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https://www.readbyqxmd.com/read/27922514/factors-associated-with-intestinal-constipation-in-chronic-patients-with-stroke-sequelae-undergoing-rehabilitation
#1
Tânia Mara Nascimento de Miranda Engler, Márcia Helena de Assis Aguiar, Íris Aline Brito Furtado, Samile Pereira Ribeiro, Pérola de Oliveira, Paulo Andrade Mello, Marcele Pescuma Capeletti Padula, Paulo Sérgio Siebra Beraldo
The objective of this study was to define which stroke-related factors constitute independent variables in the incidence of intestinal constipation (IC) of chronic patients admitted to a hospital rehabilitation program. All patients consecutively admitted for rehabilitation were recruited for the study. In the Poisson multiple regression analysis using a hierarchical model, sociodemographic variables, comorbidities, medication, previous history of constipation, life habits, and stroke-related variables were considered for defining factors associated with IC...
November 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/27920262/home-exercise-programmes-supported-by-video-and-automated-reminders-compared-with-standard-paper-based-home-exercise-programmes-in-patients-with-stroke-a-randomized-controlled-trial
#2
Kellie B Emmerson, Katherine E Harding, Nicholas F Taylor
OBJECTIVE: To determine whether patients with stroke receiving rehabilitation for upper limb deficits using smart technology (video and reminder functions) demonstrate greater adherence to prescribed home exercise programmes and better functional outcomes when compared with traditional paper-based exercise prescription. DESIGN: Randomized controlled trial comparing upper limb home exercise programmes supported by video and automated reminders on smart technology, with standard paper-based home exercise programmes...
December 5, 2016: Clinical Rehabilitation
https://www.readbyqxmd.com/read/27920261/effects-of-repetitive-transcranial-magnetic-stimulation-combined-with-sensory-cueing-on-unilateral-neglect-in-subacute-patients-with-right-hemispheric-stroke-a-randomized-controlled-study
#3
Nicole Yh Yang, Kenneth Nk Fong, Cecilia Wp Li-Tsang, D Zhou
OBJECTIVE: To compare the effects of rTMS combined with sensory cueing, rTMS alone, and conventional rehabilitation on unilateral neglect, hemiplegic arm functions and performance of activities of daily living. DESIGN: A single-blinded randomized controlled trial. SETTING: A convalescent hospital. SUBJECTS: Sixty inpatients with left unilateral neglect after stroke. INTERVENTIONS: Patients were randomly assigned to three groups: rTMS combined with sensory cueing, rTMS, and conventional rehabilitation alone...
December 5, 2016: Clinical Rehabilitation
https://www.readbyqxmd.com/read/27919935/secondary-prevention-lifestyle-interventions-initiated-within-90-days-after-tia-or-minor-stroke-a-systematic-review-and-meta-analysis-of-rehabilitation-programmes
#4
Neil Heron, Frank Kee, Christopher Cardwell, Mark A Tully, Michael Donnelly, Margaret E Cupples
BACKGROUND: Strokes are often preceded by a transient ischaemic attack (TIA) or 'minor' stroke. The immediate period after a TIA/minor stroke is a crucial time to initiate secondary prevention. However, the optimal approach to prevention, including non-pharmacological measures, after TIA is not clear. AIM: To systematically review evidence about the effectiveness of delivering secondary prevention, with lifestyle interventions, in comprehensive rehabilitation programmes, initiated within 90 days of a TIA/minor stroke...
December 5, 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/27919792/the-role-of-posturography-in-assessing-the-process-of-rehabilitation-in-poststroke-patients-a-case-study
#5
Witold Rongies, Bartosz Słomka, Angelika Duczek, Włodzimierz Dolecki
Stroke is one of the most common causes of death and disability both in Poland and around the world. Each year, 250 out of 100,000 people in Europe are diagnosed with a disruption of cerebral perfusion in the form of stroke. In Poland, approximately 65,000-70,000 people are affected each year, with the incidence steadily increasing. Stroke survivors suffer from impaired cognitive and motor functions. Moreover, they exhibit severe gait pattern abnormalities, which together with balance disorders, constitute the main factors increasing the risk of falls in this patient group...
December 2, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27918220/an-interactive-distance-solution-for-stroke-rehabilitation-in-the-home-setting-a-feasibility-study
#6
Susanne Palmcrantz, Jörgen Borg, Disa Sommerfeld, Jeanette Plantin, Anneli Wall, Maria Ehn, Marie Sjölinder, Inga-Lill Boman
BACKGROUND: In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. OBJECTIVES: The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. METHODS: Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool...
December 5, 2016: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/27917691/impact-a-multifaceted-implementation-for-conversation-partner-training-in-aphasia-in-dutch-rehabilitation-settings
#7
Sandra Wielaert, Mieke W M E van de Sandt-Koenderman, Nina Dammers, Karen Sage
PURPOSE: Exploration of the clinical uptake of a novel conversation partner training (CPT) programme in aphasia in 10 Dutch rehabilitation facilities and identification of its perceived facilitators and barriers in service providers, and the evaluation of the implementation methods used. METHOD: Ten rehabilitation centres took part in a multifaceted implementation of CPT over 13 months. Each centre selected two speech and language therapists to act as knowledge brokers whose role was to raise awareness of CPT in the team and to facilitate getting partners of people with aphasia into the programme...
December 5, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27917211/community-reintegration-and-related-factors-in-a-nigerian-stroke-sample
#8
Christopher Akosile, Chioma Nworah, Emmanuel Okoye, Babatunde Adegoke, Joseph Umunnah, Ayodeji Fabunmi
BACKGROUND: The goal of stroke rehabilitation has shifted from mere survival of a victim to how well a survivor can be effectively reintegrated back into the community. OBJECTIVES: The present study determined the level of satisfaction with community reintegration (CR) and related factors among Nigerian community-dwelling stroke survivors (CDSS). METHODS: This was a cross-sectional survey of 71 volunteering CDSS (35 males, 36 females) from selected South-Eastern Nigerian communities...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27917149/wavelet-packet-feature-assessment-for-high-density-myoelectric-pattern-recognition-and-channel-selection-toward-stroke-rehabilitation
#9
Dongqing Wang, Xu Zhang, Xiaoping Gao, Xiang Chen, Ping Zhou
This study presents wavelet packet feature assessment of neural control information in paretic upper limb muscles of stroke survivors for myoelectric pattern recognition, taking advantage of high-resolution time-frequency representations of surface electromyogram (EMG) signals. On this basis, a novel channel selection method was developed by combining the Fisher's class separability index and the sequential feedforward selection analyses, in order to determine a small number of appropriate EMG channels from original high-density EMG electrode array...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27916756/-repetitive-transcranial-magnetic-stimulation-rtms-for-higher-brain-function-deficits
#10
Yukichi Inoue
The management of higher brain dysfunctions such as stroke-induced unilateral spatial neglect (USN) or aphasia is crucial because these dysfunctions have devastating neurological repercussions on the patients' daily life and quality of life. Impairment of the physiological interhemispheric rivalry is often the result of brain insults such as strokes or traumatic injuries, and it may lead to USN or aphasia. Repetitive transcranial magnetic stimulation (rTMS), a non-invasive brain stimulation method, is a promising tool for restoring the pathological imbalance in interhemispheric rivalry by either suppressing the hyperactivity of the unaffected hemisphere or facilitating hypoactivity in the affected hemisphere...
December 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/27914920/can-lowering-the-guidance-force-of-robot-assisted-gait-training-induce-a-sufficient-metabolic-demand-in-subacute-dependent-ambulatory-stroke-patients
#11
So Young Lee, Eun Young Han, Bo Ryun Kim, Min Ho Chun, Yong Ki Lee
OBJECTIVE: To assess the effects of guidance force (GF) and gait speed (GS) on cardiorespiratory responses and energy cost in subacute dependent ambulatory stroke patients. DESIGN: Cross sectional study. SETTING: University rehabilitation hospital. PARTICIPANTS: Ten subacute stroke patients (mean age: 64.50±19.20), who were dependent ambulators (functional ambulation category [FAC] ≤2). INTERVENTIONS: Patients participated in cardiorespiratory tests during robot-assisted gait training...
November 30, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27913972/in-hospital-diagnosis-of-sleep-apnea-in-stroke-patients-using-a-portable-acoustic-device
#12
Clodagh M Ryan, Kelly Wilton, T Douglas Bradley, Hisham Alshaer
PURPOSE: Sleep apnea (SA) is highly prevalent in post-stroke patients. Due to physical disability and relative inaccessibility of polysomnography (PSG) to test for SA, patients with stroke frequently remain undiagnosed and untreated. Portable SA monitoring can facilitate at-home or in-hospital testing for SA. However, portable SA monitoring is not recommended in those with complex medical conditions, such as stroke, due to the lack of validation of portable monitoring in such patients...
December 2, 2016: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/27913200/pharyngeal-swallowing-mechanics-secondary-to-hemispheric-stroke
#13
Nelson H May, Jessica M Pisegna, Sarah Marchina, Susan E Langmore, Sandeep Kumar, William G Pearson
BACKGROUND: Computational analysis of swallowing mechanics (CASM) is a method that utilizes multivariate shape change analysis to uncover covariant elements of pharyngeal swallowing mechanics associated with impairment using videofluoroscopic swallowing studies. The goals of this preliminary study were to (1) characterize swallowing mechanics underlying stroke-related dysphagia, (2) decipher the impact of left and right hemispheric strokes on pharyngeal swallowing mechanics, and (3) determine pharyngeal swallowing mechanics associated with penetration-aspiration status...
November 29, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27911071/severe-brain-injury-in-massachusetts-assessing-the-continuum-of-care
#14
Laura Lorenz, Gabrielle Katz
Acquired brain injury (ABI) is a major public health problem in Massachusetts (Hackman et al, 2014) and includes traumatic brain injury (TBI), stroke, ABI-related infectious diseases, metabolic disorders affecting the central nervous system (brain and spinal cord), and brain tumor. Advances in emergency medical care and neurosurgery mean that more people are surviving severe traumatic brain injury (Trexler et al, 2014). Yet many patients with severe TBI in particular, are not receiving inpatient services after initial treatment (Hackman et al, 2014; CDC, 2014) or later that are known to be effective (Malec & Kean, 2015; Lewis & Horn, 2015; BI Commission, 2011; Kolakowsky-Hayner et al, 2000; Interviews)...
December 10, 2015: Issue Brief
https://www.readbyqxmd.com/read/27909939/a-novel-fuzzy-approach-for-automatic-brunnstrom-stage-classification-using-surface-electromyography
#15
Luca Liparulo, Zhe Zhang, Massimo Panella, Xudong Gu, Qiang Fang
Clinical assessment plays a major role in post-stroke rehabilitation programs for evaluating impairment level and tracking recovery progress. Conventionally, this process is manually performed by clinicians using chart-based ordinal scales which can be both subjective and inefficient. In this paper, a novel approach based on fuzzy logic is proposed which automatically evaluates stroke patients' impairment level using single-channel surface electromyography (sEMG) signals and generates objective classification results based on the widely used Brunnstrom stages of recovery...
December 1, 2016: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/27909458/the-association-between-post-stroke-depression-and-the-activities-of-daily-living-gait-balance-in-patients-with-first-onset-stroke-patients
#16
Geun-Young Park, Sun Im, Soo-Jung Lee, Chi-Un Pae
This study evaluated the association between post-stroke depression (PSD) and clinical outcomes, including activities of daily living (ADL) and gait balance, in patients with first-onset stroke. One hundred and eighty inpatients were recruited and followed-up for a 6-month. The depressive, cognitive, and stroke symptoms were assessed using the Beck Depression Inventory (BDI), the Global Deterioration Scale (GDS), the modified Rankin Scale (MRS), and the Berg Balance Scale (BBS). All patients were assessed at baseline and at the end of the observation (6-month)...
November 2016: Psychiatry Investigation
https://www.readbyqxmd.com/read/27909370/development-of-a-telephone-interview-version-of-the-chedoke-mcmaster-stroke-assessment-activity-inventory
#17
Ruth Barclay, Patricia A Miller, Sepideh Pooyania, Paul Stratford
Purpose: To develop a telephone version of the Chedoke-McMaster Stroke Assessment Activity Inventory (CMSA-AI) and estimate the test-retest reliability, interrater reliability (between participant and proxy), and construct validity of the scores for individuals with stroke. Methods: Adults with stroke and their caregivers or proxies were included. Participants were assessed with the CMSA-AI at discharge from a stroke rehabilitation unit and interviewed using the telephone version (TCMSA-AI). Two months after discharge, participants were evaluated with the CMSA-AI and interviewed over the phone using the TCMSA-AI on two occasions 2-3 days apart...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27905391/-the-stabilometric-and-clinical-characteristics-in-patients-with-the-consequences-of-stroke-during-the-complex-rehabilitation
#18
V A Bronnikov, V B Smychek, Yu A Mavlikaeva, K A Sklyannaya, Yu I Kravtsov, A O Gorbacheva, A V Vil'deman
AIM: To perform the complex stabilometric and clinical assessment of movement disorders in post-stroke patients. MATERIAL AND METHODS: Sixty-three patients in the late recovery period of stroke underwent the complex rehabilitation in the hospital. RESULTS: Based on the dynamics of statokinesiogram area and shift of the center of pressure, four variants of stabilometric changes with different baseline parameters of patient's motor activity were determined...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/27904909/from-left-ventricular-assist-device-to-transplant-to-home-an-interdisciplinary-team-approach-to-treating-medically-complex-cardiac-patients-during-the-bridge-to-transplantation-a-case-report
#19
Keith J Foster, Angelica Cota, Stephanie Cleves
CASE REPORT: A 56-year-old man presented with advanced heart failure requiring implantation of a left ventricular assist device and was discharged home. after implantation He returned to the hospital with right posterior putamen stroke and after a comprehensive rehabilitation programme was discharged home with the ability to be independent. The patient later underwent heart transplantation and subsequently required readmission to inpatient rehabilitation. He again completed a comprehensive rehabilitation programme and returned home with the ability to be independent with use of a single-point cane for ambulation...
November 30, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27904489/speech-and-language-therapy-for-aphasia-following-subacute-stroke
#20
Engin Koyuncu, Pınar Çam, Nermin Altınok, Duygu Ekinci Çallı, Tuba Yarbay Duman, Neşe Özgirgin
The aim of this study was to investigate the time window, duration and intensity of optimal speech and language therapy applied to aphasic patients with subacute stroke in our hospital. The study consisted of 33 patients being hospitalized for stroke rehabilitation in our hospital with first stroke but without previous history of speech and language therapy. Sixteen sessions of impairment-based speech and language therapy were applied to the patients, 30-60 minutes per day, 2 days a week, for 8 successive weeks...
October 2016: Neural Regeneration Research
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