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Total 1715 results found since Jan 2013.

Being deliberate in postacute stroke: strategies to redeem the time.
Abstract Physical rehabilitation post stroke is key to minimizing impairments, restoring functional mobility, and returning individuals to their life roles. The reimbursable time allotted to attain those goals in the current health care environment is limited and is not projected to increase. It is critical, therefore, for rehabilitation professionals to re-evaluate how they use their limited time with clients. Repetition is the foundation for changes in representational organization of the motor cortex and for motor skill learning. Drawing from animal and human motor learning literature as well as completed clini...
Source: Topics in Stroke Rehabilitation - July 1, 2014 Category: Neurology Authors: Rose DK Tags: Top Stroke Rehabil Source Type: research

Functional Brain Correlates of Upper Limb Spasticity and Its Mitigation following Rehabilitation in Chronic Stroke Survivors.
Conclusions. Contralesional motor regions may contribute to restoring control of muscle tone in chronic stroke. PMID: 25101190 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Progressive Cognitive Deficits in a Mouse Model of Recurrent Photothrombotic Stroke Brief Reports
Conclusions— Our results show progressive cognitive deficits in a mouse model of recurrent photothrombotic stroke. The presented model resembles the clinical features of human multi-infarct dementia and enables the investigation of its pathophysiological mechanisms and the evaluation of treatment strategies.
Source: Stroke - March 23, 2015 Category: Neurology Authors: Schmidt, A., Diederich, K., Strecker, J.-K., Geng, B., Hoppen, M., Duning, T., Schabitz, W.-R., Minnerup, J. Tags: Behavioral Changes and Stroke Brief Reports Source Type: research

Intima-Media Thickness and Cognitive Function in Stroke-Free Middle-Aged Adults: Findings From the Coronary Artery Risk Development in Young Adults Study Clinical Sciences
Conclusions— We observed an association between greater IMT and worse processing speed—a key component of cognitive functioning—at middle age above and beyond traditional vascular risk factors. Efforts targeted at preventing early stages of atherosclerosis may modify the course of cognitive aging.
Source: Stroke - July 27, 2015 Category: Neurology Authors: Al Hazzouri, A. Z., Vittinghoff, E., Sidney, S., Reis, J. P., Jacobs, D. R., Yaffe, K. Tags: Cerebrovascular disease/stroke, Risk Factors, Epidemiology Clinical Sciences Source Type: research

Error augmentation as a possible technique for improving upper extremity motor performance after a stroke - a systematic review.
CONCLUSIONS: Most of the studies reviewed have significant methodological drawbacks that resulted in equivocal results. Therefore, we recommend that additional randomized controlled trials, with larger sample sizes and acceptable protocols be conducted to determine the long-term efficacy of EA training. PMID: 26382572 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 18, 2015 Category: Neurology Authors: Israely S, Carmeli E Tags: Top Stroke Rehabil Source Type: research

Stroke Severity Is a Crucial Predictor of Outcome: An International Prospective Validation Study Stroke
Conclusions In this prospective pilot study, the baseline NIHSS score was essential for prediction of acute ischemic stroke outcomes, followed by age; whereas traditional comorbidity index contributed little to the overall model. Future studies of stroke outcomes between different care systems will benefit from including a baseline NIHSS score.
Source: JAHA:Journal of the American Heart Association - January 21, 2016 Category: Cardiology Authors: Rost, N. S., Bottle, A., Lee, J.-M., Randall, M., Middleton, S., Shaw, L., Thijs, V., Rinkel, G. J. E., Hemmen, T. M., the Global Comparators Stroke GOAL collaborators Tags: Mortality/Survival, Quality and Outcomes, Cerebrovascular Disease/Stroke, Ischemic Stroke Source Type: research

Effects of action observation therapy on hand dexterity and EEG-based cortical activation patterns in patients with post-stroke hemiparesis.
CONCLUSIONS: These findings support that AOT may be beneficial in altering cortical activation patterns and hand dexterity. PMID: 27077994 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 30, 2016 Category: Neurology Authors: Kuk EJ, Kim JM, Oh DW, Hwang HJ Tags: Top Stroke Rehabil Source Type: research

Efficacy of transcranial alternating current stimulation over bilateral mastoids (tACSbm) on enhancing recovery of subacute post-stroke patients.
CONCLUSIONS: tACSbm appeared to be effective for enhancing patients' functional recovery and cerebral hemodynamics in the subacute phase. The extent of recovery seems to be associated with the decline of the resistance in vascular bed of the main cerebral arteries. The mechanisms behind this effect should be explored further through research. PMID: 27145292 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 3, 2016 Category: Neurology Authors: Wu JF, Wang HJ, Wu Y, Li F, Bai YL, Zhang PY, Chan CC Tags: Top Stroke Rehabil Source Type: research

Boosting the traditional physiotherapist approach for stroke spasticity using a sensorized ankle foot orthosis: a pilot study.
CONCLUSIONS: PhT-Pt sharing of exercise information, provided by joint sensorization and vBFB, improved the efficacy of the conventional approach for treating ankle spasticity in subacute stroke Pts. PMID: 28460597 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 1, 2017 Category: Neurology Authors: Tamburella F, Moreno JC, Iosa M, Pisotta I, Cincotti F, Mattia D, Pons JL, Molinari M Tags: Top Stroke Rehabil Source Type: research

Novel Screening Tool for Stroke Using Artificial Neural Network Brief Report
Conclusions—Our results show that ANN can be an effective tool for the recognition of ACI and differentiation of ACI from stroke mimics at the initial examination.
Source: Stroke - May 22, 2017 Category: Neurology Authors: Vida Abedi, Nitin Goyal, Georgios Tsivgoulis, Niyousha Hosseinichimeh, Raquel Hontecillas, Josep Bassaganya-Riera, Lucas Elijovich, Jeffrey E. Metter, Anne W. Alexandrov, David S. Liebeskind, Andrei V. Alexandrov, Ramin Zand Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke Brief Reports Source Type: research

The feasibility of an acute high-intensity exercise bout to promote locomotor learning after stroke.
CONCLUSIONS: An acute high-intensity exercise bout that could be incorporated into a neurorehabilitation learning-specific session and results in substantial exercise-induced responses is feasible post-stroke. PMID: 29105605 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 5, 2017 Category: Neurology Authors: Charalambous CC, Helm EE, Lau KA, Morton SM, Reisman DS Tags: Top Stroke Rehabil Source Type: research

Differences in neural pathways are related to the short- or long-term benefits of constraint-induced movement therapy in patients with chronic stroke and hemiparesis: a pilot cohort study.
Conclusions The integrity of the affected corticospinal and non-corticospinal motor pathways was associated with CIMT-induced motor learning at least 6 months after CIMT. PMID: 29130404 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - November 13, 2017 Category: Neurology Authors: Takebayashi T, Marumoto K, Takahashi K, Domen K Tags: Top Stroke Rehabil Source Type: research

Boosted Tree Model Reforms Multimodal Magnetic Resonance Imaging Infarct Prediction in Acute Stroke Clinical Sciences
Background and Purpose—Stroke imaging is pivotal for diagnosis and stratification of patients with acute ischemic stroke to treatment. The potential of combining multimodal information into reliable estimates of outcome learning calls for robust machine learning techniques with high flexibility and accuracy. We applied the novel extreme gradient boosting algorithm for multimodal magnetic resonance imaging–based infarct prediction.Methods—In a retrospective analysis of 195 patients with acute ischemic stroke, fluid-attenuated inversion recovery, diffusion-weighted imaging, and 10 perfusion parameters were derived from...
Source: Stroke - March 26, 2018 Category: Neurology Authors: Michelle Livne, Jens K. Boldsen, Irene K. Mikkelsen, Jochen B. Fiebach, Jan Sobesky, Kim Mouridsen Tags: Magnetic Resonance Imaging (MRI), Ischemic Stroke Original Contributions Source Type: research

Prediction of Tissue Outcome and Assessment of Treatment Effect in Acute Ischemic Stroke Using Deep Learning Clinical Sciences
Background and Purpose—Treatment options for patients with acute ischemic stroke depend on the volume of salvageable tissue. This volume assessment is currently based on fixed thresholds and single imagine modalities, limiting accuracy. We wish to develop and validate a predictive model capable of automatically identifying and combining acute imaging features to accurately predict final lesion volume.Methods—Using acute magnetic resonance imaging, we developed and trained a deep convolutional neural network (CNNdeep) to predict final imaging outcome. A total of 222 patients were included, of which 187 were treated with...
Source: Stroke - May 25, 2018 Category: Neurology Authors: Anne Nielsen, Mikkel Bo Hansen, Anna Tietze, Kim Mouridsen Tags: Magnetic Resonance Imaging (MRI), Treatment, Quality and Outcomes, Statements and Guidelines, Ischemic Stroke Original Contributions Source Type: research

A short bout of high-intensity exercise alters ipsilesional motor cortical excitability post-stroke.
Conclusions: High-intensity exercise can increase lesioned hemisphere motor cortical excitability in a non-exercised muscle post-stroke. Our short and clinically-advantageous exercise protocol shows promise as a potential priming method in stroke rehabilitation. PMID: 31144609 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 29, 2019 Category: Neurology Authors: Li X, Charalambous CC, Reisman DS, Morton SM Tags: Top Stroke Rehabil Source Type: research

Efficacy of motor imagery additional to motor-based therapy in the recovery of motor function of the upper limb in post-stroke individuals: a systematic review.
Conclusion. There is evidence showing that MI associated with motor-based therapy is an effective tool in improving the motor function of upper limbs of post-stroke individuals. However, more studies are needed to establish criteria for frequency and duration of intervention, and what better type of MI should be used. PMID: 31264520 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 1, 2019 Category: Neurology Authors: Machado TC, Carregosa AA, Santos MS, Ribeiro NMDS, Melo A Tags: Top Stroke Rehabil Source Type: research

A multifaceted continuing professional development intervention to move stroke rehabilitation guidelines into professional practice: A feasibility study.
Conclusion: This study demonstrated the feasibility of assessing the impact of a CPD intervention in stroke rehabilitation uptake and informed the design of a research program aimed at increasing the use of stroke evidence-based rehabilitation interventions. PMID: 31960782 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 20, 2020 Category: Neurology Authors: Luconi F, Rochette A, Grad R, Hallé MC, Chin D, Habib B, Thomas A Tags: Top Stroke Rehabil Source Type: research

Cognition assessments to predict inpatient falls in a subacute stroke rehabilitation setting.
Conclusions: Cognition assessments, i.e., one FIM item, one RAVLT item, or a one-minute verbal fluency test are significant falls predictors. PMID: 32431244 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 19, 2020 Category: Neurology Authors: García-Rudolph A, García-Molina A, Opisso E, Tormos JM, Bernabeu M Tags: Top Stroke Rehabil Source Type: research

Verbal feedback enhances motor learning during post-stroke gait retraining.
CONCLUSIONS: Addition of individualized verbal feedback (FF+PT) to a single session of gait training may enhance within- and across-session learning of targeted gait variables in people post-stroke, and merits more investigation. PMID: 32942960 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 17, 2020 Category: Neurology Authors: Rendos NK, Zajac-Cox L, Thomas R, Sato S, Eicholtz S, Kesar TM Tags: Top Stroke Rehabil Source Type: research

Adult Stroke Survivors Who Practice Tai Chi May Be At Reduced Risk For Falls
Tai Chi may reduce falls among adult stroke survivors, according to research presented at the American Stroke Association's International Stroke Conference 2013. Compared to survivors receiving usual care or participating in a national fitness program for Medicare-eligible adults called SilverSneakers®, those practicing Tai Chi had the fewest falls. Tai Chi is a martial art dating back to ancient China. It includes physical movements, mental concentration and relaxed breathing. "Learning how to find and maintain your balance after a stroke is a challenge," said Ruth E...
Source: Health News from Medical News Today - February 8, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

A "FAST" Response To Stroke Can Reduce Long-Term Damage
During National Stroke Awareness Month, NewYork-Presbyterian Hospital's Stroke Centers Offer Tips on How to Recognize and Prevent Strokes A stroke can strike in an instant, but can change a person's life forever. Strokes -- 80 percent of which are caused by a blood clot that blocks blood flow to the brain -- are medical emergencies that require immediate attention. The earlier a stroke is recognized and treated, the greater the chance of recovery. Remembering the acronym FAST is an easy way to learn how to recognize a stroke and what to do to minimize its long-term damaging effects...
Source: Health News from Medical News Today - May 9, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

Individualized stroke care offered by bedside optical monitoring of cerebral blood flow
Using a University of Pennsylvania-designed device to noninvasively and continuously monitor cerebral blood flow (CBF) in acute stroke patients, researchers from Penn Medicine and the Department of Physics & Astronomy in Penn Arts and Sciences are now learning how head of bed (HOB) positioning affects blood flow reaching the brain. Most patients admitted to the hospital with an acute stroke are kept flat for at least 24 hours in an effort to increase CBF in vulnerable brain regions surrounding the damaged tissue.
Source: Health News from Medical News Today - March 24, 2014 Category: Consumer Health News Tags: Stroke Source Type: news

Cognitive performance after stroke – The Framingham Heart Study
ConclusionsClinical stroke is associated with subsequent poorer performance in multiple cognitive domains. This association cannot be entirely explained by the individual's cognitive function prior to stroke or by concomitant vascular risk factor levels.
Source: International Journal of Stroke - April 1, 2014 Category: Neurology Authors: Galit Weinstein, Sarah R. Preis, Alexa S. Beiser, Rhoda Au, Margaret Kelly‐Hayes, Carlos S. Kase, Philip A. Wolf, Sudha Seshadri Tags: Research Source Type: research

Delayed Hyperbaric Oxygen Therapy Promotes Neurogenesis Through Reactive Oxygen Species/Hypoxia-Inducible Factor-1{alpha}/{beta}-Catenin Pathway in Middle Cerebral Artery Occlusion Rats Basic Sciences
Conclusions— Delayed HBO enhanced endogenous neurogenesis and improved neurofunctional recovery in the late-chronic phase of stroke possibly mediated by ROS/HIF-1α/β-catenin pathway. Delayed HBO may serve as an alternative treatment to improve long-term recovery of stroke survivors.
Source: Stroke - May 27, 2014 Category: Neurology Authors: Hu, Q., Liang, X., Chen, D., Chen, Y., Doycheva, D., Tang, J., Tang, J., Zhang, J. H. Tags: Animal models of human disease, Other Stroke Treatment - Medical Basic Sciences Source Type: research

Determining the barriers and facilitators to adopting best practices in the management of poststroke unilateral spatial neglect: results of a qualitative study.
Conclusion: It is estimated that upwards of 40% of patients experience poststroke USN in the acute phase, and we have evidence of poor early management. This study identified several modifiable factors that prepare the ground for the creation and testing of a multimodal knowledge translation intervention aimed at improving clinicians' best practice management of poststroke USN. PMID: 24985390 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - May 1, 2014 Category: Neurology Authors: Petzold A, Korner-Bitensky N, Salbach NM, Ahmed S, Menon A, Ogourtsova T Tags: Top Stroke Rehabil Source Type: research

Testing devices for the prevention and treatment of stroke and its complications
We are entering a challenging but exciting period when many new interventions may appear for stroke based on the use of devices. Hopefully these will lead to improved outcomes at a cost that can be afforded in most parts of the world. Nevertheless, it is vital that lessons are learnt from failures in the development of pharmacological interventions (and from some early device studies), including inadequate preclinical testing, suboptimal trial design and analysis, and underpowered studies. The device industry is far more disparate than that seen for pharmaceuticals; companies are very variable in size and experience in str...
Source: International Journal of Stroke - July 17, 2014 Category: Neurology Authors: Philip M. Bath, Michael Brainin, Chloe Brown, Bruce Campbell, Stephen M. Davis, Geoffrey A. Donnan, Gary A. Ford, Werner Hacke, Cynthia Iglesias, Kennedy R. Lees, Stacey S. Pugh, Jeff L. Saver, Peter D. Schellinger, Thomas Truelsen Tags: Opinion Source Type: research

A Shot to Avoid a Heart Attack or Stroke? Yep…the Flu Shot!
Sure, the flu shot protects you from the seasonal flu. But did you know that the flu shot protects you from heart attack, stroke, and other cardiovascular crises? Learn why you need to roll up your sleeve at this time every year, not only to prevent the flu, but also to protect your heart and brain!read more
Source: Psychology Today Work Center - November 20, 2014 Category: Psychiatry & Psychology Authors: Peter Edelstein, M.D. Tags: Health Integrative Medicine Self-Help Work flu heart attack preventative health stroke vaccination Source Type: news

Cognitive dysfunction after on-pump operations: neuropsychological characteristics and optimal core battery of tests.
Authors: Polunina AG, Golukhova EZ, Guekht AB, Lefterova NP, Bokeria LA Abstract Postoperative cognitive dysfunction (POCD) is a mild form of perioperative ischemic brain injury, which emerges as memory decline, decreased attention, and decreased concentration during several months, or even years, after surgery. Here we present results of our three neuropsychological studies, which overall included 145 patients after on-pump operations. We found that the auditory memory span test (digit span) was more effective as a tool for registration of POCD, in comparison with the word-list learning and story-learning tests. N...
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Modification of the ladder rung walking task-new options for analysis of skilled movements.
Authors: Antonow-Schlorke I, Ehrhardt J, Knieling M Abstract Method sensitivity is critical for evaluation of poststroke motor function. Skilled walking was assessed in horizontal, upward, and downward rung ladder walking to compare the demands of the tasks and test sensitivity. The complete step sequence of a walk was subjected to analysis aimed at demonstrating the walking pattern, step sequence, step cycle, limb coordination, and limb interaction to complement the foot fault scoring system. Rats (males, n = 10) underwent unilateral photothrombotic lesion of the motor cortex of the forelimb and hind limb areas. L...
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Methodology of the Stroke Self-Management Rehabilitation Trial: An International, Multisite Pilot Trial
Stroke is a major cause of long-term adult disability with many survivors living in the community relying on family members for on-going support. However, reports of inadequate understanding of rehabilitation techniques are common. A self-management DVD-based observational learning tool may help improve functional outcomes for survivors of stroke and reduce caregivers' burden.
Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2014 Category: Neurology Authors: Kelly M. Jones, Rohit Bhattacharjee, Rita Krishnamurthi, Sarah Blanton, Alice Theadom, Suzanne Barker-Collo, Amanda Thrift, Priya Parmar, Annick Maujean, Annemarei Ranta, Emmanuel Sanya, Valery L. Feigin, SMART Study Group Source Type: research

Reducing delay to stroke thrombolysis--lessons learnt from the Stroke 90 Project
Conclusions The DtoCT pathway was successful in reducing delays to thrombolysis and should be implemented routinely. The call to door and CT to needle times were not improved by our interventions and further work is required to streamline these. Factors beyond the control of most hospitals may play a role in delaying treatment, but local changes can be implemented to mitigate this.
Source: Emergency Medicine Journal - January 20, 2015 Category: Emergency Medicine Authors: Kendall, J., Dutta, D., Brown, E. Tags: Stroke, Radiology, Clinical diagnostic tests, Resuscitation Original article Source Type: research

Montreal Cognitive Assessment 5-Minute Protocol Is a Brief, Valid, Reliable, and Feasible Cognitive Screen for Telephone Administration Clinical Sciences
Conclusions— The MoCA 5-minute protocol is a free, valid, and reliable cognitive screen for stroke and transient ischemic attack. It is brief and highly feasible for telephone administration.
Source: Stroke - March 23, 2015 Category: Neurology Authors: Wong, A., Nyenhuis, D., Black, S. E., Law, L. S. N., Lo, E. S. K., Kwan, P. W. L., Au, L., Chan, A. Y. Y., Wong, L. K. S., Nasreddine, Z., Mok, V. Tags: Behavioral/psychosocial - stroke Clinical Sciences Source Type: research

Cognition and major depression after frontal and cerebellar stroke (P7.133)
CONCLUSIONS: Results in individuals with frontal lobe CVA were consistent with previous studies showing associations between cognition and depression in other neurologic disease. Disconnection and disruption in brain regions involving both emotion regulation and cognition may explain these associations. Alternatively, or simultaneously, depression may transiently impair cognitive test performance after frontal lobe stroke. Study Supported by:Disclosure: Dr. Dulay has nothing to disclose. Dr. Agbayani has nothing to disclose. Dr. Gadhia has nothing to disclose. Dr. Lai has nothing to disclose. Dr. Volpi has nothing to discl...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dulay, M., Agbayani, K., Gadhia, R., Lai, J., Volpi, J., Chiu, D., Zhang, Y. J., Britz, G. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke, Depression, and Anxiety Source Type: research

Delayed Administration of Tat-HA-NR2B9c Promotes Recovery After Stroke in Rats Basic Sciences
Conclusions— Dissociating N-methyl-d-aspartate receptor–postsynaptic density protein-95 coupling by Tat-HA-NR2B9c in the subacute phase after stroke promotes functional recovery, probably because of that it increases neurogenesis and dendritic spine density of mature neurons via regulating cyclin-dependent kinase 5 in the ischemic brain.
Source: Stroke - April 27, 2015 Category: Neurology Authors: Zhou, H.-H., Tang, Y., Zhang, X.-Y., Luo, C.-X., Gao, L.-Y., Wu, H.-Y., Chang, L., Zhu, D.-Y. Tags: Animal models of human disease, Neuroprotectors Basic Sciences Source Type: research

Prophylactic Edaravone Prevents Transient Hypoxic-Ischemic Brain Injury: Implications for Perioperative Neuroprotection Basic Sciences
Conclusions— Acute application of Edaravone may be a useful strategy to prevent postsurgery stroke and cognitive impairment, especially in patients with severe carotid stenosis.
Source: Stroke - June 22, 2015 Category: Neurology Authors: Sun, Y.-Y., Li, Y., Wali, B., Li, Y., Lee, J., Heinmiller, A., Abe, K., Stein, D. G., Mao, H., Sayeed, I., Kuan, C.-Y. Tags: Animal models of human disease, Other Stroke Treatment - Medical, Coagulation and fibronolysis Basic Sciences Source Type: research

Executive function, but not memory, associates with incident coronary heart disease and stroke
Conclusion: Lower executive function, but not memory, is associated with higher risk of coronary heart disease and stroke. Lower executive function, as an independent risk indicator, might better reflect brain vascular pathologies.
Source: Neurology - August 31, 2015 Category: Neurology Authors: Rostamian, S., van Buchem, M. A., Westendorp, R. G. J., Jukema, J. W., Mooijaart, S. P., Sabayan, B., de Craen, A. J. M. Tags: All Cerebrovascular disease/Stroke, Cardiac, Cognitive aging, Cohort studies, Risk factors in epidemiology ARTICLE Source Type: research

Transcranial direct current stimulation facilitates motor learning post-stroke: a systematic review and meta-analysis
Transcranial direct current stimulation (tDCS) is an attractive protocol for stroke motor recovery. The current systematic review and meta-analysis investigated the effects of tDCS on motor learning post-stroke. Specifically, we determined long-term learning effects by examining motor improvements from baseline to at least 5 days after tDCS intervention and motor practise. 17 studies reported long-term retention testing (mean retention interval=43.8 days; SD=56.6 days) and qualified for inclusion in our meta-analysis. Assessing primary outcome measures for groups that received tDCS and motor practise versus ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - March 15, 2016 Category: Neurosurgery Authors: Kang, N., Summers, J. J., Cauraugh, J. H. Tags: Editor's choice, Stroke Cerebrovascular disease Source Type: research

Abstract 101: A Learning Collaborative Model to Improve Door to Needle Time for Stroke Thrombolysis in Chicago Session Title: Abstract Poster Session I and Reception
Conclusions: Using a learning collaborative model to implement strategies to reduce DTN times among 15 PSCs in Chicago, we observed major improvements within a few months. Regional collaboration and best practices sharing should be a model for rapid and sustainable system-wide quality improvement.
Source: Circulation: Cardiovascular Quality and Outcomes - February 26, 2016 Category: Cardiology Authors: Prabhakaran, S., ONeill, K., Chicago Primary Stroke Cntrs Tags: Session Title: Abstract Poster Session I and Reception Source Type: research

Kelsey’s transformation: From stroke survivor to motivational speaker
“When I woke up after my stroke, all I wanted was to be normal again,” recalls Kelsey Tainsh. Normal — as in a healthy teen athlete who could brush her teeth and shower on her own, who wasn’t wheelchair-bound, who wasn’t compelled to hide her paralyzed right hand in her pocket everywhere she went, one who hadn’t lost all of her high school friends except for her two triplet sisters. Now, this world-champion athlete not only learned to walk and talk again but also to embrace her differences. “Our hardest obstacles can be our biggest opportunities,” she says. Kelsey’s first taste of being different came at ...
Source: Thrive, Children's Hospital Boston - March 16, 2016 Category: Pediatrics Authors: Lisa Fratt Tags: Our Patients’ Stories Brain tumor Mark Rockoff R. Michael Scott stroke Source Type: news

Trends in mortality following mechanical thrombectomy for the treatment of acute ischemic stroke in the USA
Conclusions Utilization of MT represents a small percentage of stroke cases, although the trend is increasing. Mortality following MT has been showing a steady decline over the past 5 years. This may be a result of a learning curve, improved patient selection, and/or device improvements. Randomized trials remain essential to evaluate the potential benefit of endovascular devices and identify the most appropriate patients.
Source: Journal of NeuroInterventional Surgery - April 13, 2016 Category: Neurosurgery Authors: Villwock, M. R., Padalino, D. J., Deshaies, E. M. Tags: Ischemic stroke Source Type: research

Brain stimulation and constraint for perinatal stroke hemiparesis: The PLASTIC CHAMPS Trial
Conclusions: Hemiparetic children participating in intensive, psychosocial rehabilitation programs can achieve sustained functional gains. Addition of CIMT and rTMS increases the chances of improvement. Classification of evidence: This study provides Class II evidence that combined rTMS and CIMT enhance therapy-induced functional motor gains in children with stroke-induced hemiparetic cerebral palsy.
Source: Neurology - May 1, 2016 Category: Neurology Authors: Kirton, A., Andersen, J., Herrero, M., Nettel-Aguirre, A., Carsolio, L., Damji, O., Keess, J., Mineyko, A., Hodge, J., Hill, M. D. Tags: All Rehabilitation, Plasticity, TMS, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Moyamoya and childhood stroke: Catching up with Tyler and Ryan
Ryan (above left) and Tyler Earle of Winnipeg, Canada had a ticking time bomb inside their heads. Both boys have a rare brain disorder called moyamoya that had caused the arteries feeding their brains to become dangerously narrowed. At first, they experienced only headaches. But then Ryan suddenly lost his ability to write, began having trouble with word-finding and became weak on one side of his body — signs he had suffered a stroke. He was diagnosed with moyamoya and had partial surgery, but a second stroke took away part of his vision and partially paralyzed him. Ryan needed a second operation as soon as possible. By ...
Source: Thrive, Children's Hospital Boston - May 12, 2016 Category: Pediatrics Authors: Nancy Fliesler Tags: Diseases & Conditions Cerebrovascular Disorders and Stroke Program Dr. Edward Smith moyamoya Source Type: news

Regional Learning Collaboratives Produce Rapid and Sustainable Improvements in Stroke Thrombolysis Times Original Articles
Conclusions— Using a learning collaborative model at Chicago’s 15 primary stroke centers, we observed major reductions in DTN times within 1 quarter of implementation. Regional collaboration and best practices sharing should be a model for rapid and sustainable system-wide quality improvement.
Source: Circulation: Cardiovascular Quality and Outcomes - September 19, 2016 Category: Cardiology Authors: Prabhakaran, S., Lee, J., ONeill, K. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Preoccupations: What I Learned From a Stroke at 26: Make Time to Untangle
After a stroke at work, an employee at a venture-backed start-up learns to adjust his professional priorities and take a break from the daily sprint.
Source: NYT Health - September 24, 2016 Category: Consumer Health News Authors: JONAS KOFFLER Tags: Stroke Careers and Professions Computers and the Internet Start-ups Work-Life Balance Source Type: news

Medical News Today: Stroke vs. Heart Attack: Treatment and Recovery
What causes a heart attack and what causes a stroke? Learn about the symptoms for each, treatment and recovery, and possible lifestyle changes to help.
Source: Health News from Medical News Today - November 8, 2016 Category: Consumer Health News Tags: Stroke Source Type: news

Transcranial direct current stimulation for children with perinatal stroke and hemiparesis
Conclusion: tDCS trials appear feasible and safe in hemiparetic children. Lack of change in objective motor function may reflect underdosing of therapy. Marked gains in subjective function with tDCS warrant further study. ClinicalTrials.gov identifier: NCT02170285. Classification of evidence: This study provides Class II evidence that for children with perinatal stroke and hemiparetic cerebral palsy, the addition of tDCS to moderate-dose motor learning therapy does not significantly improve motor function as measured by the AHA.
Source: Neurology - January 15, 2017 Category: Neurology Authors: Kirton, A., Ciechanski, P., Zewdie, E., Andersen, J., Nettel-Aguirre, A., Carlson, H., Carsolio, L., Herrero, M., Quigley, J., Mineyko, A., Hodge, J., Hill, M. Tags: Childhood stroke, Clinical trials Randomized controlled (CONSORT agreement), All Rehabilitation, Plasticity, TMS ARTICLE Source Type: research

Development and Feasibility of a Canine Endovascular Reversible Middle Cerebral Artery Occlusion Stroke Model: a Novel anterior circulation approach (P1.267)
Conclusions:Here we report the successful development of an endovascular reversible MCAo model in the canine by an anterior circulation approach. A learning curve is seen in the successful implementation of this model, as shown by our results.Disclosure: Dr. Guada has nothing to disclose. Dr. Ramdas has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Watanabe has nothing to disclose. Dr. Sidani has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Medtronic and Guidepoint as a consultant.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Guada, L., Ramdas, K., Atchaneeyasakul, K., Watanabe, M., Sidani, C., Yavagal, D. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

Artificial intelligence accurately predicts stroke risk
[Image from unsplash.com]Machine-learning algorithms, a form of artificial intelligence, accurately predicted people’s risk of heart disease and stroke, according to new research from the University of Nottingham. Researchers and computer scientists compared the risk guidelines for heart disease and stroke from the American College of Cardiology with 4 machine-learning algorithms to analyze the risk of a patient having each. The results showed that the artificially intelligent algorithms were significantly more accurate at predicting cardiovascular disease than the regular medical models. Get the full story on our sister...
Source: Mass Device - May 25, 2017 Category: Medical Devices Authors: Danielle Kirsh Tags: Cardiovascular Research & Development AI artificial intelligence cardiovascular disease heart disease machine learning algorithms Stroke University of Nottingham Source Type: news

Medical News Today: Eye stroke: Symptoms, risks, and treatment
In this article, learn about what an eye stroke is. How is an eye stroke diagnosed, how can it be prevented, and what treatment is available?
Source: Health News from Medical News Today - June 12, 2017 Category: Consumer Health News Tags: Stroke Source Type: news

Measuring Functional Arm Movement after Stroke Using a Single Wrist-Worn Sensor and Machine Learning
We present a novel, inexpensive, and feasible method for separating UE functional use from nonfunctional movement after stroke using a single wrist-worn accelerometer.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2017 Category: Neurology Authors: Elaine M. Bochniewicz, Geoff Emmer, Adam McLeod, Jessica Barth, Alexander W. Dromerick, Peter Lum Source Type: research