Neurorehabilitation and neural repair
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Neurorehabil Neural Repair · Oct 2013
Virtual reality-augmented neurorehabilitation improves motor function and reduces neuropathic pain in patients with incomplete spinal cord injury.
Neurorehabilitation interventions to improve lower limb function and neuropathic pain have had limited success in people with chronic, incomplete spinal cord injury (iSCI). ⋯ In a pretest/posttest, uncontrolled design, VR-augmented training was associated with improvements in motor function and neuropathic pain in persons with chronic iSCI, several of which reached the level of a minimal clinically important change. A controlled trial is needed to compare this intervention to active training alone or in combination.
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Neurorehabil Neural Repair · Sep 2013
Randomized Controlled TrialEffect of anodal versus cathodal transcranial direct current stimulation on stroke rehabilitation: a pilot randomized controlled trial.
We compared the long-term effect of anodal versus cathodal transcranial direct current stimulation (tDCS) on motor recovery in patients after subacute stroke. ⋯ A brief course of 2 types of tDCS stimulation is superior to sham stimulation in enhancing the effect of rehabilitation training to improve motor recovery after stroke.
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Neurorehabil Neural Repair · Sep 2013
Randomized Controlled Trial Comparative StudyEffect of single-session repetitive transcranial magnetic stimulation applied over the hand versus leg motor area on pain after spinal cord injury.
Neuropathic pain often follows spinal cord injury (SCI). ⋯ rTMS applied over the hand or leg motor cortex decreased neuropathic pain regardless of any change in cortical excitability, suggesting that the analgesic effect is not associated with local changes at the motor cortex level itself.
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Neurorehabil Neural Repair · Sep 2013
Randomized Controlled Trial Multicenter Study Clinical TrialEffect of a foot-drop stimulator and ankle-foot orthosis on walking performance after stroke: a multicenter randomized controlled trial.
Studies have demonstrated the efficacy of functional electrical stimulation in the management of foot drop after stroke. ⋯ Both devices produce equivalent functional gains.
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Neurorehabil Neural Repair · Sep 2013
Changes in sleep patterns following traumatic brain injury: a controlled study.
Sleep changes are frequently reported following traumatic brain injury (TBI) and have an impact on rehabilitation and quality of life following injury. Potential causes include injury to brain regions associated with sleep regulation, as well as secondary factors, including depression, anxiety, and pain. Understanding the nature and causes of sleep changes following TBI represents a vital step in developing effective treatments. ⋯ These findings highlight the importance of assessing and addressing pain, anxiety, and depression as part of the process of treating TBI-related sleep disturbances.