Cognitive-motor interference in walking after stroke: test-retest reliability and validity of dual-task walking assessments.
Cognitive-motor interference in walking after stroke: test-retest reliability and validity of dual-task walking assessments. Clin Rehabil. 2019 Feb 06;:269215519828146 Authors: Tsang CSL, Chong DYK, Pang MYC Abstract OBJECTIVE:: To explore the reliability and validity of a series of dual-task mobility assessments among individuals post-stroke. DESIGN:: Observational study with repeated measures. SETTING:: University laboratory. PARTICIPANTS:: Thirty community-dwelling individuals with chronic stroke. INTERVENTIONS:: Not applicable. MAIN MEASURES:: Each of the two mobility tasks (1-minute level-ground walking with and without obstacle-negotiation) was performed concurrently with each of the eight cognitive tasks (auditory Stroop test, serial subtraction, shopping list recall and category naming at two difficulty levels). Walking distance and obstacle hitting rate (OHR) indicated dual-task mobility performance. Number of correct responses (NCR) indicated cognitive performance. Reaction time was additionally measured for the auditory Stroop test. Construct validity was examined by correlations between the dual-task assessments. The dual-task assessments were repeated within 7-14 days for test-retest reliability. RESULTS:: Excellent test-retest reliability in walking distance and OHR was found (intraclass correlation coefficient, ICC(3,1) = 0.891-0.984, P
Rejuvenation Research, Ahead of Print.
BACKGROUND: The prevalence of falls can be as high as 73% in the stroke population. Falls occur as a result of multiple factors. Factors such as balance impairments can be improved through physical therapy intervention. However, insurance payers limit the ...
Publication date: Available online 11 December 2019Source: Academic RadiologyAuthor(s): Adam Bernheim, Joel Grunhut, Alex Tang, Ekramul Gofur, Janice Thai, Varun Mehta, Jonathan Stern, Nima Jadidi, Adam Hodes, Bernard Goldwasser, Amrita Arneja, David Krausz, Michael Coords, Steven Peti, Jerel Chacko, David SarkanyRationale and ObjectivesTo evaluate if incidental abdominopelvic calcified atherosclerosis (ACA) in patients under 50 years of age correlates with cardiovascular disease (CVD) risk factors. Most studies evaluating calcific atherosclerosis and associated increased risk of CVD have concentrated on middle age and old...
Publication date: January 2020Source: The Lancet Neurology, Volume 19, Issue 1Author(s): Simiao Wu, Yajun Cheng, Bo Wu, Ming Liu
CONCLUSIONS: MS was significantly associated with IMT and the presence of carotid plaque and with positively increased risks of MI, stroke, and CVD mortality independent of CVD risk factors in older Chinese adults. PMID: 31826385 [PubMed - in process]
CONCLUSIONS: Mortality and CRP levels were statistically significantly higher in the advanced dementia group not fed via PEG. The mortality and rate of complications in the dementia group were similar to those in the stroke group. Feeding with PEG-tubes is a proper and preferable method for advanced dementia patients. PMID: 31826365 [PubMed - in process]
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Thomas Pepper, Rebecca Dixon, Helen Witherow
Condition: Ischemic Stroke Intervention: Sponsor: University Hospital Inselspital, Berne Recruiting
Condition: Acute Ischemic Stroke Patients Intervention: Other: observational study Sponsor: Ain Shams University Completed
CONCLUSIONS: Different performed randomized clinical trials (RCT) show that VRT safely facilitates in a statistically significant way motor and functional recovery of upper limb, gait, balance, quality of life related to health, and activities of daily living, together with conventional therapy, but have no clearly demonstrated overall superiority to conventional therapy. In this regard, underlying specific mechanisms remain elusive at this stage. Future RCT should define the good responder stroke patient profile based on the VRT used in conjunction with conventional therapy, allowing the generation of neurorehabilitation ...