Publications by authors named "Judith F Fleuren"

Article Synopsis
  • The study aimed to evaluate how effective the Duncan-Ely test is at predicting abnormal rectus femoris activity in stroke survivors who exhibit a stiff knee gait.
  • Conducted on 95 chronic stroke patients, the research involved comparing the results from the Duncan-Ely test with surface electromyography, which is considered the gold standard.
  • Findings revealed that the Duncan-Ely test had low sensitivity and specificity, indicating it is not a reliable predictor of rectus femoris activity and should be replaced by surface electromyography for better assessment.
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Article Synopsis
  • The study aimed to explore how movement execution kinematics of the upper extremity correlate with clinical outcomes in chronic stroke patients, both before and after at-home training with technology.
  • Twenty stroke patients were assessed at the beginning and again after six weeks of either technology-supported or conventional training, measuring various factors like grip strength and motion during a reach-and-grasp task.
  • Results indicated that elbow movement and grip strength had significant relationships with improvements in arm function and activities, highlighting the importance of focusing on reaching and hand function in post-stroke rehabilitation.
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The aim of this study was to identify predictors, available at admission, of physical independence at discharge from inpatient rehabilitation. Secondary aims were to identify predictors of functional gain and length of stay (LOS). We included 1310 adult stroke patients who were admitted for inpatient rehabilitation in five Dutch rehabilitation centres.

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Purpose: To explore the association between perceived spasticity and psychological factors (pain sensations, coping strategies, and illness cognitions) in chronic spinal cord injured (SCI) patients.

Methods: Cross-sectional study using a set of questionnaires was designed for chronic complete patients with SCI and with self-reported leg spasticity. Outcome measures were Visual Analogue Scale for average perceived leg spasticity (VAS(Spasticity)), VAS(Pain) for average perceived pain sensations in the leg, Utrecht Coping List (UCL) including its seven subscales, and Illness Cognition Questionnaire (ICQ) with its three subscales.

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Objective: To investigate the influence of different positions on stretch reflex activity of knee flexors and extensors measured by electromyography in poststroke patients with spasticity and its expression in the Ashworth Scale.

Design: Crossover trial with randomized order of positioning.

Setting: Outpatient rehabilitation center in the Netherlands.

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