Innovations in Stroke Recovery and Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America

1st Edition, Volume 35-2 - March 25, 2024
Editors: Joel Stein, Joan Stilling
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 1 1 7 - 2
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 1 1 8 - 9

In this issue of Physical Medicine and Rehabilitation Clinics, guest editors Drs. Joel Stein and Joan Stilling bring their considerable expertise to the topic of Innova… Read more

Innovations in Stroke Recovery and Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America

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In this issue of Physical Medicine and Rehabilitation Clinics, guest editors Drs. Joel Stein and Joan Stilling bring their considerable expertise to the topic of Innovations in Stroke Recovery and Rehabilitation. Top experts in the field discuss motor rehabilitation therapies which can be delivered across the acute, subacute, and chronic post-stroke stages; the secondary sequalae of stroke associated with impaired functional outcomes, and much more, helping readers understand the complexities of current stroke rehabilitation techniques and delivery of care.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Top-Down and Bottom-Up Mechanisms of Motor Recovery Poststroke
Key points
Introduction
What is motor recovery?
Top-down mechanisms
Bottom-up mechanisms
Summary
Clinics care points
Future directions
Author disclosures
Biomarkers of Motor Outcomes After Stroke
Key points
Introduction
Nature of the problem
Current evidence—upper limb
Current evidence—lower limb
Discussion
Summary
Clinics care points
Disclosure
Motor Learning Following Stroke: Mechanisms of Learning and Techniques to Augment Neuroplasticity
Key points
Introduction
Definitions of motor learning and skill acquisition
Considering theories of motor control and motor learning in stroke rehabilitation
Neuroplasticity and motor learning
Techniques to augment motor learning and neuroplasticity
Discussion
Summary
Clinics care points
Disclosure
Health Care Disparities in Stroke Rehabilitation
Key points
Introduction
Review of stroke disparities literature
Disparities in stroke-related risk factors
Disparities in the acute stroke setting: stroke type, treatment, and functional status
Disparities in rehabilitative stroke care: acute/subacute rehabilitation, community-based rehabilitative care, and functional outcomes
Language barriers
Disparities in functional outcomes for survivors of stroke
Interventions focused on rehabilitative stroke disparities
Summary
Clinics care points
Sources of funding
Disclosure
Telerehabilitation Following Stroke
Key points
Stroke remains a major cause of human disability
High doses of rehabilitation therapy improve outcomes after stroke
Most patients do not receive high doses of rehabilitation therapy after stroke
Telehealth can overcome barriers to providing high rehabilitation doses
A telerehabilitation approach to treating upper extremity motor deficits after stroke
The future of telerehabilitation
Disclosure
Funding
Remote Ischemic Conditioning in Stroke Recovery
Key points
Introduction
The mechanism of remote ischemic conditioning
How to perform remote ischemic conditioning? Practical considerations
Is remote ischemic conditioning effective in stroke recovery?
Is remote ischemic conditioning safe?
Can remote ischemic conditioning be combined with other stroke recovery strategies?
Unsolved questions and future directions
Summary
Clinics care points
Disclosure
Funding
Post Stroke Exercise Training: Intensity, Dosage, and Timing of Therapy
Key points
Introduction
Intensity of therapy post stroke
Variability in treatment protocols
Importance of intensity of therapy post stroke
Therapeutic options
Practical challenges with therapy intensity
Clinical pearls for intensity
Timing of therapy
Pre-clinical studies
Clinical association between early admission to rehabilitation units and improved functional outcomes
More intensive therapy in the acute phase
Intensive therapy in the subacute phase
Intensive therapy in the chronic phase
Clinical pearls for timing
Summary
Clinics care points
Disclosure
Funding
Integrating Cardiac Rehabilitation in Stroke Recovery
Key points
Introduction
Discussion
Summary
Clinics care points
Disclosure
Neurostimulation After Stroke
Key points
Introduction
Noninvasive brain stimulation
Summary
Clinics care points
Disclosure
Technological Advances in Stroke Rehabilitation: Robotics and Virtual Reality
Key points
Introduction
Discussion
Future prospects
Summary
Clinics care points
Funding
Disclosure
Spasticity Treatment Beyond Botulinum Toxins
Key points
Introduction
Cryoneurolysis
Side effects
Summary
Clinics care points
Disclosure
A Review of Poststroke Aphasia Recovery and Treatment Options
Key points
Introduction
Aphasia recovery
Therapeutic options
Recommendations for research
Discussion and summary
Clinics care points
Disclosure
Dysphagia and Enteral Feeding After Stroke in the Rehabilitation Setting
Key points
Introduction, background, and definitions
Discussion
Clinics care points
Disclosure
Innovations in Stroke Recovery and Rehabilitation: Poststroke Pain
Key points
Introduction
Poststroke Pain Syndromes
Summary
Clinics care points
Disclosure
Pathophysiology, Assessment, and Management of Post-Stroke Cognitive Impairment, Depression, and Fatigue
Key points
Introduction
Post-stroke cognitive impairment
Observation/assessment/evaluation
Post-stroke depression
Observation/assessment/evaluation
Therapeutic options
Post-stroke fatigue
Summary and future directions
Clinics care points
Disclosure

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Innovations in Stroke Recovery and Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America

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Joel Stein