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St. Joseph's Health Care London
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The Mobility Brief
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The Gray Centre for Mobility and Activity
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This month's issue examines the connections between the brain, movement, and recovery across different populations and contexts. Contributions from Robert Teasell, Jamie Fleet, Ricardo Viana, Michael Payne, and Sue Peters characterize global trends in randomized controlled trials for lower extremity stroke rehabilitation, noting a recent acceleration in studies from low-to-middle-income countries. In a related case series, Sue Peters, Robert Teasell, Ricardo Viana, Jaspreet Bhangu, and Jamie Fleet use neuroimaging to document prefrontal cortex activation in females recovering from stroke. The interplay of walking and cognition is also a focus, as Manuel Montero-Odasso outlines future research paths for understanding dual-task gait in people with Mild Cognitive Impairment. The issue also includes teaching images from Eldon Loh on a patient-specific knee procedure.
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Can brain changes explain why doing two things at once becomes harder for people with mild cognitive impairment?
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The relationship between brain structure, cognition, and a person's ability to perform two tasks at once is not fully understood, particularly in early neurodegeneration. To study this, researchers plan to use a variety of brain imaging methods, new task designs with voice and eye-tracking, and analyses that account for different subtypes within Mild Cognitive Impairment (MCI) populations.
※ Go to summary or article → Ali, Pauline, et al. "Reply: Critical Considerations on Neural Mediators of Dual-Task Gait and Dementia Risk in Mild Cognitive Impairment." Brain, 4 July 2025, https://doi.org/10.1093/brain/awaf247. ※ Manuel Montero-Odasso →
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How does brain activation change in females recovering from a stroke?
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It is unclear why females experience worse functional outcomes, such as poorer balance and slower walking, than males after a stroke. To investigate this, researchers used brain imaging to collect prefrontal cortex activation data from four females as they performed standing and ankle tasks upon admission to and discharge from a stroke rehabilitation unit.
※ Go to summary or article → Peters, Sue, et al. "Functional and Brain Activation Changes in Females with Subcortical Subacute Stroke Captured through Functional Near Infrared Spectroscopy: A Case Series." Physiotherapy Theory and Practice, 5 Oct. 2025, pp. 1-11, https://doi.org/10.1080/09593985.2025.2568708. ※ Sue Peters , Robert Teasell , Ricardo Viana , Jaspreet Bhangu , Jamie Fleet →
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The Gray Centre for Mobility and Activity
St. Joseph's Health Care London
550 Wellington Rd London, ON, N6C 0A7, CA
jeff.weiler@sjhc.london.on.ca
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