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Source: International Journal of Environmental Research and Public Health
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Total 551 results found since Jan 2013.
IJERPH, Vol. 20, Pages 153: Evidence of High-Intensity Exercise on Lower Limb Functional Outcomes and Safety in Acute and Subacute Stroke Population: A Systematic Review
This study included randomized controlled trials (RCTs) which compared an intervention group of HIE to a control group of lower intensity exercise, or no intervention. All participants were in the acute (0–3 months) and subacute (3–6 months) stages of stroke recovery. Studies were excluded if they were not RCTs, included participants from a different stage of stroke recovery, or if the intervention did not meet the pre-defined HIE criteria. Overall, seven studies were included that used either high-intensity treadmill walking, stepping, cycling or overground walking exercises compared to either ...
Source: International Journal of Environmental Research and Public Health - December 22, 2022 Category: Environmental Health Authors: Shi Min Mah Alicia M. Goodwill Hui Chueng Seow Wei-Peng Teo Tags: Systematic Review Source Type: research
IJERPH, Vol. 20, Pages 739: Heart Rate Response, Temporal Structure and the Stroke Technique Distribution in Table Tennis National Category Matches
anci
The aims of this study were to analyze the heart rate response, the game temporal structure (i.e., mean total time of the matches, real playing time, total rest time) and the stroke technique distribution and to describe its relations in the table tennis national category in simulated competitions. A cohort of 60 table tennis male players (22.06 ± 8.32 years) played 30 simulated matches. The obtained results show a mean heart rate (HRmean) of 142.69 ± 14.10 bpm and a peak heart rate (HRpeak) of 167.26 ± 16.51 bpm. Total strokes were 7505, being the 57.88% and 42.12% for...
Source: International Journal of Environmental Research and Public Health - December 31, 2022 Category: Environmental Health Authors: Jon Mikel Picabea Jes ús Cámara Javier Yanci Tags: Article Source Type: research
IJERPH, Vol. 20, Pages 1581: Redesigning Rural Acute Stroke Care: A Person-Centered Approach
pbell
Stroke service delivery in rural areas in Australia lacks evidence-based, best practice care protocols as a result of limited resources and opportunity. Healthcare redesign is an approach to improving health services by understanding barriers and enablers to service provision and work with users to develop solutions for improvement. This research aimed to qualitatively evaluate stroke care in rural Tasmania using a person-centered approach, as part of a larger healthcare redesign initiative to improve acute stroke care. Semi-structured interviews, aimed at gaining insight into experiences of healthcare staff and ...
Source: International Journal of Environmental Research and Public Health - January 15, 2023 Category: Environmental Health Authors: Sarah J. Prior Carey A. Mather Steven J. Campbell Tags: Article Source Type: research
IJERPH, Vol. 20, Pages 1690: Acupuncture Is Effective at Reducing the Risk of Stroke in Patients with Migraines: A Real-World, Large-Scale Cohort Study with 19-Years of Follow-Up
This study explored the long-term effects of acupuncture treatment on stroke risk in migraineurs using national real-world data. We collected new migraine patients from the Taiwan National Health Insurance Research Database (NHIRD) from 1 January 2000 to 31 December 2017. Using 1:1 propensity-score matching, we assigned patients to either an acupuncture or non-acupuncture cohort and followed up until the end of 2018. The incidence of stroke in the two cohorts was compared using the Cox proportional hazards regression analysis. Each cohort was composed of 1354 newly diagnosed migraineurs with similar baseline characteristic...
Source: International Journal of Environmental Research and Public Health - January 17, 2023 Category: Environmental Health Authors: Chung-Chih Liao Chi-Hsien Chien Ying-Hsiu Shih Fuu-Jen Tsai Jung-Miao Li Tags: Article Source Type: research
IJERPH, Vol. 20, Pages 4123: Predicting Arm Nonuse in Individuals with Good Arm Motor Function after Stroke Rehabilitation: A Machine Learning Study
Keh-Chung Lin
Many stroke survivors demonstrate arm nonuse despite good arm motor function. This retrospective secondary analysis aims to identify predictors of arm nonusers with good arm motor function after stroke rehabilitation. A total of 78 participants were categorized into 2 groups using the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE) and the Motor Activity Log Amount of Use (MAL-AOU). Group 1 comprised participants with good motor function (FMA-UE ≥ 31) and low daily upper limb use (MAL-AOU ≤ 2.5), and group 2 comprised all other participants. Feature selection analysis was perf...
Source: International Journal of Environmental Research and Public Health - February 25, 2023 Category: Environmental Health Authors: Yu-Wen Chen Yi-Chun Li Chien-Yu Huang Chia-Jung Lin Chia-Jui Tien Wen-Shiang Chen Chia-Ling Chen Keh-Chung Lin Tags: Article Source Type: research
IJERPH, Vol. 20, Pages 6469: Interventions to Facilitate Return to Work after Stroke: A Systematic Review
Conclusion: A lack of large, controlled trials, variations in follow-up time and the definitions of return to work accounted for the large range of employment rates at follow-up. There is limited published high-quality evidence regarding the effectiveness of interventions to promote return to work in working-age survivors of stroke.
Source: International Journal of Environmental Research and Public Health - July 28, 2023 Category: Environmental Health Authors: Gemma Pearce Joan O ’Donnell Rebecca Pimental Elizabeth Blake Lynette Mackenzie Tags: Review Source Type: research
IJERPH, Vol. 13, Pages 158: Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea
To evaluate the association between smoking and physician-diagnosed stroke and myocardial infarction, this study used Community Health Survey data from 2009 on 92,082 males over the age of 30 years. Using multiple logistic regression, association index between smoking and physician-diagnosed stroke and myocardial infarction was calculated after adjusting the effects of age, hypertension, and diabetes. The odds ratios (95% confidence interval) of the physician-diagnosed stroke and myocardial infarction in the smoking group were 1.12 (1.02–1.24) and 1.21 (1.06–1.38) compared to the non-smoking group. The values of the ph...
Source: International Journal of Environmental Research and Public Health - January 25, 2016 Category: Environmental Health Authors: Sounghoon ChangHyeongsu KimVitna KimKunsei LeeHyoseon JeongJung-Hyun LeeSoon-Ae ShinEunyoung ShinMinsu ParkEunjung Ko Tags: Article Source Type: research
IJERPH, Vol. 13, Pages 675: Air Pressure, Humidity and Stroke Occurrence: A Systematic Review and Meta-Analysis
Conclusion: This review shows that there is no evidence of a relationship between AP or humidity and the occurrence of hospital admission for stroke. Further research is needed to clarify the extent and nature of any relationship between AP, humidity and stroke in different geographical areas.
Source: International Journal of Environmental Research and Public Health - July 4, 2016 Category: Environmental Health Authors: Yongjun CaoXia WangDanni ZhengThompson RobinsonDaqing HongSarah RichteringTzen LeongAbdul SalamCraig AndersonMaree Hackett Tags: Review Source Type: research
IJERPH, Vol. 13, Pages 698: Ambient Temperature and Stroke Occurrence: A Systematic Review and Meta-Analysis
Biologically plausible associations exist between climatic conditions and stroke risk, but study results are inconsistent. We aimed to summarize current evidence on ambient temperature and overall stroke occurrence, and by age, sex, and variation of temperature. We performed a systematic literature search across MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and GEOBASE, from inception to 16 October 2015 to identify all population-based observational studies. Where possible, data were pooled for meta-analysis with Odds ratios (OR) and corresponding 95% confidence intervals (CI) by means of the random effects meta-analy...
Source: International Journal of Environmental Research and Public Health - July 11, 2016 Category: Environmental Health Authors: Xia WangYongjun CaoDaqing HongDanni ZhengSarah RichteringElse SandsetTzen LeongHisatomi ArimaShariful IslamAbdul SalamCraig AndersonThompson RobinsonMaree Hackett Tags: Review Source Type: research
IJERPH, Vol. 14, Pages 772: Stroke Mortality Attributable to Ambient Particulate Matter Pollution from 1990 to 2015 in China: An Age-Period-Cohort and Spatial Autocorrelation Analysis
In this study, we analyzed the temporal and spatial variations of stroke mortality attributable to ambient particulate matter pollution (stroke mortality-PM2.5) in China from 1990 to 2015. Data were collected from the Global Burden of Disease (GBD) 2015 study and analyzed by an age-period-cohort model (APC) with an intrinsic estimator (IE) algorithm, as well as spatial autocorrelation based on the Geographic Information System. Based on APC analysis with the IE method, stroke mortality-PM2.5 increased exponentially with age, its relative risk reaching 42.85 (95% CI: 28.79, 63.43) in the 75 –79 age group. The period effec...
Source: International Journal of Environmental Research and Public Health - July 13, 2017 Category: Environmental Health Authors: Lisha Luo Junfeng Jiang Ganshen Zhang Lu Wang Zhenkun Wang Jin Yang Chuanhua Yu Tags: Article Source Type: research
IJERPH, Vol. 16, Pages 5121: Multi-Level Factors Associated with Social Participation among Stroke Survivors: China ’s Health and Retirement Longitudinal Study (2011–2015)
Conclusion: Stroke survivors are at high risk of limited social participation. Policymakers and other key stakeholders should consider community design among other potential solutions when identifying ways to link at-risk stroke survivors to both opportunities for rehabilitation (e.g., physical function) and social participation.
Source: International Journal of Environmental Research and Public Health - December 14, 2019 Category: Environmental Health Authors: Yi Cai Samuel D. Towne C. Scott Bickel Tags: Article Source Type: research
IJERPH, Vol. 16, Pages 5144: Virtual Reality Games as an Adjunct in Improving Upper Limb Function and General Health among Stroke Survivors
This study involved 36 participants in both experimental (n = 18) and control (n = 18) groups with a mean age (SD) of 57 (8.20) and 63 (10.54) years, respectively. Outcome measures were the Fugl-Meyer assessment for upper extremities (FMA-UE), Wolf motor function test (WMFT), intrinsic motivation inventory (IMI), Lawton of instrumental activities of daily living (IADL), and stroke impact scale (SIS) assessed at pre-post intervention. The experimental group had 0.5 h of upper limb (UL) VR games with 1.5 h of standard physiotherapy, and the control group received 2 h of standard physiotherapy. The intervention for both group...
Source: International Journal of Environmental Research and Public Health - December 15, 2019 Category: Environmental Health Authors: Ahmad Singh Mohd Nordin Hooi Nee Ibrahim Tags: Article Source Type: research
IJERPH, Vol. 17, Pages 3177: Using an Accelerometer-Based Step Counter in Post-Stroke Patients: Validation of a Low-Cost Tool
nco Molteni
Monitoring the real-life mobility of stroke patients could be extremely useful for clinicians. Step counters are a widely accessible, portable, and cheap technology that can be used to monitor patients in different environments. The aim of this study was to validate a low-cost commercial tri-axial accelerometer-based step counter for stroke patients and to determine the best positioning of the step counter (wrists, ankles, and waist). Ten healthy subjects and 43 post-stroke patients were enrolled and performed four validated clinical tests (10 m, 50 m, and 6 min walking tests and timed up and go tests) whil...
Source: International Journal of Environmental Research and Public Health - May 1, 2020 Category: Environmental Health Authors: Francesco Negrini Giulio Gasperini Eleonora Guanziroli Jacopo Antonino Vitale Giuseppe Banfi Franco Molteni Tags: Article Source Type: research
IJERPH, Vol. 17, Pages 4728: Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients
One of the most serious and disabling problems of stroke is pain and a decrease in balance, with the consequent increased risk of falls. The aim of the randomized controlled trial study was to compare the efficacy of three different treatment proposals to improve pain, gait, and balance in chronic stroke patients. Forty patients diagnosed with stroke were divided into three groups: the dry-land therapy group (control group) received sessions that included walking exercises and trunk mobility. The experimental group received Ai Chi aquatic therapy, and the combined group received alternating dry-land therapy sessions a...
Source: International Journal of Environmental Research and Public Health - June 30, 2020 Category: Environmental Health Authors: Sagrario P érez-de la Cruz Tags: Article Source Type: research
IJERPH, Vol. 18, Pages 1632: The Effect of Minimum and Maximum Air Temperatures in the Summer on Heat Stroke in Japan: A Time-Stratified Case-Crossover Study
We examined the impact of summer minimum air temperatures, which often represent nighttime temperatures, as well as a maximum temperature on a heat stroke. We collected data from the records of daily ambulance transports for heat strokes and meteorological data for July and August of 2017–2019 in the Tottori Prefecture, Japan. A time-stratified case-crossover design was used to determine the association of maximum/minimum air temperatures and the incidence of heat strokes. We used a logistic regression to identify factors associated with the severity of heat strokes. A total of 1108 cases were identified with 373 (33.7%)...
Source: International Journal of Environmental Research and Public Health - February 9, 2021 Category: Environmental Health Authors: Shinji Otani Satomi Funaki Ishizu Toshio Masumoto Hiroki Amano Youichi Kurozawa Tags: Article Source Type: research
