Aim: To evaluate the effectiveness of complex rehabilitation with the inclusion of functional electrostimulation (FES) and BFB-stabilometric postural control in patients with post-stroke motor disorders in the late recovery period.
Material And Methods: Sixty-seven patients in the late recovery period of stroke, 31 women and 36 men, mean age 58.4±6.4 years, were studied. The duration of stroke was 228.59±31.9 days. Ischemic stroke was in 71.9% of patients, hemorrhagic stroke in 28.1%. The first group included 42 patients with stroke, who, in addition to standard treatment regimen, had FES and BFB stabilometric training. The second group comprised 25 patients with stroke, the rehabilitation of which did not include above-mentioned methods.
Results And Conclusion: A complex of rehabilitation measures with the inclusion of FES and BFB stabilometric postural training made it possible to significantly improve the function of walking in the form of restoration of the motor stereotype. The clinical effect was traced 3 weeks after the beginning of rehabilitation, reaching a maximum by the 5th week. Inclusion of BFB-based methods in the rehabilitation process leads to earlier motor and social adaptation of the patient, restoration of the disturbed equilibrium function, which is associated with an increase in the plastic and associative processes of the brain.
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http://dx.doi.org/10.17116/jnevro201911901123 | DOI Listing |
Cureus
January 2025
Department of Research, Department of Regenerative Medicine, Rinaldi Fontani Foundation, Florence, ITA.
An 88-year-old woman presented with a longstanding history of dizziness, tremors, and progressive mental and physical decline, significantly impairing her mobility and autonomy. Recently discharged from an ICU, the patient required extensive support for daily activities. Diagnostic evaluations, including EEG and analysis, revealed irregular frequency peaks and altered cortical activity, particularly in the frontal and prefrontal regions.
View Article and Find Full Text PDFPLoS One
January 2025
Psychology Department, Rutgers, The State University of New Jersey, Newark, NJ, United States of America.
Aphasia, a communication disorder caused primarily by left-hemisphere stroke, affects millions of individuals worldwide, with up to 70% experiencing significant reading impairments. These deficits negatively impact independence and quality of life, highlighting the need for effective treatments that target the cognitive and neural processes essential to reading recovery. This Randomized Clinical Trial (RCT) aims to test the efficacy of a combined intervention incorporating aerobic exercise training (AET) and phono-motor treatment (PMT) to enhance reading recovery in individuals with post-stroke aphasia.
View Article and Find Full Text PDFNeurorehabil Neural Repair
January 2025
Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.
Background: There is a critical time window of post-stroke neuroplasticity when spontaneous behavioral recovery occurs. Potential factors responsible for this heightened plasticity are the reduction of parvalbumin-immunoreactive (PV+) interneuron inhibitory signaling and the disappearance of extracellular matrix synaptic stabilizers called perineuronal net(s; PNN/PNNs).
Objective: This study investigated whether behavioral recovery during this critical period following stroke is associated with changes in densities of PV+ interneurons and PNNs.
Converg Clin Eng Res Neurorehabilit V (2024)
December 2024
University of Illinois Urbana-Champaign, Urbana, IL, USA; Carle Foundation Hospital, Urbana, IL, USA; Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL 60611, USA.
Sensory feedback is crucial for motor control as it establishes the internal representation of motion. This study investigates changes in sensory feedback in hemiparetic stroke by analyzing the laterality index (LI) of somatosensory evoked potentials (SEPs) during movements of the paretic arm, focusing on a shift from the lesioned to the contralesional hemisphere. Three chronic stroke participants performed isometric lifts of their paretic arms at two different levels of their maximum voluntary contraction while receiving tactile finger stimulation.
View Article and Find Full Text PDFStiff-Knee gait (SKG) is a dysfunction commonly observed post-stroke characterized by a decreased swing phase knee flexion angle. Importantly, SKG can impair walking, ultimately reducing overall activity and participation. Interventions for SKG have shown mixed results, and combined with more recent observational evidence, suggest that there are other potential causes requiring the need to re-examine the etiology of SKG.
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