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Hemi-spatial neglect is an attentional disorder in which the sufferer fails to acknowledge or respond to stimuli appearing in contralesional space. In recent years, it has become clear that a measurable reduction in contralesional neglect can occur during galvanic vestibular stimulation, a technique by which transmastoid, small amplitude current induces(More)
BACKGROUND/AIMS We aimed to estimate the incidence and prevalence of amyotrophic lateral sclerosis (ALS) in the South East of England. The reported incidence of ALS varies between 0.44 and 3.2 per 100,000 person years. This can partly be explained by differences in design and diagnostic criteria used. There is little population data concerning England,(More)
PRIMARY OBJECTIVE Galvanic vestibular stimulation (GVS) involves the delivery of small electrical current to the part of the scalp that overlies the vestibular nerves. A single, brief session transiently reduces certain types of stroke impairment with no reported side-effects. It is anticipated that further reductions will occur if the duration and(More)
PRIMARY OBJECTIVE To assess the relationship between disability, length of stay (LOS) and anticholinergic burden (ACB) with people following acquired brain or spinal cord injury. RESEARCH DESIGN A retrospective case note review assessed total rehabilitation unit admission. METHODS AND PROCEDURES Assessment of 52 consecutive patients with acquired(More)
BACKGROUND Amyotrophic lateral sclerosis (ALS) is a degenerative disease of motor neurons that causes progressive paralysis and eventually results in death from respiratory failure. Environmental factors that trigger ALS might result in a pattern of geographical clustering of cases. We tested this hypothesis using the South-East England ALS population(More)
OBJECTIVE Evaluate changes in active and passive function with onabotulinumtoxinA + standard of care within goal-oriented rehabilitation programmes in adults with focal post-stroke spasticity. METHODS Prospective, 24-week double-blind study with an open-label extension. Subjects were randomized to onabotulinumtoxinA + standard of care or placebo +(More)
Caloric vestibular stimulation (CVS) is commonly used to diagnose brainstem disorder but its therapeutic application is much less established. Based on the finding that CVS increases blood flow to brain structures associated with language and communication, we assessed whether the procedure has potential to relieve symptoms of post-stroke aphasia. Three(More)
This paper presents a new evaluation methodology for assistive devices employing head-tracking systems based on an adaptation of the Fitts Test. This methodology is used to compare the effectiveness and performance of a new vision-based head tracking system using face, skin and motion detection techniques with two existing head tracking devices and a(More)
OBJECTIVE To determine whether stroke patients who suffer from hemispatial neglect tend to stay in hospitals longer because they are prone to limb spasticity. DESIGN Retrospective analysis of inpatient medical notes. SETTING Inpatient neurorehabilitation unit of a regional UK teaching hospital. PARTICIPANTS All patients (N=106) admitted to the(More)
OBJECTIVE This report describes the design of a study aiming to provide evidence for the extended use of botulinum toxin A in focal post-stroke upper and lower limb spasticity and to evaluate the impact of incorporating botulinum toxin treatment into the rehabilitation of patients with spasticity. DESIGN International, prospective, randomized,(More)