Pub Date : 2024-05-01DOI: 10.1101/2024.04.30.24306658
Bin Hu, Muhammad Farhan Raza, Dhruvil Patel, Shahryar Wasif, Taylor Chomiak
The ankle joint, a pivotal element in lower limb-ground interactions, plays a critical role in maintaining gait and balance. In this study, we utilized the Ambulosono device—a sensor-based, music-contingent digital tool designed to assist and monitor ankle training—to investigate the effects of ankle rotation training on functional balance. We measured the durations of the single-leg stand test (SLST) under eyes-closed conditions in a cohort of healthy young adults. Comparisons of pre- and post-training SLST durations were made between the trained and untrained legs within the same subjects. Our findings demonstrated a substantial increase in the SLST durations ipsilateral to the trained ankles, while the untrained ankles in the control legs showed no significant changes. This enhancement in balance function was observed to persist for several hours post-training.
{"title":"Ambulosono-Enhanced Ankle Rotation Training Leads to Significant Gains in Balance Among Healthy Adults","authors":"Bin Hu, Muhammad Farhan Raza, Dhruvil Patel, Shahryar Wasif, Taylor Chomiak","doi":"10.1101/2024.04.30.24306658","DOIUrl":"https://doi.org/10.1101/2024.04.30.24306658","url":null,"abstract":"The ankle joint, a pivotal element in lower limb-ground interactions, plays a critical role in maintaining gait and balance. In this study, we utilized the Ambulosono device—a sensor-based, music-contingent digital tool designed to assist and monitor ankle training—to investigate the effects of ankle rotation training on functional balance. We measured the durations of the single-leg stand test (SLST) under eyes-closed conditions in a cohort of healthy young adults. Comparisons of pre- and post-training SLST durations were made between the trained and untrained legs within the same subjects. Our findings demonstrated a substantial increase in the SLST durations ipsilateral to the trained ankles, while the untrained ankles in the control legs showed no significant changes. This enhancement in balance function was observed to persist for several hours post-training.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140881479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose Type 2 diabetes mellitus (T2DM) emphasizes the maintenance of high levels of physical activity and requires interventions tailored to the characteristics of each patient. We hypothesized that T2DM combined with diabetic kidney disease (DKD) could increase skeletal muscle fatigability, becoming a specific contributor to physical inactivity. This study aimed to determine the effects of DKD complications on fatigability and the relationship between fatigability and physical activity in patients with T2DM.
{"title":"Effect of diabetic kidney disease complications on fatigability in patients with type 2 diabetes mellitus","authors":"Yuma Hirano, Daisuke Tsuriya, Kenichi Kono, Tomoyuki Fujikura, Tomoya Yamaguchi, Kento Matsushita, Yurina Yokoyama, Katsuya Yamauchi, Yusuke Nishida","doi":"10.1101/2024.04.27.24306277","DOIUrl":"https://doi.org/10.1101/2024.04.27.24306277","url":null,"abstract":"<strong>Purpose</strong> Type 2 diabetes mellitus (T2DM) emphasizes the maintenance of high levels of physical activity and requires interventions tailored to the characteristics of each patient. We hypothesized that T2DM combined with diabetic kidney disease (DKD) could increase skeletal muscle fatigability, becoming a specific contributor to physical inactivity. This study aimed to determine the effects of DKD complications on fatigability and the relationship between fatigability and physical activity in patients with T2DM.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-27DOI: 10.1101/2024.04.26.24306424
Frea Deroost, Davide Petrella, Ine Mylle, Benedicte Vanwanseele
Purpose This study aimed to determine differences in the Achilles tendon loading during rehabilitation exercises for Achilles tendinopathy (AT), and the ranking of these exercises in patients with AT and controls.
{"title":"Patients with Achilles Tendinopathy use compensation strategies to reduce tendon load during rehabilitation exercises","authors":"Frea Deroost, Davide Petrella, Ine Mylle, Benedicte Vanwanseele","doi":"10.1101/2024.04.26.24306424","DOIUrl":"https://doi.org/10.1101/2024.04.26.24306424","url":null,"abstract":"<strong>Purpose</strong> This study aimed to determine differences in the Achilles tendon loading during rehabilitation exercises for Achilles tendinopathy (AT), and the ranking of these exercises in patients with AT and controls.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140833985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-18DOI: 10.1101/2024.04.15.24305852
Margaret A. French, Aparna Balasubramanian, Nadia N. Hansel, Sharon K. Penttinen, Robert Wise, Preeti Raghavan, Stephen T Wegener, Ryan T. Roemmich, Pablo A. Celnik
As rehabilitation advances into the era of digital health, remote monitoring of physical activity via wearable devices has the potential to change how we provide care. However, uncertainties about patient adherence and the significant resource requirements needed create challenges to adoption of remote monitoring into clinical care. Here we aim to determine the impact of a novel digital application to overcome these barriers. The Rehabilitation Remote Monitoring Application (RRMA) automatically extracts data about physical activity collected via a Fitbit device, screens the data for adherence, and contacts the participant if adherence is low. We compare adherence and estimate the resources required (i.e., time and financial) to perform remote monitoring of physical activity with and without the RRMA in two patient groups. Seventy-three individuals with stroke or chronic obstructive pulmonary disease completed 28 days of monitoring physical activity with the RRMA, while 62 individuals completed 28 days with the data flow processes being completed manually. Adherence (i.e., the average percentage of the day that the device was worn) was similar between groups (p=0.85). However, the RRMA saved an estimated 123.8 minutes or $50.24 per participant month when compared to manual processes. These results demonstrate that automated technologies like the RRMA can maintain patient adherence to remote monitoring of physical activity while reducing the time and financial resources needed. Applications like the RRMA can facilitate the adoption of remote monitoring in rehabilitation by reducing barriers related to adherence and resource requirements.
{"title":"Impact of automated data flow and reminders on adherence and resource utilization for remotely monitoring physical activity in individuals with stroke or chronic obstructive pulmonary disease","authors":"Margaret A. French, Aparna Balasubramanian, Nadia N. Hansel, Sharon K. Penttinen, Robert Wise, Preeti Raghavan, Stephen T Wegener, Ryan T. Roemmich, Pablo A. Celnik","doi":"10.1101/2024.04.15.24305852","DOIUrl":"https://doi.org/10.1101/2024.04.15.24305852","url":null,"abstract":"As rehabilitation advances into the era of digital health, remote monitoring of physical activity via wearable devices has the potential to change how we provide care. However, uncertainties about patient adherence and the significant resource requirements needed create challenges to adoption of remote monitoring into clinical care. Here we aim to determine the impact of a novel digital application to overcome these barriers. The Rehabilitation Remote Monitoring Application (RRMA) automatically extracts data about physical activity collected via a Fitbit device, screens the data for adherence, and contacts the participant if adherence is low. We compare adherence and estimate the resources required (i.e., time and financial) to perform remote monitoring of physical activity with and without the RRMA in two patient groups. Seventy-three individuals with stroke or chronic obstructive pulmonary disease completed 28 days of monitoring physical activity with the RRMA, while 62 individuals completed 28 days with the data flow processes being completed manually. Adherence (i.e., the average percentage of the day that the device was worn) was similar between groups (p=0.85). However, the RRMA saved an estimated 123.8 minutes or $50.24 per participant month when compared to manual processes. These results demonstrate that automated technologies like the RRMA can maintain patient adherence to remote monitoring of physical activity while reducing the time and financial resources needed. Applications like the RRMA can facilitate the adoption of remote monitoring in rehabilitation by reducing barriers related to adherence and resource requirements.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"304 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140634882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-17DOI: 10.1101/2024.04.17.24305755
Eric Maris
This paper reports on a case-control study that evaluates the effectiveness of an intervention aimed at improving bicycle balance control (BC) in a group of senior citizens (N=23) that had quit cycling (N=19) or that were about to do so (N=4). The intervention was designed to increase the difficulty of the bicycle BC task in a stepwise fashion, gradually approaching the difficulty of bicycle BC on the public roads. The intervention lasted 11 weeks and involved three components: (1) training on an exercise bicycle, (2) BC training on a bicycle simulator, and (3) cycling on the public roads with a safe start-and-stop technique that was practiced on the bicycle simulator. This intervention produced a very large improvement (Cohen’s d = 1.8) in BC skills and confidence on the public roads. The fact that bicycle BC skills and confidence can be drastically improved over a relatively short period does not rule out the likely role of the slower process of acquiring a sufficient lower body strength.
本文报告了一项病例对照研究，该研究评估了一项旨在改善自行车平衡控制（BC）的干预措施的有效性，干预对象是一群已经放弃骑自行车（19 人）或即将放弃骑自行车（4 人）的老年人（23 人）。干预旨在逐步增加自行车平衡控制任务的难度，逐渐接近在公共道路上进行自行车平衡控制的难度。干预为期 11 周，包括三个部分：(1)在健身自行车上进行训练；(2)在自行车模拟器上进行自行车弯道训练；(3)在公共道路上骑自行车，并在自行车模拟器上练习安全起步和停车技术。这一干预措施使人们在公共道路上骑自行车的起步和停车技能和信心有了很大提高（Cohen's d = 1.8）。在相对较短的时间内大幅提高自行车骑行技能和信心的事实，并不排除获得足够的下半身力量这一较为缓慢的过程可能起到的作用。
{"title":"Getting seniors back on their bicycle; a case-control study on the improvement of bicycle balance control","authors":"Eric Maris","doi":"10.1101/2024.04.17.24305755","DOIUrl":"https://doi.org/10.1101/2024.04.17.24305755","url":null,"abstract":"This paper reports on a case-control study that evaluates the effectiveness of an intervention aimed at improving bicycle balance control (BC) in a group of senior citizens (N=23) that had quit cycling (N=19) or that were about to do so (N=4). The intervention was designed to increase the difficulty of the bicycle BC task in a stepwise fashion, gradually approaching the difficulty of bicycle BC on the public roads. The intervention lasted 11 weeks and involved three components: (1) training on an exercise bicycle, (2) BC training on a bicycle simulator, and (3) cycling on the public roads with a safe start-and-stop technique that was practiced on the bicycle simulator. This intervention produced a very large improvement (Cohen’s d = 1.8) in BC skills and confidence on the public roads. The fact that bicycle BC skills and confidence can be drastically improved over a relatively short period does not rule out the likely role of the slower process of acquiring a sufficient lower body strength.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-15DOI: 10.1101/2024.04.10.24305618
Alexander Guillen, Dennis Q Truong, Yusuf O. Cakmak, Sheng Li, Abhishek Datta
Background Transcutaneous electrical nerve stimulation (TENS) has been a commonly used modality to relieve aches and pain for over 40 years. Commercially available devices provide multiple therapy modes involving a different combination of frequency and pulse width with intensity. While frequency sets sensation, intensity helps determine tolerability, longer pulse width is reported to induce a feeling of deeper stimulation. In fact, longer pulse width has been empirically shown to deliver current into deeper tissues, but in context of other electrical stimulation modalities. The goal of this study was to unpack the relationship between pulse width and activation depth in TENS.
{"title":"Understanding the effect of pulse width on activation depth in TENS: A computational study","authors":"Alexander Guillen, Dennis Q Truong, Yusuf O. Cakmak, Sheng Li, Abhishek Datta","doi":"10.1101/2024.04.10.24305618","DOIUrl":"https://doi.org/10.1101/2024.04.10.24305618","url":null,"abstract":"<strong>Background</strong> Transcutaneous electrical nerve stimulation (TENS) has been a commonly used modality to relieve aches and pain for over 40 years. Commercially available devices provide multiple therapy modes involving a different combination of frequency and pulse width with intensity. While frequency sets sensation, intensity helps determine tolerability, longer pulse width is reported to induce a feeling of deeper stimulation. In fact, longer pulse width has been empirically shown to deliver current into deeper tissues, but in context of other electrical stimulation modalities. The goal of this study was to unpack the relationship between pulse width and activation depth in TENS.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-15DOI: 10.1101/2024.04.15.24305831
Nicola Ferri, Jacopo Piermaria, Leonardo Manzari, Andrea Turolla, Giovanni Morone, Marco Tramontano
Introduction Neurological disorders are a prevalent cause of disability and death, which has a considerable impact on the world’s economic and healthcare systems, not least because of rehabilitation needs. Neurorehabilitation is effective and recommended for the best recovery of motor and cognitive functions and quality of life. This study evaluates clinicians’ perceptions of vestibular rehabilitation’s actual or potential role in neurorehabilitation.
{"title":"Vestibular rehabilitation practice in neurorehabilitation: an Italian survey protocol","authors":"Nicola Ferri, Jacopo Piermaria, Leonardo Manzari, Andrea Turolla, Giovanni Morone, Marco Tramontano","doi":"10.1101/2024.04.15.24305831","DOIUrl":"https://doi.org/10.1101/2024.04.15.24305831","url":null,"abstract":"<strong>Introduction</strong> Neurological disorders are a prevalent cause of disability and death, which has a considerable impact on the world’s economic and healthcare systems, not least because of rehabilitation needs. Neurorehabilitation is effective and recommended for the best recovery of motor and cognitive functions and quality of life. This study evaluates clinicians’ perceptions of vestibular rehabilitation’s actual or potential role in neurorehabilitation.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Intermittent theta burst stimulation (iTBS) is a non-invasive stimulation technique to induce neuronal and synaptic plasticity. The induced cortical plasticity is imperative in the recovery of motor and sensory functions. Spinal cord injury (SCI) causes damage to neurons and results in sensorimotor dysfunction. The effect of iTBS on recovery of motor and sensory dysfunction in complete SCI (cSCI) is still elusive.
{"title":"Cortico-Spinal Intermittent Theta Burst Stimulation Propelling Sensorimotor Function Recovery in Complete Spinal Cord Injury: Randomized Control Trial Protocol","authors":"Deeksha Patel, Rohit Banerjee, Kamran Farooque, Deepak Gupta, Bhavuk Garg, Nand Kumar, KP Kocchar, Suman Jain","doi":"10.1101/2024.04.13.24305754","DOIUrl":"https://doi.org/10.1101/2024.04.13.24305754","url":null,"abstract":"<strong>Background</strong> Intermittent theta burst stimulation (iTBS) is a non-invasive stimulation technique to induce neuronal and synaptic plasticity. The induced cortical plasticity is imperative in the recovery of motor and sensory functions. Spinal cord injury (SCI) causes damage to neurons and results in sensorimotor dysfunction. The effect of iTBS on recovery of motor and sensory dysfunction in complete SCI (cSCI) is still elusive.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-06DOI: 10.1101/2024.04.05.24305385
Alessia Funaro, Vickie Shim, Ine Mylle, Benedicte Vanwanseele
The treatment of Achilles tendinopathy is challenging, as 40% of patients do not respond to the existing rehabilitation protocols. These rehabilitation protocols do not consider the individual differences in the Achilles tendon (AT) characteristics, which are crucial in creating the optimal strain environment that promotes healing. While previous research suggests an optimal strain for AT regeneration (6% tendon strains), it is still unclear if the current rehabilitation protocols meet this condition. Consequently, this study aimed to investigate the influence of a selection of rehabilitation exercises on strains in patients with Achilles tendinopathy using subject-specific finite element (FE) models of the free AT. Secondly, the study aimed to explain the influence of muscle forces and material properties on the AT strains. The 21 FE models of the AT included the following subject-specific features: geometry estimated from 3D freehand ultrasound images, Elastic modulus estimated from the experimental stress-strain curve, and muscle forces estimated using a combination of 3D motion capture and musculoskeletal modelling. These models were used to determine tendon strain magnitudes and distribution patterns in the mid-portion of the AT. The generalized ranking suggested a progression of exercises to gradually increase the strains in the mid-portion of the AT, starting from the concentric and eccentric exercises and going to more functional exercises, which impose a higher load on the AT: bilateral heel rise (0.031 ± 0.010), bilateral heel drop (0.034 ± 0.009), unilateral heel drop (0.066 ± 0.023), walking (0.069 ± 0.020), unilateral heel drop with flexed knee (0.078 ± 0.023), and bilateral hopping (0.115 ± 0.033). Unilateral heel drop and walking exercises were not significantly different and they both fell within the optimal strain range. However, when examining individual strains, it became evident that there was diversity in exercise rankings among participants, as well as exercises falling within the optimal strain range. Furthermore, the strains were influenced more by the subject-specific muscle forces compared to the material properties. Our study demonstrated the importance of tailored rehabilitation protocols that consider not only individual subject-specific morphological and material characteristics but especially subject-specific muscle forces. These findings make a significant contribution to shape future rehabilitation protocols with a foundation in biomechanics.
{"title":"How subject-specific biomechanics influences tendon strains in Achilles tendinopathy patients: A finite element study","authors":"Alessia Funaro, Vickie Shim, Ine Mylle, Benedicte Vanwanseele","doi":"10.1101/2024.04.05.24305385","DOIUrl":"https://doi.org/10.1101/2024.04.05.24305385","url":null,"abstract":"The treatment of Achilles tendinopathy is challenging, as 40% of patients do not respond to the existing rehabilitation protocols. These rehabilitation protocols do not consider the individual differences in the Achilles tendon (AT) characteristics, which are crucial in creating the optimal strain environment that promotes healing. While previous research suggests an optimal strain for AT regeneration (6% tendon strains), it is still unclear if the current rehabilitation protocols meet this condition. Consequently, this study aimed to investigate the influence of a selection of rehabilitation exercises on strains in patients with Achilles tendinopathy using subject-specific finite element (FE) models of the free AT. Secondly, the study aimed to explain the influence of muscle forces and material properties on the AT strains. The 21 FE models of the AT included the following subject-specific features: geometry estimated from 3D freehand ultrasound images, Elastic modulus estimated from the experimental stress-strain curve, and muscle forces estimated using a combination of 3D motion capture and musculoskeletal modelling. These models were used to determine tendon strain magnitudes and distribution patterns in the mid-portion of the AT. The generalized ranking suggested a progression of exercises to gradually increase the strains in the mid-portion of the AT, starting from the concentric and eccentric exercises and going to more functional exercises, which impose a higher load on the AT: bilateral heel rise (0.031 ± 0.010), bilateral heel drop (0.034 ± 0.009), unilateral heel drop (0.066 ± 0.023), walking (0.069 ± 0.020), unilateral heel drop with flexed knee (0.078 ± 0.023), and bilateral hopping (0.115 ± 0.033). Unilateral heel drop and walking exercises were not significantly different and they both fell within the optimal strain range. However, when examining individual strains, it became evident that there was diversity in exercise rankings among participants, as well as exercises falling within the optimal strain range. Furthermore, the strains were influenced more by the subject-specific muscle forces compared to the material properties. Our study demonstrated the importance of tailored rehabilitation protocols that consider not only individual subject-specific morphological and material characteristics but especially subject-specific muscle forces. These findings make a significant contribution to shape future rehabilitation protocols with a foundation in biomechanics.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-03DOI: 10.1101/2024.04.01.24304938
Chandramouli Krishnan, Thomas E. Augenstein, Edward S. Claflin, Courtney R Hemsley, Edward P. Washabaugh, Rajiv Ranganathan
Background The ability to relearn a lost skill is critical to motor recovery after a stroke. Previous studies indicate that stroke typically affects the processes underlying motor control and execution but not the learning of those skills. However, these prior studies could have been confounded by the presence of significant motor impairments and/or have not focused on motor acuity tasks (i.e., tasks focusing on the quality of executed actions) that have direct functional relevance to rehabilitation.
{"title":"Rest the Brain to Learn New Gait Patterns after Stroke","authors":"Chandramouli Krishnan, Thomas E. Augenstein, Edward S. Claflin, Courtney R Hemsley, Edward P. Washabaugh, Rajiv Ranganathan","doi":"10.1101/2024.04.01.24304938","DOIUrl":"https://doi.org/10.1101/2024.04.01.24304938","url":null,"abstract":"<strong>Background</strong> The ability to relearn a lost skill is critical to motor recovery after a stroke. Previous studies indicate that stroke typically affects the processes underlying motor control and execution but not the learning of those skills. However, these prior studies could have been confounded by the presence of significant motor impairments and/or have not focused on motor acuity tasks (i.e., tasks focusing on the quality of executed actions) that have direct functional relevance to rehabilitation.","PeriodicalId":501453,"journal":{"name":"medRxiv - Rehabilitation Medicine and Physical Therapy","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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