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Total 579 results found since Jan 2013.

Rehabilitation in oldest-old stroke patients: a comparison within over 65 population.
CONCLUSIONS: Despite advancing age seems to be associated with a reduced effectiveness of the rehabilitation process and a greater number of complications, intensive rehabilitation can produce significant functional gains for all stroke survivors, regardless of age. CLINICAL REHABILITATION IMPACT: Understanding the specificity of this population will offer older subjects targeted interventions and, for health systems, better allocation of resources and the development of more effective approaches. PMID: 30160435 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - August 29, 2018 Category: Rehabilitation Authors: Zucchella C, Consilvio M, Iacoviello L, Intiso D, Tamburin S, Casale R, Bartolo M Tags: Eur J Phys Rehabil Med Source Type: research

Recovery of Apraxia of Speech and Aphasia in Patients With Hand Motor Impairment After Stroke
Conclusion: Our findings confirm the common occurrence of AOS and aphasia in left hemisphere stroke patients with a hand motor impairment. Recovery was similar across speech-language and motor domains, even in patients with severe impairment, supporting the shared recovery hypothesis and that similar brain recovery mechanisms are involved in speech-language and motor recovery post stroke. These observations contribute to the knowledge of AOS and its relation to motor and language functions and add information that may serve as a basis for future studies of post stroke recovery. Studies including neuroimaging and/or biologi...
Source: Frontiers in Neurology - March 31, 2021 Category: Neurology Source Type: research

Longitudinal changes in functional connectivity in speech motor networks in apraxia of speech after stroke
ConclusionEarly interhemispheric IFG connectivity may be a strong predictor of AOS recovery. The results support the importance of interhemispheric vPMC connection in speech motor planning and severity of AOS and suggest that also bilateral aINS connectivity may have an impact on AOS severity. These findings need to be validated in larger cohorts.
Source: Frontiers in Neurology - November 30, 2022 Category: Neurology Source Type: research

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

Telehealth Stroke Dysphagia Evaluation Is Safe and Effective
Background: Rapid evaluation of dysphagia poststroke significantly lowers rates of aspiration pneumonia. Logistical barriers often significantly delay in-person dysphagia evaluation by speech language pathologists (SLPs) in remote and rural hospitals. Clinical swallow evaluations delivered via telehealth have been validated in a number of clinical contexts, yet no one has specifically validated a teleswallow evaluation for in-hospital post-stroke dysphagia assessment.Methods: A team of 6 SLPs experienced in stroke care and a telestroke neurologist designed, implemented, and tested a teleswallow evaluation for acute stroke ...
Source: Cerebrovascular Diseases - August 18, 2017 Category: Neurology Source Type: research

The Effect of Improved Dysphagia Care on Outcome in Patients with Acute Stroke: Trends from 8-Year Data of a Large Stroke Register
Conclusion: Although advances have been made in dysphagia care, prevalent screening and treatment practices remain insufficient to reduce pneumonia rate, improve functional outcome, and decrease case fatality in dysphagic stroke patients. More research is urgently needed to develop more effective swallowing therapies.Cerebrovasc Dis 2018;45:101 –108
Source: Cerebrovascular Diseases - March 13, 2018 Category: Neurology Source Type: research

Efficacy of cognitive behavior language therapy for aphasia following stroke: Implications for language education research
Conclusion: Based on the findings of the study, language educators, speech and language pathologists and therapists in education institutions, hospitals, and rehabilitation centers should adopt the principles of CBLT used in the current study to help them improve communication ability among aphasia stroke patients.
Source: Medicine - May 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

Cortical and Subcortical Control of Swallowing-Can We Use Information From Lesion Locations to Improve Diagnosis and Treatment for Patients With Stroke?
Conclusions Stroke lesion locations have been identified that are commonly associated across patients with the occurrence and recovery of dysphagia, suggesting that clinical brain scans provide useful information for improving the diagnosis and treatment of patients with stroke. However, individual differences in brain structure and function limit the generalizability of these relationships and emphasize that the extent of the motor and sensory pathology in swallowing, and how the patient recovers, also depends on a patient's individual brain constitution. The involvement of the damaged brain tissue in swallowing control b...
Source: American Journal of Speech-Language Pathology - July 9, 2020 Category: Speech-Language Pathology Authors: Wilmskoetter J, Daniels SK, Miller AJ Tags: Am J Speech Lang Pathol Source Type: research

The management of patients with functional stroke: speech and language therapists' views and experiences.
CONCLUSIONS: As healthcare professionals, participants were keen to help their patients. However, they felt they did not have the skills or knowledge to help which caused professional turmoil. Reducing stigma and increasing awareness and knowledge of functional stroke are required to improve patient outcomes. PMID: 33406948 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 7, 2021 Category: Rehabilitation Authors: Barnett C, Mitchell C, Tyson S Tags: Disabil Rehabil Source Type: research

The feasibility, usability and acceptability of a tablet-based aphasia therapy in the acute phase following stroke.
CONCLUSION: The aphasia exercise program in 'STAPP' is feasible to use as an additional rehabilitation tool along with standard of care in the acute phase post-stroke. Further research is needed to assess the efficacy. CLINICAL TRIAL REGISTRATION-URL: https://clinicaltrials.gov/ct2/show/NCT03679637. PMID: 33418143 [PubMed - as supplied by publisher]
Source: Journal of Communication Disorders - December 29, 2020 Category: Speech-Language Pathology Authors: De Cock E, Batens K, Feiken J, Hemelsoet D, Oostra K, De Herdt V Tags: J Commun Disord Source Type: research