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PRIMARY OBJECTIVE Despite the importance of community integration to individuals with traumatic brain injury, it is assessed relatively infrequently. The present paper provides a review of current approaches to the assessment of community integration, including evaluation of psychometric and administrative properties reported in the literature. MAIN(More)
BACKGROUND AND PURPOSE In stroke patients, obstructive sleep apnea (OSA) is associated with poorer functional outcomes than in those without OSA. We hypothesized that treatment of OSA by continuous positive airway pressure (CPAP) in stroke patients would enhance motor, functional, and neurocognitive recovery. METHODS This was a randomized, open label,(More)
OBJECTIVE To investigate the functional outcomes of patients with anoxic brain injury (AnBI) compared with control patients with traumatic brain injury (TBI) during inpatient rehabilitation. DESIGN Matched case-controlled design. SETTING Inpatient neurorehabilitation program. PARTICIPANTS Fifteen patients with AnBI and 15 patients with TBI. METHODS(More)
BACKGROUND and objective. In spite of the challenges, engaging in exercise programs very early after stroke may positively influence aerobic capacity and stroke-related outcomes, including walking ability. The objective of this study was to evaluate the feasibility of adding aerobic cycle ergometer training to conventional rehabilitation early after stroke(More)
PRIMARY OBJECTIVE To review the research literature on pharmacological interventions used in the acute phase of acquired brain injury (ABI) to manage ICP and improve neural recovery. MAIN OUTCOMES A literature search of multiple databases (CINAHL, EMBASE, MEDLINE and PSYCHINFO) and hand searched articles covering the years 1980-2008 was performed. Peer(More)
BACKGROUND AND PURPOSE Obstructive sleep apnea (OSA) is seldom considered in the diagnostic investigation in the poststroke period although it is a stroke risk factor and has adverse prognostic implications after stroke. One reason might be that widely used clinical criteria for detection of OSA in the general community are not applicable in patients with(More)
The contributions of nervous system muscle activation and muscle atrophy to poststroke weakness have not been evaluated together in the same subject. Maximal voluntary contraction (MVC) torque, voluntary activation (twitch interpolation), and electromyographic (EMG) amplitude were determined bilaterally in the plantar flexors of seven chronic stroke(More)
OBJECTIVE To ascertain patterns of cognitive recovery during the first year after traumatic brain injury (TBI). Specifically, differential recovery across cognitive domains was investigated. DESIGN Prospective, longitudinal, naturalistic, 1-year follow-up study. SETTING Large, urban inpatient neurorehabilitation program. PARTICIPANTS Patients (N=75)(More)
OBJECTIVE To conduct a systematic review of the rehabilitation literature of moderate to severe acquired brain injuries (ABI) from traumatic and non-traumatic causes. METHODS A review of the literature was conducted for studies looking at interventions in ABI rehabilitation. The methodological quality of each study was determined using the Downs and Black(More)
BACKGROUND AND PURPOSE Hemiparesis resulting in functional limitation of an upper extremity is common among stroke survivors. Although existing evidence suggests that increasing intensity of stroke rehabilitation therapy results in better motor recovery, limited evidence is available on the efficacy of virtual reality for stroke rehabilitation. METHODS In(More)