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Total 227 results found since Jan 2013.

Hospital-Acquired Symptomatic Urinary Tract Infection in Patients Admitted to an Academic Stroke Center Affects Discharge Disposition
Objective: To test the role of hospital-acquired symptomatic urinary tract infection (SUTI) as an independent predictor of discharge disposition in the acute stroke patient. Study Design: A retrospective study of data collected from a stroke registry service. The registry is maintained by the Specialized Programs of Translational Research in Acute Stroke Data Core. The Specialized Programs of Translational Research in Acute Stroke is a national network of 8 centers that perform early phase clinical projects, share data, and promote new approaches to therapy for acute stroke. Setting: A single university-based hospital...
Source: PM and R - October 29, 2012 Category: Rehabilitation Authors: Nneka L. Ifejika-Jones, Hui Peng, Elizabeth A. Noser, Gerard E. Francisco, James C. Grotta Tags: Original Research Source Type: research

Physical Activity in Community-Dwelling Stroke Survivors and a Healthy Population Is Not Explained by Motor Function Only
Objectives: To explore the relationship between self-reporting and physical measures and compare self-reported physical activity (PA) levels in persons who have had a stroke with self-reported PA levels in a control population.Design: Cross-sectional assessment of a convenience sample of survivors of a stroke living in the community and a population-based sample from the same community.Setting: University hospital.Participants: Seventy persons (48 men and 22 women; average age, 60 years) who had a stroke a mean of 6 years earlier and 141 persons (70 men and 71 women; average age, 59 years) who served as control subjects....
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Anna Danielsson, Cristiane Meirelles, Carin Willen, Katharina Stibrant Sunnerhagen Tags: Original Research Source Type: research

Use of Segmental Coordination Analysis of Nonparetic and Paretic Limbs During Obstacle Clearance in Community-Dwelling Persons After Stroke
Conclusions: The present coordination analysis suggests the preservation of basic control mechanisms in the paretic limb during obstacle clearance after stroke and also reveals its specific motor control compensations. However, a larger study with differing levels of stroke severity must be conducted to understand how the evaluation of intersegmental coordination during walking could guide treatment of specific locomotor control deficits in stroke rehabilitation.
Source: PM and R - February 18, 2013 Category: Rehabilitation Authors: Michael J. MacLellan, Carol L. Richards, Joyce Fung, Bradford J. McFadyen Tags: Commentary Source Type: research

Initial Physical Grades and Cognitive Stages After Acute Stroke: Who Receives Comprehensive Rehabilitation Services?
Conclusions: Patients' physical grades and cognitive stages assessed early after stroke are strong determinants of referral for comprehensive rehabilitation.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Margaret G. Stineman, Barbara E. Bates, Jibby E. Kurichi, Pui L. Kwong, Diane Cowper Ripley, W. Bruce Vogel, Dawei Xie Tags: Original Research Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Pain following stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This is in part due to the esoteric nature of post-stroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who develop pain include central post-stroke pain (CPSP), complex regional pain syndrome (CRPS), and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Source Type: research

The Possible Effect of Oxytocin in Post-Partum Recovery from a Stroke: A Case Report
Pregnancy is a risk factor for stroke in young women, but the effect of delivery on recovery and rehabilitation after stroke has not been elucidated in pregnant stroke patients. This case report presents a pregnant stroke patient who recovered successfully after cesarean delivery during rehabilitation. The possible effect of oxytocin is discussed as a factor promoting recovery from stroke.
Source: PM and R - April 26, 2018 Category: Rehabilitation Authors: Han Gil Seo, Hyun Haeng Lee, Byung-Mo Oh Source Type: research

The Possible Effect of Oxytocin in Postpartum Recovery From a Stroke: A Case Report
Pregnancy is a risk factor for stroke in young women, but the effect of delivery on recovery and rehabilitation after stroke has not been elucidated in pregnant patients with stroke. This case report presents a pregnant patient with stroke who recovered successfully after cesarean delivery during rehabilitation. The possible effect of oxytocin is discussed as a factor promoting recovery from stroke.
Source: PM and R - April 26, 2018 Category: Rehabilitation Authors: Han Gil Seo, Hyun Haeng Lee, Byung-Mo Oh Tags: Case Presentation Source Type: research

Reliability, Validity, and Sensitivity to Change of the Lower Extremity Functional Scale in Individuals Affected by Stroke
Conclusion: LEFS exhibits good reliability, validity, and sensitivity to change in patients with lower extremity impairments secondary to stroke. Therefore, the LEFS can be a clinically efficient outcome measure in the rehabilitation of patients with subacute stroke. The LAS is shown to be a time-saving and reasonable option to track changes in a patient's functional status.
Source: PM and R - July 22, 2013 Category: Rehabilitation Authors: Joseph L. Verheijde, Fred White, James Tompkins, Peder Dahl, Joseph G. Hentz, Michael T. Lebec, Mark Cornwall Tags: Original Research Source Type: research

Risk Factors for Discharge to an Acute Care Hospital From Inpatient Rehabilitation Among Stroke Patients
Conclusion: Based on this research, we identified specific medical and functional health risk factors in the stroke population that affect the rate of discharge to an acute-care hospital. With active medical and functional management, early identification of these critical components may lead to the prevention of stroke patients from being discharged to an acute-care hospital from the inpatient rehabilitation setting.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Pamela S. Roberts, Margaret A. DiVita, Richard V. Riggs, Paulette Niewczyk, Brittany Bergquist, Carl V. Granger Tags: Original Research Source Type: research

Test-Retest Reliability of the ABILHAND Questionnaire in Persons With Chronic Stroke
Conclusion: The ABILHAND Questionnaire is reliable in persons with chronic stroke and can be recommended to evaluate recovery, rehabilitation interventions, and changes over time in a group of individuals but is less suitable for a single individual.
Source: PM and R - October 9, 2013 Category: Rehabilitation Authors: Elisabeth Ekstrand, Ingrid Lindgren, Jan Lexell, Christina Brogårdh Tags: Original Research Source Type: research

One-Year All-Cause Mortality After Stroke: A Prediction Model
Conclusion: When using readily available data, a simple index that stratifies stroke patients at hospital discharge according to low, moderate, high, and highest likelihood of all-cause 1-year mortality is feasible and can inform the postdischarge planning process, depending on level of risk.
Source: PM and R - November 11, 2013 Category: Rehabilitation Authors: Barbara E. Bates, Dawei Xie, Pui L. Kwong, Jibby E. Kurichi, Diane Cowper Ripley, Margaret G. Stineman Tags: Original Research Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Despite the availability of multiple comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to best practice. Our prior study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared to a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is routinely administered in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Source Type: research

Improvement in Compensation for Chronic Post-Stroke Homonymous Hemianopsia Following Initiation of an SSRI: A Case Report
Homonymous hemianopsia (HH) is a common adverse outcome following stroke. Spontaneous improvement more than 6 months post stroke is thought to be unlikely, and traditional visual rehabilitation techniques lack clear evidence of efficacy. The case presented is of a 22 year-old woman who demonstrated improved compensation of her stroke-induced HH following the initiation of a selective serotonin reuptake inhibitor (SSRI). There is evidence supporting the use of SSRIs to improve post-stroke cognitive impairment, motor impairment and depression.
Source: PM and R - November 17, 2016 Category: Rehabilitation Authors: Benjamin A. Abramoff, S.Byron Milton, Samir R. Belagaje Source Type: research

Designing and Implementing a System for Tracking Functional Status After Stroke: A Feasibility Study
Conclusions: This study demonstrates the feasibility of implementing a single functional outcome instrument in clinical and community settings to measure rehabilitation functional outcomes of stroke patients. Integrating the AM-PAC measurement system into clinical workflows and the electronic medical record could provide assistance to clinicians for medical decision making, functional prognostication, and discharge planning.
Source: PM and R - November 16, 2012 Category: Rehabilitation Authors: M. Elizabeth Sandel, Alan M. Jette, Jed Appelman, Joseph Terdiman, Marian TeSelle, Richard L. Delmonico, Hua Wang, Michelle Camicia, Elizabeth K. Rasch, Diane E. Brandt, Leighton Chan Tags: Original Research Source Type: research

Use of a Resting Hand Orthosis for the Hemiparetic Hand After Stroke
A 50-year-old right-handed man has been admitted to your stroke service after sustaining a left middle cerebral artery stroke. This is his first stroke. After an acute hospital stay of 5 days, he was admitted to inpatient rehabilitation. On admission to the rehabilitation unit, he presented with an essentially flaccid right arm, which demonstrated some synergistic movements (Fugl-Meyer, 8/66). Right upper extremity range of motion was well preserved, with no evidence of pain with passive movement. Sensation was diminished throughout the right side, with decreased perception of sharpness and extinction with double simultane...
Source: PM and R - January 27, 2014 Category: Rehabilitation Authors: Nathaniel H. Mayer, Richard L. Harvey, Thomas K. Watanabe Tags: Point/Counterpoint Source Type: research