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Is health-related quality of life between 90 and 180 days following stroke associated with long-term unmet needs?
Conclusion Routinely collected HRQoL data can identify survivors at risk of experiencing long-term unmet needs. This information is important for targeting service delivery to optimise outcomes following stroke.
Source: Quality of Life Research - February 4, 2016 Category: Health Management Source Type: research

Predictive analysis for identifying potentially undiagnosed post-stroke spasticity patients in United Kingdom
Conclusions Using machine learning techniques, additional unrecorded post-stroke spasticity patients were identified, increasing the condition’s prevalence in THIN from 2% to 13%. This work shows the potential for under-reporting of PSS in primary care data, and provides a method for improved identification of cases and control records for future studies. Graphical abstract
Source: Journal of Biomedical Informatics - February 29, 2016 Category: Information Technology Source Type: research

White Matter Injury in Ischemic Stroke
Publication date: Available online 14 April 2016 Source:Progress in Neurobiology Author(s): Yuan Wang, Gang Liu, Dandan Hong, Fenghua Chen, Xunming Ji, Guodong Cao Stroke is one of the major causes of disability and mortality worldwide. It is well known that ischemic stroke can cause gray matter injury. However, stroke also elicits profound white matter injury, a risk factor for higher stroke incidence and poor neurological outcomes. The majority of damage caused by stroke is located in subcortical regions and, remarkably, white matter occupies nearly half of the average infarct volume. Indeed, white matter is exqu...
Source: Progress in Neurobiology - April 13, 2016 Category: Neuroscience Source Type: research

Lap-tray and triangular sling are no more effective than a hemi-sling in preventing shoulder subluxation in those at risk early after stroke: a randomised trial.
CONCLUSION: A lap-tray during sitting combined with a triangular sling during standing is no more effective than a hemi-sling in preventing subluxation, pain, contracture and activity limitation in acute stroke survivors at risk of shoulder subluxation. CLINICAL REHABILITATION IMPACT: The use of a lap-tray during sitting and triangular sling during standing is not indicated as an alternative to the hemi-sling to prevent shoulder subluxation in patients after stroke, so alternative strategies with proven efficacy, such as electrical stimulation, should be considered. PMID: 27327391 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - June 20, 2016 Category: Rehabilitation Authors: Ada L, Foongchomcheay A, Langhammer B, Preston E, Stanton R, Robinson J, Paul S, Canning C Tags: Eur J Phys Rehabil Med Source Type: research

Socioeconomic factors’ effect on return to work after first stroke
ConclusionPatients with low socioeconomic status less often RTW 1 year after stroke.Impaired functional status after stroke is more common in patients with lower socioeconomic status and mediates socioeconomic differences in RTW. Improvement of functional status should be targeted to facilitate RTW among stroke patients with low socioeconomic status.
Source: Acta Neurologica Scandinavica - July 21, 2016 Category: Neurology Authors: E.‐L. Glader, B. Jonsson, B. Norrving, M. Eriksson Tags: Original Article Source Type: research

Socioeconomic factors ’ effect on return to work after first stroke
ConclusionPatients with low socioeconomic status less often RTW 1 year after stroke.Impaired functional status after stroke is more common in patients with lower socioeconomic status and mediates socioeconomic differences in RTW. Improvement of functional status should be targeted to facilitate RTW among stroke patients with low socioeconomic status.
Source: Acta Neurologica Scandinavica - July 22, 2016 Category: Neurology Authors: E. ‐L. Glader, B. Jonsson, B. Norrving, M. Eriksson Tags: Original Article Source Type: research

Mirror Therapy for Hemiparesis Following Stroke: A Review
Abstract Purpose of Review Ramachandran (Nature 377:489 –490, 1995 ) showed that in amputees, phantom limb pain described as a spasming or immobile phantom limb can be alleviated by watching their reflection of the intact limb in a parasagittally placed mirror while moving the intact limb and the phantom simultaneously. This suggested that therapy via mirror visual feedback —mirror therapy—might be considered for other diseases and conditions characterized by poor mobility. We were the first to show that mirror therapy might be beneficial for hemiparesis following stroke. There have now been numerous case reports a...
Source: Current Physical Medicine and Rehabilitation Reports - July 24, 2016 Category: Rehabilitation Source Type: research

Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.
CONCLUSION: Rehabilitation treatment with local muscle high frequency (300 Hz) vibration for 30 minutes, 3 times a week for 4 weeks, could significantly improve muscle strength and decrease muscle tonus, disability and pain in upper limb of hemiplegic post-stroke patients. CLINICAL REHABILITATION IMPACT: Local muscle vibration treatment might be an additional and safe tool in the management of chronic post-stroke patients, granted its high therapeutic efficiency, limited cost and short and repeatable protocol of use. PMID: 27598342 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - September 5, 2016 Category: Rehabilitation Authors: Costantino C, Galuppo L, Romiti D Tags: Eur J Phys Rehabil Med Source Type: research

Hemiplegic Shoulder Pain Reduces Quality of Life After Acute Stroke: A Prospective Population-Based Study
Conclusion: Hemiplegic shoulder pain reduces health-related quality of life at 12 months. More effort should be directed towards screening and management of this frequent complication of stroke.
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2016 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Clarifying the associations between anxiety, depression and fatigue following stroke
Both psychological distress and fatigue are common post stroke. Although there is recognition that the phenomena are related, the nature of the relationship is unclear.Cross-sectional study of 98 independently functioning participants within 2 years of stroke. Significant relationships were observed between fatigue and general anxiety, health-related anxiety and stroke-specific anxiety (r range from .31 to .37). In the final regression model, depression, pain and stroke-specific anxiety were significant, accounting for 32 per cent of the variance in fatigue scores (p < .001). The findings provide insight into the import...
Source: Journal of Health Psychology - November 27, 2016 Category: Psychiatry & Psychology Authors: Galligan, N. G., Hevey, D., Coen, R. F., Harbison, J. A. Tags: Articles Source Type: research

Ischemic stroke in a patient with Parry-Romberg syndrome (P4.064)
Conclusions:The only other reported patient with PRS and stroke was also found to have a PFO. It is possible that the elevated ANA seen in this patient correlates with propensity towards small venous clots not seen on ultrasound. This may lead to paradoxical emboli and ischemic strokes. It is important to note this potential association between PRS and ischemic stroke in young patients without other known risk factors. It would be worthwhile to treat this subset of patients with medications for secondary stroke prevention.Disclosure: Dr. Ebiana has nothing to disclose. Dr. Singh has nothing to disclose. Dr. Khosa has nothi...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ebiana, V., Singh, S., Khosa, S., Moheb, N., Trikamji, B., Rao, N., Mishra, S. Tags: General Neurology: Vascular Neurology Source Type: research

What factors predict Fitbit adherence in Stroke and Parkinson disease? (P6.029)
Conclusions:The strongest predictor of adherence to daily activity monitoring was level of medical co-morbidity. Other determinants of adherence were self-efficacy for managing conditions, e-Health literacy and pain. Age and level of disability did not affect daily use of small wireless monitors to track activity in stroke and PD.Disclosure: Dr. Schrader has nothing to disclose. Dr. Mentis has nothing to disclose. Dr. Phipps has nothing to disclose. Dr. Barr has nothing to disclose. Dr. Gruber-Baldini has nothing to disclose. Dr. Yarbrough has nothing to disclose. Dr. Von Coelln has nothing to disclose. Dr. Shulman has rec...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Schrader, K., Mentis, H., Phipps, M., Barr, E., Gruber-Baldini, A., Yarbrough, K., Von Coelln, F. R., Shulman, L. Tags: Movement Disorders: Tics, Tremor & amp;amp; Ataxia II Source Type: research

Ischemic stroke complicating thrombolytic therapy with tenecteplase for ST elevation myocardial infarction: two case reports
ConclusionsHemorrhagic stroke is not the only complication of thrombolysis, ischemic stroke can occur even if it is an extremely rare complication. The two cases on which we report shed light on the association between fibrinolytic therapy and ischemic stroke, the pathophysiology of which is not well understood.
Source: Journal of Medical Case Reports - June 11, 2017 Category: General Medicine Source Type: research

Central Poststroke Pain: Its Profile among Stroke Survivors in Kano, Nigeria.
CONCLUSION: Prevalence of CPSP following stroke is low. The clinical features are variable and can occur at a varied time and different intensities and locations. However, it majorly occurs within the first few months post stroke. PMID: 29056825 [PubMed - in process]
Source: Behavioural Neurology - October 25, 2017 Category: Neurology Authors: Bashir AH, Abdullahi A, Abba MA, Mukhtar NB Tags: Behav Neurol Source Type: research

Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: a nationwide population-based survey in Taiwan.
CONCLUSION: Dementia and MCD strongly predicted worse overall and specific HRQoL dimensions, especially self-care and usual activities for older stroke survivors. PMID: 29266975 [PubMed - as supplied by publisher]
Source: Aging and Mental Health - December 21, 2017 Category: Geriatrics Authors: Kuo LM, Tsai WC, Chiu MJ, Tang LY, Lee HJ, Shyu YL Tags: Aging Ment Health Source Type: research