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Total 1715 results found since Jan 2013.

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

Machine Learning for Brain Stroke: A Review
Machine Learning (ML) delivers an accurate and quick prediction outcome and it has become a powerful tool in health settings, offering personalized clinical care for stroke patients. An application of ML and Deep Learning in health care is growing however, some research areas do not catch enough attention for scientific investigation though there is real need of research. Therefore, the aim of this work is to classify state-of-arts on ML techniques for brain stroke into 4 categories based on their functionalities or similarity, and then review studies of each category systematically.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Manisha Sanjay Sirsat, Eduardo Ferm é, Joana Câmara Tags: Review Article Source Type: research

Validity of quantitative assessment of posterior pelvic tilt and contralateral vaulting in hemiplegia using 3D treadmill gait analysis.
CONCLUSIONS: The proposed indices for posterior pelvic tilt and contralateral vaulting are useful for clinical gait analysis, and thus encouraging a more detailed analysis of hemiplegic gait using a motion analysis system. PMID: 32588758 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - June 25, 2020 Category: Neurology Authors: Tanikawa H, Inagaki K, Ohtsuka K, Matsuda F, Mukaino M, Yamada J, Kanada Y, Kagaya H, Saitoh E 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

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

Texture Features of Magnetic Resonance Images: an Early Marker of Post-stroke Cognitive Impairment
AbstractStroke is frequently associated with delayed, long-term cognitive impairment (CI) and dementia. Recent research has focused on identifying early predictive markers of CI occurrence. We carried out a texture analysis of magnetic resonance (MR) images to identify predictive markers of CI occurrence based on a combination of preclinical and clinical data. Seventy-two-hour post-stroke T1W MR images of 160 consecutive patients were examined, including 75 patients with confirmed CI at the 6-month post-stroke neuropsychological examination. Texture features were measured in the hippocampus and entorhinal cortex and compar...
Source: Translational Stroke Research - October 31, 2019 Category: Neurology 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 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

Automating Ischemic Stroke Subtype Classification Using Machine Learning and Natural Language Processing
This study sought to use natural language processing of electronic health records (EHR) combined with machine learning methods to automate IS subtyping. Methods: Among IS patients from an observational registry with TOAST subtyping adjudicated by board-certified vascular neurologists, we analyzed unstructured text-based EHR data including neurology progress notes and neuroradiology reports using natural language processing.
Source: Journal of Stroke and Cerebrovascular Diseases - May 14, 2019 Category: Neurology Authors: Ravi Garg, Elissa Oh, Andrew Naidech, Konrad Kording, Shyam Prabhakaran Source Type: research

Predicting Motor and Cognitive Improvement Through Machine Learning Algorithm in Human Subject that Underwent a Rehabilitation Treatment in the Early Stage of Stroke
The objective of this study was to investigate, in subject with stroke, the exact role as prognostic factor of common inflammatory biomarkers and other markers in predicting motor and/or cognitive improvement after rehabilitation treatment from early stage of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 2, 2018 Category: Neurology Authors: Patrizio Sale, Giorgio Ferriero, Lucio Ciabattoni, Anna Maria Cortese, Francesco Ferracuti, Luca Romeo, Francesco Piccione, Stefano Masiero 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

Medical News Today: Warning signs of stroke in men
We describe how men and women may experience strokes differently. In this article, learn about telltale signs, recovery, and what to do when someone has a stroke.
Source: Health News from Medical News Today - May 12, 2018 Category: Consumer Health News Tags: Stroke Source Type: news

Medical News Today: What does a stroke feel like? During, after, and ministrokes
Many people know the classic signs of a stroke, such as facial drooping, trouble balancing, and difficulty speaking. But what does having a stroke feel like? Is it painful? What are the long-term effects? What are the symptoms of a ministroke? Also, learn what to do if you or someone nearby may be having a stroke.
Source: Health News from Medical News Today - May 3, 2018 Category: Consumer Health News Tags: Stroke Source Type: news

Growth Hormone Improves Cognitive Function After Experimental Stroke Basic Sciences
Conclusions—These findings provide compelling preclinical evidence for the usage of GH as a potential therapeutic tool in the recovery phase of patients after stroke.
Source: Stroke - April 23, 2018 Category: Neurology Authors: Lin Kooi Ong, Wei Zhen Chow, Clifford TeBay, Murielle Kluge, Giovanni Pietrogrande, Katarzyna Zalewska, Patricia Crock, N. David Aberg, Andrew Bivard, Sarah J. Johnson, Frederick R. Walker, Michael Nilsson, Jorgen Isgaard Tags: Angiogenesis, Basic Science Research, Growth Factors/Cytokines, Cognitive Impairment, Neurogenesis Original Contributions 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

Striking a balance: Charlie ’s recovery from neonatal stroke
“Hey, Charlie,” says Dr. Michael Rivkin as he gently dangles a small rubber ducky in front of the little boy. “Would you like this?” A wide smile breaks out across the toddler’s face. Why yes, he certainly would like that duck. He reaches and grasps at it, closing his tiny fingers around the toy. For Charlie Strzempek, it’s nothing more than a playful act. But for his parents, Kathleen and Tom, it’s a major accomplishment. Dr. Rivkin isn’t simply offering his patient a toy. He’s testing his ability to grab and hold an object in his right hand — the side of his body affected by a neonatal stroke. A shin...
Source: Thrive, Children's Hospital Boston - December 27, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Michael Rivkin Julie Croteau occupational therapy stroke Stroke and Cerebrovascular Center Source Type: news

Bouncing back: Nolan ’s life after stroke
Although he’s only a little over a year old, Nolan Morel is a bona fide charmer. Clad in a red shirt and navy blue suspenders, he flashes a happy grin at his mother, Rosalia; his physician, Dr. Laura Lehman; and the others in the room. “Look at those dimples!” someone coos, and he giggles in response. “I can’t believe how social he’s being,” laughs Rosalia. “He wasn’t always like this.” In fact, Nolan’s first several days of life were anything but lighthearted. Just a few hours after his birth at a hospital north of Boston, he stopped breathing and had to be manually resuscitated and given oxygen. Whe...
Source: Thrive, Children's Hospital Boston - December 7, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories child life Dr. Laura Lehman feeding therapy occupational therapy physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

Cadagan: Humor and tenacity after a stroke
Most parents try to discourage their children from indulging in humor about bodily functions like burping. But for Daniel and Lori Hooley, a simple smirk in response to a belch was the sign they needed that their daughter, Cadagan, was going to be okay. It was 2012 and 7-year-old Cadagan was asleep, tucked into bed for the night. Around 11 p.m., she suddenly awoke — but it wasn’t because of a nightmare or a late-night request for a glass of water. Instead, she seemed limp and couldn’t focus. Then she began throwing up. Born with an extremely rare genetic disorder called trisomy 12p, the little girl had already experi...
Source: Thrive, Children's Hospital Boston - November 20, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Laura Lehman Dr. Michael Rivkin stroke Stroke and Cerebrovascular Center vasculitis Source Type: news

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

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

From Buenos Aires to Boston for pediatric stroke care
Twice a year, Osvaldo and Sol board a plane in Buenos Aires, Argentina. For a week or more, they leave behind their home, their friends, their jobs — and, sometimes, their two daughters, Ines and Clara. But what waits for them, a continent away, is worth it. In Boston, they say, they have found expert care for their son, Francisco. “Francisco was perfectly fine when he was born,” says Sol. “But two days later, we were having trouble waking him up.” Although initially doctors assured the family that his behavior was normal, they quickly transferred him to the neonatal intensive care unit when he began having diffi...
Source: Thrive, Children's Hospital Boston - October 27, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Michael Rivkin International Health Services physical therapy stroke Stroke and Cerebrovascular Center Source Type: news

Michelle is moving ahead after experiencing a stroke
In fall of 2014, I was a senior, excited about finishing high school in New Hampshire and heading off to college. But I could never have guessed what the year would bring. I was an avid lacrosse player and competing in my fifth game of a tournament when I started to notice I was having trouble seeing out of my left eye. Soon, my hand felt weird and I couldn’t grip the stick properly. As I sat on the sidelines, onlookers recommended I be taken to a local hospital. Recovering from stroke I can’t remember a lot of what happened next, but I know that the emergency doctors believed I had a stroke. They sent me to the Stroke...
Source: Thrive, Children's Hospital Boston - October 2, 2017 Category: Pediatrics Authors: Michelle Ostaudelafont Tags: Diseases & Conditions Our Patients’ Stories Dr. Cameron Trenor Dr. Laura Lehman pediatric stroke Stroke and Cerebrovascular Center Source Type: news

Jacob ’s story: What it’s like to have a stroke as a kid
My name is Jacob and I’m 8 years old. Two years ago, I had a stroke. At first, I didn’t realize what that meant, and I didn’t understand why I couldn’t move the way I used to. With time, I’ve been able to get most of my function back, but my right arm has something called dystonia. That means the muscles cramp up and sometimes my arm moves on its own or gets stiff. I can’t control it, and that makes life hard sometimes. I come to Boston Children’s Hospital every few months to see Dr. Michael Rivkin at the Stroke and Cerebrovascular Center there. Nobody likes having to go to the doctor, but Dr. Rivkin is more...
Source: Thrive, Children's Hospital Boston - September 26, 2017 Category: Pediatrics Authors: Jacob Downing Tags: Diseases & Conditions Our Patients’ Stories Dr. Michael Rivkin stroke Stroke and Cerebrovascular Center Source Type: news

Assessment Model to Identify Patients With Stroke With a High Possibility of Discharge to Home Clinical Sciences
Conclusions—We have developed an assessment model for identifying patients with a high possibility of being discharged to their homes after an acute stroke. This model would be useful for health professionals to adequately plan patients’ discharge soon after their admission.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Takahiro Itaya, Yusuke Murakami, Akiko Ota, Eiichi Nomura, Tomoko Fukushima, Masakazu Nishigaki Tags: Epidemiology, Quality and Outcomes Original Contributions Source Type: research

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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