9,319 results match your criteria stroke survivors

Treatments for unruptured intracranial aneurysms.

Cochrane Database Syst Rev 2021 May 10;5:CD013312. Epub 2021 May 10.

Department of Surgery, Division of Vascular and Endovascular Surgery, Universidade Federal de São Paulo, São Paulo, Brazil.

Background: Unruptured intracranial aneurysms are relatively common lesions in the general population, with a prevalence of 3.2%, and are being diagnosed with greater frequency as non-invasive techniques for imaging of intracranial vessels have become increasingly available and used. If not treated, an intracranial aneurysm can be catastrophic. Read More

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Post-stroke gait training practices in a low resource setting: A cross-sectional survey among Indian physiotherapists.

NeuroRehabilitation 2021 May 3. Epub 2021 May 3.

Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, India.

Background: Independent mobility is the most important determinant of quality of life after stroke and it is vital that training aimed at restoration of gait is based on contemporary evidence. Despite several practice guidelines for gait rehabilitation after stroke existing globally, their feasibility of application in low-resource settings is often questionable.

Objective: To investigate the current practices in gait training among Indian physiotherapists involved in the rehabilitation of stroke survivors. Read More

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The Interrelation Between Chronic Headache, Cognitive Scores, and MRI Markers Among Stroke Survivors.

J Alzheimers Dis 2021 May 4. Epub 2021 May 4.

Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.

Background: Migraine is known to mildly increase the risk for ischemic stroke and is associated with vascular MRI markers. However, the potential effect of chronic headache (CH) on stroke outcomes has not been studied.

Objective: We aimed to assess the interrelation between CH and post-stroke cognitive impairment. Read More

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Lost in Translation: Simple Steps in Experimental Design of Neurorehabilitation-Based Research Interventions to Promote Motor Recovery Post-Stroke.

Front Hum Neurosci 2021 20;15:644335. Epub 2021 Apr 20.

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States.

Stroke continues to be a leading cause of disability. Basic neurorehabilitation research is necessary to inform the neuropathophysiology of impaired motor control, and to develop targeted interventions with potential to remediate disability post-stroke. Despite knowledge gained from basic research studies, the effectiveness of research-based interventions for reducing motor impairment has been no greater than standard of practice interventions. Read More

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Dual-Tasking Effects on Gait and Turning Performance of Stroke Survivors with Diabetic Peripheral Neuropathy.

Malays J Med Sci 2021 Apr 21;28(2):63-71. Epub 2021 Apr 21.

Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia.

Background: Stroke survivors depend on the unaffected leg during walking and standing. The presence of diabetic peripheral neuropathy (DPN) affecting both legs may further affect the postural balance and gait instability and increase the risk for falls in such patients. Thus, this study was conducted to investigate the effect of dual taskings on the gait and turning performance of stroke survivors with DPN. Read More

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Depressive-, Cognitive- or Stroke-Related Risk Factors of Post-Stroke Depression: Which One Could Better Help Clinicians and Patients?

Neuropsychiatr Dis Treat 2021 29;17:1243-1251. Epub 2021 Apr 29.

GHU Paris Psychiatrie et Neurosciences, CMME, Hôpital Sainte-Anne, Paris, France.

Purpose: Post-stroke depression (PSD) affects one third of stroke survivors, with multiple severe negative consequences. We aim to assess the weight of four different types of clinical risk factors for PSD.

Patients And Methods: We conducted a prospective cohort study in a stroke centre. Read More

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Fifteen-year mortality and cardiac, thrombotic, and bleeding events in survivors of ST-elevation myocardial infarction.

Cardiovasc Revasc Med 2021 Apr 30. Epub 2021 Apr 30.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: Although short-term mortality in ST-elevation myocardial infarction (STEMI) has improved, data is limited regarding very long-term mortality and concomitant clinical events in STEMI survivors who undergo primary percutaneous coronary intervention (p-PCI). This study aimed to evaluate these parameters at 15 years and to determine the predictors of 15-year mortality in these patients.

Methods: The study endpoints were all-cause mortality and cardiac mortality at 15 years. Read More

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Combined real-time fMRI and real time fNIRS brain computer interface (BCI): Training of volitional wrist extension after stroke, a case series pilot study.

PLoS One 2021 6;16(5):e0250431. Epub 2021 May 6.

Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida, United States of America.

Objective: Pilot testing of real time functional magnetic resonance imaging (rt-fMRI) and real time functional near infrared spectroscopy (rt-fNIRS) as brain computer interface (BCI) neural feedback systems combined with motor learning for motor recovery in chronic severely impaired stroke survivors.

Approach: We enrolled a four-case series and administered three sequential rt-fMRI and ten rt-fNIRS neural feedback sessions interleaved with motor learning sessions. Measures were: Arm Motor Assessment Tool, functional domain (AMAT-F; 13 complex functional tasks), Fugl-Meyer arm coordination scale (FM); active wrist extension range of motion (ROM); volume of activation (fMRI); and fNIRS HbO concentration. Read More

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Effects of gait rehabilitation on motor coordination in stroke survivors: an UCM-based approach.

Exp Brain Res 2021 May 6. Epub 2021 May 6.

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.

Post-stroke locomotion is usually characterized by asymmetrical gait patterns, compensatory movements of trunk and nonparetic limb, altered motor coordination, and wide inter-stride variability. This pilot study was designed to test a twofold hypothesis: post-stroke survivors can exploit the redundancy of the segmental angles to stabilize the 3D footpath trajectory during the swing phase, in accordance with the Uncontrolled Manifold (UCM) theory; an intense rehabilitative treatment improves both motor performance and outcomes of the UCM analysis. Ten stroke survivors underwent two evaluation sessions, before and after a conventional multidisciplinary intensive rehabilitation program, encompassing clinical tests and gait analysis, both overground and on treadmill. Read More

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Transcranial photobiomodulation prevents PTSD-like comorbidities in rats experiencing underwater trauma.

Transl Psychiatry 2021 May 5;11(1):270. Epub 2021 May 5.

Department of Neuroscience and Regenerative Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Maladaptive fear memory processing after a traumatic event is a major contributor to the development of the comorbidities related to posttraumatic stress disorder (PTSD). An intervention to normalize this process could be a first-line treatment to prevent PTSD development. However, little progress has been made in identifying interventions that can prevent trauma survivors from developing PTSD. Read More

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Acute Effects of Frequent Light-Intensity Standing-Based Exercises That Interrupt 8 Hours of Prolonged Sitting on Postprandial Glucose in Stroke Survivors: A Dose-Escalation Trial.

J Phys Act Health 2021 May 5:1-9. Epub 2021 May 5.

Background: Interrupting prolonged sitting can attenuate postprandial glucose responses in overweight adults. The dose-response effect in stroke survivors is unknown. The authors investigated the effects of interrupting 8 hours of prolonged sitting with increasingly frequent bouts of light-intensity standing-based exercises on the postprandial glucose response in stroke survivors. Read More

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EXPRESS: Telehealth coaching to improve self-management for secondary prevention after stroke: A randomized controlled trial of Stroke Coach.

Int J Stroke 2021 May 5:17474930211017699. Epub 2021 May 5.

The University of British Columbia Faculty of Medicine, Physical Therapy, Vancouver, British Columbia, Canada.

Background: Stroke Coach is a lifestyle coaching telehealth program to improve self-management of stroke risk factors.

Aims: To examine the efficacy of Stroke Coach on lifestyle behaviour and risk factor control among community-living stroke survivors within one-year post stroke.

Methods: Participants were randomized to Stroke Coach or an attention control Memory Training group. Read More

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EXPRESS: Longer term patient management following stroke A systematic review.

Int J Stroke 2021 May 5:17474930211016963. Epub 2021 May 5.

Medical University of Innsbruck, Neurology, Innsbruck, Tirol, Austria.

Tremendous progress in acute stroke therapy has improved short-term outcome but part of this achievement may be lost in the long run. Concepts for a better long-term management of stroke survivors are needed to address their unmet needs and to reduce the burden of post-stroke complications, residual deficits and recurrent vascular events. This review summarizes current knowledge on post-hospital care and the scientific evidence supporting individual programs. Read More

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Validity of the International Physical Activity Questionnaire Long Form for Assessing Physical Activity and Sedentary Behavior in Subjects with Chronic Stroke.

Int J Environ Res Public Health 2021 Apr 29;18(9). Epub 2021 Apr 29.

Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.

Validation studies of questionnaires used to assess physical activity (PA) and sedentary behavior (SB) in stroke survivors are scarce. This cross-sectional study aimed to examine the validity of the International Physical Activity Questionnaire long-form (IPAQ-LF) in community living adults with post-stroke sequelae (≥6 months) and preserved ambulation. Participants' functional mobility, lower limb strength, ambulatory level, stroke severity, and disability were assessed. Read More

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Influence of Cognitive Impairment on the Recovery of Subjects with Subacute Stroke Undergoing Upper Limb Robotic Rehabilitation.

Brain Sci 2021 Apr 30;11(5). Epub 2021 Apr 30.

IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, Italy.

Cognitive decline is often present in stroke survivors, with a significant impact on motor recovery. However, how specific cognitive domains could impact motor recovery after robotic rehabilitation in patients with stroke is still not well understood. In this study, we analyzed the relationship between cognitive impairment and the outcome of a robot-mediated upper limb rehabilitation intervention in a sample of 51 subacute stroke patients. Read More

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Seizures after decompressive hemicraniectomy for large middle cerebral artery territory infarcts: incidence, associated factors and impact on long-term outcomes.

Eur J Neurol 2021 May 3. Epub 2021 May 3.

Univ. Lille, Inserm U1172, CHU Lille, Department of Neurology, Stroke unit, France.

Background: decompressive hemicraniectomy (DH) reduces mortality of large middle cerebral artery (MCA) territory infarcts. Survivors are at high risk of post-stroke seizures (PSS). This study aims to describe the incidence of PSS, to identify associated factors and their impact on long-term outcomes. Read More

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Cerebral Venous Sinus Thrombosis in Children: A Study from a Tertiary Care Hospital of Eastern India.

J Pediatr Neurosci 2020 Oct-Dec;15(4):370-374. Epub 2021 Jan 19.

Department of Neurology, Srirama Chandra Bhanja Medical College & Hospital (SCBMCH), Cuttack, Odisha, India.

Context: Cerebral venous sinus (sinovenous) thrombosis (CVST) in childhood is a rare, but under recognized, disorder, typically of multifactorial etiology, with neurologic sequelae apparent in up to 40% of survivors and mortality approaching 10%.

Aim: The aim of this study was to enlist the patients diagnosed as CVST younger than 14 years of age and to diagnose the etiology along with radiological correlation.

Settings And Design: This prospective clinical study was conducted for 2 years in the Department of Neurology, Srirama Chandra Bhanja Medical College & Hospital (SCBMCH), Cuttack, Odisha, India. Read More

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January 2021

Health-related quality of life after first-ever acute ischemic stroke: associations with cardiovascular health metrics.

Qual Life Res 2021 May 1. Epub 2021 May 1.

Department of Neurology, Shandong Provincial Hospital Affiliated To Shandong University, Jinan, Shandong, China.

Purpose: To investigate the associations between cardiovascular health (CVH) metrics and health-related quality of life (HRQL) among patients with ischemic stroke in China, and further explore the role of physical and cognitive function in their associations.

Methods: This hospital-based study included 1714 patients with first-ever acute ischemic stroke (age ≥ 40 years; 36.7% women) who were admitted to two university hospitals in Shandong, China. Read More

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Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.

PLoS One 2021 30;16(4):e0250868. Epub 2021 Apr 30.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, United States of America.

Current literature suggests that greater than 50% of survivors of a stroke cannot accurately perceive where their upper extremity is positioned. Our recent work demonstrates that the extent to which this perception is affected can depend on how the task is performed. For example, individuals with stroke who have a deficit in mirroring the position of their passively-placed paretic forearm during a between-arms task may accurately reproduce the position of their actively-controlled paretic forearm during a single-arm task. Read More

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Effect of Traditional plus Virtual Reality Rehabilitation on Prognosis of Stroke Survivors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Am J Phys Med Rehabil 2021 Apr 28. Epub 2021 Apr 28.

Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, China College of Pharmacy, Fujian Medical University, Fuzhou, China.

Objective: Virtual reality (VR) technology has begun to be gradually applied to clinical stroke rehabilitation. The study aims to evaluate the effect of traditional plus VR rehabilitation on motor function recovery, balance, and activities of daily living in stroke patients.

Method: Studies published in English prior to October 2020 were retrieved from PubMed, EMBASE, Web of Science, and the Cochrane Library. Read More

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Tranexamic acid to reduce head injury death in people with traumatic brain injury: the CRASH-3 international RCT.

Health Technol Assess 2021 Apr;25(26):1-76

Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.

Background: Tranexamic acid safely reduces mortality in traumatic extracranial bleeding. Intracranial bleeding is common after traumatic brain injury and can cause brain herniation and death. We assessed the effects of tranexamic acid in traumatic brain injury patients. Read More

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Lesions that do or do not impair digit span: a study of 816 stroke survivors.

Brain Commun 2021 10;3(2):fcab031. Epub 2021 Mar 10.

Wellcome Centre for Human Neuroimaging, University College London, London WC1N 3AR, UK.

Prior studies have reported inconsistency in the lesion sites associated with verbal short-term memory impairments. Here we asked: How many different lesion sites can account for selective impairments in verbal short-term memory that persist over time, and how consistently do these lesion sites impair verbal short-term memory? We assessed verbal short-term memory impairments using a forward digit span task from the Comprehensive Aphasia Test. First, we identified the incidence of digit span impairments in a sample of 816 stroke survivors (541 males/275 females; age at stroke onset 56 ± 13 years; time post-stroke 4. Read More

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Effects of Health Promotion Model-Based Visual Learning Module on Self-Efficacy and Health Promotion Behavior of Stroke Survivors: A Nonrandomized Controlled Trial.

J Neurosci Rural Pract 2021 Apr 23;12(2):389-397. Epub 2021 Apr 23.

Department of Nursing, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

 Globally, stroke is one of the major causes of disability and mortality among adults and old age people. The present study aims to evaluate the effects of the health promotion model-based visual learning module (HPM-VLM) on self-efficacy and behavioral modifications among stroke survivors.  This nonrandomized controlled trial was conducted on 70 stroke survivors (intervention group, = 35, and control group, = 35). Read More

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Neurologic Outcomes After Extracorporeal Cardiopulmonary Resuscitation: Recent Experience at a Single High-Volume Center.

ASAIO J 2021 Apr 21. Epub 2021 Apr 21.

From the Section of Neurocritical Care and Emergency Neurology, Department of Neurology, Program in Trauma, University of Maryland School of Medicine, Baltimore, Maryland Division of Thoracic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland University of Maryland School of Medicine, Baltimore, Maryland Division of Surgical Critical Care, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland.

Extracorporeal cardiopulmonary resuscitation (ECPR)-veno-arterial extracorporeal membrane oxygenation (ECMO) for refractory cardiac arrest-has grown rapidly, but its widespread adoption has been limited by frequent neurologic complications. With individual centers developing best practices, utilization may be increasing with an uncertain effect on outcomes. This study describes the recent ECPR experience at the University of Maryland Medical Center from 2016 through 2018, with attention to neurologic outcomes and predictors thereof. Read More

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What would 'upscaling' involve? A qualitative study of international variation in stroke rehabilitation.

BMC Health Serv Res 2021 Apr 29;21(1):399. Epub 2021 Apr 29.

Department of Medicine, Rehabilitation Teaching and Research Unit, University of Otago, Mein St, Newtown, PO Box 7343, Wellington, 6242, New Zealand.

Background: Demand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization's (WHO) report - Rehabilitation 2030: A call for action - has introduced the objective of 'upscaling' rehabilitation globally to meet demand. This research explored what upscaling stroke rehabilitation might mean for health professionals from countries at different stages of economic development. Read More

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Effects of Specific Virtual Reality-Based Therapy for the Rehabilitation of the Upper Limb Motor Function Post-Ictus: Randomized Controlled Trial.

Brain Sci 2021 Apr 28;11(5). Epub 2021 Apr 28.

Faculty of Health Sciences, University of Castilla La Mancha, 45600 Talavera de la Reina, Spain.

This research analyzed the combined effect of conventional treatment and virtual reality exposure therapy on the motor function of the upper extremities in people with stroke. We designed a randomized controlled trial set in the rehabilitation and neurology departments of a hospital (Talavera de la Reina, Spain). The subjects included 43 participants, all randomized into experimental (conventional treatment + virtual reality exposure therapy) and control group (conventional treatment). Read More

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Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review.

Healthcare (Basel) 2021 Apr 15;9(4). Epub 2021 Apr 15.

Department of Occupational Therapy, Inje University, 197 Inje-ro, Gimhae 50834, Korea.

Telehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention's focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were searched for the years 2005-2020 to identify TH-SM support interventions for stroke survivors. Read More

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Long-COVID and Post-COVID Health Complications: An Up-to-Date Review on Clinical Conditions and Their Possible Molecular Mechanisms.

Viruses 2021 04 18;13(4). Epub 2021 Apr 18.

Centre for Genomics and Applied Gene Technology, Institute of Integrative Omics and Applied Bio-technology (IIOAB), Nonakuri, Purba Medinipur, West Bengal 721172, India.

The COVID-19 pandemic has infected millions worldwide, leaving a global burden for long-term care of COVID-19 survivors. It is thus imperative to study post-COVID (i.e. Read More

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The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health 2021 Apr 21;18(9). Epub 2021 Apr 21.

Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.

Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors.

Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Read More

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Cognitive decline before and after a first-ever stroke in Africans.

Acta Neurol Scand 2021 Apr 29. Epub 2021 Apr 29.

Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Objectives: There is a knowledge gap on the impact of pre-existing cognitive decline on poststroke decline in indigenous Africans. We describe the trajectories of domain-specific cognitive and activities of daily life (ADL) functioning across the first year of stroke in Nigerians with pre-existing cognitive decline.

Materials And Methods: Prospective observational study. Read More

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