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A Clinically Relevant Method of Analyzing Continuous Change in Robotic Upper Extremity Chronic Stroke Rehabilitation
Conclusions. The expanded analyses indicated that changes across time can occur in different ways but achieve similar goals and may be influenced by individual factors such as initial movement time. These findings will guide decisions regarding treatment planning based on rates of motor relearning during upper extremity stroke robotic interventions.
Source: Neurorehabilitation and Neural Repair - August 8, 2016 Category: Neurology Authors: Massie, C. L., Du, Y., Conroy, S. S., Krebs, H. I., Wittenberg, G. F., Bever, C. T., Whitall, J. Tags: Clinical Research Articles Source Type: research

Home-based hand rehabilitation after chronic stroke: Randomized, controlled single-blind trial comparing the MusicGlove with a conventional exercise program.
Abstract Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment. Both groups significantly improved their Box and Blocks test score, but no significant difference was found between groups. The...
Source: J Rehabil Res Dev - August 18, 2016 Category: Rehabilitation Authors: Zondervan DK, Friedman N, Chang E, Zhao X, Augsburger R, Reinkensmeyer DJ, Cramer SC Tags: J Rehabil Res Dev Source Type: research

Dissociating spatial and spatiotemporal aspects of navigation ability in chronic stroke patients.
Conclusions: Our findings showed that spatial and spatiotemporal performance was closely associated in most patients. Nonetheless, the study also provided partial support for the notion of separate space- and time-based processing mechanisms in the context of navigation. This distinction is of particular relevance to the investigation into the cognitive structure underlying navigation behavior. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
Source: Neuropsychology - February 10, 2016 Category: Neurology Authors: Claessen, Michiel H. G.; Visser-Meily, Johanna M. A.; Jagersma, Elbrich; Braspenning, Merel E.; van der Ham, Ineke J. M. Source Type: research

Neurofeedback-based motor imagery training for rehabilitation after stroke.
Abstract Mental training, including motor observation and motor imagery, has awakened much academic interest. The presumed functional equivalence of motor imagery and motor execution has given hope that mental training could be used for motor rehabilitation after a stroke. Results obtained from randomized controlled trials have shown mixed results. Approximately half of the studies demonstrate positive effects of motor imagery training but the rest do not show an additional benefit. Possible reasons why motor imagery training has so far not become established as a robust therapeutic approach are discussed in detai...
Source: Der Nervenarzt - August 29, 2016 Category: Neurology Authors: Dettmers C, Braun N, Büsching I, Hassa T, Debener S, Liepert J Tags: Nervenarzt Source Type: research

Slacklining and stroke: A rehabilitation case study considering balance and lower limb weakness.
Authors: Gabel CP, Rando N, Melloh M Abstract To ascertain the effectiveness of slacklining as a supplementary therapy for elderly stroke patients who are functionally non-progressing. This case study involved an 18-mo prospective observation of the management of an 87-year-old female stroke-patient of the left hemisphere with reduced balance, reduced lower limb muscular activation, hypertonia, and concurrent postural deficits. This entailed the initial acute care phase through to discharge to home and 18-mo final status in her original independent living setting. The introduction of slacklining as an adjunct thera...
Source: World Journal of Orthopaedics - September 15, 2016 Category: Orthopaedics Tags: World J Orthop Source Type: research

Effects of thalamic hemorrhagic lesions on explicit and implicit learning during the acquisition and retrieval phases in an animal model of central post-stroke pain.
Abstract Hemorrhagic stroke has many symptoms, including central pain, learning and memory impairments, motor deficits, language problems, emotional disturbances, and social maladjustment. Lesions of the ventral basal complex (VBC) of the thalamus elicit thermal and mechanical hyperalgesia, forming an animal model of central post-stroke pain (CPSP). However, no research has yet examined the involvement of learning and memory in CPSP using an animal model. The present study examined whether VBC lesions affect motor function, conditioned place preference (CPP; implicit memory), and spatial learning (explicit memory)...
Source: Behavioural Brain Research - September 24, 2016 Category: Neurology Authors: Wang CC, Shih HC, Shyu BC, Huang AC Tags: Behav Brain Res Source Type: research

Sensors, Vol. 16, Pages 1631: Assessing Walking Strategies Using Insole Pressure Sensors for Stroke Survivors
Insole pressure sensors capture the different forces exercised over the different parts of the sole when performing tasks standing up such as walking. Using data analysis and machine learning techniques, common patterns and strategies from different users to achieve different tasks can be automatically extracted. In this paper, we present the results obtained for the automatic detection of different strategies used by stroke survivors when walking as integrated into an Information Communication Technology (ICT) enhanced Personalised Self-Management Rehabilitation System (PSMrS) for stroke rehabilitation. Fourteen stroke su...
Source: Sensors - September 30, 2016 Category: Biotechnology Authors: Mario Munoz-Organero Jack Parker Lauren Powell Susan Mawson Tags: Article Source Type: research

Association between genetic variation in the dopamine system and motor recovery after stroke.
CONCLUSION: These data suggest that genetic variation of dopamine-related genes may affect motor recovery after stroke and that COMT polymorphism could be useful for predicting motor recovery. PMID: 27689550 [PubMed - as supplied by publisher]
Source: Restorative Neurology and Neuroscience - October 2, 2016 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

A new approach to distinguish migraine from stroke by mining structured and unstructured clinical data-sources
In this study, we utilized text and data mining methods to extract the most important predictors from clinical reports in order to establish a migraine detection model and distinguish migraine patients from stroke or other types of mimic (non-stroke) cases. The available data for this study was a heterogeneous mix of free-text fields, such as triage main-complaints and specialist final-impressions, as well as numeric data about patients, such as age, blood-pressure, and so on. After a careful combination of these sources, we obtained a highly imbalanced dataset where the migraine cases were only about 6  % of the dataset....
Source: Network Modeling Analysis in Health Informatics and Bioinformatics - October 5, 2016 Category: Bioinformatics Source Type: research

Mayo Clinic Minute: Get the facts on stroke
Someone in the U.S. has a stroke every 40 seconds. The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than even 15 years ago.Today,?World Stroke Day,?learn the?warning signs,?and respond quickly if you believe?someone is?suffering a stroke. As Vivien Williams explains in this Mayo Clinic Minute, [...]
Source: News from Mayo Clinic - October 28, 2016 Category: Databases & Libraries Source Type: news

Influence of skill and exercise training parameters on locomotor recovery during stroke rehabilitation
Purpose of review: Research findings from the fields of motor learning and exercise physiology suggest specific training parameters that can be manipulated during physical rehabilitation profoundly influence skilled task performance. This review details the rationale for some of these training variables and their application in selected intervention studies focused on improving walking function in patients poststroke. Recent findings: Basic and applied studies have shown that the amount, intensity, and variability of specific task practice applied during rehabilitation interventions can affect recovery of walking poststro...
Source: Current Opinion in Neurology - November 8, 2016 Category: Neurology Tags: TRAUMA AND REHABILITATION: Edited by Bruce H. Dobkin Source Type: research

Personalized and parametrized AVATAR for interacting with post-stroke action-perception loop during rehabilitation
Discussion – conclusion Using increased avatar allows to interfere with the action-perception loop, and make healthy and affected subjects bend their knee more than usual. We expect mirror neuron system to be involved in this spontaneous imitation mechanism. Experimentation dedicated to brain afferents is considered using an electroencephalogram to determine an optimum angle with stroke patients to generalize use of enhanced feedback during rehabilitation.
Source: Neurophysiologie Clinique - November 7, 2016 Category: Neuroscience Source Type: research

The acute complications of melas: a case series
Mitochondrial cytopathies are maternally inherited disorders of ATP production, with a predilection for primarily affecting the CNS. Many clinical phenotypes exist, each with varying involvement of skeletal and cardiac muscles, the kidneys and gastrointestinal system. Mitochondrial cytopathies can present early in life, but increasingly neurologists are faced with acute presentations of mitochondrial disease in adulthood. MELAS (mitochondrial encephalopathy, lactic acidosis and stroke-like syndrome) is a mitochondrial disorder that can present both insidiously and acutely. Common acute features are encephalopathy, seizures...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Bramhall, N., Jones, M. Tags: Epilepsy and seizures, Stroke, Psychotic disorders (incl schizophrenia) ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research

Analysis of Balance during Functional Walking in Stroke Survivors
DiscussionWe developed and demonstrated a method to assess walking balance of stroke survivors. System design and evaluation methods allow balance evaluation during functional walking in daily life. Some presented metrics show correlations with BBS scores. Clear inter- and intra-patient variations in metric values are present that cannot be explained by BBS scores, which supports the additional value of the presented system. Presented methods may be used for objective evaluation of restitution and compensation of walking balance and have a potential application in individual evidence-based therapy.
Source: PLoS One - November 16, 2016 Category: Biomedical Science Authors: Fokke B. van Meulen Source Type: research

“Are you going to come and see us again soon?” An intergenerational event between stroke survivors and school-children
Quality in Ageing and Older Adults,Volume 17, Issue 4, Page 246-252, December 2016. Purpose A one-hour intergenerational event held at an infant school in Norfolk, England, aimed to increase the citizenship experience of young children and their awareness of what it means to live with stroke, and to address social isolation or self-confidence in communicating among stroke survivors with aphasia. It was also intended to gauge whether this activity might provide a basis for future research. The paper aims to discuss these issues. Design/methodology/approach Four community-dwelling stroke survivors with aphasia were recruited...
Source: Quality in Ageing and Older Adults - November 22, 2016 Category: Geriatrics Source Type: research

Medical News Today: Stroke vs. Aneurysm: Treatment Options
What is a brain aneurysm? Learn about the different types of strokes and brain aneurysms as well as the treatment options available for both.
Source: Health News from Medical News Today - November 25, 2016 Category: Consumer Health News Tags: Stroke Source Type: news

Increased functional connectivity one week after motor learning and tDCS in stroke patients
Publication date: 6 January 2017 Source:Neuroscience, Volume 340 Author(s): Stéphanie Lefebvre, Laurence Dricot, Patrice Laloux, Philippe Desfontaines, Frédéric Evrard, André Peeters, Jacques Jamart, Yves Vandermeeren Recent studies using resting-state functional magnetic resonance imaging (rs-fMRI) demonstrated that changes in functional connectivity (FC) after stroke correlate with recovery. The aim of this study was to explore whether combining motor learning to dual transcranial direct current stimulation (dual-tDCS, applied over both primary motor cortices (M1)) modulated FC in stroke patients. Twenty-two chronic...
Source: Neuroscience - November 25, 2016 Category: Neuroscience Source Type: research

Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review
Conclusion: Biofeedback is more effective than usual therapy in improving performance of activities. Further research is required to determine the long-term effect on learning. Given that many biofeedback machines are relatively inexpensive, biofeedback could be utilised widely in clinical practice. [Stanton R, Ada L, Dean CM, Preston E (2016) Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review. Journal of Physiotherapy XX: XX-XX]
Source: Journal of Physiotherapy - November 25, 2016 Category: Physiotherapy Source Type: research

Stroke Risk Stratification and its Validation using Ultrasonic Echolucent Carotid Wall Plaque Morphology: A Machine Learning Paradigm
Stroke risk stratification based on grayscale morphology of the ultrasound carotid wall has recently been shown to have a promise in classification of high risk versus low risk plaque or symptomatic versus asymptomatic plaques. In previous studies, this stratification has been mainly based on analysis of the far wall of the carotid artery. Due to the multifocal nature of atherosclerotic disease, the plaque growth is not restricted to the far wall alone. This paper presents a new approach for stroke risk assessment by integrating assessment of both the near and far walls of the carotid artery using grayscale morphology of the plaque.
Source: Computers in Biology and Medicine - November 25, 2016 Category: Bioinformatics Authors: Tadashi Araki, Pankaj K. Jain, Harman S. Suri, Narendra D. Londhe, Nobutaka Ikeda, Ayman El-Baz, Vimal K. Shrivastava, Luca Saba, Andrew Nicolaides, Shoaib Shafique, John R. Laird, Ajay Gupta, Jasjit S. Suri Source Type: research

“Are you going to come and see us again soon?” An intergenerational event between stroke survivors and school-children
Quality in Ageing and Older Adults,Volume 17, Issue 4, Page 246-252, December 2016. Purpose A one-hour intergenerational event held at an infant school in Norfolk, England, aimed to increase the citizenship experience of young children and their awareness of what it means to live with stroke, and to address social isolation or self-confidence in communicating among stroke survivors with aphasia. It was also intended to gauge whether this activity might provide a basis for future research. The paper aims to discuss these issues. Design/methodology/approach Four community-dwelling stroke survivors with aphasia were recruited...
Source: Quality in Ageing and Older Adults - November 22, 2016 Category: Geriatrics Source Type: research

Prehospital Ultrasound Proves its Worth in the War Against Stroke
Discussion Stroke is a devastating neurologic condition with an alarming prevalence. Each year, an estimated 795,000 people in the United States alone will suffer a stroke. Stroke accounts for one in every 20 deaths in the U.S., and someone dies of stroke in the U.S. every four minutes.1 One third of people who have had a stroke will be left with some degree of long-term disability.2 Eighty-seven percent of all strokes are ischemic, meaning that a clot or other occlusion to blood flow forms within an intracranial vessel, depriving the brain tissue of blood flow.1 If this obstruction isn't rapidly relieved, damage to the brain will occur.
Source: JEMS Patient Care - December 1, 2016 Category: Emergency Medicine Authors: Jenna M. B. White, MD Tags: Patient Care Source Type: news

Explicit motor sequence learning with the paretic arm after stroke.
CONCLUSIONS: Stroke survivors can learn a movement sequence with their paretic arm, but demonstrate impairments in sequence specific learning. Implications for Rehabilitation Motor sequence learning is important for recovery of movement after stroke. Stroke survivors were found to be capable of learning a movement sequence with their paretic arm, supporting the concept of repetitive task training for recovery of movement. Stroke survivors showed impaired sequence specific learning in comparison with age-matched controls, indicating that they may need more repetitions of a sequence in order to re-learn movements. Further re...
Source: Disability and Rehabilitation - December 6, 2016 Category: Rehabilitation Authors: Fleming MK, Newham DJ, Rothwell JC Tags: Disabil Rehabil Source Type: research

Predicting Motor Sequence Learning in Individuals With Chronic Stroke
Conclusion. Nonlinear information extracted from multiple time points across practice, specifically the rate of motor skill acquisition during practice, relates strongly with changes in motor behavior at the retention test following practice and could be used to predict optimal doses of practice on an individual basis.
Source: Neurorehabilitation and Neural Repair - December 10, 2016 Category: Neurology Authors: Wadden, K. P., Asis, K. D., Mang, C. S., Neva, J. L., Peters, S., Lakhani, B., Boyd, L. A. Tags: Original Research Articles Source Type: research

Can Motor Recovery in Stroke Be Improved by Non-invasive Brain Stimulation?
Authors: Rothwell JC Abstract At the present time, there is enormous interest in methods of non-invasive brain stimulation. These interact with ongoing neural activity, mainly in cerebral cortex, and have measureable effects on behaviours in healthy people. More intriguingly, they appear to have effects on synaptic plasticity that persist even after stimulation has ceased. This has led, as might be expected, to the proposal that brain stimulation methods might be therapeutically useful in rehabilitation. The rationale is that physical therapy involves learning new patterns of activity to compensate for those lost t...
Source: Advances in Experimental Medicine and Biology - January 1, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research

Motor Lateralization Provides a Foundation for Predicting and Treating Non-paretic Arm Motor Deficits in Stroke.
We present a pilot study focused on improving the speed and coordination of ipsilesional arm function in a convenience sample of three stroke patients with severe contralesional impairment. Over a three-week period, patients received a total of nine 1.5 h sessions of training that included intense practice of virtual reality and real-life tasks. Our results indicated substantial improvements in ipsilesional arm movement kinematics, functional performance, and that these improvements carried over to improve functional independence. In addition, the contralesional arm improved in our measure of contralesional impairment, wh...
Source: Advances in Experimental Medicine and Biology - January 1, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research

Stent retrievers and acute stroke treatment: a rapid learning curve for experienced neurointerventional surgeons
A study by Sheth et al1 has examined the safety and efficacy of thrombectomy for acute ischemic stroke (AIS) using the Solitaire stent retriever device for patients treated in the roll-in phase of the Solitaire With the Intention For Thrombectomy (SWIFT) trial. This is a well designed study aimed at determining the learning curve for operators who had not previously used Solitaire for the treatment of emergent large vessel occlusion (ELVO). The roll-in period entailed treatment of two patients with the Solitaire device, before proceeding to the randomized phase of the trial. This represented the first clinical use of the s...
Source: Journal of NeuroInterventional Surgery - January 12, 2017 Category: Neurosurgery Authors: Mack, W. J. Tags: Commentary Source Type: research

The neuroprotective compound P7C3-A20 promotes neurogenesis and improves cognitive function after ischemic stroke.
Abstract Ischemic stroke is a devastating condition with few therapeutic interventions available. The neuroprotective compound P7C3-A20 inhibits mature neuronal cell death while also increasing the net magnitude of postnatal neurogenesis in models of neurodegeneration and acute injury. P7C3 compounds enhance flux of nicotinamide adenine dinucleotide (NAD) in mammalian cells, a proposed therapeutic approach to treating cerebral ischemia. The effectiveness of P7C3-A20 treatment on chronic histopathological and behavioral outcomes and neurogenesis after ischemic stroke has not previously been established. Here, a tra...
Source: Experimental Neurology - January 7, 2017 Category: Neurology Authors: Loris ZB, Pieper AA, Dalton Dietrich W Tags: Exp Neurol Source Type: research

Stroke survivor: Virtual Reality helped me walk again
Shannon Mackey has been using virtual reality physiotherapy sessions to help learn to walk again after suffering a stroke.
Source: BBC News | Health | UK Edition - January 16, 2017 Category: Consumer Health News Source Type: news

Fast access to stroke procedure saves Wilmington woman ’s life and health
Treatment TermsStroke CategoriesAdvanced treatments Additional SEO Keywords stroke, stroke symptoms, stroke care, stroke treatment, tpa, tissue plasminogen activator, ischemic stroke, thrombectomy, stent retriever, warning stroke, mini-stroke, blood clot in brain, clot buster SEO Meta Description Duke Raleigh Hospital is one of a handful in NC that offers lifesaving thrombectomy for stroke. Dara Damery got transferred there from Wilmington just in time. Author MaryAnn Fletcher Overview Duke Raleigh Hospital is one of a handful in NC that offers lifesaving thrombectomy for stroke. Dara Damery got transferred there ...
Source: dukehealth.org: Health Features - January 20, 2017 Category: Universities & Medical Training Authors: mf205 at duke.edu Source Type: news

Electroacupuncture Regulates Hippocampal Synaptic Plasticity via miR-134-Mediated LIMK1 Function in Rats with Ischemic Stroke.
Abstract MircoRNAs (miRs) have been implicated in learning and memory, by regulating LIM domain kinase (LIMK1) to induce synaptic-dendritic plasticity. The study aimed to investigate whether miRNAs/LIMK1 signaling was involved in electroacupuncture- (EA-) mediated synaptic-dendritic plasticity in a rat model of middle cerebral artery occlusion induced cognitive deficit (MICD). Compared to untreatment or non-acupoint-EA treatment, EA at DU20 and DU24 acupoints could shorten escape latency and increase the frequency of crossing platform in Morris water maze test. T2-weighted imaging showed that the MICD rat brain le...
Source: Neural Plasticity - January 25, 2017 Category: Neurology Authors: Liu W, Wu J, Huang J, Zhuo P, Lin Y, Wang L, Lin R, Chen L, Tao J Tags: Neural Plast Source Type: research

Stroke Epidemiology and Risk Factor Management
This article reviews the current recommendations for the management of each of these modifiable risk factors. Recent Findings: It has been documented that some blood pressure medications may increase variability of blood pressure and ultimately increase the risk for stroke. Stroke prevention typically includes antiplatelet therapy (unless an indication for anticoagulation exists), so the most recent evidence supporting use of these drugs is reviewed. In addition, emerging risk factors, such as obstructive sleep apnea, electronic cigarettes, and elevated lipoprotein (a), are discussed. Summary: Overall, secondary stroke p...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Clinical Evaluation of the Patient With Acute Stroke
This article reviews the clinical evaluation of the patient with acute stroke, including key questions in the focused stroke history, important aspects of the National Institutes of Health Stroke Scale and focused neurologic examination, and the significance of the basic head CT scan in informing a timely treatment decision. Recent Findings: Advances in both stroke treatment and enhanced diagnostics support an evolving paradigm for acute stroke care, ranging from the prehospital setting to the rehabilitative setting. An international emphasis on best practice strategies promotes efficiency and standardization in stroke sy...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Treatment of Acute Ischemic Stroke
This article provides an update on the state of the art of the emergency treatment of acute ischemic stroke with particular emphasis on the alternatives for reperfusion therapy. Recent Findings: The results of several randomized controlled trials consistently and conclusively demonstrating that previously functional patients with disabling strokes from a proximal intracranial artery occlusion benefit from prompt recanalization with mechanical thrombectomy using a retrievable stent have changed the landscape of acute stroke therapy. Mechanical thrombectomy within 6 hours of symptom onset should now be considered the prefer...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Cardioembolic Stroke
This article summarizes the different causes of cardioembolism and outlines current management guidelines. Recent Findings: Since cardioembolic stroke is not a single disease entity, its diagnosis requires initial clinical suspicion and a comprehensive evaluation, including ECG, echocardiography, brain imaging, and cardiac monitoring. Atrial fibrillation is the most common cause of cardioembolic stroke, and anticoagulation is usually recommended. This article reviews risk stratification models to assist in the decision-making process and highlights the increased use of novel oral anticoagulants for stroke prevention in at...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Arterial Ischemic Stroke in Children and Young Adults
This article reviews risk factors, recurrence risk, evaluation, management, and outcomes of arterial ischemic stroke in children and young adults. Recent Findings: The risk for recurrence and mortality appear to be low for neonatal and childhood stroke. Most children have relatively mild deficits, but those who have greater neurologic deficits, poststroke epilepsy, or strokes early in life are at risk for lower overall cognitive function. Stroke recurrence and long-term mortality after stroke in young adults are greater than originally thought. Cognitive impairments, depression, and anxiety are associated with higher leve...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Inherited and Uncommon Causes of Stroke
This article is a practical guide to identifying uncommon causes of stroke and offers guidance for evaluation and management, even when large controlled trials are lacking in these rarer forms of stroke. Recent Findings: Fabry disease causes early-onset stroke, particularly of the vertebrobasilar system; enzyme replacement therapy should be considered in affected patients. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), often misdiagnosed as multiple sclerosis, causes migraines, early-onset lacunar strokes, and dementia. Moyamoya disease can cause either ischemic or he...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Stroke Rehabilitation
This article reviews and summarizes the key concepts related to poststroke recovery. Recent Findings: Good data now exist by which one can predict recovery, especially motor recovery, very soon after stroke onset. Recent trials have not demonstrated a clear benefit associated with very early initiation of rehabilitative therapy after stroke in terms of improvement in poststroke outcomes. However, growing evidence suggests that shorter and more frequent sessions of therapy can be safely started in the first 24 to 48 hours after a stroke. The optimal amount or dose of therapy for stroke remains undetermined, as more intensi...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Review Articles Source Type: research

Remote Evaluation of the Patient With Acute Stroke
This article describes advances related to the successful remote evaluation of the patient with acute stroke. Telestroke is a connected care approach that brings expert stroke care to remote, neurologically underserved urban or rural locations. Recent findings reveal strong evidence showing that telestroke is equivalent to in-person care. Time is critical in treating patients with acute stroke, and telestroke networks must assure that technology improves—not delays—delivery of care. The stroke center and the spoke site must work collaboratively to develop and institute protocols and policies to ensure that eligible pat...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Practice Issues Source Type: research

Coding in Stroke and Other Cerebrovascular Diseases
This article provides an overview of coding principles for patients with strokes and other cerebrovascular diseases and includes an illustrative case as a review of coding principles in a patient with acute stroke.
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2017 Category: Neurology Tags: Practice Issues Source Type: research

Fast access to stroke procedure saves Wilmington woman ’s life and health
Treatment TermsStroke CategoriesAdvanced treatments Additional SEO Keywords stroke, stroke symptoms, stroke care, stroke treatment, tpa, tissue plasminogen activator, ischemic stroke, thrombectomy, stent retriever, warning stroke, mini-stroke, blood clot in brain, clot buster SEO Meta Description Duke Raleigh Hospital is one of a handful in NC that offers lifesaving thrombectomy for stroke. Dara Damery got transferred there from Wilmington just in time. Author MaryAnn Fletcher Overview Duke Raleigh Hospital is one of a handful in NC that offers lifesaving thrombectomy for stroke. Dara Damery got transferred there ...
Source: dukehealth.org: Duke Health News - January 20, 2017 Category: Consumer Health News Authors: mf205 at duke.edu Source Type: news

Chicago's Rush University Medical Center Offers Mobile Stroke Treatment Unit
  The Rush University Medical Center stroke program is one of the few in the country to offer a mobile stroke treatment unit as a part of its emergency medical services. This year Rush will join Excellence Inc. at the International Stroke Conference 2017 where the RUSH mobile stroke treatment unit will make its debut. On display will be the unit’s state-of-the-art features, including the ability to diagnose patients for a stroke on-site with an onboard CT scanner. Rush University Medical Center’s stroke program was one of the first in Chicago to receive comprehensive certification from the J...
Source: JEMS Patient Care - February 10, 2017 Category: Emergency Medicine Authors: Excellence Tags: News Videos Ambulances & Vehicle Ops Patient Care Source Type: news

The role of the cerebellum on motor recovery following stroke
The cerebellum is a critical structure for motor control and learning. The cerebellum does not have direct connections to lower motor neurons. However, its extensive connections to distribute motor regions and its role on motor control make it a structure that plays an important role in motor function following cerebral lesions. In addition, due to the cerebellar involvement in motor learning it plays an important when learning how to compensate for motor deficits arising from stroke. Indeed, previous studies suggested that restoration of cerebellar activation following diaschisis is associated with overall recovery follow...
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - February 15, 2017 Category: Neurology Authors: P. Celnik Source Type: research

Executive Function Is Associated With Off-Line Motor Learning in People With Chronic Stroke.
CONCLUSIONS: This is the first study to demonstrate that better performance on an executive function test of attention and set-shifting predicts a higher magnitude of off-line motor learning in individuals with chronic stroke. This emphasizes the need to consider attention and set-shifting abilities of individuals following stroke as these abilities are associated with motor learning. This in turn could affect learning of activities of daily living and impact functional recovery following stroke.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT...
Source: Physical Therapy - March 2, 2017 Category: Physiotherapy Authors: Al-Dughmi M, Al-Sharman A, Stevens S, Siengsukon CF Tags: J Neurol Phys Ther Source Type: research

IJERPH, Vol. 14, Pages 293: Life after Stroke in an Urban Minority Population: A Photovoice Project
Stroke is a leading cause of disability in the United States and disproportionately affects minority populations. We sought to explore the quality of life in urban, minority stroke survivors through their own photos and narratives. Using the Photovoice method, seventeen stroke survivors were instructed to take pictures reflecting their experience living with and recovering from stroke. Key photographs were discussed in detail; participants brainstormed ways to improve their lives and presented their work in clinical and community sites. Group discussions were recorded, transcribed, and coded transcripts were reviewed with ...
Source: International Journal of Environmental Research and Public Health - March 10, 2017 Category: Environmental Health Authors: Revathi Balakrishnan Benjamin Kaplan Rennie Negron Kezhen Fei Judith Goldfinger Carol Horowitz Tags: Article Source Type: research

The role of brain-derived neurotrophic factor and its single nucleotide polymorphisms in stroke patients.
We present the current data on the role of BDNF and polymorphisms of the BDNF gene in stroke patients, concentrating on human studies. PMID: 28291539 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - March 5, 2017 Category: Neurology Authors: Kotlęga D, Peda B, Zembroń-Łacny A, Gołąb-Janowska M, Nowacki P Tags: Neurol Neurochir Pol Source Type: research

Nonlinear mixed-effects model reveals a distinction between learning and performance in intensive reach training post-stroke
We recently showed that individuals with chronic stroke who completed two sessions of intensive unassisted arm reach training exhibited improvements in movement times up to one month post-training. Here, we st...
Source: Journal of NeuroEngineering and Rehabilitation - March 17, 2017 Category: Rehabilitation Authors: Hyeshin Park and Nicolas Schweighofer Source Type: research

Executive Function Is Associated With Off-Line Motor Learning in People With Chronic Stroke
Conclusions: This is the first study to demonstrate that better performance on an executive function test of attention and set-shifting predicts a higher magnitude of off-line motor learning in individuals with chronic stroke. This emphasizes the need to consider attention and set-shifting abilities of individuals following stroke as these abilities are associated with motor learning. This in turn could affect learning of activities of daily living and impact functional recovery following stroke. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A166 ).
Source: Journal of Neurologic Physical Therapy - March 25, 2017 Category: Physiotherapy Tags: Research Articles Source Type: research

The effect of transcranial direct current stimulation on motor sequence learning and upper limb function after stroke
Stroke is a leading cause of adult disability and many people are left with impairments and are dependent on others for activities of daily living (Dobkin, 2005; DOH, 2007; Veerbeek et al., 2011). Strategies to improve plasticity and enhance motor learning are needed. One potential approach is to use transcranial direct current stimulation (tDCS) to enhance the effect of physical therapy.
Source: Clinical Neurophysiology - March 30, 2017 Category: Neuroscience Authors: Melanie K Fleming, John C Rothwell, Laszlo Sztriha, James T Teo, Di J Newham Source Type: research

Abstract 218: Expanding a Learning Collaborative Model in Chicago to Improve Door to Needle for Stroke Thrombolysis: Raising the Bar Session Title: Poster Session II
Conclusions: Using a learning collaborative model to implement strategies to reduce DTN times among 24 Chicago area hospitals continues to impact times. Regional collaboration, data sharing, and best practice sharing should be a model for rapid and sustainable system-wide quality improvement.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Prabhakaran, S., Sednew, R. M., ONeill, K. Tags: Session Title: Poster Session II Source Type: research