significant improvement in area (p=0.007), velocity (p=0.005) and acceleration and jerkiness of sway (p=0.008) in real versus sham stimulation. Cerebellar rTMS thus showed a significant effect on stability in PSP patients, when assessed with mobile digital technology, in a double-blind design. These results should motivate larger and longer trials using non-invasive brain stimulation for PSP patients.

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Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v7i01.115 ◽

2018 ◽

Vol 7 (01) ◽

pp. 2

Author(s):

M. Kamaluddin K ◽

Erna Setiawati ◽

Tanti Ajoe Kesoema

Keyword(s):

Shock Wave ◽

Motor Function ◽

Hand Function ◽

Chronic Stroke ◽

Control Group ◽

Shock Wave Therapy ◽

Stroke Patients ◽

Before And After ◽

And Control ◽

Experimental Group

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PENGARUH ZIKIR TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN STROKE AKUT DI RSUP DR.M. DJAMIL PADANG

Jurnal Sehat Mandiri ◽

10.33761/jsm.v16i1.383 ◽

2021 ◽

Vol 16 (1) ◽

pp. 151-161

Author(s):

Hendri Budi ◽

Herwati Herwati

Keyword(s):

Blood Pressure ◽

Acute Stroke ◽

Diastolic Blood Pressure ◽

Intervention Group ◽

Control Group ◽

Stroke Patients ◽

Before And After ◽

Quasi Experimental ◽

Experimental Group ◽

Therapy Intervention

70-94% of acute stroke patients have an increase in blood pressure. Relaxation can be done to treat hypertension. Relaxation in Islam uses zikr (remembering Allah SWT). The purpose of this study was to determine the effect of zikr on reducing blood pressure in acute stroke patients. The research design was quasi-experimental, with two group pretest-posttest design with a control group. The experimental group was given the zikr therapy intervention. The sample of the study was acute stroke patients in the Nervous Room of RSUP Dr. M. Djamil Padang. There were 40 samples, 20 people in the experimental group and 20 people in the control group obtained by purposive sampling. Data collection is September to November 2020 by measuring the patient's blood pressure before and after the intervention. The data is processed manually. Analysis of data with non-parametric Mann Whitney test. The results showed that there was no difference between systolic blood pressure before treatment in the intervention group and the control group (p = 0.976), but there was a difference after treatment (p = 0.000). There was no difference between diastolic blood pressure before treatment in the intervention group and the control group, (p = 0.294), but there was a difference after treatment (p = 0.000). The study concludes that zikr therapy can reduce systolic and diastolic blood pressure in acute stroke patient. It is recommended to the head of the Nerve room to apply zikr therapy in acute stroke patients.

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The Eﬀect of Brain Game on Cognitive Function in Stroke Patients

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v9i1.1479 ◽

2021 ◽

Vol 9 (1) ◽

pp. 61

Author(s):

Novi Malisa ◽

Yuke Kirana

Keyword(s):

Cognitive Function ◽

Intervention Group ◽

Nursing Intervention ◽

Potential Effect ◽

Control Group ◽

Stroke Patients ◽

Before And After ◽

Placebo Intervention ◽

And Control ◽

Cognitive Problems

The decline in cognitive function has been a disorder frequently experienced by stroke patients. The present studyaimed to determine the eﬀect of android-based brain games on cognitive function in stroke patients. Brain games inthis study are designed using an exploratory approach to various cognitive function domains that are damaged. Thequasi experiment using two groups pretest and posttest design involved 15 individuals for each group recruited froma hospital in West Java through purposive sampling with a sample calculation formula using a paired numericalanalytical research formula. The intervention group received an android-based brain games three times a week forone month, the control group received placebo intervention (mentioning colors of diﬀerent words) three times aweek for one month. The FACT-Cog Version 3 questionnaire utilized as the measuring instrument. Measurementswere taken every week after the intervention for one month. The results indicated that there was a signifcant changein cognitive function scores before and after the intervention in the intervention group (p = 0.000). Meanwhile,in the control group there is no signifcant change (p = 0.164). Moreover, the results of cognitive function scoreanalysis after intervention between the intervention and control group exhibit a signifcant diﬀerence (p = 0.000).The brain game intervention has a signifcant eﬀect on cognitive function after the third treatment in the frst week(p <0.05). Also, the results exhibit the potential eﬀect of brain games on the cognitive function level of strokepatients. Some of the things that make the intervention in this study eﬀective in improving cognitive functionare that the respondents included in this study are only those who have a score greater than or equal to 46, whichmay be diﬀerent when applied to patients with lower scores. In addition, the intervention was carried out onrespondents who had experienced a stroke for the frst time and may be diﬀerent if applied to people who have hadseveral strokes. Therefore, it is important to expand the criteria for respondents in further research. Furthermore,this can be used as an option of the nursing intervention to manage cognitive problems among stroke patients.

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Manejo da dor e ação do ultrassom de baixa frequência

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2020.10.30.88-97 ◽

2020 ◽

Vol 10 (30) ◽

pp. 88-97

Author(s):

Alan Sidney Jacinto da Silva ◽

Vanessa Aguiar Ponte ◽

Darrielle Gomes Alves Mossoró ◽

Thiago Moura de Araújo

Keyword(s):

Pain Relief ◽

Low Frequency ◽

Control Group ◽

Ultrasonic Therapy ◽

Analog Scale ◽

Non Invasive ◽

Before And After ◽

Quasi Experimental ◽

Equivalent Control ◽

Chronic Injuries

Foi objetivo, avaliar a aplicabilidade da terapia ultrassônica para o alívio da dor em pacientes com lesões crônicas. Estudo quase experimental com delineamento antes e depois, com ausência de grupo controle equivalente. A avaliação foi feita de três pontos de corte de temporalidade. Utilizando a escala visual analógica para dor antes, durante e após a intervenção. Efetuada no ano de 2017, entre os meses de abril a outubro e analisada em 2018. A pesquisa respeitou os princípios éticos com CAAE nº 1.049.373. A ação terapêutica teve resultados mais promissores nos pacientes que classificavam a dor como intensa 32% dos participantes. Durante a intervenção mais de 60% dos pacientes relataram alívio da dor logo no início da intervenção. O ultrassom como medida para redução da dor apresenta-se de forma promissora, por promover analgesia sem efeitos adversos e de uma forma não invasiva.Descritores: Terapia por Ultrassom, Manejo da Dor, Ferimentos e Lesões. Management pain and low frequency ultrasoundAbstract: The objective was to evaluate the applicability of ultrasonic therapy for pain relief in patients with chronic injuries. Quasi-experimental study with before and after design, with no equivalent control group. The evaluation was made from three temporality cutoff points. Using the visual analog scale for pain before, during and after the intervention. Carried out in 2017, from April to October and analyzed in 2018. The research complied with the ethical principles with CAAE No. 1,049,373. The therapeutic action had more promising results in patients who classified pain as intense 32% of participants. During the intervention more than 60% of patients reported pain relief early in the intervention. Ultrasound as a measure for pain reduction is promising because it promotes analgesia without adverse effects and in a non-invasive way.Descriptors: Ultrasonic Therapy, Pain Management, Wounds and Injuries. Manejo y acción de dolor ultrasonido de baja frecuenciaResumen: El objetivo fue evaluar la aplicabilidad de la terapia ultrasónica para el alivio del dolor en pacientes con lesiones crónicas. Estudio cuasiexperimental con diseño antes y después, sin grupo de control equivalente. La evaluación se realizó a partir de tres puntos de corte de temporalidad. Usando la escala analógica visual para el dolor antes, durante y después de la intervención. Realizado en 2017, de abril a octubre y analizado en 2018. La investigación cumplió con los principios éticos con CAAE No. 1,049,373. La acción terapéutica tuvo resultados más prometedores en pacientes que clasificaron el dolor como intenso 32% de los participantes. Durante la intervención, más del 60% de los pacientes informaron alivio del dolor temprano en la intervención. El ultrasonido como medida para la reducción del dolor es prometedor porque promueve la analgesia sin efectos adversos y de manera no invasiva.Descriptores: Terapia por Ultrasonido, Manejo del Dolor, Heridas y Traumatismos.

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The effects of golf training in patients with stroke: a pilot study

International Psychogeriatrics ◽

10.1017/s1041610214002452 ◽

2015 ◽

Vol 27 (5) ◽

pp. 865-873 ◽

Cited By ~ 8

Author(s):

Tobias Schachten ◽

Petra Jansen

Keyword(s):

Experimental Period ◽

Training Group ◽

Well Being ◽

Berg Balance Scale ◽

Control Group ◽

Stroke Patients ◽

Balance Test ◽

Assessment Tests ◽

Visual Spatial ◽

Before And After

ABSTRACTBackground:Stroke is the most common neurological disease and the primary cause of lifelong disability in industrialized countries. Because of this it is important to investigate any kind of successful therapy.Methods:From the 24 recruited stroke patients who were between 23 and 72 years old, 14 patients were separated either in a golf training group (EG), or a social communication meeting (CG). Both groups met for one hour sessions, twice a week, for ten weeks. All participants completed assessment tests before and after the experimental period: cognitive tests measuring attention (Go/No-Go task), visual-spatial memory (Block-Tapping test) and mental rotation performance (MRT); a balance test (Berg Balance Scale), and an emotional well-being test (CES-D-Scale).Results:The results show that both groups improved in the CES Scale, the block-tapping test and the balance test. In addition, stroke patients who received a golf training showed a significant improvement in the MRT comparing to the control group (CG).Conclusion:It is indicated that golf training can improve visual imagery ability in stroke patients, even late after stroke.

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Salivary Vasopressin as a Potential Non–Invasive Biomarker of Anxiety in Dogs Diagnosed with Separation–Related Problems

Animals ◽

10.3390/ani9121033 ◽

2019 ◽

Vol 9 (12) ◽

pp. 1033

Author(s):

Federica Pirrone ◽

Ludovica Pierantoni ◽

Andrea Bossetti ◽

Stefania Uccheddu ◽

Mariangela Albertini

Keyword(s):

Control Group ◽

Case Group ◽

Stress Coping ◽

Non Invasive ◽

Separation Distress ◽

Before And After ◽

Stress Coping Strategies ◽

Separation Phase ◽

New Biomarkers ◽

Preliminary Support

Physiological biomarkers of canine anxiety have not been extensively investigated to date. To identify new biomarkers in dogs, we compared behaviorally normal dogs (Control group, N = 13) to dogs diagnosed with separation problems (Case group, N = 13) as they were introduced into a novel environment in the presence of two strangers and subjected to a short episode of separation and reunion with the owner. During the separation phase, dogs in the Case group explored significantly less than controls and were significantly more persistent in expressing passive stress-coping strategies aimed at seeking proximity to their owners. When the owners returned, dogs with separation distress spent significantly more time jumping up on the strangers than control dogs did. Salivary oxytocin and vasopressin concentrations did not differ between samples taken before and after the separation. However, vasopressin concentrations immediately after separation were significantly higher in the Case than in the Control group and remained higher, although not significantly so, 10 min later. These results indicated that dogs with separation distress became more anxious than typical dogs when separated from their owner in an unfamiliar environment and provided preliminary support for the use of salivary vasopressin as a possible biomarker for anxiety-related responses in dogs.

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