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Condition: Pain

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Total 6188 results found since Jan 2013.

P 219. Navigated repeated transcranial magnetic stimulation in stroke rehabilitation (randomized blind sham-controlled study), Preliminary results: safety and tolerability
Conclusion: Repeated nTMS is safe and effective add-method in motor post-stroke rehabilitation, but continuous study and forming protocols are necessary to validate this method.ClinicalTrials.gov Identifier: NCT01652677.
Source: Clinical Neurophysiology - September 19, 2013 Category: Neuroscience Authors: M. Piradov, L. Chernikova, M. Tanashyan, A. Kadykov, A. Chervyakov, M. Nazarova, V. Gnezditsky, R. Konovalov, N. Savitskaya, P. Fedin, A. Suslin, M. Glebov, L. Dobrynina Tags: Society Proceedings Source Type: research

Morale in very old people who have had a stroke
Abstract: Stroke incidence increases with age and may impact on morale. The aim of this study was to investigate the prevalence of stroke among individuals aged 85 years or older in Northern Sweden and Western Finland and to evaluate factors associated with morale among those who have had a stroke compared with those without a stroke history. This population-based, cross-sectional study included 708 individuals (504 women and 204 men) aged 85 years and older (range 85–107). The study was conducted through structured interviews during home visits and from reviews of medical records, where demographic data and health-relat...
Source: Archives of Gerontology and Geriatrics - December 30, 2013 Category: Geriatrics Authors: Johan Niklasson, Hugo Lövheim, Yngve Gustafson Source Type: research

Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations
Conclusions We found no significant association between exposure to chiropractic care and the risk of VBA stroke. We conclude that manipulation is an unlikely cause of VBA stroke. The positive association between PCP visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection. We further conclude that using chiropractic visits as a measure of exposure to manipulation may result in unreliable estimates of the strength of association with the occurrence of VBA stroke.
Source: Chiropractic and Manual Therapies - June 16, 2015 Category: Complementary Medicine Source Type: research

Correlates of depressive symptoms in individuals attending outpatient stroke clinics.
Conclusions High levels of depressive symptoms are common in the chronic phase post-stroke and were partially related to cognition, pain, therapy enrollment and lifestyle factors. Implications for Rehabilitation Stroke patients who report cognitive deficits, pain, tobacco use or being enrolled in therapy may experience increased depressive symptoms. A holistic perspective of disease and lifestyle factors should be considered while assessing risk of depressive symptoms in stroke patients. Patients at risk for depressive symptoms should be monitored at subsequent outpatient visits. PMID: 26883012 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Vermeer J, Rice D, McIntyre A, Viana R, Macaluso S, Teasell R Tags: Disabil Rehabil Source Type: research

The potential impact of primary headache disorders on stroke risk
ConclusionPHDs is suggestive of an incremental risk for ischaemic stroke with gender-dependent, age-specific and time-dependent characteristics.
Source: The Journal of Headache and Pain - November 30, 2016 Category: Neurology Source Type: research

Understanding race-ethnic disparities in hospital arrival after stroke symptom onset (P3.259)
Conclusions:Limited knowledge of stroke symptoms may partially explain disparity between race-ethnic groups in hospital arrival.Disclosure: Dr. Springer has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Springer, M. Tags: Cerebrovascular Disease Epidemiology Source Type: research

Factors influencing pre-stroke and post-stroke quality of life among stroke survivors in a lower middle-income country
This study was done to describe pre- and post-stroke QOLs of stroke survivors. A prospective longitudinal study was done among stroke survivors admitted to 13 hospitals in the western province of Sri Lanka. The calculated sample size was 260. T he pre-stroke and post-discharge one-month QOL was gathered using short form-36 (SF-36) QOL tool. SF-36 includes questions on eight domains: general health, physical functioning, pain, role limitation due to physical problems, social functioning, vitality, role limitations due to emotional problems, and mental health. Univariate analysis was followed by determining the independent r...
Source: Neurological Sciences - November 4, 2017 Category: Neurology Source Type: research

Three-dimensional assessment of the asymptomatic and post-stroke shoulder: intra-rater test-retest reliability and within-subject repeatability of the palpation and digitization approach.
CONCLUSIONS: This noninvasive, clinically feasible palpation/digitization protocol was reliable and repeatable in asymptomatic shoulders, and in a smaller sample of painful post-stroke shoulders. Implications for Rehabilitation In the clinical setting, a reliable and repeatable noninvasive method for assessment of three-dimensional (3D) clavicular/scapular/humeral joint orientation and range of motion (ROM) is currently required. The established reliability and repeatability of this proposed palpation/digitization protocol will enable comparative 3D ROM studies between asymptomatic and post-stroke shoulders, which will fur...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Richardson D, Zabjek K, Mogk JPM, Agur AMR Tags: Disabil Rehabil Source Type: research

The use of shoulder orthoses post-stroke: effects on balance and gait. A systematic review.
CONCLUSIONS: So far no strong evidence is available regarding a potential benefit of wearing an arm sling on balance and gait for stroke patients. However, further research with longer intervention periods, can be useful to determine if stroke patients in the early phases after stroke or with persistent UL paresis might possibly benefit from wearing an arm sling. PMID: 32539311 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - June 15, 2020 Category: Rehabilitation Authors: Van Bladel A, Cambier D, Lefeber N, Oostra K Tags: Eur J Phys Rehabil Med Source Type: research

The validity of proxy responses on patient-reported outcome measures: Are proxies a reliable alternative to stroke patients ’ self-report?
ConclusionsBoth patient- and proxy-reported PROMs demonstrated strong validity. Only patient-reported PROMs were responsive to change, and proxies had worse validity for patients  ≤ 3 months from stroke but better validity for patients >  3 months from stroke. These findings justify the utilization of proxy responses in stroke patients >  3 months from stroke.
Source: Quality of Life Research - January 28, 2021 Category: Health Management Source Type: research

Pain tolerance after stroke: The Troms ø study
ConclusionsStroke survivors, with and without chronic pain, had lower cold pressor pain tolerance, with possible clinical implications for pain in this group.SignificanceWe found lower pain tolerance in participants with previous stroke compared to stroke-free participants of a large, population-based study. The association was present both in those with and without chronic pain. The results may warrant increased awareness by health professionals towards pain experienced by stroke patients in response to injuries, diseases and procedures.
Source: European Journal of Pain - May 12, 2023 Category: Anesthesiology Authors: Tonje Anita Melum, Anders P. Årnes, Hein Stigum, Audun Stubhaug, Ólöf Anna Steingrímsdóttir, Ellisiv B. Mathiesen, Christopher S. Nielsen Tags: ORIGINAL ARTICLE Source Type: research

Absent median somatosensory evoked potential is a predictor of type I complex regional pain syndrome after stroke.
Conclusions: In conclusion, GHS and the absent median SEP at sub-acute phase of stroke were primary predictors of the onset of post-stoke CRPS. Implications for Rehabilitation Recent investigations have suggested that autonomic, motor and somatosensory abnormalities of CRPS are impairments involving the central nervous system (CNS) as well as the peripheral neurogenic inflammatory process. However, the understanding of the pathophysiology of CRPS is still far from complete. The absence of SEP at the sub-acute stage of stroke correlated with the onset of post-stroke CRPS type I. The SEP evaluation at the sub-acute period af...
Source: Disability and Rehabilitation - September 19, 2013 Category: Rehabilitation Authors: Han EY, Jung HY, Kim MO Tags: Disabil Rehabil Source Type: research

Variations in Health-Related Quality of Life (HRQoL) and survival 1 year after stroke: five European population-based registers
Conclusions The study demonstrated significant variations in survival, HRQoL and utilities across populations that could not be explained by stroke severity and sociodemographic factors. Strong associations between HRQoL at 3 months and survival to 1 year after stroke were identified.
Source: BMJ Open - June 1, 2015 Category: Journals (General) Authors: Ayis, S., Wellwood, I., Rudd, A. G., McKevitt, C., Parkin, D., Wolfe, C. D. A., Giroud, Inzitari, Torrent, Sienkiewicz-Jarosz, Czlonkowska, Sarti, Lamassa, Nencini, Poggesi, Pescini, Cramaro, Magnani, Romani, Baldereschi, Sopagiene, Kranciukaite, Rodrigue Tags: Open access, Communication, Epidemiology, Evidence based practice, Health policy, Health services research Source Type: research

Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research

When Stroke Happens... at Age 27
Ever wonder what it's like to experience a stroke? Avid runner Emily Welbourn blogs about the day she had a stroke while running a race. At the sound of the starting gun, I charge forward with the other runners selected from around the world. In spite of being at peak physical health, I slowly realize my pace isn't sustainable. The one-mile marker is now ahead, I've got this. Just keep moving. Suddenly I am stabbed above the eyebrow...but no one is within arm's reach. Blindsided, I squeeze my eyes shut for a moment to tamper the pain, and the invisible knife is dragged across the top of my head down to my neck. Never i...
Source: Healthy Living - The Huffington Post - October 29, 2015 Category: Consumer Health News Source Type: news