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Hemiplegia

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https://www.readbyqxmd.com/read/29231587/-clinical-study-of-post-stroke-upper-limb-spasmodic-hemiplegia-treated-with-jingou-diaoyu-needling-technique-and-bobath-therapy
#1
Runjie Sun, Liang Tian, Xiaoli Fang, Xiaozheng Du, Bowen Zhu, Zhongyang Song, Xuan Xu, Xiaoguang Qin
OBJECTIVE: To compare the difference in the clinical efficacy on post-stroke upper limb spasmodic hemiplegia between the combined therapy of jingou diaoyu needling technique and Bobath technology and simple Bobath technology. METHODS: Sixty patients were randomized into an observation group and a control group, 30 cases in each one. The usual medication of neurological internal medicine was used in the two groups. In the control group, Bobath facilitation technology was applied to the rehabilitation training...
April 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29230191/the-reticulospinal-pathway-does-not-increase-its-contribution-to-the-strength-of-contralesional-muscles-in-stroke-survivors-as-compared-to-ipsilesional-side-or-healthy-controls
#2
Sheng Li, Minal Bhadane, Fan Gao, Ping Zhou
Objective: Startling acoustic stimulation (SAS), via activation of reticulospinal (RS) pathways, has shown to increase muscle strength in healthy subjects. We hypothesized that, given RS hyperexcitability in stroke survivors, SAS could increase muscle strength in stroke survivors. The objective was to quantify the effect of SAS on maximal and sub-maximal voluntary elbow flexion on the contralesional (impaired) side in stroke survivors as compared to ipsilesional (non-impaired) side and healthy controls...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29209731/kinaesthetic-ability-training-improves-unilateral-neglect-and-functional-outcome-in-patients-with-stroke-a-randomized-control-trial
#3
Sehim Kutlay, Aysun Genç, Haydar Gök, Derya Öztuna, Ayşe A Küçükdeveci
OBJECTIVE: To investigate the effects of kinaesthetic ability training with the Kinesthetic Ability Trainer (KAT) on unilateral neglect and functional outcomes in stroke patients. STUDY DESIGN: An assessor-blinded, randomized controlled, clinical trial. METHODS: A total of 64 stroke patients with unilateral neglect (mean age 61 (standard deviation (SD) 12) years, 60.4% male, mean time since stroke 6.4 (SD 10.4) months, left hemiplegia 92.5%) were randomly assigned to a conventional rehabilitation programme (control group, n = 32) or KAT plus a conventional rehabilitation programme (KAT group, n = 32) for 4 weeks...
December 5, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29204225/-in-vivo-gastrocnemius-muscle-tendon-ratio-in-patients-with-cerebral-palsy
#4
Muhammad Naghman Choudhry, Haris Naseem, Ihsan Mahmood, Adeel Aqil, Tahir Khan
Background: The position of the gastrocnemius tendon in relation to the leg length may be different in children with cerebral palsy as compared to normal children. The palpation of muscle bellies or previous experience of the operating surgeon is employed to place the surgical incision for lengthening of the gastrocnemius aponeurosis. Inaccurate localisation may cause incorrect incisions and a risk of iatrogenic damage to the vital structures (i.e. sural nerve). Objectives: The aim of our study is to compare gastrocnemius length in-vivo between paretic and unaffected children and create a formula to localise the muscle-tendon junction accurately...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29200627/effect-of-motor-imagery-training-and-electromyogram-triggered-neuromuscular-electrical-stimulation-on-lower-extremity-function-in-stroke-patients-a-pilot-trial
#5
Ji-Hoon Kim, Young-Seok Cho, Ji-Su Park, Won-Jin Kim
[Purpose] To investigate the effect of motor imagery training and electromyogram-triggered neuromuscular electrical stimulation (MIT-EMG NMES) on the lower extremity function of stroke patients. [Subjects and Methods] This study recruited eight patients with hemiplegia due to stroke. All patients received MIT-EMG NMES for 20 min daily, 5 days per week for 4 weeks. Lower extremity function were assessed using the timed up-and-go (TUG) and 10-meter walk (10MW) tests. [Results] The results of TUG test decreased significantly from 20...
November 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29200624/exercise-using-a-robotic-knee-orthosis-in-stroke-patients-with-hemiplegia
#6
Shuhei Iida, Dai Kawakita, Takuya Fujita, Hirohumi Uematsu, Takahisa Kotaki, Kikuko Ikeda, Chikara Aoki
[Purpose] The Robotics Knee Orthosis (RKO) is a knee-ankle-foot orthosis with active robot assisting technology. The purpose of this study is to examine the effects of exercise with the RKO (RKO-exercise) in stroke patients with hemiplegia. [Subjects and Methods] Participants were nine stroke patients with hemiplegia, residing in a convalescent rehabilitation ward. The duration of the RKO-exercise program was 10 days. Participants were evaluated three times prior to intervention, once after intervention, and one month post intervention...
November 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29185624/the-effect-of-adapted-sports-in-quality-of-life-and-biopsychosocial-profile-of-children-and-adolescents-with-cerebral-palsy
#7
Luzanira Correia Feitosa, Sandra Regina Baggio Muzzolon, Danielle Caldas Bufara Rodrigues, Ana Chrystina de Souza Crippa, Marise Bueno Zonta
OBJECTIVE: The participation in sports and recreational activities promotes inclusion and the quality of life (QOL) for people with some type of disability. This study aims to evaluate and describe the effect of adapted sports (AS) on the QOL and biopsychosocial profile of children/adolescents with cerebral palsy (CP). METHODS: Forty-seven children/adolescents with CP were evaluated and referred to AS (soccer and swimming). The QOL was evaluated by the Pediatric Outcome Data Collection Instrument (PODCI) and the biopsychosocial profile by the Behavior Checklist for Children/Adolescents (CBCL)...
October 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/29184718/three-consecutive-neurotomies-in-one-patient-for-the-treatment-of-spastic-hemiplegia-spinal-median-and-foot-toes-common-flexor
#8
José D Carrillo-Ruiz, Pablo Andrade, Mary Fonseca, Fiacro Jiménez, María L Montes-Castillo, Francisco Velasco
Background: Neurotomies were one of the first procedures performed in the field of functional neurosurgery. Microstimulators and microscopes facilitate the performance of neurotomies to treat focal spasticity. This report shows how three different consecutive neurotomies were performed in one patient with chronic left upper/lower extremity spasticity. Case Description: A 65-year-old male with intractable epilepsy underwent a right temporal lobectomy for seizure control...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29184311/dual-task-training-effects-on-balance-and-hand-functions-of-stroke-patients
#9
JuHyung Park
[Purpose] The purpose of this research is to take a look at the influences of the dual task training on the hand function and the balance ability of the stroke patients. [Subjects and Methods] The dual task training was applied to 2 stroke hemiplegia patients. The dual task training had been carried out for 30 minutes by each session for 5 days a week for 3 weeks. The evaluations had been carried out 5 times for 3 weeks before and after the intervention. And the changes of the hand function had been measured by using the box and block test...
October 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29174476/brown-sequard-syndrome-caused-by-hyperextension-in-a-patient-with-atlantoaxial-subluxation-due-to-an-os-odontoideum
#10
Dong-Yeong Lee, Soon-Taek Jeong, Tae-Ho Lee, Dong-Hee Kim
Brown-Sequard syndrome is an uncommon complication of atlantoaxial arthrodesis. A 50-year-old female visited our emergency department after falling from a ladder. Radiologic evaluations revealed chronic C1-2 instability with acute spinal cord injury. The day after atlantoaxial fusion was performed, she developed left-sided motor weakness and the loss of right-sided pain and temperature sensation. Based on physical examination and radiologic findings, we diagnosed her as having Brown-Sequard syndrome. Spine surgeons performing this procedure should therefore consider Brown-Sequard syndrome if a patient displays signs of postoperative hemiplegia...
November 23, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29170726/accuracy-to-detection-timing-for-assisting-repetitive-facilitation-exercise-system-using-mrcp-and-svm
#11
Satoshi Miura, Junichi Takazawa, Yo Kobayashi, Masakatsu G Fujie
This paper presents a feasibility study of a brain-machine interface system to assist repetitive facilitation exercise. Repetitive facilitation exercise is an effective rehabilitation method for patients with hemiplegia. In repetitive facilitation exercise, a therapist stimulates the paralyzed part of the patient while motor commands run along the nerve pathway. However, successful repetitive facilitation exercise is difficult to achieve and even a skilled practitioner cannot detect when a motor command occurs in patient's brain...
2017: Robotics and Biomimetics
https://www.readbyqxmd.com/read/29166469/charles-miller-fisher-the-65th-anniversary-of-the-publication-of-his-groundbreaking-study-transient-monocular-blindness-associated-with-hemiplegia
#12
Tiago Fernando Souza de Araújo, Marcos Lange, Viviane H Zétola, Ayrton Massaro, Hélio A G Teive
Charles Miller Fisher is considered the father of modern vascular neurology and one of the giants of neurology in the 20th century. This historical review emphasizes Prof. Fisher's magnificent contribution to vascular neurology and celebrates the 65th anniversary of the publication of his groundbreaking study, "Transient Monocular Blindness Associated with Hemiplegia."
October 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/29153271/subacute-corticobasal-syndrome-following-internal-carotid-endarterectomy
#13
A Marques, N Bourgois, T Vidal, A Ferrier, S Mathais, C Merlin, C Valla, E De Schlichting, B Jean, D Deffond, F Durif
The present report is of two patients who, immediately after internal carotid endarterectomy, presented with unexplained hemiplegia, despite normal findings on repeated MRI scans, which secondarily evolved into homolateral subacute corticobasal syndrome (CBS), with asymmetrical hemispheric hypometabolism and evidence of dopaminergic denervation. This prompted us to propose an hypothesis of transient cerebral hypoxia arising during the surgical clamping period that might have provoked a prolonged or permanent functional lesion of the left hemisphere and basal ganglia, with no visible infarction on MRI but only synaptic rearrangement of the neural networks, thereby revealing or exacerbating a potentially preexisting silent impairment...
November 15, 2017: Revue Neurologique
https://www.readbyqxmd.com/read/29137056/optic-nerve-injury-associated-blunt-cerebrovascular-injury-three-case-reports
#14
Dan-Dong Li, Liu-Xun Hu, Linyuan Sima, Shang-Yu Xu, Jian Lin, Nu Zhang, Bo Yin
RATIONALE: Blunt cerebrovascular injury (BCVI) is a rare complication that may occur after craniocervical trauma. The current literature is limited to extracranial carotid artery injuries; however, no reports have been published on blunt intracranial carotid injury (BICI), especially those associated with optic nerve injury. PATIENT CONCERNS: Here we report on 3 BICI cases that demonstrated optic nerve injuries after craniofacial injuries. All 3 patients showed post-trauma vision loss on the injured side...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29127224/clinical-prediction-rule-for-neurological-sequelae-due-to-acute-encephalopathy-a-medical-community-based-validation-study-in-harima-japan
#15
Kaori Sasaki, Hiroaki Nagase, Azusa Maruyama, Kyoko Fujita, Masahiro Nishiyama, Tsukasa Tanaka, Sadayuki Nukina, Toru Takumi, Kanae Takenaka, Yoshinobu Oyazato, Atsushi Nishiyama, Tomoko Kawata, Keisuke Saeki, Yuichi Takami, Eriko Satake-Inoue, Kazumoto Iijima, Ichiro Morioka, Yoshiyuki Uetani
OBJECTIVES: This study aimed to verify the screening performance of our clinical prediction rule for neurological sequelae due to acute encephalopathy (NSAE-CPR), which previously identified the following three variables as predictive of poor outcomes: (1) refractory status epilepticus; (2) consciousness disturbance and/or hemiplegia at 6 hours from onset and (3) aspartate aminotransferase >90 IU/L within 6 hours of onset. DESIGN: Medical community-based multicentre retrospective cohort study...
November 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/29123343/multiple-nutritional-deficiencies-in-cerebral-palsy-compounding-physical-and-functional-impairments
#16
P G Hariprasad, K E Elizabeth, Mathew J Valamparampil, D Kalpana, T S Anish
Introduction: Cerebral palsy (CP) refers to a spectrum of disorders causing physical and intellectual morbidity. Macro and micro nutrient deficiencies often contribute to the subnormal physical and mental capabilities of them. Objectives: To assess the growth, nutritional status, physical and functional ability and quality of life in cerebral palsy children and to determine any relation with their gross motor and functional capabilities. Method: The study was conducted at a Tertiary Care Centre, with the participants in the age group 1-16 years...
October 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29122785/naoxuekang-xinnaoshutong-and-xuesaitong-capsules-for-treating-stroke-a-protocol-for-a-randomised-controlled-trial
#17
Huiling Chen, Hongbo Cao, Xu Guo, Meidan Zhao, Qing Xia, Bo Chen, Tieniu Zhao, Wenyuan Gao
INTRODUCTION: After stroke, hemiplegia, dysphasia and facial paralysis can manifest during the convalescent period. Currently, no Chinese patent medicine (CPM) is previously reported to cure each of these symptoms primarily, and thus, there are no relevant instructions for the use of CPM. This study presents a new approach based on comparative effectiveness research to distinguish the curative effects of three CPMs that are often used in stroke convalescence to determine the ideal medicine for the treatment of each symptom...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29121418/the-panorama-of-cerebral-palsy-in-sweden-part-xii-shows-that-patterns-changed-in-the-birth-years-2007-2010
#18
K Himmelmann, P Uvebrant
AIM: This was the 12th population-based study to explore the epidemiology of cerebral palsy (CP) in western Sweden. METHODS: From 2007-2010 there were 104,713 live births in the area. We analysed the birth characteristics, aetiology and neuroimaging findings, calculated the prevalence and compared the results with previous study cohorts. RESULTS: CP was found in 205 children, corresponding to a crude prevalence of 1.96 per 1,000 live births...
November 9, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/29116545/intravenous-thrombolysis-in-sle-related-stroke-a-case-report-and-literature-review
#19
Xiaodong Chen, Gelin Xu
Patients with systemic lupus erythematosus (SLE) bear an increased risk of ischemic stroke. However, evidences for treating acute stroke due to artery thrombosis in SLE patients are extremely limited. A 45-year-old woman experienced sudden left hemiplegia. She was transported to the emergency department of our hospital 2 hours after the initial symptom. According to the medical records, the patient was diagnosed with SLE at the age of 28. CT scanned 150 min after the initial symptom showed no evidence of acute changes or hemorrhage...
November 7, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/29099148/awake-craniotomy-procedure-its-effects-on-neurological-morbidity-and-recommendations
#20
Ali Akay, Sertac Islekel
AIM: The purpose of the current study is to present our experience of awake craniotomy (AC) method, starting from the preoperative period, to report the morbidity and the functional outcomes along with the complications in patients who underwent AC, and to make recommendations for possible problems. MATERIAL AND METHODS: This study involved 46 cases- 2 of which are pediatric cases with lesions localized in the functional area- who were operated with AC method between September 2011 and January 2016 in our clinic...
March 25, 2017: Turkish Neurosurgery
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