To explore if stimulus-response (S-R) characteristics of the silent period (SP) after transcranial magnetic stimulation (TMS) are affected by changing SP definition and data presentation in healthy individuals. This information would be clinically relevant to predict motor recovery patients with stroke using curves.Different landmarks define onset offset were used construct S-R curves from biceps brachii (BB) abductor digiti minimi (ADM) muscles 15 participants rectified versus non-rectified...

Background and Objective Favorable prognosis of the upper limb depends on preservation or return voluntary finger extension (FE) early after stroke. The present study aimed to determine effects modified constraint-induced movement therapy (mCIMT) electromyography-triggered neuromuscular stimulation (EMG-NMS) capacity poststroke. Methods A total 159 ischemic stroke patients were included: 58 with a favorable (>10° FE) randomly allocated 3 weeks mCIMT usual care only; 101 an unfavorable 3-week...

The long-term effects of 6-weeks whole-body vibration, as a novel method somatosensory stimulation, on postural control and activities daily living were compared with those 6 weeks exercise therapy music the same intensity in postacute phase stroke.Fifty-three patients moderate to severe functional disabilities randomized within poststroke 3 days after admission rehabilitation center either vibration or addition regular inpatient program. group received 4x45-second stimulation Galileo 900...

Objective. The primary aim of this study was to compare the predictive value motor evoked potentials (MEPs) and early clinical assessment with regard long-term hand recovery in patients profound hemiplegia after stroke. Methods. sample an inception cohort 39 stroke acute, ischemic, supratentorial initial upper-extremity paralysis admitted academic hospital. Hand function defined at 26 weeks poststroke as a Fugl–Meyer Motor Assessment (FMA) score >3 points. following prognostic factors...

BackgroundSedentary behaviour (SB) is potentially an important target to improve cardiovascular health. This study 1) compared SB between disease (CVD) patients and age-matched controls, 2) identified characteristics associated with high levels, 3) determined the impact of contemporary cardiac rehabilitation (CR) on SB.MethodsFor objective 1, we recruited 131 CVD 117 controls. All participants were asked about their general medical history. was assessed by accelerometer (activPAL3 micro)....

Main claims of the literature are that functional recovery paretic upper limb is mainly defined within first month post stroke and rehabilitation services should preferably be applied intensively in a task-oriented way this particular time window. EXplaining PLastICITy after (acronym EXPLICIT-stroke) aims to explore underlying mechanisms recovery. Two randomized single blinded trials form core programme, investigating effects early modified Constraint-Induced Movement Therapy (modified CIMT)...

Transcranial magnetic stimulation (TMS) has been successful in the prediction of motor recovery acute stroke patients with initially severe paresis or paralysis upper extremity. Motor evoked potentials (MEP) appear to have a high specificity but rather low sensitivity regard recovery. The silent period (SP) proposed as an additional factor MEP for predicting that might optimize TMS. authors reviewed literature and case series focusing on value SP poststroke hand Studies analyzed inconsistent...

The primary goal of this study was to identify secondary functional changes in the peripheral motor units paretic upper extremity (UE) patients with severe ischemic stroke and determine how these develop during first weeks after stroke. An inception cohort 27 consecutive an acute supratentorial initial UE paralysis compared 10 healthy control subjects. ulnar nerve electrically stimulated proximal wrist electromyographic recordings were obtained from abductor digiti minimi muscle. Hemiparetic...

Objective. The purpose of this study was to determine the independent contribution visuospatial hemineglect impaired postural control in acute phase (<2 weeks) stroke compared with other possible clinical and biological determinants. Methods. This conducted 4 hospitals mid-east region Netherlands. A total 78 consecutive patients a first-ever supratentorial included. Functional balance measured Trunk Impairment Scale, Control Test, Berg Balance Ambulation Categories. Visuospatial assessed...

The primary goal of this study was to identify clinical risk factors, in addition muscle weakness, for upper-extremity hypertonia patients with severe ischaemic supratentorial stroke. secondary investigate the time course these during first 26 weeks post-stroke.Inception cohort.Forty-three consecutive an acute stroke and initial paralysis admitted academic hospital.hypertonia assessed by Ashworth scale at week post-stroke. Potential risks factors: motor functions subscore Fugl-Meyer...

Hemiplegic cerebral palsy often results in impaired bimanual coordination, partly due to strong coupling between the arms. We aimed at inducing more flexibility this coupling, improve coordination.We designed computer games involving simple perceptual goals, based on Lissajous feedback. Such feedback implicitly facilitates performance of complex rhythmic coordination patterns. A sample six children received 9 h training over a 6 weeks period. The effects functional were explored using...

The objective of the study was to assess measurement properties an indirect volumetric using segmental circumferential measurements fitted into a formula truncated cone (Sitzia's method) in long-term transtibial amputees. Twenty-eight participants with amputation >1 year participated study. Two observers measured stump volume twice, two weeks apart, both Sitzia's method and water displacement (criterion standard test). mean differences upper lower limits agreement between method, first...

Within the first 72 hours after stroke, active finger extension is a strong predictor of long-term dexterity. Transcranial magnetic stimulation may add prognostic value to clinical assessment, which especially relevant for patients unable follow instructions.The current prospective cohort study aims at determining whether amplitude motor evoked potentials extensor digitorum communis (EDC) can improve prediction stroke when added tests.the affected EDC muscle rest was measured in 18...

Despite numerous advantages, knee disarticulations (KDs) are rarely performed because of the anticipated KD prosthesis fitting problems that include positioning joint distally from socket. This results in lengthening thigh and subsequent shortening shank. The objective this study was to assess cosmetic effect a by determining extent were measured through an experimental setup using laser techniques. These measurements made 18 joints used prostheses. Lengthening varied between 23 92 mm, shank...

The primary goal was to identify the neuroradiological and neurophysiological risk factors for upper-extremity hypertonia in patients with severe ischaemic supratentorial stroke.Inception cohort.Forty-three consecutive an acute stroke initial paralysis admitted academic hospital recruited over a 1.5-year period.Upper-extremity assessed by Ashworth scale clinically relevant defined as >or=2. Any association of (clinically relevant) (lesion side, extent lesion, history), (motor-evoked...

Abstract Background Cardiovascular disease (CVD) patients typically report low physical activity levels. Therefore sedentary behaviour (SB) is potentially an important target to improve survival and reduce recurrence risk. However, information about SB in CVD scarce. Purpose In this study, we 1) compared between age-matched controls, 2) identified patient- characteristics associated with high levels, 3) determined the impact of contemporary cardiac rehabilitation on SB. Methods For objective...