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Evidence for therapeutic interventions for hemiplegic shoulder pain during the chronic stage of stroke: a review.
CONCLUSIONS: Positive outcomes were noted with the use of corticosteroid injections and electrical stimulation and conflicting results were seen regarding the use of BTx-A. Overall, these targeted therapies provide benefit in the treatment of HSP in individuals who are more than 6 months post stroke. PMID: 23192716 [PubMed - indexed for MEDLINE]
Source: Topics in Stroke Rehabilitation - November 1, 2012 Category: Neurology Authors: Viana R, Pereira S, Mehta S, Miller T, Teasell R Tags: Top Stroke Rehabil Source Type: research
Participation in the chronic phase of stroke.
Conclusions: Most participants experienced participation problems, despite relatively good physical recovery. In addition to physical and cognitive factors, subjective complaints of persons with stroke should be addressed in the rehabilitation program. PMID: 23340071 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - January 1, 2013 Category: Neurology Authors: van der Zee CH, Visser-Meily JM, Lindeman E, Jaap Kappelle L, Post MW Tags: Top Stroke Rehabil Source Type: research
Assessing the efficacy of different upper limb hemiparesis interventions on improving health-related quality of life in stroke patients: a systematic review.
CONCLUSION: The review demonstrates the need for upper limb intervention studies to focus on QOL as a primary outcome measure in addition to the functional outcomes currently used. PMID: 23611858 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - March 1, 2013 Category: Neurology Authors: Pulman J, Buckley E Tags: Top Stroke Rehabil Source Type: research
Fatigue and pain: relationships with physical performance and patient beliefs after stroke.
CONCLUSION: Fatigue and pain are common after stroke and are negatively correlated with outcomes important to rehabilitation. Efforts focused on examining the impact of interventions on fatigue and pain are warranted. It is possible that changes to these body structure limitations could positively impact functional recovery and community re-entry after stroke. PMID: 23893834 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - July 1, 2013 Category: Neurology Authors: Miller KK, Combs SA, Van Puymbroeck M, Altenburger PA, Kean J, Dierks TA, Schmid AA Tags: Top Stroke Rehabil Source Type: research
Development of a Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors
Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - December 20, 2012 Category: Neurology Authors: Ian Philp, Michael Brainin, Marion F. Walker, Anthony B. Ward, Patrick Gillard, Alan L. Shields, Bo Norrving, Global Stroke Community Advisory Panel** Tags: Original Articles Source Type: research
Long-term use of a static hand-wrist orthosis in chronic stroke patients: a pilot study.
Conclusions. These pilot data suggest that a number of stroke patients cannot tolerate a static orthosis over a long-term period because of discomfort. Without appropriate treatment opportunities, these patients will remain at risk of developing a clenched fist and will experience problems with daily activities and hygiene maintenance. PMID: 23533961 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research
Plaque Echolucency and Stroke Risk in Asymptomatic Carotid Stenosis: A Systematic Review and Meta-Analysis Clinical Sciences
Conclusions— The presence of ultrasound-determined carotid plaque echolucency provides predictive information in asymptomatic carotid artery stenosis beyond luminal stenosis. However, the magnitude of the increased risk is not sufficient on its own to iden tify patients likely to benefit from surgical revascularization.
Source: Stroke - December 22, 2014 Category: Neurology Authors: Gupta, A., Kesavabhotla, K., Baradaran, H., Kamel, H., Pandya, A., Giambrone, A. E., Wright, D., Pain, K. J., Mtui, E. E., Suri, J. S., Sanelli, P. C., Mushlin, A. I. Tags: Carotid Stenosis, Doppler ultrasound, Transcranial Doppler etc., Risk Factors for Stroke Clinical Sciences Source Type: research
Efficacy of adhesive taping as an adjunt to physical rehabilitation to influence outcomes post-stroke: a systematic review.
CONCLUSIONS: Preliminary evidence in the domain of body function and structure suggests that use of rigid adhesive tape as an adjunct may increase the number of pain-free days at the shoulder. Evidence for the improvement of pain intensity, range of motion, muscle tone, strength, or function with taping is inconclusive. The evidence related to activity and participation is insufficient. The use of adhesive taping post-stroke needs further and more rigorous research to compare the types, methods and dosage of taping. PMID: 25776123 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - February 1, 2015 Category: Neurology Authors: Grampurohit N, Pradhan S, Kartin D Tags: Top Stroke Rehabil Source Type: research
The impact of pain on health-related quality of life 3 months after stroke.
CONCLUSION: The presence and intensity of pain have significant negative effects on HRQoL in stroke survivors. Interventions for pain could make a valuable contribution to improving HRQoL in stroke survivors. PMID: 25906672 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 23, 2015 Category: Neurology Authors: Tang WK, Lau CG, Mok V, Ungvari GS, Ka-Sing W Tags: Top Stroke Rehabil Source Type: research
The effect of upper-extremity aerobic exercise on complex regional pain syndrome type I: a randomized controlled study on subacute stroke.
CONCLUSIONS: UEAE made an excellent improvement in the symptoms and signs of CRPS I. Combined treatment of conventional physiotherapy and aerobic exercises may be an excellent synthesis for this syndrome in these patients. PMID: 25943440 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 6, 2015 Category: Neurology Authors: Topcuoglu A, Gokkaya NK, Ucan H, Karakuş D Tags: Top Stroke Rehabil Source Type: research
An International Standard Set of Patient-Centered Outcome Measures After Stroke Clinical Sciences
Conclusions— A consensus stroke measure Standard Set was developed as a simple, pragmatic method to increase the value of stroke care. The set should be validated in practice when used for monitoring and comparisons across different care settings.
Source: Stroke - December 28, 2015 Category: Neurology Authors: Salinas, J., Sprinkhuizen, S. M., Ackerson, T., Bernhardt, J., Davie, C., George, M. G., Gething, S., Kelly, A. G., Lindsay, P., Liu, L., Martins, S. C. O., Morgan, L., Norrving, B., Ribbers, G. M., Silver, F. L., Smith, E. E., Williams, L. S., Schwamm, L Tags: Quality and Outcomes, Intracranial Hemorrhage, Ischemic Stroke Clinical Sciences Source Type: research
Perceived Unmet Rehabilitation Needs 1 Year After Stroke: An Observational Study From the Swedish Stroke Register Brief Reports
Conclusions— Unfulfilled rehabilitation needs 1 year poststroke are common and associated with high age, dependency, pain, and depression. Long-term follow-up systems should, therefore, be comprehensive and address multiple domains of poststroke problems, rather than having a single-domain focus.
Source: Stroke - January 25, 2016 Category: Neurology Authors: Ullberg, T., Zia, E., Petersson, J., Norrving, B. Tags: Quality and Outcomes, Cerebrovascular Disease/Stroke Brief Reports Source Type: research
Health-Related Quality of Life Trajectories over the First Year after Stroke in Colombia, South America.
CONCLUSIONS The current findings suggest a need in Latin America for mental health services after stroke, as well as other interventions designed to increase social and family support, which may thereby improve mental health. PMID: 26883905 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - February 17, 2016 Category: Neurology Authors: Paredes AM, Landa LO, Chagualá AC, Peralta HC, Torres GV, Perrin PB, Arango-Lasprilla JC Tags: Top Stroke Rehabil Source Type: research
The impact of lower extremity pain conditions on clinical variables and health-related quality of life in patients with stroke.
CONCLUSIONS: Since lower extremity pain conditions have a significant important influence on clinical variables and health-related quality of life in stroke survivors, early identification and appropriate treatment of the lower extremity pain conditions should be carried out in order to reduce the level of disability in stroke patients. PMID: 27237469 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 29, 2016 Category: Neurology Authors: Köseoğlu BF, Akselim S, Kesikburun B, Ortabozkoyun Ö Tags: Top Stroke Rehabil Source Type: research
Patient reported outcomes of hand function three years after stroke.
CONCLUSION: Patients can perceive limitations on several domains with respect to hand function 2-5 years after stroke. Problems related to the appearance of the hand and satisfaction with hand function can be relevant and should be considered accordingly. Persistent hand problems after stroke are related to a more severe, supratentorial stroke in lower educated patients. PMID: 29025365 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 12, 2017 Category: Neurology Authors: Arwert H, Schut S, Boiten J, Vliet Vlieland T, Meesters J Tags: Top Stroke Rehabil Source Type: research
Home-based hand rehabilitation with a robotic glove in hemiplegic patients after stroke: a pilot feasibility study.
CONCLUSION: Gloreha Lite is feasible and safe for use in home rehabilitation. The efficacy data show a therapeutic effect which need to be confirmed by a randomized controlled study. PMID: 29037114 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 16, 2017 Category: Neurology Authors: Bernocchi P, Mulè C, Vanoglio F, Taveggia G, Luisa A, Scalvini S Tags: Top Stroke Rehabil Source Type: research
Analysis of a 15-years' experience in including shoulder muscles, when treating upper-limb spasticity post-stroke with botulinum toxin type A.
Conclusion When treating ULS, including shoulder muscles, the most frequent goals were IM, PD e MOB. The most injected muscles were SC and PM. The treatment was successful in a large percentage of cases. Achieving the PD goal was associated with greater success at other goals of treatment. BoNTA demonstrated a positive effect in controlling symptoms and improving function. PMID: 29322885 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 11, 2018 Category: Neurology Authors: Carvalho MP, Pinto D, Gorayeb M, Jacinto J Tags: Top Stroke Rehabil Source Type: research
Characteristics of the shoulder in patients following acute stroke: a case series.
CONCLUSIONS: Given the severity of upper limb motor impairment, pain and reduced PROM were seen in a small number of participants. The clinical course of shoulder pain and PROM following stroke remains unclear. Large observational studies tracking shoulder characteristics from acute through to rehabilitation settings are needed. PMID: 30893022 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 19, 2019 Category: Neurology Authors: Gaitan M, Bainbridge L, Parkinson S, Cormack L, Cleary S, Harrold M Tags: Top Stroke Rehabil Source Type: research
The effect of electrical stimulation on impairment of the painful post-stroke shoulder.
Conclusion: This pilot study is the first to measure pain-free passive range of motion during electrical stimulation. Our findings demonstrate the lack of an acute effect of TENS and t-NMES on pain reduction. PMID: 31298627 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 11, 2019 Category: Neurology Authors: Whitehair VC, Chae J, Hisel T, Wilson RD Tags: Top Stroke Rehabil Source Type: research
Clinimetric properties of the shortened Fugl-Meyer Assessment for the assessment of arm motor function in hemiparetic patients after stroke.
Conclusions: The shortened FMA can reliably assess the affected upper extremity in patients with hemiparesis after stroke. PMID: 31821127 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 9, 2019 Category: Neurology Authors: Amano S, Umeji A, Takebayashi T, Takahashi K, Uchiyama Y, Domen K Tags: Top Stroke Rehabil Source Type: research
Novel insights into stroke pain beliefs and perceptions.
Conclusion: These findings emphasize differences in the beliefs and perceptions associated with pain after stroke, supporting the value of targeted attention from research and therapy perspectives. Significant differences in the pain experienced by stroke and non-stroke groups may reflect a poor understanding of chronic pain following stroke. Future educational programs for stroke survivors should be tailored. Targets for future educational interventions are identified and include causes of pain, an understanding of its behavior and potential for improved prognosis. PMID: 31821126 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 9, 2019 Category: Neurology Authors: Haslam BS, Butler DS, Carey LM Tags: Top Stroke Rehabil Source Type: research
Early clinical predictors of post-stroke spasticity.
Conclusions: Besides evaluating PSS itself with a reliable and valid rating scale the common clinical scales in stroke units practice (NIHSS, MRS, MMSE) allow early identification of patients at high risk for PSS. PMID: 33156735 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 6, 2020 Category: Neurology Authors: Glaess-Leistner S, Ri SJ, Audebert HJ, Wissel J Tags: Top Stroke Rehabil Source Type: research
Shoulder taping reduces injury and pain in stroke patients: Randomized controlled trial
Conclusions: Although there was a trend toward pain reduction and functional improvement associated with shoulder taping for 2 weeks after acute stage of stroke, this did not reach statistical significance. The long-term effects of taping need to be studied in large trials. Classification of evidence: This study provided Class III evidence that tri-pull shoulder taping was ineffective in significantly reducing shoulder pain in patients with acute stoke.
Source: Neurology - February 4, 2013 Category: Neurology Authors: Pandian, J. D., Kaur, P., Arora, R., Vishwambaran, D. K., Toor, G., Mathangi, S., Vijaya, P., Uppal, A., Kaur, T., Arima, H. Tags: All Cerebrovascular disease/Stroke, Clinical trials Randomized controlled (CONSORT agreement), All Pain, Class III ARTICLE Source Type: research
Central poststroke pain: current diagnosis and treatment.
Abstract Central post-stroke pain syndrome (CPSP) is a debilitating sequel that can follow thalamic sensory stroke. Less well recognized, CPSP follows lateral medullary stroke and parietal cortical stroke and may develop anywhere along the spinothalamic or trigemino-thalamic pathways. Patients describe sharp, stabbing, or burning pain and experience hyperpathia and especially allodynia. Although CPSP was first described over 100 years ago, CPSP is too frequently underrecognized. It is treatable disorder. Pharmacological therapy, magnetic stimulation, and invasive electrical stimulation are reviewed and recommendat...
Source: Topics in Stroke Rehabilitation - March 1, 2013 Category: Neurology Authors: Flaster M, Meresh E, Rao M, Biller J Tags: Top Stroke Rehabil Source Type: research
Survivor gives us a lens into regional systems of care for acute ischemic stroke in North Dakota
I just got back from the North Dakota Mission: Lifeline STEMI and Acute Stroke Conference in Bismark, ND. I had a great time and I learned a lot. I often get asked to speak in various venues about acute STEMI and 12-lead ECG interpretation, but for this conference they wanted me to talk mostly about stroke. That turned out to be a good thing because it forced me to read the 2013 AHA / ASA Guildelines for the Early Management of Patients With Acute Ischemic Stroke to make sure I was asking intelligent questions during the panel discussion (which I moderated) and also giving accurate information for the class I taught about ...
Source: EMS 12-Lead - May 31, 2013 Category: Cardiology Authors: Tom Bouthillet Tags: ems-topics patient-management North Dakota Mission Lifeline Stroke Source Type: research
A stroke mimic; focal neurological deficits in benign hereditary chorea?
Conclusion This case highlights the difficulties in assessing patients with new focal neurological symptoms in the presence of known, pre existing, neurological disease. It also serves to highlight how often erroneously progressive weakness is mislabelled as a ‘stroke’. Neurologists working together with acute physicians in liaison posts in MAU, provides a unique opportunity to improve overall recognition of neurological disease, and for patients potentially provides a more timely diagnostic work–up and the opportunity for early treatment.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Maw, K., Johnston, J., Rowntree, C., Kalhan, A. Tags: Immunology (including allergy), Headache (including migraine), Movement disorders (other than Parkinsons), Neurooncology, Pain (neurology), Stroke, CNS cancer, Neuropathology, Radiology, Surgical diagnostic tests, Surgical oncology Association of Britis Source Type: research
Quality of Life of Stroke Survivors: A 3-Month Follow-up Study
This study aimed to assess, compare, and identify predictors of unsatisfactory QoL in different dimensions of stroke survivors at 1 month and 3 months poststroke. A total of 125 stroke survivors were recruited from 4 public hospitals under the auspices of the Department of Medical Services, Bangkok Metropolitan Administration, Thailand, and followed for 3 months. QoL was assessed using the self-administered SF-36 Health Survey, version 2.0. Six specific dimensions of QoL—physical function, role-physical, bodily pain, general health, vitality, and role-emotional—were significantly improved at 3 months poststroke; howeve...
Source: Journal of Stroke and Cerebrovascular Diseases - July 2, 2012 Category: Neurology Authors: Sangkaew Rachpukdee, Nopporn Howteerakul, Nawarat Suwannapong, Smarn Tang-aroonsin Tags: Original Articles Source Type: research
Suprascapular Nerve Block for Shoulder Pain in the First Year After Stroke: A Randomized Controlled Trial Clinical Sciences
Conclusions— Suprascapular nerve block is a safe and effective treatment for patients with hemiplegic shoulder pain. Clinical Trial Registration— URL: http://www.anzctr.org.au. Unique identifier: ACTRN12609000621213.
Source: Stroke - October 21, 2013 Category: Neurology Authors: Adey-Wakeling, Z., Crotty, M., Shanahan, E. M. Tags: Other Treatment Clinical Sciences Source Type: research
Management of hemiplegic shoulder pain post stroke
The incidence of shoulder pain post stroke was high. Thus, it is clinically significant to study the onset characteristics and pain management. Yi Zhu and colleagues from Nanjing University of Traditional Chinese Medicine, China retrospectively investigated the characteristics of hemiplegic shoulder pain post stroke in patients from Nanjing, China, and discussed risk factors for hemiplegic shoulder pain post stroke and curative effects of different pain management treatment methods...
Source: Health News from Medical News Today - November 5, 2013 Category: Consumer Health News Tags: Stroke Source Type: news
Development of a self-report scale of spasticity.
Conclusions: A short self-perceived scale for spasticity has been developed from grounded theory, which satisfies the most rigorous standards for measurement with fit to the Rasch model. PMID: 24273295 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - November 1, 2013 Category: Neurology Authors: Barker S, Horton M, Kent RM, Tennant A Tags: Top Stroke Rehabil Source Type: research
Sex differences in quality of life after ischemic stroke
Conclusion: Women have worse QOL than men up to 12 months after stroke, even after adjusting for important sociodemographic variables, stroke severity, and disability.
Source: Neurology - March 17, 2014 Category: Neurology Authors: Bushnell, C. D., Reeves, M. J., Zhao, X., Pan, W., Prvu-Bettger, J., Zimmer, L., Olson, D., Peterson, E. Tags: Quality of life, All Cerebrovascular disease/Stroke ARTICLE Source Type: research
Vitreous Hemorrhage as a Complication of IV-tPA Therapy in a Patient with Acute Stroke (P4.227)
CONCLUSIONS: To our knowledge, this is the first case report of vitreous hemorrhage following acute stroke therapy with IV-tPA. This underscores the risk of intraocular hemorrhage in patients with retinal neovascularization that could occur with other retinal vascular disorders such as diabetic retinopathy. The decision to proceed with IV-tPA in the presence of retinal neovascularization should be made on a case-by-case basis and further discussion with the patient.Disclosure: Dr. Shah has nothing to disclose. Dr. Verstraeten has nothing to disclose. Dr. Wright has nothing to disclose. Dr. Rana has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shah, L., Verstraeten, T., Wright, D., Rana, S. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Thrombolysis Source Type: research
Stroke Awareness Among Community Residents in Chicago (P7.135)
CONCLUSIONS:Despite significant efforts made to increase public awareness about stroke, moderate deficits still exist. Future educational programs should consider targeted outreach to younger populations who may live with stroke survivors and minority populations at higher risk for stroke. In addition, financial barriers to calling EMS should be tackled at public policy level.Disclosure: Dr. Mathew has nothing to disclose. Dr. O’Neill has nothing to disclose. Dr. Beckstrom has nothing to disclose. Dr. Giles has nothing to disclose. Dr. Aggarwal has nothing to disclose. Dr. Prabhakaran has received personal compensati...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Mathew, S., O'Neill, K., Beckstrom, H., Giles, F., Aggarwal, N., Prabhakaran, S. Tags: Cerebrovascular Disease and Interventional Neurology: Barriers and Opportunities in Acute Stroke Treatment Source Type: research
Ultrasound and magnetic resonance findings and correlation in hemiplegic patients with shoulder pain.
Conclusion: Although US is recommended as the first method in determining shoulder pathologies in hemiplegic patients, we suggest that MRI should be used as the first choice in hemiplegic patients with shoulder pain. MRI and US findings were not consistent, and US is dependent on the experience of the operator. MRI should be the first choice in cases where the diagnosis will affect the treatment choice due to the lack of correlation between US and MRI findings. PMID: 24722039 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - April 17, 2014 Category: Neurology Authors: Doğun A, Karabay I, Hatipoğlu C, Ozgirgin N Tags: Top Stroke Rehabil Source Type: research
Discrimination of Acute Ischemic Stroke from Nonischemic Vertigo in Patients Presenting with Only Imbalance
We examined 332 consecutive patients with an acute feeling of imbalance who showed no neurologic findings or responsible lesions on CT scan at the hyperacute phase. We examined their clinical backgrounds, physical findings, and laboratory examinations, with ischemic stroke diagnosed by later CT and/or magnetic resonance imaging (MRI). We identified 41 (12.3%) ischemic stroke patients. Atrial fibrillation (odds ratio 4.1; 95% confidence interval 1.4-11.5), white blood cell count (103/μL, 1.4; 1.2-1.6), head and/or neck pain (4.6; 2.1-10.3), first attack of imbalance feeling (3.3; 1.1-12.2), and dizziness (3.7; 1.7-8.3) wer...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2013 Category: Neurology Authors: Shoji Honda, Yuichiro Inatomi, Toshiro Yonehara, Yoichiro Hashimoto, Teruyuki Hirano, Yukio Ando, Makoto Uchino Tags: Original Articles Source Type: research
Functional Status and Patient-Reported Outcome 10 Years After Stroke: The Lund Stroke Register Clinical Sciences
Conclusions— This study indicates that 10-year stroke survivors in Sweden are mostly independent in daily activities and report good overall health and frequent physical activity, although half of them are ≥78 years.
Source: Stroke - May 27, 2014 Category: Neurology Authors: Jonsson, A.-C., Delavaran, H., Iwarsson, S., Stahl, A., Norrving, B., Lindgren, A. Tags: Health policy and outcome research Clinical Sciences Source Type: research
Imaging neurovascular function and functional recovery after stroke in the rat striatum using forepaw stimulation
p; Timothy Q Duong
Source: Journal of Cerebral Blood Flow - June 11, 2014 Category: Neurology Authors: Yen-Yu Ian ShihShiliang HuangYou-Yin ChenHsin-Yi LaiYu-Chieh Jill KaoFang DuEdward S HuiTimothy Q Duong Tags: fMRI isoflurane local field potential pain striatum stroke Source Type: research
Hemiplegic shoulder pain: associated factors and rehabilitation outcomes of hemiplegic patients with and without shoulder pain.
Conclusion: Duration of disease and low motor functional capacities have the most important impact on shoulder pain. In patients with and without shoulder pain, a systematic rehabilitation program is beneficial with respect to motor function and daily living activities. PMID: 24985391 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - May 1, 2014 Category: Neurology Authors: Karaahmet OZ, Eksioglu E, Gurcay E, Karsli PB, Tamkan U, Bal A, Cakcı A Tags: Top Stroke Rehabil Source Type: research
Migraine is a marker for risk of both ischaemic and haemorrhagic stroke
This study summarises the available evidence. Methods Sacco...
Source: Evidence-Based Medicine - July 18, 2014 Category: Internal Medicine Authors: Kurth, T. Tags: EBM Aetiology, Epidemiologic studies, Headache (including migraine), Pain (neurology), Stroke Source Type: research
Management of the hemiplegic shoulder complex.
Abstract Hemiplegia in the upper limb and shoulder complex is a common secondary impairment resulting from a cerebrovascular event; evidence-based intervention is required for effective treatment. Prior to addressing shoulder movement, biomechanical alignment of the pelvis and trunk must first be assessed. Extreme care must be taken when completing passive range of motion with the hemiplegic shoulder; motion should not exceed beyond 90° of shoulder flexion and abduction without scapular upward rotation and humeral head external rotation. It is recommended that the use of slings with upper limb hemiplegia be limit...
Source: Topics in Stroke Rehabilitation - July 1, 2014 Category: Neurology Authors: Griffin C Tags: Top Stroke Rehabil Source Type: research
Fatal Intracranial Hemorrhage after Intravenous Thrombolytic Therapy for Acute Ischemic Stroke Associated with Cancer-related Nonbacterial Thrombotic Endocarditis
Nonbacterial thrombotic endocarditis (NBTE) is associated with hypercoagulability in patients with inflammatory states such as cancer and autoimmune diseases. Cardiac vegetations caused by NBTE often lead to life-threatening systemic thromboembolism that most frequently affects the brain, spleen, and kidneys. A 54-year-old woman diagnosed with ovarian cancer suddenly developed back pain and left hemiparesis. Although intravenous alteplase (rt-PA) therapy was administered to treat hyperacute ischemic infarction detected by magnetic resonance imaging, intracranial hemorrhage occurred in the left hemisphere several hours late...
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Takuya Yagi, Kie Takahashi, Mariko Tanikawa, Morinobu Seki, Takato Abe, Norihiro Suzuki Tags: Case Reports Source Type: research
Central poststroke pain in young ischemic stroke survivors in the Helsinki Young Stroke Registry
Conclusions: Late persistent CPSP was found in 5.9% of young stroke survivors and was associated with concomitant other pain, impaired quality of life, and moderate or severe stroke symptoms.
Source: Neurology - September 22, 2014 Category: Neurology Authors: Harno, H., Haapaniemi, E., Putaala, J., Haanpaa, M., Makela, J. P., Kalso, E., Tatlisumak, T. Tags: Stroke in young adults, Central pain, Neuropathic pain ARTICLE Source Type: research
Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— CD is an important cause of ischemic stroke in young and middle-aged patients. CD is most prevalent in the upper cervical spine and can involve the internal carotid artery or vertebral artery. Although current biomechanical evidence is insufficient to establish the claim that CMT causes CD, clinical reports suggest that mechanical forces play a role in a considerable number of CDs and most population controlled studies have found an association between CMT and VAD stroke in young patients. Although the incidence of CMT-associated CD in patients who have previously received CMT is not well established, an...
Source: Stroke - September 22, 2014 Category: Neurology Authors: Biller, J., Sacco, R. L., Albuquerque, F. C., Demaerschalk, B. M., Fayad, P., Long, P. H., Noorollah, L. D., Panagos, P. D., Schievink, W. I., Schwartz, N. E., Shuaib, A., Thaler, D. E., Tirschwell, D. L., on behalf of the American Heart Association Strok Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement Source Type: research
Gait impairment in a rat model of focal cerebral ischemia.
Authors: Parkkinen S, Ortega FJ, Kuptsova K, Huttunen J, Tarkka I, Jolkkonen J Abstract The availability of proper tests for gait evaluation following cerebral ischemia in rats has been limited. The automated, quantitative CatWalk system, which was initially designed to measure gait in models of spinal cord injury, neuropathic pain, and peripheral nerve injury, is said to be a useful tool for the study of motor impairment in stroke animals. Here we report our experiences of using CatWalk XT with rats subjected to transient middle cerebral artery occlusion (MCAO), during their six-week followup. Large corticostriata...
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research
Functional Outcome After Common Poststroke Complications Occurring in the First 90 Days Clinical Sciences
Conclusions— Recurrent stroke and chest infections were strongly associated with a worsened outcome. Other infections and falls were associated with less worsening. For myocardial infarction, urinary tract infections, and pain no association with functional outcome was found. Active strategies for prevention and early treatment of the first 2 complications seem advisable; patient monitoring as part of comprehensive stroke unit care should ensure timely identification and treatment of all complications.
Source: Stroke - December 22, 2014 Category: Neurology Authors: Rohweder, G., Ellekjaer, H., Salvesen, O., Naalsund, E., Indredavik, B. Tags: Other Stroke Treatment - Medical Clinical Sciences Source Type: research
Paediatric cerebral sinovenous thrombosis: findings of the International Paediatric Stroke Study
Conclusions Our study extends the observations of previously published smaller studies in children with CSVT that this is a morbid disease with diverse underlying causes and risk factors. Divergent treatment practices among highly specialised centres as well as limited data on treatment efficacy and safety suggest that further study of this condition is warranted.
Source: Archives of Disease in Childhood - January 20, 2015 Category: Pediatrics Authors: Ichord, R. N., Benedict, S. L., Chan, A. K., Kirkham, F. J., Nowak-Gottl, U., Ashwal, deVeber, Ferriero, Fullerton, Ichord, Kirkham, Lynch, O'Callaghan, Pavlakis, Sebire, Willan, Kirton, Moharir, Sofronas, Nowak-Gottl, During, Krumpel, Dowling, Plumb, Jou Tags: Epidemiologic studies, Drugs: cardiovascular system, Epilepsy and seizures, Headache (including migraine), Pain (neurology), Stroke, Child health, Memory disorders (psychiatry) Original article Source Type: research
Misdiagnosis in Young Patients with Ischemic Stroke (P7.122)
Conclusions It is essential to increase awareness that young patients with stroke may present to emergency department with minor symptoms of artery dissection mainly involving the posterior circulation and lacking cardiovascular risk factors.Disclosure: Dr. Leon has nothing to disclose. Dr. Pantiu has nothing to disclose. Dr. Quiroga has nothing to disclose. Dr. Bonardo has nothing to disclose. Dr. Uribe has nothing to disclose. Dr. Mazziotti has received research support from Shire Pharmaceuticals Group. Dr. Zinnerman has nothing to disclose. Dr. Martinez has nothing to disclose. Dr. Sotelo has nothing to disclose. Dr. Ju...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Leon, L., Pantiu, F., Quiroga, J., Bonardo, P., Uribe, C., Mazziotti, J., Zinnerman, A., Martinez, A., Sotelo, A., Jure, L., Nofal, P., Bendersky, E., Sposato, L. A., Riccio, P., Reisin, R., Fernandez Pardal, M. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke in Young Source Type: research
Late-onset thermal hypersensitivity after focal ischemic thalamic infarcts as a model for central post-stroke pain in rats
; Cenk Ayata
Source: Journal of Cerebral Blood Flow - April 22, 2015 Category: Neurology Authors: Francesco BlasiFanny HerissonShuxing WangJianren MaoCenk Ayata Tags: central post-stroke pain endothelin-1 hyperalgesia thalamus Source Type: research
Factors Associated with Poststroke Fatigue: A Systematic Review.
Authors: Ponchel A, Bombois S, Bordet R, Hénon H Abstract Background. Poststroke fatigue (PSF) is a frequent, disabling symptom that lacks a consensual definition and a standardized evaluation method. The (multiple) causes of PSF have not been formally characterized. Objective. To identify factors associated with PSF. Method. A systematic review of articles referenced in MEDLINE. Only original studies having measured PSF and potentially associated factors were included. Data was extracted from articles using predefined data fields. Results. Although PSF tends to be more frequent in female patients and older patien...
Source: Stroke Research and Treatment - June 24, 2015 Category: Neurology Tags: Stroke Res Treat Source Type: research
Late-onset thermal hypersensitivity after focal ischemic thalamic infarcts as a model for central post-stroke pain in rats
; Cenk Ayata
Source: Journal of Cerebral Blood Flow and Metabolism - June 30, 2015 Category: Neuroscience Authors: Francesco BlasiFanny HerissonShuxing WangJianren MaoCenk Ayata Tags: central post-stroke pain endothelin-1 hyperalgesia thalamus Source Type: research