Journal of Rehabilitation Sciences & Research

Combined Thermal and Neuromuscular Stimulations for Stroke- Related Dysphagia: A Pilot Randomized Clinical Trial

Shiva Ebrahimian dehaghani; Atefeh Hoseinzadeh Mofrad; Amir Salahi Ardakani

Volume 11, Issue 1 , March 2024, , Pages 50-57

Abstract

Background: The incidence of stroke escalates with age in both genders, with nearly 50% and 30% of cases reported in individuals over the ages of 75 and 85 years, respectively. This ... Read More Background: The incidence of stroke escalates with age in both genders, with nearly 50% and 30% of cases reported in individuals over the ages of 75 and 85 years, respectively. This pilot randomized clinical trial was designed to explore the effects of combined thermal and neuromuscular stimulations on dysphagia improvement. It also aimed to identify the most efficient dysphagia management plan for acute stroke patients. Methods: In this pilot randomized clinical trial study, twelve acute stroke patients were randomly and concurrently allocated into two groups. The control group received routine medical treatment without speech therapy counseling, while the intervention group underwent superficial and deep thermal neuromuscular stimulations. In the intervention group, one patient received treatment for two weeks, three patients for three weeks, and two patients for five weeks (five times a week). Patients in the intervention group were re-evaluated each week after five days of therapy using the Motility Function (MF) and Mann’s Assessment of Swallowing Ability (MASA) tests to monitor consistent improvement. Based on the cutoff point of the MASA test, treatment was either continued or terminated. Accordingly, different follow-up periods were considered for the patients: one received treatment for two weeks, three for three weeks, and two for five weeks. Results: The results indicated a significant difference between the two groups regarding the mean MASA score after a 21-day intervention. The intervention group scored 166.5±3.53, while the control group scored 163±10.02 after 35 days (P=0.03). Furthermore, the intervention group reached the cutoff MASA score in the sixth MASA assessment after a 35-day intervention. Conclusion: According to the protocol proposed by speech-language pathologists, it is recommended to perform stimulations for approximately 21-35 days. Given the significant results obtained from this preliminary study, it is suggested that this protocol be implemented in a larger sample size.

Psychometric Properties of the Persian Version of the Burden Scale for Family Caregivers-short Version in Patients with Stroke

Ali Reza Jamali; Afsoon Hassani Mehraban; malek amini

Volume 10, Issue 2 , June 2023, , Pages 81-86

Abstract

Background: Considering the prevalence of stroke, an economical and reliable questionnaire is needed for use in research and rehabilitation to measure the amount of burden on caregivers ... Read More

Diagnostic Accuracy of Adult-Assisting Hand Assessment in People with Chronic Stroke Who Had Pain

Seyed Hossein Hosseini; Ghorban Taghizade; Akram Azad

Volume 9, Issue 3 , September 2022, , Pages 123-127

Abstract

Background: Pain in patients with stroke is one of the essential factors that caninfluence upper-limb performance, and it is better to divide these people intoseparate groups. The Adult-Assisting ... Read More

Participation of Iranian Stroke Patients in Life Areas: A Systematic Review Article

Sahar Ghahremani; Abolghasem Fallahzadeh Abarguei

Volume 9, Issue 1 , March 2022, , Pages 1-9

Abstract

Background: Stroke is considered a common and major problem in the field of healthcare because of its high prevalence and long-term disabilities. The mainaim of rehabilitation ... Read More

Handgrip and Quadriceps Strength as Independent Predictors of Post-Stroke Depression and Anxiety

Adekola Babatunde Ademoyegun; Adebukola Grace Ibitoye; Chidozie Emmanuel Mbada; Oluwatobi Elijah Malomo; Omotola Ibitayo Adelowokan; Ishanosen Abidemi Aghedo; Wasiu Abiodun Rasaq; Bobola Moradeke Adeoye; Mistura Iyabo Olaoye

Volume 9, Issue 1 , March 2022, , Pages 47-52

Abstract

Background: The objective of this study was to whether handgrip andquadriceps strength can predict post-stroke depression (PSD) and post-strokeanxiety (PSA).Methods: This cross-sectional ... Read More

Comparison of the effects of pneumatic ankle-foot orthosis and posterior leaf spring ankle-foot orthosis on spatiotemporal parameters of gait and ankle range of motion in patients with stroke: a preliminary study

Hasti Mohri; Ali Poorghasem; Atefe Rahimi; Mohammad Hadadi

Volume 7, Issue 3 , September 2020, , Pages 130-133

Abstract

Background: Chronic stroke patients face impairment due to ankle dorsiflexor weakness that can influence their ankle kinematics and gait. The objective of this study was to compare ... Read More

The effects on functional balance in hemiplegic stroke individuals wearing an ankle foot orthosis with rocker bottom shoes

Shabnam Masoumi; Gholamreza Aminian; Aliyeh Daryabor

Volume 7, Issue 3 , September 2020, , Pages 141-145

Abstract

Background: One of the disorders in stroke patients is asymmetrical posture, which leads to decreased movement and balance control. An ankle-foot orthosis (AFO) is the most common orthopedic ... Read More

The Association between Spatiotemporal Gait Asymmetry and Walking Balance in People Post Stroke

Mania Sheikh; Hossein asghar Hosseini

Volume 6, Issue 3 , September 2019, , Pages 117-122

Abstract

Background: Falls are a common complication post-stroke and often induce due to poor balance. Given that falls often occur during walking, it is possible that gait patterns influence ... Read More Background: Falls are a common complication post-stroke and often induce due to poor balance. Given that falls often occur during walking, it is possible that gait patterns influence balance during walking. Walking post-stroke is frequently spatiotemporally asymmetric, which may reduce walking balance. The aim of this study was to determine the relationship between gait asymmetry and walking balance in persons with chronic stroke. Methods: Fifty-four persons with chronic stroke (34 men and 20 women) with the mean age of 57.28 participated in this cross-sectional study.Participants walked at their self-selected speed to calculate gait asymmetry ratios for stance time, swing time, and step length. The data were collected using a conventional camera with a sampling frequency of 60 Hz. Reflective markers were attached to the heel and toe regions. Participants also performed walking balance tests including Functional Gait Assessment (FGA) and Mini Balance Evaluation System Test (Mini-BESTest). Pearson correlation test was used to determine the relationships between gait asymmetry and walking balance. Results: The mean ± standard deviation values of stance, swing and step asymmetry ratios and FGA and Mini-BESTest were 1.2 ± 0.11, 1.43 ± 0.24, 1.25 ± 0.15, 24.11 ± 2.93 and 22.87 ± 2.29, respectively. Increased FGA and Mini-BESTest scores were related to decreased swing (r = -0.64, P ≤ 0.001 and, r = -0.71, P ≤ 0.0001, respectively) and step asymmetry (r = -0.41, P ≤ 0.002 and, r = -0.51, P ≤ 0.001, respectively). No significant relationship was identified between FGA, and Mini-BESTest and stance asymmetry (r = -0.25, P ≤ 0.06 and r = -0.23, P ≤ 0.08 respectively). Conclusion: According to the current results spatiotemporal gait asymmetry may be related to decreased balance during walking in individuals with chronic stroke suggesting that rehabilitation interventions should focus specifically on ameliorating spatiotemporal gait asymmetry.

Effects of Ankle Foot Orthoses on Restricted Ankle Joint Dorsiflexion Due to Plantarflexors Stiffness in People with Stroke: A scoping review

Fahimeh Sadat Jafarian; Somaie Payehdar; Fateme Pol; Saeed Forghany

Volume 6, Issue 2 , June 2019, , Pages 59-62

Abstract

Background: Orthotic interventions such as different types of ankle foot orthoses have been widely suggested to either prevent or treat restricted ankle joint dorsiflexion and consequent ... Read More

Plantar pressure distribution in people with stroke and association with functional mobility

Saeed Forghany; Christopher Nester; Sarah Tyson; Stephen Preece; Richard Jones

Volume 6, Issue 2 , June 2019, , Pages 80-85

Abstract

Background: People with stroke often suffer abnormal foot posture including structural and movement deficiencies in the intrinsic foot segments on the affected side, which are associated ... Read More

Fear of Falling in Patients with Chronic Stroke: Differences of Functional Gait and Balance Measures According to the Level of Concern about Falling

Mania Shaikh; Hossein asghar Hosseini

Volume 3, Issue 2 , June 2016, , Pages 35-38

Abstract

Background: In this study we investigated the differences of functional gait and balance measures between patients with chronic stroke with different level of concern about falling.Methods: ... Read More

The Effects of Listening to Persian Music on the Hand Dexterity and Depression in a Patient with Stroke: A Case Report

Reyhaneh Maktoufi; Nastaran Ghotbi; Noureddin Nakhostin Ansari

Volume 2, Issue 3 , September 2015, , Pages 68-70

Abstract

Introduction:Nowadays the use of music therapy for neurological disorders in developed countries is widely emphasized. Despite this, there is little scientific evidence regarding the ... Read More

Journal of Rehabilitation Sciences & Research

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Volume 11 (2024)

Volume 10 (2023)

Volume 9 (2022)

Volume 8 (2021)

Volume 7 (2020)

Volume 6 (2019)

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Volume 3 (2016)

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Keywords = Stroke

Combined Thermal and Neuromuscular Stimulations for Stroke- Related Dysphagia: A Pilot Randomized Clinical Trial

Abstract

Psychometric Properties of the Persian Version of the Burden Scale for Family Caregivers-short Version in Patients with Stroke

Abstract

Diagnostic Accuracy of Adult-Assisting Hand Assessment in People with Chronic Stroke Who Had Pain

Abstract

Participation of Iranian Stroke Patients in Life Areas: A Systematic Review Article

Abstract

Handgrip and Quadriceps Strength as Independent Predictors of Post-Stroke Depression and Anxiety

Abstract

Comparison of the effects of pneumatic ankle-foot orthosis and posterior leaf spring ankle-foot orthosis on spatiotemporal parameters of gait and ankle range of motion in patients with stroke: a preliminary study

Abstract

The effects on functional balance in hemiplegic stroke individuals wearing an ankle foot orthosis with rocker bottom shoes

Abstract

The Association between Spatiotemporal Gait Asymmetry and Walking Balance in People Post Stroke

Abstract

Effects of Ankle Foot Orthoses on Restricted Ankle Joint Dorsiflexion Due to Plantarflexors Stiffness in People with Stroke: A scoping review

Abstract

Plantar pressure distribution in people with stroke and association with functional mobility

Abstract

Fear of Falling in Patients with Chronic Stroke: Differences of Functional Gait and Balance Measures According to the Level of Concern about Falling

Abstract

The Effects of Listening to Persian Music on the Hand Dexterity and Depression in a Patient with Stroke: A Case Report

Abstract