312 results match your criteria: "Institut Universitari de Neurorehabilitació Guttmann[Affiliation]"

Purpose: Our study aimed to: i) Assess the readability of textbook explanations using established indexes; ii) Compare these with GPT-4's default explanations, ensuring similar word counts for direct comparisons; iii) Evaluate GPT-4's adaptability by simplifying high-complexity explanations; iv) Determine the reliability of GPT-3.5 and GPT-4 in providing accurate answers.

Material And Methods: We utilized a textbook designed for ABPMR certification.

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In early-stage Alzheimer's disease (AD) amyloid-β (Aβ) deposition can induce neuronal hyperactivity, thereby potentially triggering activity-dependent neuronal secretion of phosphorylated tau (p-tau), ensuing tau aggregation and spread. Therefore, cortical excitability is a candidate biomarker for early AD detection. Moreover, lowering neuronal excitability could potentially complement strategies to reduce Aβ and tau buildup.

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Efficiency of telerehabilitation on subacute stroke ambulation: a matched case-control study.

Brain Impair

January 2025

Department of Research and Innovation, Institut Guttmann - Hospital de Neurorehabilitació, Institut Universitari de Neurorehabilitació adscrit a la UAB, Cami Can Ruti s/n, 08916, Badalona, Barcelona, Spain; and Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain; and Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.

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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Optimizing length of hospital stay among inpatients with spinal cord injury: An observational study.

J Healthc Qual Res

December 2024

Department of Research and Innovation, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.

Introduction And Objectives: Despite the importance of length of stay (LOS) following spinal cord injury, it remains underexplored in the literature. This study aims to bridge this gap by investigating the association between rehabilitation LOS and functional gains among patients with traumatic (TSCI) or non-traumatic (NTSCI) spinal cord injuries.

Methods: We conducted a retrospective observational cohort study assessing functional gains using the motor Functional Independence Measure (mFIM) and the Spinal Cord Independence Measure (SCIM III) from rehabilitation admission to discharge.

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Purpose: The present study aims to evaluate the feasibility and preliminary effectiveness of a novel multi-tiered narrative intervention program-the multimodal narrative (MMN) program-in Catalan that was co-created to boost preschool children's narrative and pragmatic skills.

Method: First, we describe here in detail the novel program, which consisted of a set of interventions oriented around the retelling of a narrative in a multimodal fashion, that is, with an abundant use of appropriate gesture and facial expression and careful attention to the pragmatic aspects of communication. We then describe the results of a self-reported feasibility study (Study 1) after this program was trial-implemented by 31 preschool teachers and speech-language therapists in their respective professional contexts.

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Towards Enhancing Trust in AI: A Focused Evaluation of ChatGPT in Pediatric Headache Management.

J Pediatr Health Care

January 2024

Departmento de Investigación e Innovación, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain; Bellaterra (Cerdanyola del Vallès), Universitat Autònoma de Barcelona, Barcelona, Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.

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Context: A previously healthy 40-year-old woman experienced a sudden complete tetraplegia (C8, AIS-A).

Findings: MRI revealed a C6/C7 disc herniation surrounded by an epidural haematoma.

Conclusion/clinical Relevance: Physicians must recognize acute, non-traumatic disc herniation as a potential cause of spinal cord injury, urging prompt diagnosis and intervention.

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Characterization, Outcomes, and Time to Event Predictors of Urinary Tract Infections Acquired During Postacute Stroke Inpatient Rehabilitation: A Comprehensive Cohort Study.

Arch Phys Med Rehabil

November 2024

Department of Research and Innovation, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.

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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A health-related (HR) profile is a set of multiple health-related items recording the status of the patient at different follow-up times post-stroke. In order to support clinicians in designing rehabilitation treatment programs, we propose a novel multi-task learning (MTL) strategy for predicting post-stroke patient HR profiles. The HR profile in this study is measured by the Barthel index (BI) assessment or by the EQ-5D-3L questionnaire.

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Understanding and enhancing post-stroke recovery: Insights from a nested qualitative study within the MindFit Project randomized clinical trial.

Complement Ther Med

December 2024

Departament de Psicologia Clínica i Psicobiologia, Facultat de Psicologia, Universitat de Barcelona (UB), Passeig de la Vall d'Hebron, 171, Barcelona 08035, Spain; Institut de Neurociències, Universitat de Barcelona, Passeig de la Vall d'Hebron, 171, Barcelona 08035, Spain; Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, Esplugues de Llobregat 08950, Spain. Electronic address:

Article Synopsis
  • - Participants in the MindFit Project, a study involving chronic stroke survivors, engaged in different intervention groups, including mindfulness-based stress reduction and physical exercise, to address their numerous physical, cognitive, and emotional challenges post-stroke.
  • - A qualitative study involving interviews with participants revealed that they found the interventions generally beneficial, with mindfulness helping emotional regulation, physical exercise boosting capabilities, and cognitive training aiding mental functions; the group environment provided peer support despite some challenges related to participant diversity.
  • - The findings underscore the complexity of stroke recovery and advocate for holistic, patient-centered rehabilitation strategies that integrate both physical and cognitive approaches, with remote delivery being a practical yet challenging option for survivors.
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Article Synopsis
  • 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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Purpose: Anorexia nervosa (AN) is a mental health disorder characterized by significant weight loss and associated medical and psychological comorbidities. Conventional treatments for severe AN have shown limited effectiveness, leading to the exploration of novel interventional strategies, including deep brain stimulation (DBS). However, the neural mechanisms driving DBS interventions, particularly in psychiatric conditions, remain uncertain.

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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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Falls characteristics experienced by working-age adults during inpatient post-stroke rehabilitation and their impact on length of stay, discharge functional status, ambulation and destination.

J Stroke Cerebrovasc Dis

November 2024

Department of Research and Innovation, Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address:

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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Introduction: Individuals with subjective cognitive decline (SCD) express concern about self-perceived cognitive decline despite no objective impairment and are at higher risk of developing Alzheimer's disease. Despite documented links between SCD and repetitive negative thinking (RNT), the specific impact of RNT on brain integrity and cognition in exacerbating the SCD condition remains unclear. We aimed to investigate the influence of RNT on global cognition and brain integrity, and their interrelationships among healthy middle-aged and older adults experiencing SCD.

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Neuromodulation and meditation: A review and synthesis toward promoting well-being and understanding consciousness and brain.

Neurosci Biobehav Rev

November 2024

Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA. Electronic address:

The neuroscience of meditation is providing insight into meditation's beneficial effects on well-being and informing understanding of consciousness. However, further research is needed to explicate mechanisms linking brain activity and meditation. Non-invasive brain stimulation (NIBS) presents a promising approach for causally investigating neural mechanisms of meditation.

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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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