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Stroke Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America 26-4, E-Book

Stroke Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America 26-4, E-Book

John Chae

(2016)

Additional Information

Book Details

Abstract

This issue of Physical Medicine & Rehabilitation Clinics will focus on stroke rehabilitation and will include articles such as: Mechanisms of stroke recovery, Insights from basic sciences, Stroke recovery and predictors of rehabilitation outcomes, Upper limb motor impairments, Post-stroke spasticity, Communication disorders and dysphagia, Neuropharmacology of Recovery, Robotic therapy, and many more.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Stroke Rehabilitation\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Foreword: An Expression of Gratitude \r vii
Preface: Stroke Rehabilitation\r vii
Predictors of Functional Outcome Following Stroke\r vii
Upper Limb Motor Impairment After Stroke\r vii
Hemiparetic Gait\r vii
Spasticity Management After Stroke\r viii
Hemiplegic Shoulder Pain\r viii
Poststroke Communication Disorders and Dysphagia\r viii
Neuropharmacology of Poststroke Motor and Speech Recovery\r viii
Robotic Therapy and the Paradox of the Diminishing Number of Degrees of Freedom\r ix
The Split-Belt Walking Paradigm: Exploring Motor Learning and Spatiotemporal Asymmetry Poststroke\r ix
Integrating Mental Practice with Task-specific Training and Behavioral Supports in Poststroke Rehabilitation: Evidence, Com ...\r ix
Neuromuscular Electrical Stimulation for Motor Restoration in Hemiplegia\r ix
Stroke Rehabilitation Using Virtual Environments\r x
Tailoring Brain Stimulation to the Nature of Rehabilitative Therapies in Stroke: A Conceptual Framework Based on their Uniq ...\r x
PHYSICAL MEDICINEANDREHABILITATION\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
February 2016 xi
May 2016 xi
August 2016 xi
RECENT ISSUES xi
August 2015 xi
May 2015 xi
February 2015 xi
Foreword: An Expression of Gratitude \r xiii
Preface: Stroke \rRehabilitation xv
Predictors of Functional Outcome Following Stroke 583
Key points 583
INTRODUCTION 583
PATTERNS OF RECOVERY FROM STROKE AND KEY MEASURES OF OUTCOME 584
PREDICTORS OF FUNCTIONAL OUTCOME AFTER STROKE 585
Activities of Daily Living 585
Ambulation 587
Upper Limb Dexterity 588
Language 592
SUMMARY 593
REFERENCES 593
Upper Limb Motor Impairment After Stroke 599
Key points 599
THE NATURE OF UPPER LIMB MOTOR IMPAIRMENT 599
UNDERSTANDING MOTOR IMPAIRMENT FROM A FUNCTIONAL PERSPECTIVE 600
LEARNED NONUSE 600
LEARNED BAD USE 602
FORGETTING 603
THERAPEUTIC CONSIDERATIONS 605
CLINICAL OUTCOMES 605
REFERENCES 606
Hemiparetic Gait 611
Key points 611
INTRODUCTION 611
NEURAL CONTROL OF NORMAL HUMAN GAIT 612
NORMAL HUMAN WALKING 612
NORMAL HUMAN GAIT CYCLE 613
Spatiotemporal Parameters of Gait 613
Kinematics and Kinetics of Gait 614
MUSCLE ACTIVATION DURING THE GAIT CYCLE 615
Effect of Center of Gravity on Muscle Activity and Gait 615
GAIT DEVIATIONS IN HEMIPARESIS 617
Primitive Locomotor Patterns 617
Spatiotemporal Parameters of Hemiparetic Gait 618
Kinematics of Hemiparetic Gait 618
Kinetics of Hemiparetic Gait 619
Dynamic Muscle Activation in Hemiparetic Gait 620
ENERGY COSTS OF HEMIPARETIC WALKING 620
CLINICAL ASSESSMENT OF HEMIPARETIC GAIT 620
Observational Gait Assessment 621
SUMMARY 621
ACKNOWLEDGMENT 622
REFERENCES 622
Spasticity Management After Stroke 625
Key points 625
INTRODUCTION 625
PATIENT EVALUATION OVERVIEW 626
Identifying Spasticity 626
Measuring Spasticity 627
NONPHARMACOLOGIC TREATMENT OPTIONS 631
PHARMACOLOGIC TREATMENT OPTIONS 631
SURGICAL TREATMENT OPTIONS 635
COMBINING INTERVENTIONS 635
TREATMENT RESISTANCE/COMPLICATIONS 636
SUMMARY 636
REFERENCES 636
Hemiplegic Shoulder Pain 641
Key points 641
INTRODUCTION 641
PATIENT EVALUATION OVERVIEW 642
Impaired Motor Control and Tone Changes 642
Glenohumeral subluxation 642
Scapular dyskinesis 642
Spastic shoulder muscles 644
Soft Tissue Lesions 644
Impingement syndrome and rotator cuff injury 644
Bicipital tendinopathy 645
Adhesive capsulitis 645
Myofascial pain 645
Altered Peripheral and Central Nervous Activity 646
Peripheral nerve entrapment 646
Complex regional pain syndrome 646
Central poststroke pain 647
Central hypersensitivity 647
TREATMENT OPTIONS 648
All Causes 648
Prevention 648
Straps or slings 648
Exercise 648
Specific Causes 648
Spasticity 648
Soft tissue lesions 648
Complex regional pain syndrome 649
Central poststroke pain 649
Central hypersensitivity 649
Emerging Treatment Options 650
Suprascapular nerve block 650
Percutaneous peripheral nerve stimulation 650
SUMMARY/DISCUSSION 651
REFERENCES 651
Poststroke Communication Disorders and Dysphagia 657
Key points 657
COMMUNICATION DISORDERS 657
Neural Control 658
Aphasia 658
Dysarthria 658
Apraxia of speech 659
Diagnosis 659
Aphasia 659
Dysarthria 661
Neuropharmacology of Poststroke Motor and Speech Recovery 671
Key points 671
INTRODUCTION 671
PHARMACOLOGIC AGENTS IN MOTOR AND SPEECH RECOVERY 672
Central Nervous System Stimulators (Amphetamines and Methylphenidate) 672
Dopaminergic Agonists 680
Selective Serotonergic/Noradrenergic Reuptake Inhibitors 682
Acetylcholinesterase Inhibitors (Galantamine/Donepezil/Memantine) 683
Piracetam 684
Citicoline 685
Moclobemide: Monoamine Oxidase Inhibitor 686
Lithium 686
SUMMARY 687
ACKNOWLEDGMENTS 687
REFERENCES 687
Robotic Therapy and the Paradox of the Diminishing Number of Degrees of Freedom 691
Key points 691
INTRODUCTION: DISRUPTIVE TECHNOLOGY 691
UPPER EXTREMITY ROBOTIC THERAPY: THE TIPPING POINT 692
RESULTS 693
COST OUTCOMES 695
LOWER EXTREMITY ROBOTIC THERAPY: IN ITS INFANCY 696
DEFINING SUCCESS IN ROBOTIC REHABILITATION 696
BEYOND THE TIPPING POINT: FUNCTIONAL REHABILITATION 697
THE PARADOX OF THE DIMINISHING NUMBER OF DEGREES OF FREEDOM 700
SUMMARY 700
REFERENCES 700
The Split-Belt Walking Paradigm 703
Key points 703
INTRODUCTION 703
ADAPTATION 704
RETENTION 706
TRAINING 708
SUMMARY 711
REFERENCES 711
Integrating Mental Practice with Task-specific Training and Behavioral Supports in Poststroke Rehabilitation 715
Key points 715
EMPIRICAL SUPPORT FOR MENTAL PRACTICE 717
CONSIDERATIONS FOR INTEGRATING MENTAL PRACTICE INTO CLINICAL ENVIRONMENTS 717
Mental Practice for Upper Extremity Retraining 721
The Physical Practice Component 721
Behavioral support 722
The Mental Practice Component 722
FUTURE DIRECTIONS FOR MENTAL PRACTICE RESEARCH AND INTEGRATION 723
The Window of Mental Practice Administration 723
Mental Practice Augmented by Noninvasive Brain Stimulation 723
SUMMARY 724
REFERENCES 724
Neuromuscular Electrical Stimulation for Motor Restoration in Hemiplegia 729
Key points 729
INTRODUCTION 729
NEUROMUSCULAR ELECTRICAL STIMULATION FUNDAMENTALS 730
PURPOSES OF NEUROMUSCULAR ELECTRICAL STIMULATION FOR UPPER AND LOWER LIMB REHABILITATION AFTER STROKE 731
NEUROMUSCULAR ELECTRICAL STIMULATION MODALITIES FOR UPPER LIMB REHABILITATION 731
NEUROMUSCULAR ELECTRICAL STIMULATION MODALITIES FOR LOWER LIMB REHABILITATION 735
PERIPHERAL AND CENTRAL EFFECTS OF NEUROMUSCULAR ELECTRICAL STIMULATION IN STROKE REHABILITATION 737
EMERGING DIRECTIONS FOR NEUROMUSCULAR ELECTRICAL STIMULATION IN STROKE REHABILITATION 738
REFERENCES 739
Stroke Rehabilitation Using Virtual Environments 747
Key points 747
INTRODUCTION 747
FEATURES FOR MOTOR LEARNING IN VIRTUAL ENVIRONMENTS 748
POTENTIAL MECHANISMS OF ACTION 748
Effect of Augmented Feedback on Motor Learning 748
Effect of Virtual Environments on Cortical Networks 748
Effect of Immersion on Motor Performance 749
IMPAIRMENTS TARGETED BY VIRTUAL ENVIRONMENT INTERVENTIONS 749
Upper Extremity Is an Area of Focus 749
Proximal movement: shoulder and elbow 749
Distal movement: hand, wrist, and fingers 750
Gait Training with Virtual Environments Have Limited Effect 750
Balance Interventions Comparable with Conventional Care 751
Cognitive Rehabilitation Interventions Are Lacking 751
Speech Rehabilitation Intervention Options Are Few 751
Spatial Neglect Is an Area of Need 752
Proprioception and Sensory Deficits Are Gaining Attention 752
CURRENT CHALLENGES 752
SUMMARY 753
REFERENCES 754
Tailoring Brain Stimulation to the Nature of Rehabilitative Therapies in Stroke 759
Key points 759
INTRODUCTION 760
MECHANISMS OF RECOVERY UNDERLYING UNILATERAL THERAPY 761
COMBINING NONINVASIVE BRAIN STIMULATION WITH UNILATERAL THERAPY BASED ON THEORY OF UNDERLYING MECHANISMS 761
LIMITATIONS OF UNILATERAL THERAPIES AND ASSOCIATED NONINVASIVE BRAIN STIMULATION APPROACHES 762
Stroke Population Heterogeneity 763
Damage in the Affected Hemisphere 764
Influence of the Unaffected Hemisphere 764
BILATERAL THERAPY AS AN ALTERNATIVE APPROACH 765
Mechanisms of Bilateral Movement in Chronic Stroke 765
Pathways Subserving Potential Benefits of Bilateral Therapies 767
Spared corticomotor neuronal pool of the affected hemisphere 767
Direct and indirect ipsilateral corticospinal pathways from the unaffected hemisphere 768
Importance of Bilateral Therapy for Patients with Greater Impairment 768
NONINVASIVE BRAIN STIMULATION APPROACHES DURING BILATERAL THERAPY 768
SUMMARY 769
REFERENCES 769
Index 775