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The six-minute walk test predicts cardiorespiratory fitness in individuals with aneurysmal subarachnoid hemorrhage.
CONCLUSIONS: The 6MWT is an easy-to-administer submaximal exercise test that can be selected to estimate cardiorespiratory fitness at an aggregated level, in groups of patients with a-SAH, which may help to evaluate interventions in a clinical or research setting. However, the relatively large prediction error does not allow for an accurate prediction in individual patients. PMID: 27915583 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 4, 2016 Category: Neurology Authors: Harmsen WJ, Ribbers GM, Slaman J, Heijenbrok-Kal MH, Khajeh L, van Kooten F, Neggers SJ, van den Berg-Emons RJ Tags: Top Stroke Rehabil Source Type: research

Reporting “specific abilities” after major stroke to better describe prognosis
If health professionals are to involve major stroke patients and their families in making decisions about treatments, they need to describe prognosis in terms that are easily understood. We suggest that referring to “specific abilities”, such as ability to be independent, walk, talk, eat normally, be continent, live without severe pain, live without major anxiety or depression and to live at home may be more easily understood than terms such as disabled based on the modified Rankin scale (mRs).
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Akila Visvanathan, William Whiteley, Gillian Mead, Julia Lawton, Fergus N Doubal, Martin Dennis Source Type: research

Anxiety in Patients With Acute Ischemic Stroke: Risk Factors and Effects on Functional Status
Conclusion: Depressive symptoms are the major correlates of PSA while more severe PSA is associated with poorer ADL and health-related QOL. Acute lesions involving CHWM may correlate with PSA in ischemic stroke patients with mild-to-moderate neurologic deficits, supporting a lesion-location hypothesis in PSA.IntroductionAnxiety is prevalent after stroke and occurs in about one-quarter of stroke survivors (1, 2). Poststroke anxiety (PSA) may have a negative impact on quality of life (QOL) of stroke survivors, affecting their rehabilitation (3). Furthermore, one prospective study found that severe anxiety symptoms were assoc...
Source: Frontiers in Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research

Study finds link between air pollution and stroke risk
Conclusion This study showed a clear link between rises in gas and particle pollution and the chances of being admitted to hospital or dying because of a stroke. The researchers showed the link was strongest on the day of exposure to raised pollution levels. But this study has some limitations. While systematic reviews are a good way to summarise all the research that has been published on a topic, they are only as good as the individual studies they include. About two-thirds of the studies used a time series design, which the researchers say is less effective in taking account of trends such as the season of year, rathe...
Source: NHS News Feed - March 25, 2015 Category: Consumer Health News Tags: Lifestyle/exercise Neurology Source Type: news

What Are the Classifications of Perinatal Stroke?
Discussion Perinatal stroke occurs in about 1:1000 live births and is a “focal vascular injury from the fetal period to 28 days postnatal age.” Perinatal stroke is the most common cause of hemiparetic cerebral palsy and causes other significant morbidity including cognitive deficits, learning disabilities, motor problems, sensory problems including visual and hearing disorders, epilepsy, and behavioral and psychological problems. Family members are also affected because of the potential anxiety and guilt feelings that having a child with a stroke presents, along with the care that may be needed over the child&#...
Source: PediatricEducation.org - May 1, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Female stroke survivors’ quality of life investigated
Conclusion The study suggests that women have a lower quality of life than men three and 12 months after they have been discharged from hospital after experiencing a stroke or mini-stroke. While the results were statistically significant, the relative differences appeared small. For example at three months (where the largest difference was found) the average difference in quality of life score between men and women was 0.036 points. This is on a quality of life scale that ranges from 0 (death) to 1 (perfect health). The quality of life difference at 12 months was 0.022 points. Whether these small differences are clinicall...
Source: NHS News Feed - February 10, 2014 Category: Consumer Health News Tags: Neurology Lifestyle/exercise Source Type: news

Female stroke survivors' quality of life investigated
Conclusion The study suggests that women have a lower quality of life than men three and 12 months after they have been discharged from hospital after experiencing a stroke or mini-stroke. While the results were statistically significant, the relative differences appeared small. For example at three months (where the largest difference was found) the average difference in quality of life score between men and women was 0.036 points. This is on a quality of life scale that ranges from 0 (death) to 1 (perfect health). The quality of life difference at 12 months was 0.022 points. Whether these small differences are clinicall...
Source: NHS News Feed - February 10, 2014 Category: Consumer Health News Tags: Neurology Lifestyle/exercise Source Type: news

Depression, anxiety, insomnia, stress, and the way of coping emotions as risk factors for ischemic stroke and their influence on stroke severity: A case –control study in Lebanon
ConclusionDespite several limitations, the findings of our study suggest that people who are depressed or stressed are more likely to have an ischemic stroke. Consequently, additional research into the causes and effects of depression and perceived stress may provide new directions for preventive strategies that can help reduce the risk of stroke. Since pre-stroke depression and perceived stress were also found to be strongly correlated with stroke severity, future studies should evaluate the association between pre-stroke depression, perceived stress, and stroke severity to gain a deeper understanding of the complex inter...
Source: Frontiers in Psychiatry - February 21, 2023 Category: Psychiatry Source Type: research

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study.
CONCLUSION: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities. Implications for rehabilitation Stroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a futu...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Parappilly BP, Mortenson WB, Field TS, Eng JJ Tags: Disabil Rehabil Source Type: research

Information provision for stroke survivors and their carers
CONCLUSIONS: Active information provision may improve stroke-survivor knowledge and quality of life, and may reduce anxiety and depression. However, the reductions in anxiety and depression scores were small and may not be important. In contrast, providing information passively may slightly worsen stroke-survivor anxiety and depression scores, although again the importance of this is unclear. Evidence relating to carers and to other outcomes of passive information provision is generally very uncertain. Although the best way to provide information is still unclear, the evidence is better for strategies that actively involve...
Source: Cochrane Database of Systematic Reviews - November 23, 2021 Category: General Medicine Authors: Thomas F Crocker Lesley Brown Natalie Lam Faye Wray Peter Knapp Anne Forster Source Type: research

Employment status, social function decline and caregiver burden among stroke survivors. A South Indian study
Conclusions: Loss of occupation among stroke survivors is high. The decline in social function among stroke survivors and caregivers was significant. Even though functional disability contributed to employment loss and social function decline among stroke survivors, it did not have a significant impact on caregiver burden.
Source: Journal of the Neurological Sciences - July 29, 2013 Category: Neurology Authors: Sapna Erat Sreedharan, J.P. Unnikrishnan, M.G. Amal, B.S. Shibi, Sankara Sarma, P.N. Sylaja Tags: Original Articles Source Type: research

Stroke risk factors, post stroke anxiety and neurocognitive function (s36.003)
Conclusions:As in other contexts, the prevalence of clinically significant anxiety after stroke in this low income population is high. It is frequently co-morbid with depression and associated with cognitive impairment in stroke survivors.Study Supported by:National Institute of Neurological Disorders and Stroke (NINDS-U01 NS079179) and GACD.Disclosure: Dr. Owolabi has nothing to disclose. Dr. Akinyemi has nothing to disclose. Dr. Akinyemi has nothing to disclose. Dr. Gebregziabher has nothing to disclose. Dr. Uvere has nothing to disclose. Dr. Ovbiagele has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Owolabi, M., Akinyemi, R., Akinyemi, J., Gebregziabher, M., Uvere, E., Ovbiagele, B. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research