Neurorehabilitation (NEUROREHABILITATION)

Publisher: IOS Press

Journal description

NeuroRehabilitation is an international journal which emphasizes publication of scientifically based, practical information relevant to all aspects of neurologic rehabilitation. Manuscripts cover the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease, and other neurological disorders. Information is intended for an interdisciplinary audience. Issues of the journal are thematically organized. Themes have focused on specific clinical disorders, types of therapy, and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed. NeuroRehabilitation also publishes research reports and book reviews. Letters to the editor, commentaries, and editorials are also welcomed. The format of published manuscripts is flexible with the goal of providing timely, practical, and relevant information. Readers are encouraged to submit original research which includes experimental vestigations or case reports. Reviews of rehabilitation literature will be published as well. Manuscripts are given blind, peer review, and authors are provided with timely, constructive feedback. Publication decisions will be made based on relevance to practice, quality of methodology, and synthesis of findings with existing literature.

Current impact factor: 1.12

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 1.124
2013 Impact Factor 1.736
2012 Impact Factor 1.417
2011 Impact Factor 1.635
2009 Impact Factor 1.953

Impact factor over time

Impact factor

Additional details

5-year impact 1.57
Cited half-life 5.70
Immediacy index 0.12
Eigenfactor 0.00
Article influence 0.47
Website NeuroRehabilitation website
Other titles NeuroRehabilitation (Online), Neuro rehabilitation
ISSN 1053-8135
OCLC 46607193
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

IOS Press

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • On author's personal website, institutional website or funder's website, including PubMed Central
    • Non-commercial use only
    • Publisher copyright and source must be acknowledged
    • Author's version can be used
    • Publisher's pdf can be used on institutional website, company website or funding agency website for a fee
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Migraine is one of the most frequent headaches. Cervical myofascial and trigger point disorders are effective factors on accession of this type of headache. PRT is an indirect technique that treats trigger points. Objective: The purpose of this study was to compare the effectiveness of trigger points' management by positional release therapy (PRT) combined with routine medical therapy and routine medical therapy alone in treatment of migraine headache. Methods: Forty-four patients with active trigger points in cervical muscles entered to the study. They were randomly assigned to PRT-medical therapy or medical therapy group. Headache frequency, intensity, duration and tablet count were recorded by use of a daily headache diary. The sensitivity of trigger points was assessed by the use of a digital force gauge (Wagner-FDIX). Cervical range of motion was measured by a goniometer. Results: Both groups showed significant reduction in headache intensity, frequency, duration and tablet count after 4 months follow up. The sensitivity of trigger points and all cervical range of motions significantly increased in PRT-medical group after 4 months follow up; however in medication group except cervical right lateral flexion, right and left rotation the other factors showed no change after 4 months follow up. In comparison of the two study groups, there was no significant difference in headache-related variables. Apart from the headache intensity and tablet count, the trends of other factors were significantly different between the two groups (p < 0.05). Conclusions: The combined PRT-medical therapy is more effective than the medical therapy alone. Thus, the combination of PRT and medical therapy is suggested as a treatment choice for patients with migraine headache.
    Neurorehabilitation 08/2015; 37(1):157-163. DOI:10.3233/NRE-151248
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    ABSTRACT: BACKGROUND: A paucity of information is available regarding how caregivers of persons with post-traumatic disorders of consciousness (DOC) approach medical decision-making. Yet for evidence-based standards of care to be established, the onus is on caregivers' willingness to enroll their family members in clinical trials of novel tests and treatments (NTT). OBJECTIVE: To gather information regarding the beliefs and opinions of caregivers regarding NTT for DOC. METHODS: Exploratory qualitative data via focus groups from N= 17 caregivers of persons in post-traumatic DOC at both the acute (N= 7) and subacute (N= 10) phases of injury recovery. Supplemental survey data about knowledge of DOC. RESULTS: While attitudes toward NTT were generally favorable, two main themes emerged that influenced willingness to pursue NTT: patient and caregiver-specific factors, and the acquisition/use of information to guide decision-making. While survey data suggested a lack of knowledge about NTT, qualitative data revealed that this was better explained by different standards for knowledge, i.e., anecdotal versus empirical information. CONCLUSIONS: Current findings could support discussion between healthcare providers and caregivers regarding medical decision-making as well as suggestions for how to increase the likelihood of caregivers being willing to enroll their family members in clinical trials of NTT.
    Neurorehabilitation 08/2015; 37(1):117-130. DOI:10.3233/NRE-151244
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    ABSTRACT: Background: Previous investigations have demonstrated the relationship between inhibitory deficits and maladaptive emotion regulation. Although several neuropsychological studies show that frontal lobe damage can lead to extreme inhibition impairments, there have been no investigations regarding the influence of frontal lobe damage and related inhibition impairments on the use of maladaptive strategies. Objective: The goal of the current study was to examine the impact of executive functions impairments due to frontal lobe damage on cognitive emotion regulation. Methods: Fifteen patients with frontal lobe damage were compared to twenty-two healthy controls on their reported use of maladaptive strategies. The effect of behavioral inhibition deficits among the frontal lobe damage group was examined. Results: Patients reflected a heightened use of maladaptive strategies compared to healthy controls, significantly mediated by Go/NoGo task errors, which are an indicator for response inhibition deficits. Conclusions: Results suggest that a heightened use of maladaptive strategies by patients relies to a strong extent on their impaired impulse control, highlighting the complex interplay between executive functions and emotional regulation.
    Neurorehabilitation 08/2015; 37(1):89-98. DOI:10.3233/NRE-151242
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    ABSTRACT: Background and purpose: In advanced Parkinson's disease (PD), the emergence of symptoms refractory to conventional therapy poses a therapeutic challenge. The success of deep brain stimulation (DBS) and advances in the understanding of the pathophysiology of PD have raised interest in non-invasive brain stimulation as an alternative therapeutic tool. The rationale for its use draws from the concept that reversing abnormalities in brain activity and physiology thought to cause the clinical deficits may restore normal functioning. Currently the best evidence in support of this concept comes from DBS, which improves motor deficits, and modulates brain activity and motor cortex physiology, though whether a causal interaction exists remains largely undetermined. Conclusion: Most trials of non-invasive brain stimulation in PD have applied repetitive transcranial magnetic stimulation (rTMS) targeting the primary motor cortex and cortical areas of the motor circuit. Published studies suggest a possible therapeutic potential of rTMS and transcranial direct current stimulation (tDCS), but clinical effects so far have been small and negligible regarding functional independence and quality of life. Approaches to potentiate the efficacy of rTMS, including increasing stimulation intensity and novel stimulation parameters, derive their rationale from studies of brain physiology. These novel parameters simulate normal firing patterns or act on the hypothesized role of oscillatory activity in the motor cortex and basal ganglia in motor control. There may also be diagnostic potential of TMS in characterizing individual traits for personalized medicine.
    Neurorehabilitation 08/2015; 37(1):11-24. DOI:10.3233/NRE-151237
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    ABSTRACT: This article will discuss the history and evolution of what is now known as a life care plan. The objectives will be to understand that a life care plan is a tool of case management. A life care plan is based on a proper medical, psychological, case management, and/or rehabilitation foundation. The development of a life care plan requires following generally accepted and peer-reviewed methodology and standards of practice. Life care planning is a trans-disciplinary specialty practice. A life care plan is a dynamic document based upon published standards of practice, comprehensive assessment, data analysis and research that provides an organized, concise plan for current and future needs with associated costs for individuals who have experienced catastrophic injury or have chronic health care needs. The reader will also learn there are Standards of Practice for life care planning that have been a long-standing guide for the practitioner and its core components will be discussed. There are qualifications of professionals who perform the specialty practice of life care planning which will be reviewed, and in conclusion there are special considerations for individuals coordinating life care plans with individuals who have sustained an acquired brain injury will also be discussed.
    Neurorehabilitation 07/2015; 36(3):235-241. DOI:10.3233/NRE-151212
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    ABSTRACT: BACKGROUND: A life care plan often analyzes needs up to a person's life expectancy. Expected present value of necessary funding for such a plan is likewise based on the fixed survival time. If a client should live beyond or die before the life expectancy, a shortfall or excess of funding may seem inevitable. The life table, of which life expectancy is a summary measure, clarifies these issues. OBJECTIVES: We explain life expectancy and how it is used in tort litigation, economic calculations, and life care planning. We examine the life table, of which life expectancy is one output.We illustrate how a life table provides age-specific probabilities of death and survival, life expectancies, and median survival times, and other information and that every life expectancy must be associated with a life table. We consider the implications for life care planners, forensic economists, and others. CONCLUSIONS: Life expectancy is a summary of more detailed information provided in a life table. The full life table provides better information for planning purposes. Whether life expectancy or a full life table should be used in developing and valuing a life care plan is not well understood. A multi-disciplinary approach may help clarify these issues.
    Neurorehabilitation 07/2015; 36(3):253-266. DOI:10.3233/NRE-151214
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    ABSTRACT: BACKGROUND: The neural correlates of motor imagery (MI) are tightly coupled with the cortical motor control network. Therefore MI may have therapeutic potential for patients with motor deficits after an ischemic stroke. OBJECTIVE: The aim of our study was to assess the hemispheric balance of the cortical motor network during motor imagery (MI) in patients recovering from stroke in the sub-acute stage. METHODS: We studied 17 patients after cerebral ischemic stroke (sub-acute stage) and 12 healthy subjects using functional Magnetic Resonance Imaging (fMRI) during motor imagery and performance of isometric grip force movements (5 Newton). Laterality indices (LI) were calculated from regional activation analysis to assess hemispheric distribution of activity in prespecified motor areas. RESULTS: Laterality index (LI) revealed a more balanced cortical activity in MI for both controls (-0.03) and patients (-0.12) in the premotor cortex compared to movement execution (0.48 controls; 0.12 patients) and a trend towards a shift in contra-lesional activity in stroke patients. CONCLUSIONS: Our results indicate a preserved interhemispheric balance of patients in the sub-acute stage when activating the cortical motor areas during MI. This could provide a reasonable physiologic baseline for using MI as an additional rehabilitative therapy for improving functional recovery in the sub-acute stage after stroke.
    Neurorehabilitation 07/2015; 36(3):329-337. DOI:10.3233/NRE-151221
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    ABSTRACT: Background: There is increasing need for a well-organized continuum of post-hospital rehabilitative care to reduce long term disability resulting from acquired brain injury. Objective: This study examined the effectiveness of four levels of post-hospital care (active neurorehabilitation, neurobehavioral intensive, day treatment, and supported living) and the functional variables most important to their success. Methods: Participants were 1276 adults with acquired brain injury who were being treated in one of the four program levels. A Repeated Measures MANOVA was used to evaluate change from admission to discharge on the Mayo Portland Adaptability Inventory-4 T-scores. Regression analyses were used to identify predictors of outcome. Results: Statistical improvement on the MPAI-4 was observed at each program level. Self-care and Initiation were the strongest predictors of outcome. Conclusion: The results support the effectiveness of a continuum of care for acquired brain injury individuals beyond hospitalization and acute in-hospital rehabilitation. It is particularly noteworthy that reduction in disability was achieved for all levels of programming even with participants whose onset to admission exceeded 7 years post-injury.
    Neurorehabilitation 07/2015; 36(3):243-251. DOI:10.3233/NRE-151213
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    ABSTRACT: BACKGROUND: Eye-tracking communication devices and brain-computer interfaces are the two resources available to help people with advanced amyotrophic lateral sclerosis (ALS) avoid isolation and passivity. OBJECTIVE: This study was aimed at assessing a technology-aided program (i.e., a third possible resource) for five patients with advanced ALS who needed support for communication and leisure activities. METHODS: The participants were exposed to baseline and intervention conditions. The technology-aided program, which was used during the intervention, (a) included the communication and leisure options that each participant considered important for him or her (e.g., music, videos, statements/requests, and text messaging) and (b) allowed the participant to access those options with minimal responses (e.g., finger movement or eyelid closure) monitored via microswitches. RESULTS: The participants started leisure and communication engagement independently only during the intervention (i.e., when the program was used). The mean percentages of session time spent in those forms of engagement were between about 60 and 80. Preference checks and brief interviews indicated that participants and families liked the program. CONCLUSIONS: The program might be viewed as an additional approach/resource for patients with advanced ALS.
    Neurorehabilitation 07/2015; 36(3):355-365. DOI:10.3233/NRE-151224
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    ABSTRACT: INTRODUCTION: This article explores Life Care Planning and the models of the provision of rehabilitation, case management and care for people with brain-injury in the context of the health and social care systems in the UK. BACKGROUND: Life Care Planning for individuals with brain injury is not generally a term recognised or understood in the UK. The authors have worked in the field of rehabilitation, case management and care with this client group for many years and integrated their knowledge of the systems associated with Life Care Planning in the UK. PURPOSE: The article explains the process of assessment and Life Care Planning for individuals with brain injury in the UK. Case management, rehabilitation and care are described, highlighting the positive and negative influences that can affect the provision of these services. Research evidence is given of potential factors that can predict needs for brain-injured clients and their families in a Life Care Plan. CONCLUSION: In the UK, Life Care Planning is only undertaken by Care Experts in a one-off assessment for the litigation process for individuals claiming compensation; and, by those acting as Case Managers with a specialism in brain injury, who review or provide clinical work with clients on a long-term basis. © 2015 - IOS Press and the authors.
    Neurorehabilitation 07/2015; 36(3-3):289-300. DOI:10.3233/NRE-151217
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    ABSTRACT: BACKGROUND: Much is known about survival after traumatic brain injury (TBI), yet relatively little about survival after anoxic brain injury (ABI). OBJECTIVE: To determine whether long-term survival after ABI is comparable to that after TBI. METHODS: We identified 237 patients with ABI and 1,620 with TBI in California who were aged 15 to 35, survived at least 1 year post injury, and were injured in 1986 or later.We analyzed the long-term follow-up data using the Cox Proportional Hazards Regression Model, controlling for age, sex, and severity of disability. RESULTS: After adjustment for risk factors, no significant differences in long-term survival between ABI and TBI were found (hazard ratio = 0.97; 95% c.i. 0.57-1.65). CONCLUSIONS: In adolescents and young adults, long-term survival after ABI appears to be similar to that after TBI.
    Neurorehabilitation 07/2015; 36(3):379-382. DOI:10.3233/NRE-151226
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    ABSTRACT: Background: Bilateral ptosis is a very interesting clinical challenge for doctors because of the multiple possible localizations of a lesion which can lead to this neurological sign. Objectives: Through this case report, we aim to determine the difference between an apraxia of lid opening (ALO) with difficulty in initiating the act of lid elevation, in spite of adequate understanding, motor control and cranial nerve pathways, and a bilateral ptosis with a lesion in the oculomotor nucleus or blepharospasm. Methods: The case report of a 50-year-old patient presenting bilateral ptosis and multiple ischemic lesions in the brainstem and bilateral frontal lobe lesions after the emergency removal of a large frontal tumor. Results: Our patient had an ALO according to the neurological follow-up and showed the ability, after a few weeks, of initiating the act of opening her eyes with her hand. The ophthalmic evaluation confirmed that in her case the ALO was associated with a nuclear lesion of the oculomotor nerve secondary to a midbrain lesion. Conclusion: Our case report confirms multiple differential diagnoses in bilateral ptosis and the importance of clinical examination in spite of good neurological imaging.
    Neurorehabilitation 07/2015; 36(3):323-327. DOI:10.3233/NRE-151220
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    ABSTRACT: A case conceptualization model for rehabilitation professionals, is defined in the context of a tool or methodology for the evaluation of pediatric clients with ABI. Issues related to the analysis of a child's needs and impact of a pediatric brain injury for the development of a rehabilitation or life care plan and future earning capacity opinion are reviewed. CONCLUSION: A case example is provided which illustrates each element of PEEDS-RAPEL© in providing a pediatric future care and earning capacity opinion.
    Neurorehabilitation 07/2015; 36(3):275. DOI:10.3233/NRE-151216