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Total 1186 results found since Jan 2013.

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Differences in Skeletal Muscle Fiber Characteristics between Affected and Nonaffected Limbs in Individuals with Stroke: A Scoping Review
CONCLUSIONS: Of the limited available evidence, stroke appears to result in a shift to a higher proportion of type II muscle fibers in the paretic muscles. There are mixed results for effects on muscle fiber CSA, but there is some evidence of specific atrophy of type II muscle fibers.IMPACT: Changes in paretic skeletal muscle fibers of individuals with stroke may explain, in part, the substantial losses in strength and power in this population. Interventions to restore type II muscle fiber size may benefit people with stroke.PMID:37478464 | DOI:10.1093/ptj/pzad095
Source: Physical Therapy - July 21, 2023 Category: Physiotherapy Authors: Kenneth S Noguchi Jonathan C Mcleod Stuart M Phillips Julie Richardson Ada Tang Source Type: research

The Stroke Upper and Lower Extremity Physical Function Measures Were Supported for Score Reliability, Validity, and Administration Efficiency for Patients Poststroke
CONCLUSION: The stroke upper extremity and stroke lower extremity PROM scores were reliable, valid, and efficient and had moderate change effect sizes for assessing physical function as perceived by patients poststroke with upper and lower extremity impairments. Scores had negligible floor and acceptable ceiling effects. Based on these results, the stroke PROMs are suitable for research and routine clinical practice.IMPACT: As item response theory-based measures, these PROMs support clinical practice guideline recommendations for the use of outcome measures in neurologic physical therapy and the administration of condition...
Source: Health Physics - August 12, 2023 Category: Physics Authors: Daniel Deutscher Michael A Kallen Deanna Hayes Mark W Werneke Jerome E Mioduski Theresa Toczylowski Jessica M Petitti Karon F Cook Source Type: research

A Single Trial of Transcutaneous Electrical Nerve Stimulation (TENS) Improves Spasticity and Balance in Patients with Chronic Stroke.
This study shows that TENS provides an immediately effective means of reducing spasticity and of improving balance in chronic stroke patients. The present data may be useful to establish the standard parameters for TENS application in the clinical setting of stroke. PMID: 23419328 [PubMed - in process]
Source: The Tohoku Journal of Experimental Medicine - February 22, 2013 Category: Research Authors: Cho HY, Sung In T, Hun Cho K, Ho Song C Tags: Tohoku J Exp Med Source Type: research

Acupuncture in Subacute Stroke: No Benefits Detected.
CONCLUSIONS: In patients with subacute stroke, the addition of body and scalp acupuncture to a regimen of conventional physical therapy does not result in further improvement in either motor function or activities of daily living beyond the effect of conventional physical therapy alone. PMID: 23723385 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 30, 2013 Category: Physiotherapy Authors: Zhu Y, Zhang L, Ouyang G, Meng D, Qian K, Wang T Tags: Phys Ther Source Type: research