A5003606416- Stroke Rehabilitation and Recovery
- Muscle activation and electromyography studies
- EEG and Brain-Computer Interfaces
- Transcranial Magnetic Stimulation Studies
- Cerebral Palsy and Movement Disorders
- Botulinum Toxin and Related Neurological Disorders
- Acute Ischemic Stroke Management
- Neuroscience and Neural Engineering
- Motor Control and Adaptation
- Spinal Cord Injury Research
- Orthopedic Surgery and Rehabilitation
- Multiple Sclerosis Research Studies
- Pain Management and Treatment
- Assistive Technology in Communication and Mobility
- Soft Robotics and Applications
- Balance, Gait, and Falls Prevention
- Neurological Disorders and Treatments
- Musculoskeletal synovial abnormalities and treatments
- Autoimmune and Inflammatory Disorders Research
- Nerve Injury and Rehabilitation
- Peripheral Nerve Disorders
- Neurological disorders and treatments
- Musculoskeletal pain and rehabilitation
- Elbow and Forearm Trauma Treatment
MetroHealth
2013-2025
MetroHealth Medical Center
2008-2025
Case Western Reserve University
2013-2024
GTx (United States)
2024
VA Northeast Ohio Healthcare System
2024
Cleveland FES Center
2000-2023
Louis Stokes Cleveland VA Medical Center
2002-2023
Chapman University
2021
University of California, Irvine
2021
University of California, Los Angeles
2021
<h3>Importance</h3> Many patients receive suboptimal rehabilitation therapy doses after stroke owing to limited access therapists and difficulty with transportation, their knowledge about is often limited. Telehealth can potentially address these issues. <h3>Objectives</h3> To determine whether treatment targeting arm movement delivered via a home-based telerehabilitation (TR) system has comparable efficacy dose-matched, intensity-matched in traditional in-clinic (IC) setting, examine this...
Background. Contralaterally controlled functional electrical stimulation (CCFES) is an experimental treatment intended to improve hand function after stroke. Objective. To compare the effects of 6 weeks CCFES versus cyclic neuromuscular (NMES) on upper extremity impairment and activity limitation in patients ≤6 months poststroke. Methods. Twenty-one participants were randomized or NMES. Treatment for both groups consisted daily stimulation-assisted repetitive hand-opening exercise at home...
Background and Purpose— It is unknown whether one method of neuromuscular electrical stimulation for poststroke upper limb rehabilitation more effective than another. Our aim was to compare the effects contralaterally controlled functional (CCFES) with cyclic (cNMES). Methods— Stroke patients chronic (>6 months) moderate severe extremity hemiparesis (n=80) were randomized receive 10 sessions/wk CCFES- or cNMES-assisted hand opening exercise at home plus 20 sessions task practice in...
This study compared the effect of cyclic neuromuscular electrical stimulation (NMES), electromyographically (EMG)-triggered NMES, and sensory on motor impairment activity limitations in patients with upper-limb hemiplegia.This was a multicenter, single-blind, multiarm parallel-group nonhospitalized hemiplegic stroke survivors within 6 months stroke. A total 122 individuals were randomized to receive either EMG-triggered or twice every weekday 40-minute sessions, over an 8 week-period....
Abstract Objective: Ipsilateral motor evoked potentials (iMEPs) are believed to represent cortically excitability of uncrossed brainstem-mediated pathways. In the event extensive injury (crossed) corticospinal pathways, which can occur following a stroke, ipsilateral pathways may serve as an alternate resource support recovery paretic limb. However, iMEPs, even in neurally intact people, be small, infrequent, and noisy, so discerning them stroke survivors is very challenging. This study...
Background. Loss of finger extension is common after stroke and can severely limit hand function. Contralaterally controlled functional electrical stimulation (CCFES) a new treatment aimed at restoring volitional thumb extension. A previous pilot study showed reductions in impairment 6 weeks CCFES, but the effect did not persist end treatment. Objective. This to evaluate feasibility achieving greater more persistent gains with CCFES by increasing period 12 weeks. Methods. uses neuromuscular...
Background. Upper-limb chronic stroke hemiplegia was once thought to persist because of disproportionate amounts inhibition imposed from the contralesional on ipsilesional hemisphere. Thus, one rehabilitation strategy involves discouraging engagement hemisphere by only engaging impaired upper limb with intensive unilateral activities. However, this premise has recently been debated and shown be task specific and/or apply a subset population. Bilateral rehabilitation, conversely, engages both...
Sheffler LR, Hennessey MT, Knutson JS, Naples GG, Chae J: Functional effect of an ankle foot orthosis on gait in multiple sclerosis: a pilot study. Am J Phys Med Rehabil 2008;87:26–32. Objective: The objective was to determine whether improves velocity and tasks functional ambulation sclerosis (MS). Design: This cross-sectional study enrolled 15 participants with diagnosis MS, dorsiflexion eversion weakness, more than 3 mos using physician-prescribed (AFO). Subject evaluated (1) without AFO...
Loss of arm and hand function is common after stroke. An implantable, 12-channel, electromyogram (EMG)-controlled functional electrical stimulation neuroprosthesis (NP) may be a viable assistive device for upper-limb hemiplegia. In this study, research participant 4.8 yr poststroke underwent presurgical screening, surgical installation the NP, training, assessment impairment, activity limitation, satisfaction over 2.3 period. The NP increased active range finger extension from 3 to 96...
Background. Hemiparesis after stroke can severely limit an individual’s ability to perform activities of daily living. Functional electrical stimulation (FES) has the potential generate functional arm and hand movements. We have observed that FES produce opening when a patient is relaxed, but FES-produced often overpowered by finger flexor coactivation in response attempts reach open hand. Objective. To determine if stimulating both reaching muscles makes it possible achieve useful amounts...
To evaluate the effect of intensive rehabilitation on modified Rankin Scale (mRS), a measure activities limitation commonly used in acute stroke studies, and to define specific changes body structure/function (motor impairment) most related mRS gains.Patients were enrolled >90 days poststroke. Each was evaluated before 30 after 6-week course daily targeting arm. Activity gains, measured using mRS, examined compared Fugl-Meyer (FM) motor scale. Additional analyses whether activity gains more...
Objective The aim of this study was to evaluate the relationship between body mass index (BMI) and change in motor impairment functional mobility after a gait rehabilitation intervention chronic stroke subjects. Design Correlation linear regression analyses pretreatment end-of-treatment Fugl-Meyer scores modified Emory Functional Ambulation Profile from hemiparetic subjects (n = 108, >3 mos post stroke) who participated randomized controlled trial comparing two 12-wk ambulation training...
To establish the effects on shoulder biomechanics from a peripheral nerve stimulation (PNS) treatment compared to physical therapy (PT) in stroke survivors with chronic hemiplegic pain.
Abstract Date Presented 04/20/2023 Accurate estimates of the minimal clinically significant difference (MCID) Upper Extremity scale Fugl–Myer Assessment are essential for determining effectiveness interventions provided to stroke survivors in chronic phase with residual severe upper extremity hemiparesis. Previously established values cannot be generalized other phases recovery and differing severity hemiparesis due diversity level impairment. Primary Author Speaker: Elliot Barden Additional...
Objective Different methods of neuromuscular electrical stimulation may be used for poststroke upper limb rehabilitation. This study evaluated the effects contralaterally controlled functional triceps and finger extensors. Design is a randomized trial 67 participants who were less than 2 yrs assigned to following: ( ) arm + hand stimulation, b or c cyclic stimulation. Participants prescribed 10 sessions/week at home plus 24 sessions task practice in laboratory 12 wks. The primary outcome...