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2 résultat(s) recherche sur le mot-clé 'Neurology' 




Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors / M.A. Urbin in Archives of Physical Medicine and Rehabilitation, 2015/5 (2015)
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Titre : Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors Type de document : Article Auteurs : M.A. Urbin ; Kimberly J. Waddell ; Catherine E. Lang Année de publication : 2015 Article en page(s) : p. 854-861 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Neurologie ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Neurology Paresis Parésie Stroke Résumé : Objectives
To (1) determine whether acceleration metrics derived from monitoring outside of treatment are responsive to change in upper extremity (UE) function; and secondarily to (2) compare metric values during task-specific training and while in the free-living environment, and (3) establish metric associations with an in-clinic measure of movement capabilities.
Design
Before-after observational study.
Setting
Inpatient hospital (primary purpose); outpatient hospital (secondary purpose).
Participants
Individuals (n=8) with UE hemiparesis Intervention
The inpatient sample was evaluated for UE movement capabilities and monitored with wrist-worn accelerometers for 22 hours outside of treatment before and after multiple sessions of task-specific training. The outpatient sample was evaluated for UE movement capabilities and monitored during a single session of task-specific training and the subsequent 22 hours outside clinical settings.
Main Outcome Measures
Action Research Arm Test (ARAT) and acceleration metrics quantified from accelerometer recordings.
Results
Five metrics improved in the inpatient sample, along with UE function as measured on the ARAT: use ratio, magnitude ratio, variation ratio, median paretic UE acceleration magnitude, and paretic UE acceleration variability. Metric values were greater during task-specific training than in the free-living environment, and each metric was strongly associated with ARAT score.
Conclusions
Multiple metrics that characterize different aspects of UE movement are responsive to change in function. Metric values are different during training than in the free-living environment, providing further evidence that what the paretic UE does in the clinic may not generalize to what it does in everyday life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118436
in Archives of Physical Medicine and Rehabilitation > 2015/5 (2015) . - p. 854-861[article]Individual Differences in Working Memory Capacity Predicts Responsiveness to Memory Rehabilitation After Traumatic Brain Injury / Joshua Sandry in Archives of Physical Medicine and Rehabilitation, 2016/6 (2016)
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Titre : Individual Differences in Working Memory Capacity Predicts Responsiveness to Memory Rehabilitation After Traumatic Brain Injury Type de document : Article Auteurs : Joshua Sandry ; Kathy S. Chiou ; John DeLuca Article en page(s) : pp. 10261029 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Neurologie ; Rééducation et réadaptation ; Troubles de la mémoireMots-clés : Brain injuries Lésions encéphaliques Memory Disorders Neurology Résumé : Objective
To explore how individual differences affect rehabilitation outcomes by specifically investigating whether working memory capacity (WMC) can be used as a cognitive marker to identify who will and will not improve from memory rehabilitation.
Design
Post hoc analysis of a randomized controlled clinical trial designed to treat learning and memory impairment after traumatic brain injury (TBI): 2 * 2 between-subjects quasiexperimental design (2 [group: treatment vs control] * 2 [WMC: high vs low]).
Setting
Nonprofit medical rehabilitation research center.
Participants
Participants (N=65) with moderate to severe TBI with pre- and posttreatment data.
Interventions
The treatment group completed 10 cognitive rehabilitation sessions in which subjects were taught a memory strategy focusing on learning to use context and imagery to remember information. The placebo control group engaged in active therapy sessions that did not involve learning the memory strategy.
Main Outcome Measure
Long-term memory percent retention change scores for an unorganized list of words from the California Verbal Learning Test-II.
Results
Group and WMC interacted (P=.008, ηp2=.12). High WMC participants showed a benefit from treatment compared with low WMC participants. Individual differences in WMC accounted for 45% of the variance in whether participants with TBI in the treatment group benefited from applying the compensatory treatment strategy to learn unorganized information.
Conclusions
Individuals with higher WMC showed a significantly greater rehabilitation benefit when applying the compensatory strategy to learn unorganized information. WMC is a useful cognitive marker for identifying participants with TBI who respond to memory rehabilitation with the modified Story Memory Technique.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118042
in Archives of Physical Medicine and Rehabilitation > 2016/6 (2016) . - pp. 10261029[article]