Post-stroke Everything

Lekoubou, Alain; Nguyen, Clever; Kwon, Michelle; Nyalundja, Arsene Daniel; Agrawal, Ankita

doi:10.1007/s11910-023-01308-9

Cited by 13 publications

(3 citation statements)

References 106 publications

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“…Motor and cognitive alterations are the primary targets of neurorehabilitation, as they hinder the patients' ability to perform activities of daily living (ADL) [3], and can lead to long-term medical issues (e.g., urinary incontinence), musculoskeletal problems (e.g., spasticity), and psychosocial complications (e.g., depression, emotional lability) [4]. Assessment of stroke impairment is fundamental to predict prognosis and functional recovery.…”

Section: Introductionmentioning

confidence: 99%

Effects of Virtual Reality Cognitive Training on Neuroplasticity: A Quasi-Randomized Clinical Trial in Patients with Stroke

Gangemi,

De Luca,

Fabio

et al. 2023

Biomedicines

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Cognitive Rehabilitation (CR) is a therapeutic approach designed to improve cognitive functioning after a brain injury, including stroke. Two major categories of techniques, namely traditional and advanced (including virtual reality—VR), are widely used in CR for patients with various neurological disorders. More objective outcome measures are needed to better investigate cognitive recovery after a stroke. In the last ten years, the application of electroencephalography (EEG) as a non-invasive and portable neuroimaging method has been explored to extract the hallmarks of neuroplasticity induced by VR rehabilitation approaches, particularly within the chronic stroke population. The aim of this study is to investigate the neurophysiological effects of CR conducted in a virtual environment using the VRRS device. Thirty patients with moderate-to-severe ischemic stroke in the chronic phase (at least 6 months after the event), with a mean age of 58.13 (±8.33) for the experimental group and 57.33 (±11.06) for the control group, were enrolled. They were divided into two groups: an experimental group and a control group, receiving neurocognitive stimulation using VR and the same amount of conventional neurorehabilitation, respectively. To study neuroplasticity changes after the training, we focused on the power band spectra of theta, alpha, and beta EEG rhythms in both groups. We observed that when VR technology was employed to amplify the effects of treatments on cognitive recovery, significant EEG-related neural improvements were detected in the primary motor circuit in terms of power spectral density and time-frequency domains. Indeed, EEG analysis suggested that VR resulted in a significant increase in both the alpha band power in the occipital areas and the beta band power in the frontal areas, while no significant variations were observed in the theta band power. Our data suggest the potential effectiveness of a VR-based rehabilitation approach in promoting neuroplastic changes even in the chronic phase of ischemic stroke.

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Section: Introductionmentioning

confidence: 99%

Effects of Virtual Reality Cognitive Training on Neuroplasticity: A Quasi-Randomized Clinical Trial in Patients with Stroke

Gangemi,

De Luca,

Fabio

et al. 2023

Biomedicines

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“…Stroke is a neurological condition that arises when the flow of blood to a specific area of the brain is disrupted, resulting in brain injury and the impairment of multiple functions [ 65 , 66 , 67 ]. Stroke is a significant contributor to mortality and impairment on a global scale, necessitating urgent biomedical research to identify effective interventions and preventive measures [ 68 , 69 , 70 ]. In this context, two articles explore the role of human umbilical cord blood cells, which are a rich source of stem cells and growth factors, in the context of stroke [ 71 , 72 ].…”

Section: Special Issue Articlesmentioning

confidence: 99%

From Lab to Life: Exploring Cutting-Edge Models for Neurological and Psychiatric Disorders

Tanaka,

Vécsei

2024

Biomedicines

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“…Stroke is a prevalent neurological condition that often leads to long-term disabilities, particularly affecting upper limb function [1][2][3][4][5]. In the realm of stroke recovery, an integrated approach to rehabilitation is essential, melding physical, occupational, speech, and cognitive therapy to facilitate functional restoration [6].…”

Section: Introductionmentioning

confidence: 99%

Utilization of Mirror Visual Feedback for Upper Limb Function in Poststroke Patients: A Systematic Review and Meta-Analysis

Kim,

Lee,

Jung

et al. 2023

Vision

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Mirror visual feedback (MVF), a noninvasive treatment method, is attracting attention as a possibility to promote the recovery of upper limb function in stroke patients. However, the cognitive effects of this therapy have received limited attention in the existing literature. To address this gap, we conducted a systematic review and meta-analysis to investigate the relationship between upper limb function and cognition in stroke patients and to evaluate the effect of MVF on improving upper limb function. A comprehensive search was performed on the Embase, MEDLINE, and PubMed databases to identify original articles and clinical studies published between 2013 and 2022. Qualitative analysis was performed using the Cochrane Risk of Bias tool, and in the quantitative analysis, a random-effects model was used as the effect model, and standard mean difference (SMD) was used as the effect measure. Eight studies that met the inclusion criteria were entered in the analysis. Data extraction included an assessment tool for upper extremity function. Results of the quantitative analysis demonstrate that MVF was effective in improving upper extremity function in stroke patients (SMD = 0.94, 95% CI 0.69 to 1.20). In conclusion, this systematic review and meta-analysis provides evidence supporting the effectiveness of MVF in improving upper limb function in stroke patients. However, further studies are needed to investigate the cognitive effects of MVF and elucidate the underlying mechanisms.

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Post-stroke Everything

Cited by 13 publications

References 106 publications

Effects of Virtual Reality Cognitive Training on Neuroplasticity: A Quasi-Randomized Clinical Trial in Patients with Stroke

Effects of Virtual Reality Cognitive Training on Neuroplasticity: A Quasi-Randomized Clinical Trial in Patients with Stroke

From Lab to Life: Exploring Cutting-Edge Models for Neurological and Psychiatric Disorders

Utilization of Mirror Visual Feedback for Upper Limb Function in Poststroke Patients: A Systematic Review and Meta-Analysis

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