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Total 318 results found since Jan 2013.

Does Respiratory Muscle Training Improve Cough Flow in Acute Stroke? Pilot Randomized Controlled Trial Clinical Sciences
Conclusions— Respiratory muscle function and cough flow improve with time after acute stroke. Additional inspiratory or expiratory respiratory muscle training does not augment or expedite this improvement. Clinical Trial Registration— URL: http://www.controlled-trials.com. Unique identifier: ISRCTN40298220.
Source: Stroke - January 26, 2015 Category: Neurology Authors: Kulnik, S. T., Birring, S. S., Moxham, J., Rafferty, G. F., Kalra, L. Tags: Rehabilitation, Stroke, Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Prestroke VO < sub > 2 < /sub > max by the Jurca prediction index as a predictor of functional outcomes in stroke patients
CONCLUSIONS: Prestroke CPF likely affects the stability of core muscles that are related to PCF and the functional status, including balance function and ADL after stroke. Regular exercise to increase the CPF level should be encouraged in patients with risk factors for stroke, not only for primary prevention but also for functional improvement after stroke.PMID:33823741 | DOI:10.1080/10749357.2021.1911747
Source: Topics in Stroke Rehabilitation - April 7, 2021 Category: Neurology Authors: Eun Chae Lee Yoon Jeong Jeong Hyo Jeong Lee Seo Yeon Yoon Source Type: research

Effect of Dysphagia Screening Strategies on Clinical Outcomes After Stroke: A Systematic Review for the 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke AHA/ASA Systematic Review
Conclusions—There were insufficient RCT data to determine the effect of dysphagia screening protocols on reducing the rates of pneumonia, death, or dependency after stroke. Additional trials are needed to compare the validity, feasibility, and clinical effectiveness of different screening methods for dysphagia.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Eric E. Smith, David M. Kent, Ketan R. Bulsara, Lester Y. Leung, Judith H. Lichtman, Mathew J. Reeves, Amytis Towfighi, William N. Whiteley, Darin B. Zahuranec Tags: Statements and Guidelines AHA/ASA Systematic Review Source Type: research

The Dysphagia in Stroke Protocol Reduces Aspiration Pneumonia in Patients with Dysphagia Following Acute Stroke: a Clinical Audit
AbstractCough reflex testing has been evaluated as a component of the clinical swallowing assessment as a means of identifying patients at risk of aspiration during swallowing. A previous study by our research group found good sensitivity and specificity of the cough reflex test for identifying patients at risk of aspiration post-stroke, yet its use did not decrease pneumonia rates, contrary to previous reports. The aim of this study was to expand on our earlier work by implementing a clinical management protocol incorporating cough reflex testing within the same healthcare setting and compare patient outcomes to those fro...
Source: Translational Stroke Research - March 30, 2018 Category: Neurology Source Type: research

Prevalence and risk factors of urinary incontinence for post‐stroke inpatients in Southern China
ConclusionsThe prevalence of UI among post‐stroke inpatients is high. Stroke inpatients looked after by health care assistant, hemorrhagic stroke, mixed stroke, parietal lobe lesion, chronic cough, aphasia, and post‐stroke depression were high‐risk groups for UI. These patients should be targeted when planning intervention programs. Neurourol. Urodynam. © 2013 Wiley Periodicals, Inc.
Source: Neurourology and Urodynamics - December 30, 2013 Category: Urology & Nephrology Authors: Wenzhi Cai, Juan Wang, Li Wang, Jingxin Wang, Li Guo Tags: Original Clinical Article Source Type: research

Prolonged impairment of deglutition in supratentorial ischaemic stroke: the predictive value of Parramatta Hospitals' Assessment of Dysphagia.
CONCLUSIONS: In a selected population at risk of aspiration, the PHAD with a threshold of 70 assessed in the second week after stroke onset may be a valuable tool to predict prolonged impairment of deglutition for another 4 weeks and to guide the decision about switching from NG to PEG tube feeding after supratentorial ischaemic stroke. PMID: 27684427 [PubMed - as supplied by publisher]
Source: Swiss Medical Weekly - October 1, 2016 Category: Journals (General) Authors: Kägi G, Leisi N, Galovic M, Müller-Baumberger M, Krammer W, Weder B Tags: Swiss Med Wkly Source Type: research

A pilot study of respiratory muscle training to improve cough effectiveness and reduce the incidence of pneumonia in acute stroke: study protocol for a randomized controlled trial
This study investigates a novel strategy based on an exercise intervention for cough rehabilitation.Trial registration: Current Controlled Trials ISRCTN40298220
Source: BioMed Central - April 12, 2014 Category: Journals (General) Authors: Stefan Tino KulnikGerrard Francis RaffertySurinder S BirringJohn MoxhamLalit Kalra Source Type: research

Cough reflex testing in acute stroke: A survey of current UK service provision and speech and language therapist perceptions.
CONCLUSIONS & IMPLICATIONS: This survey gives valuable insight into the current practice and perceptions of SLTs in the UK working in acute stroke settings in relation to CRT. It highlights discrepancies between reported approaches and recommendations from existing guidelines and validation studies. The variation in responses indicates a need to develop a consensus statement and further research to guide practice. What this study adds What is already known on the subject CRT is gaining popularity as a screening tool for the clinical identification of SA with acute stroke patients. However, there is a lack of consensus ...
Source: International Journal of Language and Communication Disorders - September 6, 2020 Category: Speech-Language Pathology Authors: Trimble J, Patterson J Tags: Int J Lang Commun Disord Source Type: research

Screening for silent aspiration in hyperacute stroke: A feasibility study of clinical swallowing examination and cough reflex testing
CONCLUSIONS & IMPLICATIONS: CRT, CSE and FEES are feasible in 58% of hyperacute stroke patients in this setting. FEES anxiety is the main recruitment barrier and is not always well tolerated. Results support further work to establish optimum methods and differential sensitivity/specificity of CRT and CSE in hyperacute stroke for SA identification.WHAT THIS PAPER ADDS: What is already known on this subject SA significantly increases the risk of pneumonia in the early days post-stroke. CSEs are unreliable for identification of SA risk in this population. CRT is gaining popularity as a potential tool to identify stroke patien...
Source: International Journal of Language and Communication Disorders - May 9, 2023 Category: Speech-Language Pathology Authors: Julie Trimble Joanne M Patterson Janet A Wilson Anand K Dixit Michael Drinnan Source Type: research