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Condition: Stroke
Therapy: Pain Management

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Total 1121 results found since Jan 2013.

Pharmacological Management of Central Post-Stroke Pain: A Practical Guide
Abstract Pain is one of the most troublesome sequelae of stroke. Some of this post-stroke pain is caused by the brain lesion itself; this is called central post-stroke pain (CPSP). Although the prevalence of CPSP is low (1–8 %), persistent, often treatment-resistant, painful sensations are a major problem for stroke patients. The pathogenesis of CPSP remains unknown, but suggested underlying causes include hyperexcitation in the damaged sensory pathways, damage to the central inhibitory pathways, or a combination of the two. For pharmacological treatment, amitriptyline, an adrenergic antidepressant, is current...
Source: CNS Drugs - September 1, 2014 Category: Neurology Source Type: research

Pain among institutionalized stroke patients and its relation to emotional distress and social engagement
ConclusionsPain is a serious and multidimensional problem among institutionalized stroke patients. It is related to increased ED, which in turn can be a pathway to low SE as an indicator of social vulnerability. Future research should reveal how pain management in nursing homes can be tailored to the needs of this patient group. Copyright © 2014 John Wiley & Sons, Ltd.
Source: International Journal of Geriatric Psychiatry - January 8, 2015 Category: Geriatrics Authors: Suzanne Almenkerk, Marja F. I. A. Depla, Martin Smalbrugge, Jan A. Eefsting, Cees M. P. M. Hertogh Tags: Research Article Source Type: research

A patient with acute aortic dissection presenting with bilateral stroke - A rare experience.
Abstract Acute aortic dissection is a rare, life-threatening condition requiring early recognition and proper treatment. Although chest pain remains the most frequent initial symptom, clinical manifestation of aortic dissection varies. Rarely aortic dissection starts with neurological symptoms such as ischemic stroke, which is usually right-sided. A danger of performing thrombolytic therapy in these patients exists if aortic dissection is overlooked. Herein, we present a case of a patient with acute aortic dissection without typical chest pain whose initial manifestation was bilateral stroke. The uncommon presenta...
Source: Neurologia i Neurochirurgia Polska - May 1, 2015 Category: Neurology Authors: Kowalska-Brozda O, Brozda M Tags: Neurol Neurochir Pol Source Type: research

Demystifying post-stroke pain: from etiology to treatment
Pain following stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This is in part due to the esoteric nature of post-stroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who develop pain include central post-stroke pain (CPSP), complex regional pain syndrome (CRPS), and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Source Type: research

Effects of an intensive thalassotherapy and aquatic therapy program in stroke patients. A pilot study.
CONCLUSIONS: Our results suggest that an intensive program of thalassotherapy and aquatic therapy could be useful during stroke rehabilitation to improve balance, gait and pain. PMID: 28895998 [PubMed - in process]
Source: Revista de Neurologia - September 13, 2017 Category: Neurology Authors: Morer C, Boestad C, Zuluaga P, Alvarez-Badillo A, Maraver F Tags: Rev Neurol Source Type: research

Upper-limb sensory impairments after stroke: Self-reported experiences of daily life and rehabilitation.
CONCLUSION: Stroke survivors perceive that sensory impairment of the upper limb has a highly negative impact on daily life, but specific rehabilitation for the upper limb is lacking. These findings imply that the clinical management of upper limb sensory impairment after stroke requires more attention. PMID: 29068038 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - October 29, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Successful deep brain stimulation for central post-stroke pain and dystonia in a single operation
Conclusions Deep brain stimulation targeting multiple brain networks in one operation is feasible and safe. Deep brain stimulation may be considered in some refractory cases of central post-stroke pain; however, it requires meticulous programming.
Source: Journal of Clinical Neuroscience - March 16, 2018 Category: Neuroscience Source Type: research

End-of-Life Care for Stroke
Stroke is a leading cause of disability and the third leading cause of death in Canada, according to the Heart and Stroke Association. Despite a high mortality rate, the experience of dying from a stroke has received limited attention from a palliative point of view. When attempting to make inferences from other specialties that have well researched methods of palliation, there was an obvious gap when considering the stroke population. Palliative stroke patients, at the Royal University Hospital, rarely have access to a bed on a specialized palliative care unit.
Source: Journal of Pain and Symptom Management - November 30, 2018 Category: Palliative Care Authors: Shelley Jolly, Ruth Whelan, Kimberly Davy Source Type: research

Prevalence and Management Challenges in Central Post-Stroke Neuropathic Pain: A Systematic Review and Meta-analysis
ConclusionsClinicians should look for any evidence of central neuropathic pain for at least 12  months after stroke. Both pharmacological and non-pharmacological interventions can be used for the management of CPSP. Lamotrigine has the strongest evidence (Level II of evidence, derived from small randomized controlled trials) for being effective in the management of CPSP. Future research sho uld focus on well-designed trials of pharmacological and non-pharmacological interventions aiming to relief CPSP, which is a very common but often neglected pain syndrome.
Source: Advances in Therapy - May 22, 2020 Category: Drugs & Pharmacology Source Type: research

Dry needling for the management of spasticity, pain, and range of movement in adults after stroke: A systematic review.
CONCLUSION: The management of adults after stroke with DN may impact positively on spasticity, pain, and ROM. However, there was significant heterogeneity across trials in terms of sample size, control groups, treated muscles, and outcome measures, and a meta-analysis was not feasible. Further research should include proper blinding, sham placebo DN as control intervention, and investigate long-term effects. PMID: 32951759 [PubMed - in process]
Source: Complementary Therapies in Medicine - July 31, 2020 Category: Complementary Medicine Authors: Valencia-Chulián R, Heredia-Rizo AM, Moral-Munoz JA, Lucena-Anton D, Luque-Moreno C Tags: Complement Ther Med Source Type: research

Effect of transcranial direct current stimulation (tDCS) delivered via dorsolateral prefrontal cortex on central post-stroke pain and depression: a case report
Conclusions: Further research is needed to determine if a series of periodic tDCS with short-intersession intervals applied to the DLPFC may be more effective than a single tDCS with long inter-session intervals, in decreasing pain and inducing long-term improvement in mood in people with stroke.PMID:33648417 | DOI:10.1080/09593985.2021.1891591
Source: Physiotherapy Theory and Practice - March 2, 2021 Category: Physiotherapy Authors: Auwal Bello Hassan Musa Sani Danazumi Auwal Abdullahi Abdulsalam Mohammed Yakasai Source Type: research

The moderating role of motivation in the real-time associations of fatigue, cognitive complaints, and pain with depressed mood among stroke survivors: An ecological momentary assessment study
This study aimed to (1) investigate the real-time associations of fatigue, cognitive complaints, and pain with depressed mood and (2) examine the role of motivation for daily activity participation as a potential moderator of these associations in stroke survivors.
Source: Archives of Physical Medicine and Rehabilitation - December 16, 2022 Category: Rehabilitation Authors: Stephen C.L. Lau, Lisa Tabor Connor, Elizabeth R. Skidmore, Allison A. King, Jin-Moo Lee, Carolyn M. Baum Source Type: research

End-of-Life Symptoms in Adult Patients With Stroke in the Last Two Years of Life: An Integrative Review
CONCLUSIONS: There is a need for better assessment and management of EOL symptoms in patients with stroke. Established palliative and EOL care guidelines need to be incorporated into clinical practice to ensure access to high-quality care.PMID:37615127 | DOI:10.1177/10499091231197657
Source: The American Journal of Hospice and Palliative Care - August 24, 2023 Category: Palliative Care Authors: Hanna Ramsburg Helene J Moriarty Meredith MacKenzie Greenle Source Type: research