Background: The primary management strategy for gait impairment is the adoption of a walking aid. However, there are no established criteria upon which to base a decision regarding the need for a walking aid. It appears clinicians prescribe aids based on preference, clinical experience and intuition rather than standardised objective rationale.
View Article and Find Full Text PDFObjective: Patients diagnosed with idiopathic Normal Pressure Hydrocephalus (iNPH) typically experience symptom improvements after undergoing a cerebrospinal fluid-tap test (CSF-TT), These improvements are recognized as indicative of potential improvements following surgical intervention. As gait disturbance is the most common iNPH symptom, gait improvements are of predominant interest. The purpose of this study was to examine if clinically important changes in gait and balance from CSF-TT predict meaningful changes following surgery.
View Article and Find Full Text PDFObjective: To assess the utility of a 10-second tandem stance test in predicting gait impairment and the need for a mobility aid.
Design: Cross-sectional study.
Setting: Public hospital ambulatory and hospitalized care.
Transcranial direct current stimulation (tDCS) has been proposed as a tool to enhance stroke rehabilitation; however, evidence to support its use is lacking. The aim of this study was to investigate the effects of anodal and cathodal tDCS on upper limb function in chronic stroke patients. Twenty five participants were allocated to receive 20 min of 1 mA of anodal, cathodal or sham cortical stimulation in a random, counterbalanced order.
View Article and Find Full Text PDF[This corrects the article on p. 384 in vol. 10, PMID: 27547180.
View Article and Find Full Text PDFAnodal transcranial direct current stimulation (tDCS) over the motor cortex is considered a potential treatment for motor rehabilitation following stroke and other neurological pathologies. However, both the context under which this stimulation is effective and the underlying mechanisms remain to be determined. In this study, we examined the mechanisms by which anodal tDCS may affect motor performance by recording event-related potentials (ERPs) during a cued go/nogo task after anodal tDCS over dominant primary motor cortex (M1) in young adults (Experiment 1) and both dominant and non-dominant M1 in older adults (Experiment 2).
View Article and Find Full Text PDFObjective: To compare function and quality of life in community-dwelling stroke survivors at 1, 3, and 5 years after stroke.
Design: A community-based, cross-sectional study of 3 retrospective cohorts.
Setting: Community-dwelling stroke survivors in Australia.