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Specialty: Neurology
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Total 27990 results found since Jan 2013.

The effect of water-based exercises on balance in persons post-stroke: a randomized controlled trial.
This study examined the effect of water-based exercises compared to land-based exercises on the balance of people with sub-acute stroke. METHODS: In this single-blind randomized controlled study, 32 patients with first-time stroke discharged from inpatient rehabilitation at West Park Healthcare Centre were recruited. Participants were randomized into W (water-based + land; n = 17) or L (land only; n = 15) exercise groups. Both groups attended therapy two times per week for six weeks. Initial and progression protocols for the water-based exercises (a combination of balance, stretching, and strengthening and endur...
Source: Topics in Stroke Rehabilitation - November 2, 2016 Category: Neurology Authors: Chan K, Phadke CP, Stremler D, Suter L, Pauley T, Ismail F, Boulias C Tags: Top Stroke Rehabil Source Type: research

Changes in caregiver burden among informal caregivers of stroke patients in Mongolia.
This study aimed to define the changes in CGB in the first year of caregiving among the caregivers of stroke patients and to identify associated factors. METHODS: A prospective, multi-centered observational study was conducted in nine public hospitals in Mongolia. We used the Montgomery CGB Scale for assessing CGB, and repeated the assessment after 1 year. Stroke patient characteristics were included in the analyses. Multinomial logistic regressions were conducted to analyze changes in CGB. RESULTS: A paired t-test analysis revealed that demand burden increased (from 12.61 to 11.50, p = 0.034), whereas stress ...
Source: Topics in Stroke Rehabilitation - January 17, 2017 Category: Neurology Authors: Chuluunbaatar E, Pu C, Chou YJ Tags: Top Stroke Rehabil Source Type: research

The effect of self-management education following mild stroke: an exploratory randomized controlled trial.
CONCLUSIONS: The results did not identify a positive effect that would support the use of the CDSMP with individual's post-mild stroke; however, the generalizability of these results is limited secondary to several limitations in this exploratory study. PMID: 28191861 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - February 12, 2017 Category: Neurology Authors: Wolf TJ, Spiers MJ, Doherty M, Leary EV Tags: Top Stroke Rehabil Source Type: research

Coexistent Sickle Cell Disease Has No Impact on the Safety or Outcome of Lytic Therapy in Acute Ischemic Stroke Clinical Sciences
Conclusions—Coexistent SCD had no significant impact on the safety or outcome of thrombolytic therapy in acute ischemic stroke. Although the sample size is relatively small, these data suggest that adults with SCD and acute ischemic stroke should be treated with thrombolysis, if they otherwise qualify. Addition studies, however, should track the intracranial hemorrhage rate and provide information on other SCD-related care such as transfusion.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Robert J. Adams, Margueritte Cox, Shelly D. Ozark, Julie Kanter, Phillip J. Schulte, Ying Xian, Gregg C. Fonarow, Eric E. Smith, Lee H. Schwamm Tags: Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research

How does sex affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund.
DISCUSSION: It may be assumed that women have a higher risk of becoming care-dependent after stroke than men because they are older and suffer more often from geriatric conditions such as urinary incontinence at onset of stroke. Preventive strategies should therefore focus on geriatric conditions in order to reduce the post-stroke care dependency risk for women. PMID: 28330419 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 22, 2017 Category: Neurology Authors: Schnitzer S, Deutschbein J, Nolte CH, Kohler M, Kuhlmey A, Schenk L Tags: Top Stroke Rehabil Source Type: research

Promoting physical activity after stroke via self-management: a feasibility study.
CONCLUSION: Self-management appears to be feasible and has the potential to increase physical activity in people with mild disability after stroke. A Phase II randomized trial is warranted. PMID: 28335690 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 23, 2017 Category: Neurology Authors: Preston E, Dean CM, Ada L, Stanton R, Brauer S, Kuys S, Waddington G Tags: Top Stroke Rehabil Source Type: research

The FAST-ED App: A Smartphone Platform for the Field Triage of Patients With Stroke Clinical Sciences
Conclusions—The FAST-ED smartphone application has great potential to improve the triage of patients with acute ischemic stroke, as it seems capable to optimize resources, reduce hospital arrivals times, and maximize the use of both intravenous tissue-type plasminogen activator and endovascular treatment ultimately leading to better clinical outcomes. Future field studies are needed to properly evaluate the impact of this tool in stroke outcomes and resource utilization.
Source: Stroke - April 24, 2017 Category: Neurology Authors: Raul G. Nogueira, Gisele S. Silva, Fabricio O. Lima, Yu-Chih Yeh, Carol Fleming, Daniel Branco, Arthur H. Yancey, Jonathan J. Ratcliff, Robert Keith Wages, Earnest Doss, Mehdi Bouslama, Jonathan A. Grossberg, Diogo C. Haussen, Teppei Sakano, Michael R. Fr Tags: Quality and Outcomes, Cerebrovascular Procedures, Ischemic Stroke Original Contributions Source Type: research

Clinical and psychosocial predictors of exceeding target length of stay during inpatient stroke rehabilitation.
CONCLUSIONS: Findings suggest that social and stroke-specific factors may be helpful to adjust LOS expectations and promote efficient resource allocation. This exploratory study was limited to findings from one inpatient rehabilitation hospital. Cross-validation of results using data-sets from multiple rehabilitation hospitals across Ontario is recommended. PMID: 28486861 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 9, 2017 Category: Neurology Authors: Lai W, Buttineau M, Harvey JK, Pucci RA, Wong APM, Dell'Erario L, Bosnyak S, Reid S, Salbach NM Tags: Top Stroke Rehabil Source Type: research

Serum Insulin-Like Growth Factor 1 and the Risk of Ischemic Stroke Clinical Sciences
We examined prospectively the association between serum IGF-1 levels and incident ischemic stroke.Methods—We measured serum IGF-1 levels in 757 elderly individuals (mean age 79±5, 62% women), free of prevalent stroke, from the Framingham original cohort participants at the 22nd examination cycle (1990–1994) and were followed up for the development of ischemic stroke. Cox models were used to relate IGF-1 levels to the risk for incident ischemic stroke, adjusted for potential confounders.Results—During a mean follow-up of 10.2 years, 99 individuals developed ischemic stroke. After adjustment for age, sex, and potentia...
Source: Stroke - June 26, 2017 Category: Neurology Authors: Hamidreza Saber, Jayandra J. Himali, Alexa S. Beiser, Ashkan Shoamanesh, Aleksandra Pikula, Ronenn Roubenoff, Jose R. Romero, Carlos S. Kase, Ramachandran S. Vasan, Sudha Seshadri Tags: Risk Factors, Ischemic Stroke Original Contributions Source Type: research

Optimal Transport Destination for Ischemic Stroke Patients With Unknown Vessel Status Clinical Sciences
Conclusions—Use of RACE cutoff scores that take into account transport times to triage AIS patients to the nearest appropriate hospital may lead to improved outcomes. Further studies should examine the feasibility of translation into clinical practice.
Source: Stroke - July 24, 2017 Category: Neurology Authors: Eckhard Schlemm, Martin Ebinger, Christian H. Nolte, Matthias Endres, Ludwig Schlemm Tags: Revascularization, Health Services, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research

Trajectories in Leisure-Time Physical Activity and Risk of Stroke in Women in the California Teachers Study Clinical Sciences
Conclusions—Meeting AHA recommendations for moderate activity had a protective effect for reducing ischemic stroke risk. Participants who met AHA recommendations at baseline but not at follow-up, however, were not afforded reduced stroke risk.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Joshua Z. Willey, Jenna Voutsinas, Ayesha Sherzai, Huiyan Ma, Leslie Bernstein, Mitchell S.V. Elkind, Ying K. Cheung, Sophia S. Wang Tags: Lifestyle, Primary Prevention, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Cerebral Microbleeds and the Risk of Incident Ischemic Stroke in CADASIL (Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy) Clinical Sciences
Conclusions—The presence of microbleeds is an independent risk marker of incident ischemic stroke in CADASIL, emphasizing the need to carefully interpret MRI data.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Laurent Puy, Francois De Guio, Ophelia Godin, Marco Duering, Martin Dichgans, Hugues Chabriat, Eric Jouvent Tags: Magnetic Resonance Imaging (MRI), CADASIL, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research

Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study.
Conclusions The result shows that IPASS-R has the potential to be integrated into a day rehabilitation setting with a positive impact on community integration and perceived recovery outcomes. Future study is needed to investigate the IPASS-R with a larger sample size and more rigorous study design. PMID: 28956721 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 28, 2017 Category: Neurology Authors: Lee D, Fischer H, Zera S, Robertson R, Hammel J Tags: Top Stroke Rehabil Source Type: research

Dietary Sodium to Potassium Ratio and Risk of Stroke in a Multiethnic Urban Population Clinical Sciences
Conclusions—Na:K intake is an independent predictor of stroke risk. Further studies are required to understand the joint effect of Na and K intake on risk of cardiovascular disease.
Source: Stroke - October 23, 2017 Category: Neurology Authors: Joshua Willey, Hannah Gardener, Sandino Cespedes, Ying K. Cheung, Ralph L. Sacco, Mitchell S.V. Elkind Tags: Diet and Nutrition, Epidemiology, Risk Factors, Ischemic Stroke Original Contributions Source Type: research

No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke Clinical Sciences
Background and Purpose—Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke.Methods—We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute c...
Source: Stroke - November 27, 2017 Category: Neurology Authors: Lesli E. Skolarus, Chunyang Feng, James F. Burke Tags: Health Services, Cerebrovascular Disease/Stroke Original Contributions Source Type: research