New Advances in Acute Stroke Rehabilitation

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 259

Special Issue Editor


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Guest Editor
Department of Occupational Therapy, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Republic of Korea
Interests: stroke rehabilitation; robotic rehabilitation; virtual reality; telerehabilitation; neurorehabilitation; transcranial magnetic stimulation (TMS); dysphasia; gait; mirror therapy; postural balance; upper limb function; occupational therapy; physical therapy

Special Issue Information

Dear Colleagues,

Despite scientific advancements and the advancement of various medical technologies, the number of patients with stroke, a representative central nervous system disease, is increasing worldwide every year. This increase is due to the rapid aging of the population, which has become a problem not only for individuals and families, but also for society as a whole. Therefore, many studies have shown for a long time that early rehabilitation is an important factor in the recovery process. Nowadays, new technologies have been incorporated into the field of rehabilitation to improve the effectiveness of various therapeutic interventions strategies. Recently, new intervention methods such as robotic rehabilitation, virtual reality, telerehabilitation, motor imagery training, transcranial magnetic stimulation (TMS), mirror therapy, and kinesio taping, for which many studies are being conducted, are providing scientific evidence through single or parallel interventions.

Correlation between stroke lesions and clinical features and outcomes provides the basis for personalized neurorehabilitation, a promising perspective to account for differences in individual responses to treatment and improve quality of care. Defining new approaches and the most appropriate timing for acute and chronic phases of neurological diseases will play an important role in optimizing neurological rehabilitation interventions.

The scope of this special issue and the types of contributions we request are to integrate research activities on innovative technologies for the assessment and treatment of stroke rehabilitation and the latest advances in overall neurorehabilitation, including upper extremity function, gait, dysphagia, cognitive function, and activities of daily living.

Dr. Jong Bae Choi
Guest Editor

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Keywords

  • stroke rehabilitation
  • robotic rehabilitation
  • virtual reality
  • telerehabilitation
  • motor imagery training
  • transcranial magnetic stimulation (TMS)
  • swallowing rehabillitation
  • gait
  • mirror therapy
  • kinesio taping
  • upper limb function

Published Papers (1 paper)

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Research

13 pages, 454 KiB  
Article
Effects of Upper Limb Control on the Less-Affected Side on Upper Limb Function, Respiration, Balance, and Activities of Daily Living in Stroke
by Ju-O Kim, Mi-Young Lee and Byoung-Hee Lee
Medicina 2024, 60(6), 937; https://doi.org/10.3390/medicina60060937 - 3 Jun 2024
Viewed by 121
Abstract
Background and Objectives: This study aimed to investigate the effects of upper limb control exercises on upper limb function, respiration, balance, and activities of daily living in patients with stroke. Materials and Methods: The 28 patients who met the selection criteria were randomly [...] Read more.
Background and Objectives: This study aimed to investigate the effects of upper limb control exercises on upper limb function, respiration, balance, and activities of daily living in patients with stroke. Materials and Methods: The 28 patients who met the selection criteria were randomly assigned to two groups of 14 patients each. Subsequently, upper limb control exercises using real-time feedback were applied. The same interventional exercise was applied to both the less-affected and affected limbs of the study participants, who were classified into a less-affected side upper limb control group and an affected side upper limb control exercise group. Interventional exercises, 30 min each, were performed five times weekly for 4 weeks, and follow-up examinations were performed 2 weeks after the end of exercise. Electronic muscle strength measurements and an electronic goniometer were used to evaluate upper limb function. A spirometer was used to measure respiration. Balance ability was evaluated using a force plate pressure distribution measuring system with a sensor that detects the movement of the body center on the ground. Daily life movements were evaluated using the Korean version of the modified Barthel index. Results: When examining the results, the upper limb function on the paralyzed side showed an increase in the electromyographic strength of shoulder joint depression and flexion angle. Improvements were also observed in respiration (forced vital capacity [L] and forced expiratory volume in 1 s [L]), balance (95% confidence ellipse area [mm2] and center of pressure displacement [mm]), and daily life activities, all of which showed statistically significant differences in the time × group interaction effect (p < 0.05). Conclusions: Thus, it was found that the upper limb control exercise on the less-affected side had a significant effect when the exercise was performed together with treatment on the affected side in patients with stroke. It is anticipated that this study will provide basic data for evaluating both the trunk and upper limbs of the less-affected and affected sides. Full article
(This article belongs to the Special Issue New Advances in Acute Stroke Rehabilitation)
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