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Condition: Ischemic Stroke
Therapy: Physical Therapy

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Total 84 results found since Jan 2013.

Effects of low-frequency repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation on upper extremity motor recovery in the early period after stroke: a preliminary study.
CONCLUSION: LF-rTMS with or without NMES seems to facilitate the motor recovery in the paretic hand of patients with acute/subacute ischemic stroke. TMS or the combination of TMS + NMES may be a promising additional therapy in upper limb motor training. Further studies with larger numbers of patients are needed to establish their effectiveness in upper limb motor rehabilitation of stroke. PMID: 28327054 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 22, 2017 Category: Neurology Authors: Tosun A, Türe S, Askin A, Yardimci EU, Demirdal SU, Kurt Incesu T, Tosun O, Kocyigit H, Akhan G, Gelal FM Tags: Top Stroke Rehabil Source Type: research

Improving Secondary Stroke Prevention Following Acute Ischemic Stroke: A Practice Improvement Project. (P4.287)
CONCLUSIONS: Aggressive lifestyle modification and risk factor management are cornerstones of stroke prevention. Questionnaires and checklist based systems are powerful tools to quickly gather information and assess patient participation in healthcare. In individualized stroke clinics, it is a practical tool to monitor goals of secondary stroke prevention. Further data can clarify if additional instruments like multidisciplinary stroke clinics incorporating nutrition, physical therapy and stroke counseling services will improve outcomes, compliance and reduce stroke recurrence.Disclosure: Dr. Harriott has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Harriott, A. Tags: Practice, Policy, and Ethics: Stroke, Critical Care, and Other Source Type: research

Early poststroke rehabilitation using a robotic tilt-table stepper and functional electrical stimulation.
Conclusions. Robotic tilt-table exercise with or without FES is safe and may be more effective in improving leg strength and cerebral blood flow than tilt table alone. PMID: 23691432 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Mobilization for Persons With Acute Stroke: A Survey of Current Physical Therapy Clinical Practice
Conclusions: The frequency of mobilization reported in this survey is less than proposed by the results of the most recent “A Very Early Rehabilitation Trial” (AVERT) after stroke, phase 3 trial. This study found a positive correlation between increased session frequency and recovery of walking at 3 months, survival, and a modified Rankin Scale (mRS) score of 2 or less. Respondents believe additional mobilization would be beneficial, but report barriers to implementation that include increased PT caseloads and lack of resources. Additional research is required to determine the influence of mobilization timing and fre...
Source: The Journal of Acute Care Physical Therapy - December 20, 2019 Category: Physiotherapy Tags: Original Study Source Type: research

The First 3 Months Post Stroke: A Unique Opportunity to Promote Exercise (P3.300)
Conclusions: Ischemic stroke patients were more likely to be exercising at three months than before their stroke, likely in part due to prescribed rehabilitation. Although this analysis is limited by unknown aerobic intensity, this subacute time period after stroke may provide a unique opportunity to incorporate exercise into patients’ lifestyles long-term.Disclosure: Dr. Garrison has nothing to disclose. Dr. Dunning has nothing to disclose. Dr. Kissela has received personal compensation for activities with Janssen and AbbVie, Inc. Dr. Woo has received research support from the National Institutes of Health. Dr. Flah...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Garrison, G., Dunning, K., Kissela, B., Woo, D., Flaherty, M., Khatri, P., Kleindorfer, D., Adeoye, O., Moomaw, C., Ferioli, S., Alwell, K., Pierce, B. Tags: Neurorehabilitation Source Type: research

Why John Fetterman Needs Closed Captioning Technology After His Stroke
Five months after the Democratic nominee in one of the nation’s most competitive Senate races suffered a stroke, there’s still a lot to learn about his recovery. In the final weeks of the Pennsylvania Senate campaign, a key Republican attack against the state’s lieutenant governor, John Fetterman, has centered on his use of closed-captioning technology, which translates audio into text on a screen in real-time. He relied on the technology during an interview conducted Friday with NBC News, his first in-person, on-camera sit-down since his stroke in May. [time-brightcove not-tgx=”true”] “...
Source: TIME: Health - October 13, 2022 Category: Consumer Health News Authors: Mini Racker Tags: Uncategorized elections Explainer healthscienceclimate uspoliticspolicy Source Type: news

Patients With Greater Stroke Severity and Premorbid Disability Are Less Likely to Receive Therapist Consultations and Intervention During Acute Care Hospitalization.
CONCLUSIONS: Approximately 1 in 4 participants with acute stroke received neither a consultation nor an intervention. Efforts to improve the delivery of acute care therapy services are needed to optimize care for these people. PMID: 31390013 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 6, 2019 Category: Physiotherapy Authors: Capo-Lugo CE, Askew RL, Naidech A, Prabhakaran S Tags: Phys Ther Source Type: research

"I Had A Stroke at 38 Years Old"
How one woman turned a life-changing event into an opportunity to thrive. As told to Kristin Canning By Kristin Canning, SELF (Photo: Courtesy of Merideth Gilmor) I wasn't supposed to have a stroke. I was 38 years old, a mom in "perfect" health. I run my own pro-athlete public relations firm, so I have to stay on pace with the likes of Maria Sharapova, Cam Newton and Colin Kaepernick. I was under stress, sure, but I was happy, enjoying my crazy, packed days. It happened about a year ago. One of my best friends was getting married in the Berkshire Mountains, so I flew from Charlotte, North Carolina, where I'd been on busin...
Source: Healthy Living - The Huffington Post - August 26, 2015 Category: Consumer Health News Source Type: news

Abstract 203: Community Based Outpatient Stroke Rehabilitation Program Achieves Excellent Outcomes Including Return to Work, Driving, Improved Blood Pressure Control, and Other Rehabilitation Outcomes Session Title: Poster Session II
Conclusions: Participants in our interdisciplinary community-based rehabilitation program demonstrated improvements in stroke knowledge, physical function, blood pressure control, and mood, while also returning to work, driving, and participation in the community. Comparative research and multi-site studies are needed.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Breen, J., Andrusin, J., Ferlito, T., Tucker, A., Hutchins, S., Pollard, J. Tags: Session Title: Poster Session II Source Type: research

Safety and efficacy of co-careldopa as an add-on therapy to occupational and physical therapy in patients after stroke (DARS): a randomised, double-blind, placebo-controlled trial
Publication date: June 2019Source: The Lancet Neurology, Volume 18, Issue 6Author(s): Gary A Ford, Bipin B Bhakta, Alastair Cozens, Suzanne Hartley, Ivana Holloway, David Meads, John Pearn, Sharon Ruddock, Catherine M Sackley, Eirini-Christina Saloniki, Gillian Santorelli, Marion F Walker, Amanda J FarrinSummaryBackgroundDopamine is a key modulator of striatal function and learning and might improve motor recovery after stroke. Previous small trials of dopamine agonists after stroke provide equivocal evidence of effectiveness on improving motor recovery. We aimed to assess the safety and efficacy of co-careldopa plus routi...
Source: The Lancet Neurology - May 22, 2019 Category: Neurology Source Type: research

Balance and Gait After First Minor Ischemic Stroke in People 70 Years of Age or Younger: A Prospective Observational Cohort Study.
CONCLUSIONS: This study observed improvements in both balance and gait during the follow-up, still about one third had balance or gait impairments at 12 months post-stroke. Balance in the acute phase predicted impaired balance at 12 months. PMID: 31944247 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 15, 2020 Category: Physiotherapy Authors: Hamre C, Fure B, Helbostad JL, Wyller TB, Ihle-Hansen H, Vlachos G, Ursin M, Tangen GG Tags: Phys Ther Source Type: research

Prevalence of Walking Limitation after Acute Stroke and its Impact on Discharge to Home
CONCLUSION: Approximately half of patients with first-ever stroke present with lower extremity weakness and walking limitation. Early walking ability is a significant predictor of returning home after acute hospitalization, independent of stroke severity. Discharge planning may be facilitated early after stroke with the familiar assessment of walking ability.IMPACT: An early assessment of walking function within days of stroke admission can help to streamline discharge planning.LAY SUMMARY: Nearly half of all individuals who experience a first-time stroke have walking difficulty when they arrive to the hospital. The severi...
Source: Physical Therapy - October 31, 2021 Category: Physiotherapy Authors: Dennis R Louie Lisa A Simpson W Ben Mortenson Thalia S Field Jennifer Yao Janice J Eng Source Type: research

Descriptive analysis of post-stroke patients in a neurological physical therapy unit
Discussion and conclusionOur results do not show significant differences between the persons < 65 years and the number of outpatient physiotherapy sessions performed, although the resulting values are close to significance. Our results suggest that the PPP is a young person, with a hemorrhagic and left or bilateral stroke.
Source: Frontiers in Neurology - February 28, 2023 Category: Neurology Source Type: research

Acupuncture for acute stroke.
CONCLUSIONS: This updated review indicates that apparently improved outcomes with acupuncture in acute stroke are confounded by the risk of bias related to use of open controls. Adverse events related to acupuncture were reported to be minor and usually did not result in stopping treatment. Future studies are needed to confirm or refute any effects of acupuncture in acute stroke. Trials should clearly report the method of randomization, concealment of allocation, and whether blinding of participants, personnel, and outcome assessors was achieved, while paying close attention to the effects of acupuncture on long-term funct...
Source: Cochrane Database of Systematic Reviews - March 30, 2018 Category: General Medicine Authors: Xu M, Li D, Zhang S Tags: Cochrane Database Syst Rev Source Type: research