Publications by authors named "Eloy Opisso"

Article Synopsis
  • Stroke rehabilitation is increasingly needed worldwide, but there's limited evidence comparing telerehabilitation to in-person care.
  • A study found that patients with stroke who participated in telerehabilitation showed greater improvements in functional ambulation compared to those who received in-person rehabilitation.
  • Despite similar ambulation efficiency between the groups, telerehabilitation emerged as a promising alternative for individuals with moderate stroke severity, especially for those living with a partner at home.
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ChatGPT often "hallucinates" or misleads, underscoring the need for formal validation at the professional level for reliable use in nursing education. We evaluated two free chatbots (Google Gemini and GPT-3.5) and a commercial version (GPT-4) on 250 standardized questions from a simulated nursing licensure exam, which closely matches the content and complexity of the actual exam.

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Article Synopsis
  • The study aimed to compare characteristics and rehabilitation outcomes of post-acute stroke patients with and without urinary tract infections (UTIs) in a cohort of 1,683 inpatients admitted for rehabilitation from 2005 to 2023.
  • It found that 11.6% of patients experienced UTIs, with most occurring within the first two weeks of admission, and notable associations with factors like older age and higher stroke severity among those who developed UTIs.
  • Patients with UTIs showed significantly poorer rehabilitation outcomes, indicated by lower Functional Independence Measure (FIM) and Functional Ambulation Categories (FAC) scores at discharge.
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  • The ABLE Exoskeleton has proven safe and feasible for individuals with spinal cord injuries (SCI) during clinical testing, but its effectiveness in home and community settings has not been previously assessed.
  • A user-centered design process was utilized to evaluate the ABLE Exoskeleton's capability for performing essential tasks in everyday environments and to gather feedback for developing a personal-use version.
  • The study involved 10 SCI participants undergoing a training program, revealing that while some experienced minor device-related issues, most achieved increased independence and were able to don and doff the device with minimal assistance.
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  • Aquatic therapy (AT) may be beneficial for patients with spinal cord injury (SCI), but there is limited clinical research on its effectiveness, which hinders its use in practice.
  • A study compared 29 SCI patients who underwent AT rehabilitation with a control group that did not, using measures like the Functional Independence Measure (FIM) and Walking Index for Spinal Cord Injury (WISCI-II).
  • Results indicated that while there were no significant differences in overall functional independence between groups, the AT group showed significant improvements in walking ability and efficiency, suggesting some benefits of aquatic therapy.
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Background: To overcome the application limitations of functional electrical stimulation (FES), such as fatigue or nonlinear muscle response, the combination of neuroprosthetic systems with robotic devices has been evaluated, resulting in hybrid systems that have promising potential. However, current technology shows a lack of flexibility to adapt to the needs of any application, context or individual. The main objective of this study is the development of a new modular neuroprosthetic system suitable for hybrid FES-robot applications to meet these needs.

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High-quality and accessible education is crucial for advancing neuropsychology. A recent study identified key barriers to board certification in clinical neuropsychology, such as time constraints and insufficient specialized knowledge. To address these challenges, this study explored the capabilities of advanced Artificial Intelligence (AI) language models, GPT-3.

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Background: In-hospital falls are frequent post-stroke medical complications and will remain of concern because it may not be possible to prevent all of them. We aimed to i) compare admission clinical and sociodemographic characteristics between fallers and non-fallers ii) determine falls characteristics iii) compare length of stay (LOS), discharge functional independence, ambulation and destination between fallers and non-fallers.

Methods: A matched case-control study, comparing individuals (n = 302) who fell during inpatient post-acute rehabilitation, matched (on time to admission, age and motor Functional Independence Measure (mFIM)) to individuals (n = 302) who didn´t fall, admitted within 3 months post-injury to a center between 2008 and 2023.

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Context/objective: Community integration (CI) is a crucial rehabilitation goal after spinal cord injury (SCI). There is a pressing need to enhance our understanding of the factors associated with CI for individuals with traumatic or non-traumatic etiologies, with the latter being notably understudied. Accordingly, our research explores the associations and potential mediators influencing CI across these populations.

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Article Synopsis
  • The study investigates pediatric traumatic spinal cord injuries (PTSCI) in Catalonia, Spain, focusing on long-term trends in etiology, fracture types, and neurological outcomes among patients aged 0-17 admitted between 1986 and 2022.
  • A total of 249 children were analyzed, with a predominance of boys and an average age of 13.9 years; 82% had at least one spinal fracture, with road traffic accidents being the main cause.
  • The results also show a notable shift from road traffic accidents to falls and sports injuries as the primary causes of PTSCI from 2016 onward, particularly affecting the cervical and thoracic spine regions in older children.
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Background: Most studies focus on the risk factors associated with the development of pressure ulcers (PUs) during acute phase or community care for individuals with spinal cord injury (SCI).

Objectives: This study aimed to i) compare clinical and demographic characteristics of inpatients after SCI with PUs acquired during rehabilitation vs inpatients without PUs and ii) evaluate an existing PU risk assessment tool iii) identify first PU predictors.

Methods: Individuals (n = 1,135) admitted between 2008 and 2022 to a rehabilitation institution within 60 days after SCI were included.

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Background: Most research focuses around impairments in body function and structure, with relatively only a small number exploring their social impact.

Objectives: 1) compare characteristics for individuals who before stroke were blue collar vs. white collar workers 2) identify clinical, functional, and job-related factors associated with return to work within 1 year after discharge 3) identify specific ADL individual items (assessed at rehabilitation discharge) as return to work predictors and 4) identify return to work causal mediators.

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Introduction: Digital solutions for cognitive assessment are currently not only widely used in experimental contexts but can also be useful in clinical practice for efficient screening and longitudinal follow-up. The "Guttmann Cognitest", which includes seven computerized tasks designed to assess main cognitive functions, revealed in a previous validation study to be a potential useful tool to assess cognitive functioning in healthy middle-aged adults.

Method: Here, we present results from a validation in two different populations: one consisting of older adults, and the other comprising young and middle-aged individuals, some of them affected by acquired brain injury.

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Background: As the world population continues to age, the prevalence of neurological diseases, such as dementia, poses a significant challenge to society. Detecting cognitive impairment at an early stage is vital in preserving and enhancing cognitive function. Digital tools, particularly mHealth, offer a practical solution for large-scale population screening and prompt follow-up assessments of cognitive function, thus overcoming economic and time limitations.

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Background: Telerehabilitation in spinal cord injury (teleSCI) is a growing field that can improve access to care and health outcomes in patients with spinal cord injury (SCI). The clinical effectiveness of teleSCI is not known.

Objectives: To compare independence in activities of daily living and mobility capacity in patients following teleSCI and matched controls undergoing traditional rehabilitation.

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Objectives: To compare independence in activities of daily living (ADLs) in post-acute patients with stroke following tele-rehabilitation and matched in-person controls.

Materials And Methods: Matched case-control study. A total of 35 consecutive patients with stroke who followed tele-rehabilitation were compared to 35 historical in-person patients (controls) matched for age, functional independence at admission and time since injury to rehabilitation admission (<60 days).

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Background: Cognitively impaired neurological rehabilitation inpatients are at an increased risk for falls; yet, little is known regarding fall risk of different groups, such as stroke versus traumatic brain injury.

Objectives: To determine if rehabilitation patients' fall characteristics differ for patients with stroke versus patients with traumatic brain injury.

Methods: This retrospective observational cohort study evaluates inpatients with stroke or traumatic brain injury admitted to a rehabilitation center in Barcelona, Spain, between 2005 and 2021.

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Background: Post-stroke arm impairment at rehabilitation admission as predictor of discharge arm impairment was consistently reported as extremely useful. Several models for acute prediction exist (e.g.

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Background: Robotic lower-limb exoskeletons have the potential to provide additional clinical benefits for persons with spinal cord injury (SCI). However, high variability between protocols does not allow the comparison of study results on safety and feasibility between different exoskeletons. We therefore incorporated key aspects from previous studies into our study protocol and accordingly conducted a multicentre study investigating the safety, feasibility and usability of the ABLE Exoskeleton in clinical settings.

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