Publications by authors named "Stefan T Kotzian"
Background: Therapeutic climbing (TC) has emerged as a prospective rehabilitation approach for individuals with multiple sclerosis (MS). The existing literature primarily focuses on the physical and psychological benefits of TC across diverse populations but is limited concerning its application and efficacy for patients with MS.
Objectives: This study aimed to delineate the experiences, subjective effects, and perceptions of both individuals with MS and therapists regarding TC, highlighting the potential benefits and challenges of this therapeutic approach.
Objective: Obstructive sleep apnea (OSA) impacts stroke recovery and outcome negatively. Although its identification and treatment are part of the current stroke guidelines, standard management with positive airway pressure (PAP) therapy is not routinely performed and adherence rates are very low. The purpose of this study was to determine whether PAP adherence can be improved by a PAP training strategy during in-hospital rehabilitation combined with a telemedicine monitoring system after discharge.
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- This study explores the feasibility of using basic tablet gestures (like clicking and double-clicking) in stroke rehabilitation, focusing on factors that impact successful performance.* -
- Conducted with 129 participants at a rehabilitation center in Austria, the study found that 69.2% could perform gestures with at least one hand, but only a small percentage could do so with a paretic hand.* -
- Results suggest that while many stroke patients can use tablets, complex gestures like double-clicking and zooming pose challenges, indicating a need for simpler app designs in rehabilitation contexts.*
Article Synopsis
- Feasibility and Acceptability
- : The study assessed the feasibility of home sleep apnea testing (HSAT) among stroke patients in a neurorehabilitation center, finding that 92% of recordings met acceptable quality standards as part of the HOPES study.
- Accuracy Comparison
- : It compared the results of HSAT to polysomnography (PSG) for diagnosing moderate obstructive sleep apnea (OSA) in 33 patients, showing a strong correlation and an acceptable mean difference in metrics (REI vs. AHI) and agreement in measurements.
- Recommendations
- : The results indicate that HSAT is both feasible and accurately diagnoses OSA in stroke patients, leading to the suggestion that it
Introduction: Meta-analyses report that more than 50% of patients who had a stroke suffer from moderate to severe sleep apnoea (SA), with adherence rates to positive airway pressure (PAP) therapy of only 30%. The primary objective of this study is to determine whether PAP adherence in patients who had a stroke with obstructive sleep apnoea (OSA) can be improved by a PAP training strategy during inhospital rehabilitation combined with a telemedicine monitoring system after discharge. Further objectives are (1) to compare the validity of a non-attended level-III polygraphy with that of a level-II polysomnography (PSG) in the diagnosis of SA, (2) to compare the validity of an apnoea-hypopnoea index (AHI) yielded by the PAP device with that obtained during PSG, (3) to determine changes in nocturnal systolic blood pressure (BP) due to PAP therapy with the pulse transit time (PTT) method and (4) to assess the impact of telemonitored PAP therapy on neurorehabilitation outcome parameters.
View Article and Find Full Text PDFObjective: Sleep apnea (SA) is common in stroke patients and is associated with poor functional outcome. Therefore, we studied the clinical value of the Berlin Questionnaire (BQ), a subjective screening method to detect stroke patients with SA in a neurorehabilitation care unit, and compared it with respirographic sleep studies. Another aim was to explore the association of SA with functional status in the subacute phase after stroke.
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