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Association Between Total Cholesterol and 5 year Mortality in Patients with Carotid Artery Stenosis and Poststroke Functional Dependence
Background: Aggressive lipid-lowering treatment reduces the risk of cardiovascular events, but remains controversial in stroke patients. We investigate the influence of total cholesterol level on 5-year outcomes of ischemic stroke patients with high-grade internal carotid artery (ICA) stenosis and poststroke functional dependence.Methods: One-hundred and ninety-six acute ischemic stroke patients with high-grade ICA stenosis and modified Rankin Scale score ≥ 3 upon discharge were enrolled and prospectively observed for 5 years.
Source: Journal of Stroke and Cerebrovascular Diseases - January 11, 2019 Category: Neurology Authors: Yen-Ju Lung, Wei-Chieh Weng, Chia-Lun Wu, Wen-Yi Huang Source Type: research
IJERPH, Vol. 18, Pages 2376: The Effect of Walking Backward on a Treadmill on Balance, Speed of Walking and Cardiopulmonary Fitness for Patients with Chronic Stroke: A Pilot Study
This study determines the effect of walking backward on a treadmill on balance, speed of walking and cardiopulmonary fitness for patients with chronic stroke. Subjects with chronic stroke for more than six months, whose level of Brunnstrom stage is greater than IV and who are able to walk more than eleven meters with or without assistive devices were recruited. After grouping for a single-blind clinical randomized controlled trial, the subjects were divided into two groups: eight in the control group and eight in the experimental group. All subjects were subjected to 30 min traditional physical therapy, three times a week ...
Source: International Journal of Environmental Research and Public Health - March 1, 2021 Category: Environmental Health Authors: Ken-Wei Chang Chih-Ming Lin Chen-Wen Yen Chia-Chi Yang Toshiaki Tanaka Lan-Yuen Guo Tags: Article Source Type: research
IJERPH, Vol. 19, Pages 162: Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily ...
Source: International Journal of Environmental Research and Public Health - December 24, 2021 Category: Environmental Health Authors: Hsiang-Yun Chou Yu-Chun Lo Ya-Wen Tsai Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research
IJERPH, Vol. 20, Pages 1419: Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke
eh-Ting Yeh
Few studies have investigated changes in functional outcomes and economic burden in patients in the postacute care cerebrovascular disease (PAC-CVD) program. We, for the first time, retrospectively investigated changes in functional performance and the national health insurance (NHI) cost over 12 PAC-CVD hospitalization weeks and evaluated the therapeutic effects of the PAC-CVD program on the NHI cost. Specifically, the functional outcomes and NHI cost of 263 stroke patients in the PAC-CVD program were analyzed. The repeated measures t test was used to compare functional performance over 0–3 w...
Source: International Journal of Environmental Research and Public Health - January 12, 2023 Category: Environmental Health Authors: Hsiang-Yun Chou Ya-Wen Tsai Shang-Chun Ma Shang-Min Ma Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research
Obstructive sleep apnea and the risk of ischemic stroke in patients with atrial fibrillation
Atrial fibrillation (AF) is associated with significant morbidity and mortality. Prevention of thromboembolism with oral anticoagulant agents is an important treatment for patients with AF. CHADS2 and CHA2DS2-VASc score has been widely used as the initial approach to assess future stroke risk among AF patients. Obstructive sleep apnea (OSA) is a common breathing disorder associated with substantial cardiovascular morbidity and mortality. It has been reported as an independent risk factor for ischemic stroke [1–4].
Source: International Journal of Cardiology - December 2, 2014 Category: Cardiology Authors: Chun-Chin Chang, Chun-Chih Chiu, Chia-Hung Chiang, Chin-Chou Huang, Wan-Leong Chan, Po-Hsun Huang, Yu-Chun Chen, Tzeng-Ji Chen, Chia-Min Chung, Shing-Jong Lin, Jaw-Wen Chen, Hsin-Bang Leu Tags: Letter to the Editor Source Type: research
Effects of stroke on changes in heart rate variability during hemodialysis
Stroke and low heart rate variability (HRV) are both associated with an unfavorable prognosis in hemodialysis patients. The relationship between stroke and changes in HRV during hemodialysis remains unclear.
Source: BMC Nephrology - March 16, 2017 Category: Urology & Nephrology Authors: Jiun-Chi Huang, Chien-Fu Chen, Chia-Chu Chang, Szu-Chia Chen, Ming-Chia Hsieh, Yao-Peng Hsieh and Hung-Chun Chen Source Type: research
Impacts of Sensation, Perception and Motor Abilities of the Ipsilesional Upper Limb on Hand Functions in Unilateral Stroke: Quantifications from Biomechanical and Functional Perspectives
Conclusion Comprehensive sensorimotor assessments based on functional perspectives are valid tools to determine deficits in the sensation-perception-motor system in the ipsilesional UE. Integration of sensorimotor training programs for ipsilesional UE in future neuro-rehabilitation strategies may provide more beneficial effects to regain patient’s motor recovery and promote daily living independence than focusing on paretic arm motor training alone.
Source: PMandR - July 18, 2017 Category: Rehabilitation Source Type: research
Impacts of Sensation, Perception, and Motor Abilities of the Ipsilesional Upper Limb on Hand Functions in Unilateral Stroke: Quantifications From Biomechanical and Functional Perspectives
Conclusion Comprehensive sensorimotor assessments based on functional perspectives are valid tools to determine deficits in the sensation-perception-motor system in the ipsilesional UE. Integration of sensorimotor training programs for ipsilesional UE in future neuro-rehabilitation strategies may provide more beneficial effects to regain patients’ motor recovery and to promote daily living activity independence than focusing on paretic arm motor training alone. Level of Evidence To be determined.
Source: PMandR - July 28, 2017 Category: Rehabilitation Source Type: research
FES-augmented treadmill training based on muscle synergies to improve locomotion in chronic stroke patients. A pilot randomized control trial
In this study, during treadmill training, patients underwent a multi-channel FES treatment that leverages inertial sensors and muscle synergies to optimize the treatment by stimulating the impaired synergies exactly when they should have been recruited [2]. The aim of the current pilot work was to evaluate the efficacy of this treatment in improving gait in patients with chronic stroke.
Source: Gait and Posture - September 1, 2017 Category: Orthopaedics Authors: M. Giardini, N. Chia Bejarano, F. Lunardini, M. Malavolti, A. Pedrocchi, A. Nardone, S. Ferrante Tags: O38 Source Type: research
Changes in the Use of Intensive and Supportive Procedures for Patients with Stroke in Taiwan in the Last Month of Life between 2000 and 2010
Stroke is the second leading cause of death and the primary cause of disability worldwide. It is uncertain what care patients with stroke receive in their end of life care and what trends in care are in recent years.
Source: Journal of Pain and Symptom Management - November 27, 2017 Category: Palliative Care Authors: Pei-Yi Wang, Yen-Ni Hung, Robert Smith, Chia-Chin Lin Source Type: research
Establishment and validation of a prediction model for ischemic stroke risks in patients with type 2 diabetes
Diabetes is a formidable global health threat because of its high prevalence and numerous complications. Furthermore, diabetes is a leading cause of mortality and microvascular and macrovascular diseases, including coronary diseases, cerebrovascular diseases, and peripheral vascular diseases. A recent study reports that risk of stroke in patients with type 2 diabetes is two to five times higher than the general population[1]. The World Health Organization MONICA project reported that stroke incidence is higher among ethnic Chinese population than among Western population [2].
Source: Diabetes Research and Clinical Practice - February 17, 2018 Category: Endocrinology Authors: Tsai-Chung Li, Hsiang-Chi Wang, Chia-Ing Li, Chiu-Shong Liu, Wen-Yuan Lin, Chih-Hsueh Lin, Sing-Yu Yang, Cheng-Chieh Lin Source Type: research
Bimanual coordination deficits in hands following stroke and their relationship with motor and functional performance
Stroke can lead to movement disorders that affect interlimb coordination control of the bilateral upper extremities, especially the hands. However, few studies have investigated the influence of a stroke on bi...
Source: Journal of NeuroEngineering and Rehabilitation - August 2, 2019 Category: Rehabilitation Authors: Chien-Hung Lai, Wen-Hsu Sung, Shang-Lin Chiang, Liang-Hsuan Lu, Chia-Huei Lin, Yi-Chun Tung and Chueh-Ho Lin Tags: Research Source Type: research
Effects of long-term anti-seizure medication monotherapy on all-cause death in patients with post-stroke epilepsy: a nationwide population-based study in Taiwan
We aim to compare the effect of long-term anti-seizure medication (ASM) monotherapy on the risk of death and new ischemic stroke in patients with post-stroke epilepsy (PSE).
Source: BMC Neurology - June 21, 2021 Category: Neurology Authors: Chia-Yu Hsu, Chun-Yu Cheng, Jiann-Der Lee, Meng Lee and Bruce Ovbiagele Tags: Research Source Type: research
Kinematic descriptions of upper limb function using simulated tasks in activities of daily living after stroke
Hum Mov Sci. 2021 Jul 9;79:102834. doi: 10.1016/j.humov.2021.102834. Online ahead of print.ABSTRACTAssessment of upper limb function poststroke is critical for clinical management and determining the efficacy of interventions. We designed a unilateral upper limb task to simulate activities of daily living to examine how chronic stroke survivors manage reaching, grasping and handling skills simultaneously to perform the functional task using kinematic analysis. The aim of the study was to compare the motor strategies for performing a functional task between paretic and nonparetic arms. Sixteen chronic stroke survivors were ...
Source: Human Movement Science - July 12, 2021 Category: Neurology Authors: Yen-Wei Chen Wan-Wen Liao Chia-Ling Chen Ching-Yi Wu Source Type: research
