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Total 277 results found since Jan 2013.

Investigating preferences for support with life after stroke: a discrete choice experiment
We report the first investigation of patients' and family carers' preferences for community services after stroke using a discrete choice experiment (DCE). Methods: Two workshops with patients and family carers (n = 8) explored stroke experiences, identifying attributes important in shaping views about service design, and piloted data collection strategies. Attributes were group versus individual support; service provider; additional support for social and leisure activities; and the total time required to access services. Patients and family carers were recruited six months post stroke-onset (mean 331 days) from four stro...
Source: BMC Health Services Research - February 8, 2014 Category: Journals (General) Authors: Christopher BurtonEmily FargherCatrin PlumptonGwerfyl RobertsHeledd OwenEryl Roberts Source Type: research

Test-Retest Reliability of Portable Metabolic Monitoring After Disabling Stroke
Conclusions. Our results strongly support the reliability of the K4b2 for quantifying overground gait efficiency after stroke. Use of this device may enable researchers to study how varying poststroke rehabilitation interventions affect this central measure of health and function.
Source: Neurorehabilitation and Neural Repair - October 7, 2013 Category: Neurology Authors: Stookey, A. D., McCusker, M. G., Sorkin, J. D., Katzel, L. I., Shaughnessy, M., Macko, R. F., Ivey, F. M. Tags: Clinical Research Articles Source Type: research

Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: A randomised controlled trial.
CONCLUSION: Early home-based rehabilitation reduced disability and increased quality of life. Compared to standard care, home-based stroke rehabilitation was more cost-effective. PMID: 25758941 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 10, 2015 Category: Rehabilitation Authors: Rasmussen RS, Østergaard A, Kjær P, Skerris A, Skou C, Christoffersen J, Seest LS, Poulsen MB, Rønholt F, Overgaard K Tags: Clin Rehabil Source Type: research

Rheumatic Valve Disease and Stroke. A Public Health Problem in Countries in Way of Develop (P1.288)
Conclusions: In our population RVD with or without AF is the main cause of cerebral ischemia, just preceded by thrombosis of large arteries, affecting young and productive people, which severely impacts the economy of families and country that walking towards development. Mexico along with other emerging countries needs to implement public health programs in the early diagnosis and treatment of this health problem.Disclosure: Dr. Mendez-Dominguez has nothing to disclose. Dr. Arias-Fernandez has nothing to disclose. Dr. Aguirre-Delfin has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Mendez-Dominguez, A., Arias-Fernandez, J., Aguirre-Delfin, M. Tags: Global Health: Infectious Disease, Capacity Building, and Other Source Type: research

Associations between Ischemic Stroke Follow-Up, Socioeconomic Status, and Adherence to Secondary Preventive Drugs in Southern Sweden: Observations from the Swedish Stroke Register (Riksstroke)
Conclusions: The use of secondary preventive drugs decreases over the first year after stroke and remains suboptimal. Specific reasons for nonadherence warrant further study.Neuroepidemiology 2017;48:32-38
Source: Neuroepidemiology - February 24, 2017 Category: Epidemiology Source Type: research

Application of Muse Cell Therapy to Stroke.
Authors: Niizuma K, Borlongan CV, Tominaga T Abstract Stroke is defined as a sudden onset of neurologic deficits arising from cerebrovascular complications. It is the second common cause of death around the world and the major cause of disability. Because brain is an organ with complicated neural networks and neurons are highly differentiated, it has been traditionally considered to possess a limited potential for regeneration. The number of stroke patients is increasing, and stroke represents a serious problem from the viewpoint of the national medical economy. Even with the current sophisticated treatments, more ...
Source: Advances in Experimental Medicine and Biology - November 30, 2018 Category: Research Tags: Adv Exp Med Biol Source Type: research

Effect of types of ankle-foot orthoses on energy expenditure metrics during walking in individuals with stroke: a systematic review.
Conclusions: An AFO can immediately improve energy expenditure metrics of walking in stroke survivors. There is a need for further well-designed randomized trials to evaluate long-term effect of gait training using AFOs and comparison among the different types of orthoses.IMPLICATIONS FOR REHABILITATIONAn AFO can immediately improve the energy expenditure metrics during walking after stroke.Measurement of energetic parameters of walking wearing a orthotic device such as an AFO can evaluate gait economy in stroke populations. PMID: 32432905 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - May 19, 2020 Category: Rehabilitation Authors: Daryabor A, Yamamoto S, Orendurff M, Kobayashi T Tags: Disabil Rehabil Source Type: research

Cost of stroke in France
ConclusionsWith healthcare costs representing 3% of total health expenditure in France, stroke constitutes an ongoing burden for the health system and overall economy. Nursing care added nearly half again the amount spent on healthcare, while productivity losses were more limited because nearly 80% of acute incident strokes were in patients over age 65. The high cost of illness underscores the need for improved prevention and interventions to limit the disabling effects of stroke.
Source: European Journal of Neurology - April 8, 2013 Category: Neurology Authors: K. Chevreul, I. Durand‐Zaleski, A. Gouépo, E. Fery‐Lemonnier, M. Hommel, F. Woimant Tags: Original Article Source Type: research

Trimethylamine-N-oxide: a potential biomarker and therapeutic target in ischemic stroke
This article reviews the production of TMAO, TMAO’s relationship with different etiological types of ischemic stroke, and the possibility of reducing TMAO levels to improve the prognosis of ischemic stroke.
Source: Frontiers in Neurology - April 21, 2023 Category: Neurology Source Type: research

O-002 developing an interventional stroke service: improving clinical outcomes and reducing cost and delivering great cost saving benefits to health economy
ConclusionMechanical Thrombectomy has shown benefit in improving clinical outcomes with significant cost saving benefit to our institution and the community care. If the cost saving benefits is extrapolated to the stroke population of the United Kingdom or any other western country with a similar healthcare structure, this will lead to major savings to the healthcare economy. For this to materialize, there needs to a larger government initiative to streamline stroke pathways and provide adequate funding to develop this service uniformly across the country.DisclosuresS. Nayak: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Nayak, S. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

Effects of handrail hold and light touch on energetics, step parameters, and neuromuscular activity during walking after stroke
Conclusion: Handrail hold, but not light touch, altered step parameters and was accompanied by a global reduction in muscle activity, with improved timing constancy. This suggests that the use of a handrail allows for a more economic step pattern that requires less muscular activation without resulting in substantial neuromuscular re-organization. Handrail use may thus have beneficial effects on gait economy after stroke, which cannot be accomplished through enhanced somatosensory input alone.
Source: Journal of NeuroEngineering and Rehabilitation - August 23, 2015 Category: Rehabilitation Authors: T. IJmkerC. LamothH. HoudijkM. TolsmaL. van der WoudeA. DaffertshoferP. Beek Source Type: research

Alterations in Aerobic Exercise Performance and Gait Economy Following High-Intensity Dynamic Stepping Training in Persons With Subacute Stroke.
CONCLUSIONS: High-intensity stepping training may elicit significant improvements in (Equation is included in full-text article.)O2submax, whereas changes in both peak capacity and economy better reflect gains in walking function. Providing high-intensity training to improve locomotor and aerobic exercise performance may increase the efficiency of rehabilitation sessions.Video Abstract available for more insights from the authors (see Supplemental Digital Content, http://links.lww.com/JNPT/A142). PMID: 27632078 [PubMed - in process]
Source: Physical Therapy - September 19, 2016 Category: Physiotherapy Authors: Leddy AL, Connolly M, Holleran CL, Hennessy PW, Woodward J, Arena RA, Roth EJ, Hornby TG Tags: J Neurol Phys Ther Source Type: research

Oxygen Consumption While Walking With Multijoint Neuromuscular Electrical Stimulation After Stroke
This case study evaluated the effect of implanted multijoint neuromuscular electrical stimulation gait assistance on oxygen consumption relative to walking without neuromuscular electrical stimulation after stroke. The participant walked slowly with an asymmetric gait pattern after stroke. He completed repeated 6-min walk tests at a self-selected walking speed with and without hip, knee, and ankle stimulation assistance. His walking speed with neuromuscular electrical stimulation more than doubled from 0.28 ± 0.01 m/sec to 0.58 ± 0.04 m/sec, whereas average step length and cadence increased by 0.12 m and 24 steps/min, re...
Source: American Journal of Physical Medicine and Rehabilitation - November 22, 2020 Category: Rehabilitation Tags: Case Reports Source Type: research

The effect of occupational exposure to noise on ischaemic heart disease, stroke and hypertension: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-Related Burden of Disease and Injury
CONCLUSIONS: For acquiring IHD, we judged the existing body of evidence from human data to provide "limited evidence of harmfulness"; a positive relationship is observed between exposure and outcome where chance, bias, and confounding cannot be ruled out with reasonable confidence. For all other included outcomes, the bodies of evidence were judged as "inadequate evidence of harmfulness". Producing estimates for the burden of CVD attributable to occupational exposure to noise appears to not be evidence-based at this time.PROTOCOL IDENTIFIER: 10.1016/j.envint.2018.09.040.PROSPERO REGISTRATION NUMBER: CRD42018092272.PMID:336...
Source: Environment International - February 22, 2021 Category: Environmental Health Authors: Liliane R Teixeira Frank Pega Angel M Dzhambov Alicja Bortkiewicz Denise T Correa da Silva Carlos A F de Andrade Elzbieta Gadzicka Kishor Hadkhale Sergio Iavicoli Martha S Mart ínez-Silveira Ma łgorzata Pawlaczyk-Łuszczyńska Bruna M Rondinone Jadwiga Source Type: research

Correspondence The future of stroke therapy must not be mired by past arguments
Stroke is the leading cause of disability and the fifth leading cause of death in the UK, costing the UK economy more than £7 billion per year.1 At present, the only therapeutic approved by the UK National Institute for Health and Care Excellence (NICE) for the treatment of ischaemic stroke is thrombolysis using recombinant tissue-type plasminogen activator (rtPA). However, rtPA is only effective in patients who present within 4·5 h of stroke onset, with a number needed to treat for benefit of 3·6 before 90 min, rising to 5·9 between 3 h and 4·5 h.
Source: LANCET - August 14, 2015 Category: Journals (General) Authors: Alastair M Buchan, Hasneen G Karbalai, Brad A Sutherland Tags: Correspondence Source Type: research