Robert Teasell
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View article: Bone health post-stroke: a survey of stroke care physiatrists in Canada
Bone health post-stroke: a survey of stroke care physiatrists in Canada Open
Objective: People who have experienced stroke are at a high risk for falls, fractures, and osteoporosis. Bone health post-stroke is often overlooked. The goal of this study was to understand current practice perspectives and barriers to bo…
View article: Bilateral Prefrontal Cortex Activation During Sensorimotor Tasks in People with Subacute Stroke – An Exploratory Functional Near-Infrared Spectroscopy Study
Bilateral Prefrontal Cortex Activation During Sensorimotor Tasks in People with Subacute Stroke – An Exploratory Functional Near-Infrared Spectroscopy Study Open
Background Post-stroke, damage to the prefrontal cortex (PFC) disrupts the neural circuits involved in motor control and sensorimotor integration, which contributes to impaired ankle sensorimotor function. Objective Apply functional near-i…
View article: An Intensive Upper Extremity Program Coupled With a Wearable Device for Poststroke Rehabilitation: A Qualitative Study of the Perspectives of People With Stroke
An Intensive Upper Extremity Program Coupled With a Wearable Device for Poststroke Rehabilitation: A Qualitative Study of the Perspectives of People With Stroke Open
Objective The Virtual Arm Boot Camp program (V-ABC) was one of the first virtually delivered upper extremity exercise programs coupled with a novel wearable device that provided reach-to-grasp feedback for individuals with stroke. Understa…
View article: Time Post-Stroke and Upper Extremity Stroke Motor Recovery Rehabilitation: A Meta-Analysis
Time Post-Stroke and Upper Extremity Stroke Motor Recovery Rehabilitation: A Meta-Analysis Open
Background: Understanding the impact of timing of post-stroke motor recovery research trials is critical for clinical care. Objective: To examine and compare differences in Fugl-Meyer Assessment Upper Extremity (FMA-UE) scores at 2 differe…
View article: Short-term effects of a virtual, community-based, task-oriented group exercise programme incorporating a healthcare–community partnership compared to a waitlist control on increasing everyday function among adults with mobility limitations: protocol for the TIME™ at Home randomised controlled trial
Short-term effects of a virtual, community-based, task-oriented group exercise programme incorporating a healthcare–community partnership compared to a waitlist control on increasing everyday function among adults with mobility limitations: protocol for the TIME™ at Home randomised controlled trial Open
Introduction While group, task-oriented, community-based exercise programs (CBEPs) delivered in-person can increase exercise and social participation in people with mobility limitations, challenges with transportation, cost and human resou…
View article: Exploring the relationship between prefrontal cortex activation, standing balance, and fatigue in people post-stroke: A fNIRS study
Exploring the relationship between prefrontal cortex activation, standing balance, and fatigue in people post-stroke: A fNIRS study Open
Background Balance impairments and fatigue are common after stroke and impact physical therapy assessments and treatments. Reasons are multifactorial and include motor dysfunction and changes to cortical activation poststroke. The prefront…
View article: From gaps to guidelines: a process for providing guidance to bridge evidence gaps
From gaps to guidelines: a process for providing guidance to bridge evidence gaps Open
The use of robust, transparent, and replicable evidence reviews and expert consensus building process produces clinical guidelines that are relevant and applicable even when empirical data are lacking or absent. This process of developing …
View article: Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research
Stakeholder perspectives on implementation of internet-delivered cognitive behaviour therapy in physical medicine rehabilitation setting using the Consolidated Framework for Implementation Research Open
Introduction: Despite the growing evidence for the effects of tailored internet-delivered cognitive behaviour therapy (ICBT) programmes for those receiving physical rehabilitation, there is a lack of implementation of these programmes in a…
View article: A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke
A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke Open
Background Upper limb activity following stroke is low, which may limit recovery. We investigated whether a virtually-delivered upper limb program, that included a wearable device with reach-to-grasp feedback, would increase upper limb act…
View article: An Overview of Randomized Controlled Trials Examining Prescription and Nonprescription Pharmacological Interventions for Moderate to Severe Traumatic Brain Injury
An Overview of Randomized Controlled Trials Examining Prescription and Nonprescription Pharmacological Interventions for Moderate to Severe Traumatic Brain Injury Open
Objective: To characterize randomized controlled trials (RCTs) of pharmacological interventions (prescription medications, nonprescription medications, and supplements) for the management of moderate to severe traumatic brain injury (MSTBI…
View article: Comparing Interventions Used in Randomized Controlled Trials of Upper Extremity Motor Rehabilitation Post-stroke in High-Income Countries and Low-to-Middle-Income Countries
Comparing Interventions Used in Randomized Controlled Trials of Upper Extremity Motor Rehabilitation Post-stroke in High-Income Countries and Low-to-Middle-Income Countries Open
Poststroke rehabilitation in LMICs is conducted in a lower resource environment when compared to HICs. Some differences exist in the use of UE motor rehabilitation interventions between LMICs and HICs such as robotics, task-specific traini…
View article: Sex Differences in Moderate-to-Severe Traumatic Brain Injury Randomized Controlled Trials
Sex Differences in Moderate-to-Severe Traumatic Brain Injury Randomized Controlled Trials Open
Background: Understanding sex differences among persons with moderate-to-severe traumatic brain injury (TBI) is critical to addressing the unique needs of both males and females from acute care through to rehabilitation. Epidemiological st…
View article: Experiences and Challenges Updating a Living Evidence-Based Review of Randomized Controlled Trials on Mental Health and Behavioral Disorders in Individuals With Moderate to Severe Traumatic Brain Injury
Experiences and Challenges Updating a Living Evidence-Based Review of Randomized Controlled Trials on Mental Health and Behavioral Disorders in Individuals With Moderate to Severe Traumatic Brain Injury Open
Objective: To describe experiences and challenges when updating a living evidence-based review database of randomized controlled trials (RCTs) on mental health and behavioral disorders in moderate to severe traumatic brain injury (MSTBI). …
View article: Evidence-Based Review of Randomized Controlled Trials of Interventions for the Management of Behavioral Issues in Individuals With Moderate to Severe Traumatic Brain Injury
Evidence-Based Review of Randomized Controlled Trials of Interventions for the Management of Behavioral Issues in Individuals With Moderate to Severe Traumatic Brain Injury Open
Objective: To present an evidence-based review of randomized controlled trials (RCTs) evaluating interventions for the management of behavioral issues post moderate to severe traumatic brain injury (MSTBI), as part of an extensive database…
View article: Evidence-Based Review of Randomized Controlled Trials of Interventions for Mental Health Management Post-Moderate to Severe Traumatic Brain Injury
Evidence-Based Review of Randomized Controlled Trials of Interventions for Mental Health Management Post-Moderate to Severe Traumatic Brain Injury Open
Objective: To present an evidence-based review of randomized controlled trials (RCTs) evaluating interventions for mental health post-moderate to severe traumatic brain injury (post-MSTBI), as part of an extensive database that has been co…
View article: Lessons Learned From Moving to Living Guidelines—The Canadian Clinical Practice Guideline for the Rehabilitation of Adults With Moderate-to-Severe TBI
Lessons Learned From Moving to Living Guidelines—The Canadian Clinical Practice Guideline for the Rehabilitation of Adults With Moderate-to-Severe TBI Open
Objective: It is often challenging for providers to remain up to date with best practices gleaned from clinical research. Consequently, patients may receive inappropriate, suboptimal, and costly care. Living clinical practice guidelines (C…
View article: Updated Canadian Clinical Practice Guideline for the Rehabilitation of Adults With Moderate to Severe Traumatic Brain Injury: Behavioral Recommendations
Updated Canadian Clinical Practice Guideline for the Rehabilitation of Adults With Moderate to Severe Traumatic Brain Injury: Behavioral Recommendations Open
Objective: Behavioral changes following moderate to severe traumatic brain injury (MSTBI) are common and can include agitation or aggression, reduced arousal or apathy, and inappropriate sexual behavior. These changes can negatively affect…
View article: Overview of randomized controlled trials of moderate to severe traumatic brain injury: A systematic review
Overview of randomized controlled trials of moderate to severe traumatic brain injury: A systematic review Open
BACKGROUND: Given the complexity of post-TBI medical, surgical, and rehabilitative care, research is critical to optimize interventions across the continuum of care and improve outcomes for persons with moderate to severe TBI. OBJECTIVE: T…
View article: Female Enrollment in Rehabilitation Trials: A Systematic Review of Reporting Sex and Female Participation in Randomized Controlled Trials of Poststroke Upper Extremity Rehabilitation Over 50 Years
Female Enrollment in Rehabilitation Trials: A Systematic Review of Reporting Sex and Female Participation in Randomized Controlled Trials of Poststroke Upper Extremity Rehabilitation Over 50 Years Open
Evidence-based medicine for the treatment and prevention of stroke is guided by results from RCTs. Generalizability depends on sufficient representation in clinical trials. Stakeholders, such as funders and journal editors, play a key role…
View article: Dysphagia Rehabilitation Interventions in Moderate-Severe Acquired Brain Injury: A Scoping Review
Dysphagia Rehabilitation Interventions in Moderate-Severe Acquired Brain Injury: A Scoping Review Open
Objectives: To conduct a scoping review of the available literature and identify existing interventions for dysphagia rehabilitation among individuals with moderate to severe ABI during the acute and chronic phases of recovery. Design: Sco…
View article: Workshop (Knowledge Generation) ID 2001810
Workshop (Knowledge Generation) ID 2001810 Open
Background Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). However, there is a lack of evidence to support its use through lar…
View article: Poster (Technology Innovation) ID 1970531
Poster (Technology Innovation) ID 1970531 Open
Background/Objective Spinal cord injuries (SCI) have a devastating effect on individuals incurring this life-changing event; however, it can also affect those integrally involved in their care. Family caregivers often experience negative o…
View article: What matters to program partners when implementing a community-based exercise program for people post-stroke? A theory-based qualitative study and cost analysis
What matters to program partners when implementing a community-based exercise program for people post-stroke? A theory-based qualitative study and cost analysis Open
Background Community-based exercise programs integrating a healthcare-community partnership (CBEP-HCP) can facilitate lifelong exercise participation for people post-stroke. Understanding the process of implementation from multiple perspec…
View article: TeleRehabilitation with Aims to Improve Lower extremity recovery in community-dwelling individuals who have had a stroke: protocol for a multisite, parallel group, assessor-blinded, randomised attention-controlled trial
TeleRehabilitation with Aims to Improve Lower extremity recovery in community-dwelling individuals who have had a stroke: protocol for a multisite, parallel group, assessor-blinded, randomised attention-controlled trial Open
Introduction Telerehabilitation is an accessible service delivery model that may support innovative lower extremity rehabilitation programmes that extend the stroke recovery continuum into the community. Unfortunately, there is limited evi…
View article: A national survey of evidence-based stroke rehabilitation intervention use in clinical practice among Canadian occupational therapists
A national survey of evidence-based stroke rehabilitation intervention use in clinical practice among Canadian occupational therapists Open
BACKGROUND: More than 1,000 randomized controlled trials have been published examining the effectiveness of stroke rehabilitation interventions. OBJECTIVE: The objective of this study was to explore the use and non-use of evidence-based st…
View article: INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory Open
Introduction: Memory impairments affecting encoding, acquisition, and retrieval of information after moderate-to-severe traumatic brain injury (TBI) have debilitating and enduring functional consequences. The interventional research review…
View article: INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods, Overview, and Principles
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods, Overview, and Principles Open
Introduction: Moderate to severe traumatic brain injury (TBI) results in complex cognitive sequelae. Despite hundreds of clinical trials in cognitive rehabilitation, the translation of these findings into clinical practice remains a challe…
View article: INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: What's Changed From 2014 to Now?
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: What's Changed From 2014 to Now? Open
IT IS CRITICAL TO KEEP clinical practice guidelines (CPGs) up to date through integration of the latest evidence. Therefore, it is with great excitement that the INCOG team presents the INCOG 2.0 Guidelines for Cognitive Rehabilitation Fol…
View article: INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part III: Executive Functions
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part III: Executive Functions Open
Introduction: Moderate-to-severe traumatic brain injury (MS-TBI) causes debilitating and enduring impairments of executive functioning and self-awareness, which clinicians often find challenging to address. Here, we provide an update to th…
View article: INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part I: Posttraumatic Amnesia
INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part I: Posttraumatic Amnesia Open
Introduction: Posttraumatic amnesia (PTA) is a common occurrence following moderate to severe traumatic brain injury (TBI) and emergence from coma. It is characterized by confusion, disorientation, retrograde and anterograde amnesia, poor …