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Hemiplegia

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https://www.readbyqxmd.com/read/29668611/the-effect-and-biomechanical-mechanisms-of-intradermal-needle-for-post-stroke-hemiplegia-recovery-study-protocol-for-a-randomized-controlled-pilot-trial
#1
Ruyu Yan, Yong Zhang, Jingyang Lim, Fan Yang, Li Zhou, Diyang Lyu, Yahui Wang, Yihuai Zou, Zongheng Li
The incidence of stroke has increased significantly in recent years. Post-stroke hemiplegia is a common stroke complication with long-term negative consequences. Several studies have suggested that acupuncture could be an effective intervention for the rehabilitation of post-stroke hemiplegia. Intradermal needling is a kind of acupuncture which is widely used in clinical settings. This study attempts to investigate the biomechanical effects of intradermal needle for post-stroke hemiplegia recovery.This proposed study is a single-centered, prospective, single-blinded (patient-assessor-blinded), randomized clinical pilot trial involving 40 patients with post-stroke hemiplegia...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29650492/robotically-driven-orthoses-exert-proximal-to-distal-differential-recovery-on-the-lower-limbs-in-children-with-hemiplegia-early-after-acquired-brain-injury
#2
Elena Beretta, Erika Molteni, Emilia Biffi, Roberta Morganti, Paolo Avantaggiato, Sandra Strazzer
Robotically-driven orthoses (RDO) are promising for treating gait impairment in children with hemiplegia after acquired brain injury (ABI). Despite this, existing literature on the employment of RDO in ABI is scanty, and cohorts' age spans throughout the adult age, with no specific focus on the developmental age. We aim to compare a treatment solely based on conventional physiotherapy (CP) with a program combining RDO training with CP, and to examine the effect of time following ABI on recovery. A prospective two-cohorts study was conducted in a rehabilitation hospital...
March 23, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29644302/perforating-head-injury-with-iron-rod-and-its-miraculous-escape-case-report-and-review-of-literature
#3
Batuk Diyora, Nitin Kotecha, Mazhar Mulla, Shailendra Dethe, Bhagyashree Bhende, Swapnil Patil
Civilian perforating head injury is rare. Because rarity of this injury, there is no standard management protocol. We report a case of perforating head injury with iron rod, review the literature on the subject and discuss the challenges in the management of such case. We have not found similar case in the literature. Civilian perforating head injury is rare. A 25-year-male brought to the emergency department with approximately two feet perforating iron rod in the head, entering via frontal region, left side of midline and coming out of the occipital region...
April 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29625811/further-characterization-of-capos-caos-syndrome-with-the-glu818lys-mutation-in-the-atp1a3-gene-a-case-report
#4
Takuya Hayashida, Yoshiaki Saito, Atsushi Ishii, Shinichi Hirose, Rika Hiraiwa, Yoshihiro Maegaki, Kousaku Ohno
A 38-year-old female patient experienced recurrent episodes of neurological deterioration during febrile illness at the age of 7 and 8 months, and 2, 4, and 37 years. Acute symptoms comprised unconsciousness, headache, abnormal ocular movements, flaccid paralysis with areflexia, ataxia, dysphagia, and movement disorders. Each episode of neurological deterioration was followed by partial recovery with residual symptoms of progressive disturbance of visual acuity with optic atrophy and hearing loss, moderate intellectual disability, strabismus, ophthalmoplegia, as well as fluctuating degree of gait ataxia, chorea, tremor, and myoclonus...
April 3, 2018: Brain & Development
https://www.readbyqxmd.com/read/29620090/alternating-hemiplegia-of-childhood-clinical-case-and-video-description
#5
Kelvin Au, Tamara Pringsheim
No abstract text is available yet for this article.
October 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29610654/dynamic-analysis-of-the-abnormal-isometric-strength-movement-pattern-between-shoulder-and-elbow-joint-in-patients-with-hemiplegia
#6
Yali Liu, Yuezhen Hong, Linhong Ji
Patients with hemiplegia usually have weak muscle selectivity and usually perform strength at a secondary joint (secondary strength) during performing a strength at one joint (primary strength). The abnormal strength pattern between shoulder and elbow joint has been analyzed by the maximum value while the performing process with strength changing from 0 to maximum then to 0 was a dynamic process. The objective of this study was to develop a method to dynamically analyze the strength changing process. Ten patients were asked to perform four group asks (maximum and 50% maximum voluntary strength in shoulder abduction, shoulder adduction, elbow flexion, and elbow extension)...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29610157/clinical-benefit-of-nmda-receptor-antagonists-in-a-patient-with-atp1a2-gene-mutation
#7
Keisuke Ueda, Fatema Serajee, Ahm M Huq
Mutations in the ATP1A2 gene cause familial hemiplegic migraine type 2, alternating hemiplegia of childhood, and cerebellar function deficits, epilepsy, and mental retardation. These symptoms are likely related to glutamatergic hyperexcitability. Our patient is a 12-year-old boy with a history of complex partial seizures, attention-deficit/hyperactivity disorder, and fine motor difficulty. During early childhood, he had episodes of a self-resolving right-sided hemiparesis and focal epilepsy. His seizures did not respond to several antiepileptic medications but stopped after he received valproate...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29610039/botulinum-toxin-type-a-treatment-combined-with-intensive-rehabilitation-for-gait-poststroke-a-preliminary-study
#8
Yuki Uchiyama, Tetsuo Koyama, Yosuke Wada, Masashi Katsutani, Norihiko Kodama, Kazuhisa Domen
GOAL: To examine the effects of botulinum toxin type A (BoNT-A) treatment combined with intensive rehabilitation for gait compared with intensive rehabilitation alone in patients with chronic stroke. MATERIALS AND METHODS: A comparative case series design was used. Subjects were 19 patients with chronic stroke and spastic hemiplegia. In 9 patients (group I), BoNT-A was injected into spastic muscles of the affected lower limbs, followed by a 4-week inpatient intensive rehabilitation program...
March 30, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29606050/pretemporal-trans-meckel-s-cave-transtentorial-approach-for-large-petroclival-meningiomas
#9
Chih-Hsiang Liao, Jui-To Wang, Chun-Fu Lin, Shao-Ching Chen, Chung-Jung Lin, Sanford P C Hsu, Min-Hsiung Chen
OBJECTIVE Despite the advances in skull base techniques, large petroclival meningiomas (PCMs) still pose a challenge to neurosurgeons. The authors' objective of this study was to describe a pretemporal trans-Meckel's cave transtentorial approach for large PCMs and to report the surgical outcomes. METHODS From 2014 to 2017, patients harboring large PCMs (> 3 cm) and undergoing their first resection via this procedure at the authors' institute were included. In combination with pretemporal transcavernous and anterior transpetrosal approaches, the trans-Meckel's cave transtentorial route was created...
April 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29600909/spontaneous-occult-intracranial-hypotension-precipitating-life-threatening-cerebral-venous-thrombosis-case-report
#10
Avital Perry, Christopher S Graffeo, Waleed Brinjikji, William R Copeland, Alejandro A Rabinstein, Michael J Link
Spontaneous intracranial hypotension (SIH) is an uncommon headache etiology, typically attributable to an unprovoked occult spinal CSF leak. Although frequently benign, serious complications may occur, including cerebral venous thrombosis (CVT). The objective of this study was to examine a highly complicated case of CVT attributable to SIH as a lens for understanding the heterogeneous literature on this rare complication, and to provide useful, evidence-based, preliminary clinical recommendations. A 43-year-old man presented with 1 week of headache, dizziness, and nausea, which precipitously evolved to hemiplegia...
March 30, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29596679/burn-injuries-in-patients-with-paralysis-a-national-perspective-on-injury-patterns-and-outcomes
#11
Christina E Stiles, Melissa M McLawhorn, Lauren B Nosanov, Jennifer L Paul, Jeffrey W Shupp
The affect of paralysis-related comorbidities on outcomes in burn-injured patients has not been explored. We hypothesize that comorbid paralysis is associated with increased morbidity in this population. All burned patients with prior diagnoses of paralysis were identified from the National Burn Repository (Version 8.0). One-to-one matching of nonparalyzed burn-injured patients was performed, and nonparametric analysis was used to compare the groups. We identified 432 paralyzed patients, who were predominantly male (70...
December 27, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29595659/change-in-radial-artery-pulse-wave-in-stroke-hemiplegic-patients-protocol-for-a-case-control-study
#12
Jaeuk U Kim, Jae Kyoun Kim, Jae-Young Shin, Boncho Ku, Jang-Han Bae, Seungryong Yeom, Sangkwan Lee
INTRODUCTION: About 55% to 75% of stroke survivors have motor disorders and problems that affect their quality of life. The prevention of secondary neurological damages through relapse prevention and the rehabilitation of stroke patients suffering from morbidities are crucial to improve the prognosis of patients with stroke. Pulse examinations can be used to determine the stroke progression. This study will investigate the differences and changes in radial artery pressure-pulse waves during the treatment of hemiplegia caused by stroke...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29593631/acute-hemorrhagic-encephalitis-responding-to-combined-decompressive-craniectomy-intravenous-immunoglobulin-and-corticosteroid-therapies-association-with-novel-ranbp2-variant
#13
Abdulla Alawadhi, Christine Saint-Martin, Farhan Bhanji, Myriam Srour, Jeffrey Atkinson, Guillaume Sébire
Background: Acute hemorrhagic encephalomyelitis (AHEM) is considered as a rare form of acute disseminated encephalomyelitis characterized by fulminant encephalopathy with hemorrhagic necrosis and most often fatal outcome. Objective: To report the association with Ran Binding Protein ( RANBP2) gene variant and the response to decompressive craniectomy and high-dose intravenous methylprednisolone (IVMP) in life-threatening AHEM. Design: Single case study...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29589055/a-walk-after-hemiplegia
#14
EDITORIAL
Gentle Sunder Shrestha
No abstract text is available yet for this article.
March 27, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29587246/effect-of-different-designs-of-ankle-foot-orthoses-on-gait-in-patients-with-stroke-a-systematic-review
#15
REVIEW
Aliyeh Daryabor, Mokhtar Arazpour, Gholamreza Aminian
BACKGROUND: Ankle foot orthoses (AFOs) are used to improve the gait of patients with stroke. RESEARCH QUESTION: The current review aimed at evaluating the efficacy of different designs of AFOs and comparison between them on the gait parameters of individuals with hemiplegic stroke. METHODS: The search strategy was based on the population intervention comparison outcome (PICO) method. A search was performed in PubMed, ISI Web of Knowledge, Scopus, Science Direct, and Google Scholar databases...
March 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29581668/effects-of-task-specific-paretic-ankle-plantar-flexor-training-on-walking-in-a-stroke-patient-a-single-case-study
#16
Shingo Miyata, Shigeru Terada, Nobumasa Matsui, Keita Uchiyama
[Purpose] The purpose of this study was to examine the effects of task-specific plantar flexor training on walking ability indices in a patient with a paretic ankle. [Subject and Methods] The subject was a 65-year-old male patient with right hemiplegia due to a left medullary ventral infarction. An ABA' single-subject design was adopted. The independent variable was a task-specific plantar flexor training exercise, similar to that during walking, targeting the paretic ankle. The dependent variables were the isometric ankle plantar flexor strength, maximum walking speed, step length, and trailing limb angle in the paretic terminal stance phase...
March 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29571238/hemiplegia-and-bilateral-globus-pallidus-infarcts-after-carbon-monoxide-poisoning-case-report
#17
Douglas G Sward, Travis W Austin
The vast clinical manifestations of carbon monoxide (CO) poisoning can involve the neurological, neuropsychological and cardiac systems as well as others. In this case report, we describe our management of a 64-year-old woman exposed to CO in her apartment. Her presentation was unusual in that she had symmetric globus pallidus lesions, no evidence of thrombosis, but the lateralizing neurologic manifestation of severe hemiplegia.
January 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29570133/small-vessel-vasculitis-in-herpes-zoster-discussion-of-current-aspects-of-varicella-zoster-virus-vasculopathy
#18
Barbara Burgard, Sigrun Smola, Thomas Vogt, Cornelia S L Müller
Varicella zoster virus (VZV) vasculopathy was initially described as herpes zoster ophthalmicus with contralateral hemiplegia in 1896. VZV is able to infect endothelial cells directly, leading to a thickened intima and vascular remodeling due to inflammation. Therefore, a spectrum of vasculopathies is induced, ranging from a discrete capillaritis-to-granulomatous vasculitis and obliterative angiitis. Cutaneous vasculitic changes sui generis with leukocytoclasia, cell debris, vascular damage, and endothelial swelling are very rare feature of herpetic infections in skin biopsies...
March 21, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29568774/the-timed-180%C3%A2-turn-test-for-assessing-people-with-hemiplegia-from-chronic-stroke
#19
Regan L Robinson, Shamay S M Ng
Background: Turning is ubiquitous in activities of daily living. For people with hemiplegia, persistent impairments in strength, balance, and coordination will affect their ability to turn safely. Consequently, turning retraining should be addressed in rehabilitation programs. To measure turning for these individuals, a reliable clinical tool is required. Objective: To investigate (i) the intrarater, interrater, and test-retest reliability of the timed 180° turn test; (ii) the correlation of the timed 180° turn test with other measures of stroke-specific impairments; and (iii) the cut-off time that best discriminates individuals with hemiplegia from chronic stroke and healthy older adults...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29568769/combination-of-constraint-induced-movement-therapy-with-electroacupuncture-improves-functional-recovery-following-neonatal-hypoxic-ischemic-brain-injury-in-rats
#20
Hyunha Kim, Young Soo Koo, Myung Jun Shin, Soo-Yeon Kim, Yong Beom Shin, Byung Tae Choi, Young Ju Yun, Seo-Yeon Lee, Hwa Kyoung Shin
Aim: Neonatal hypoxic-ischemia (HI) due to insufficient oxygen supply and blood flow during the prenatal and postnatal periods can cause cerebral palsy, a serious developmental condition. The purpose of this study was to investigate the efficacy of combining constraint-induced movement therapy (CIMT) and electroacupuncture to treat rat neonatal HI brain injury. Methods: The left common carotid arteries of postnatal day 7 rats were ligated to induce HI brain injury, and the neonates were kept in a hypoxia chamber containing 8% oxygen for 2 hrs...
2018: BioMed Research International
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