Topological map of the body in post-stroke patients: Lesional and hodological aspects.

Reports investigating the relationship between sarcopenic obesity and activities of daily living in older patients with stroke were limited. This study aimed to examine the prevalence of sarcopenic obesity and its association with activities of daily living in older post-stroke patients in convalescent rehabilitation wards. This study was performed in older post-stroke patients admitted to convalescent rehabilitation wards between January 2017 and March 2019. Sarcopenia was diagnosed based on the skeletal muscle mass index and hand grip strength according to the criteria of the 2019 Asian Working Group for Sarcopenia. Obesity was diagnosed according to the body fat percentage; ≥27% in men, ≥38% in women. The primary outcome was the Functional Independence Measure (FIM) score upon admission, which was analyzed using multiple linear regression. In total, 376 participants (women 44%; mean age 77.5 years) were analyzed and classified as normal (22%), simple obesity (17%), sarcopenia without obesity (32%), and sarcopenic obesity (28%). The presence of sarcopenic obesity was independently associated with the FIM score (95% CI, −16.157 to −5.353), whereas simple obesity and sarcopenia without obesity were not. In conclusion, sarcopenic obesity was independently associated with lower activities of daily living capability in older patients with stroke.

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Progress in Research on the Mechanism and Treatment of Post-stroke Infection

Infection International ◽

10.1515/ii-2017-0134 ◽

2016 ◽

Vol 5 (3) ◽

pp. 69-74

Author(s):

Hongtao Zhang

Keyword(s):

Immune System ◽

Inflammatory Responses ◽

The Body ◽

Main Mechanism ◽

Inflammatory Factors ◽

Stroke Patients ◽

Lesion Area ◽

Peripheral Immune System ◽

Post Stroke ◽

Stroke Center

AbstractPost-stroke infection hinders the recovery of stroke patients and can even cause death. The main mechanism of post-stroke infection is related with the post-stroke center, the activation of the peripheral immune system, and the release of inflammatory factors caused by the lesion area and pathophysiological changes in the body. Therefore, elucidating the body’s abnormal immune inflammatory responses after stroke is crucial for the prevention, treatment, and alleviation of post-stroke infection.

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Rancang bangun alat monitoring fisioterapi pasien pasca stroke menggunakan sensor MPU6050 melalui media transmisi bluetooth

JURNAL ELTEK ◽

10.33795/eltek.v19i2.281 ◽

2021 ◽

Vol 19 (2) ◽

pp. 39

Author(s):

Lis Diana Mustafa ◽

Azam Muzakhim Imamuddin ◽

Yoyok Heru Prasetio

Keyword(s):

Transient Ischemic Attack ◽

Knee Flexion ◽

The Body ◽

Stroke Patients ◽

Post Stroke ◽

Elbow Movement ◽

Mild Stroke ◽

Ischemic Attack ◽

The Brain ◽

Average Angle

Stroke Transient Ischemic Attack (TIA ) adalah kondisi stroke ringan. Stroke ringan diakibatkan oleh berkurangnya suplai darah menuju otak. Kelumpuhan disebabkan oleh kurangnya aliran darah ke otak, sehingga sisi tubuh akan mengalami kelumpuhan terutama pada siku dan lutut. Fisioterapi pada pasien pasca stroke ringan dilakukan dengan metode terapi gerakan antara lain seperti penggunaan alat bantu fisioterapi pasien pasca stroke menggunakan sensor MPU6050 melalui media transmisi Bluetooth. Sistem rancangan ini membantu latihan pada pasien berbentuk sensor MPU6050 yang digunakan untuk mendeteksi sudut serta banyaknya gerakan rehabilitasi pasien pasca stroke. Sensor gyroscope menghasilkan deteksi sudut pada siku sebesar 150 dan sudut pada lutut sebesar 135 . Data yang didapatkan diproses oleh arduino nano menggunakan metode I2C. Penelitian ini bertujuan untuk merancang alat bantu fisioterapi pasien pasca stroke berbasis mikrokontroler guna memperoleh hasil yang maksimal karena bentuk alat ini yang portable. Stroke Transient Ischemic Attack (TIA) is a mild stroke condition that can be caused by reduced blood supply to the brain due to blocked blood vessels. Lack of blood flow to the brain can cause paralysis, usually only on one side of the body such as the elbows and knees. Physiotherapy in post-stroke patients is carried out using movement therapy methods, including elbow and knee flexion. Currently, patients come to the therapist or vice versa to perform therapeutic movements, so a telemonitoring system for post-stroke patient physiotherapy tools is made using the MPU6050 sensor which is connected to ESP 232 and the internet network and can be monitored by therapists and clinic admins where the therapy is done. This system helps monitor elbow and knew flexion exercises using the MPU6050 sensor which is used to detect the angle and number of rehabilitation movements of post-stroke patients. . From the results of testing the accuracy of this sensor is able to detect the angle of elbow movement from 00-1500 and knee flexion angle of 00-1350 by 99%.The telemonitoring application for physiotherapy tools for post-stroke patients based on Android is equipped with a therapist menu so that the number of movements and the average angle of movement of the knees and elbows can be monitored by the therapist, this tool can also be used anywhere and anytime due to the portable form of this tool.

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Evaluation of spatio-temporal parameters of the non-paretic limb in the gait performance of post stroke patients

10.5327/1516-3180.609 ◽

2021 ◽

Author(s):

Rodrigo Andreola Serraglio ◽

Ana Carolina Pauleto ◽

Guilherme Augusto de Oliveira

Keyword(s):

Functional Dependence ◽

Step Length ◽

The Body ◽

Stroke Patients ◽

Post Stroke ◽

Swing Time ◽

Paretic Limb ◽

Spatio Temporal ◽

High Level ◽

Support Phase

The objective of this study is to evaluate the compensation of the non-paretic side in the gait of post-stroke hemiparetic patients submitted to computerized gait analysis in the Centro Hospitalar de Reabilitação Ana Carolina Moura Xavier, Curitiba - PR, in a study carried out in 2015. Spatio-temporal data were evaluated: speed, stride and step length, swing time and support of both members. The sample consisted of twenty individuals with a mean time after stroke of 6.9 months. The results showed that the median speed was equivalent to 16.17% of the normal standard value, stride length to 31.22%, step length of the non-paretic limb to 31.69%. The swing time on the nonparetic side corresponded to 35% of the total cycle and the support time corresponded to 86%. There is a favoring of the paretic limb over the non-paretic one, as a compensation mechanism for weakness and impaired balance. Thus, the non-paretic limb spends more time in the support phase to allow a longer step length of the paretic limb while in swing. In contrast, the paretic limb is unable to support the body in the support phase for a long time, reducing the step length of the non-paretic limb. The significant reduction in gait speed indicates the high level of functional dependence in these patients. If there is an opportunity to act early in the rehabilitation of post-stroke patients, still in the acute phase, it is possible to quantify the improvement in the ability to walk.

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Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients

Jurnal Keterapian Fisik ◽

10.37341/jkf.v0i0.293 ◽

2021 ◽

pp. 136-144

Author(s):

Roh Hastuti Prasetyaningsih ◽

Hendri Kurniawan

Keyword(s):

Upper Extremity ◽

Motor Recovery ◽

The Body ◽

P Value ◽

Mirror Therapy ◽

Research Subjects ◽

Hand Rehabilitation ◽

Stroke Patients ◽

Post Stroke ◽

Significant Difference

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment. Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed. Results: Statistically the results represent a significant difference in the UE motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value = 0.000 (ρ < 0,05). Application of MT effect on upper extremity motor recovery in post-stroke patients. Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.

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The short term-effects of both feet plantar vibration in post stroke patients balance

Auditory and Vestibular Research ◽

10.18502/avr.v29i1.2371 ◽

2020 ◽

Author(s):

Mahdieh Sajedifar ◽

Zahra Fakhari ◽

Soofia Naghdi ◽

Noureddin Nakhostin Ansari ◽

Roshansk Honarpisheh

Keyword(s):

The Body ◽

Stroke Patients ◽

Short Term ◽

Local Vibration ◽

Cutaneous Sensation ◽

Evaluation Systems ◽

Post Stroke ◽

Vibration Therapy ◽

Balance Disorder ◽

Plantar Region

Background and Aim: Balance disorder is a common problem in post stroke patients. Vibration therapy is one of the interventions that is used to treat this impairment in physiotherapy. There are several studies on the effects of more affected foot plantar vibration on balance, however according to the researchers this cerebral lesion causes bilateral side effects in the body. So the aim of this study was to investigate the shortterm effects of both feet plantar vibration on the balance of post stroke patients. Methods: This pretest-posttest clinical study included 12 post stroke patients (8 male and 4 female, mean age 52.41 ± 9.03 years). The participants received one session of 5-min vibration stimuli (frequency, 100 Hz) to the plantar region on both feet. Mini-Balance Evaluation Systems Test (Mini-BESTest) score and plantar cutaneous sensation by Semmes Weinstein monofilament examination (SWME) were assessed before and immediately after the intervention. Results: Mini-BESTest mean total score improved significantly (p ≤ 0.001) after both feet vibration and these results were supported by a large effect size (Cohen d = 2.83). Mean number of detected points by SWME decreased after vibration therapy (p = 0.06) but it was not statistically significant. Conclusion: The findings suggest that local vibration applied directly to the plantar region of both feet in post-stroke patients could be an appropriate physiotherapy intervention to improve their balance. Keywords: Vibration; balance; stroke

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PENGARUH LATIHAN STABILISASI POSTURAL TERHADAP KESEIMBANGAN STATIS DAN DINAMIS PADA PASIEN PASCA STROKE

Jurnal Kesehatan Terpadu ◽

10.36002/jkt.v1i1.158 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Indah Pramita ◽

Mr Setiawan ◽

Saifudin Zuhri

Keyword(s):

Postural Control ◽

Dynamic Balance ◽

The Body ◽

Test Design ◽

Stroke Patients ◽

Post Stroke ◽

Before And After ◽

Postural Stabilization ◽

Post Test ◽

The Mean

ABSTRAK Kasus stroke banyak dijumpai di lapangan, dimana penanganan pada pasien pasca stroke hanya menitik beratkan pada kemampuan motorik dan kurang memperhatikan kontrol postural. Sedangkan pada pasien pasca stroke memiliki masalah dengan kontrol postural yang berfungsi mengontrol posisi badan agar tetap tegak. Adanya masalah tersebut menghambat gerakan pada pasien pasca stroke dan mengakibatkan bertambahnya gangguan keseimbangan. Penelitian ini bertujuan untuk mengetahui manfaat latihan stabilisasi postural terhadap perbaikan keseimbangan statis dan dinamis pada pasien pasca stroke. Rancangan penelitian one group pre-test and post-test design dengan sampel sebanyak 6 orang yang diberikan latihan stabilisasi postural sebanyak 3x/minggu selama 1 bulan. Hasil Penelitian FRT sebelum perlakuan didapatkan rerata±SD sebesar 19,67±6,28 sedangkan rerata±SD FRT setelah perlakuan sebesar 25,50±5,28 dan p=0,004 (p<0,05). Hal ini menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan statis pada pasien pasca stroke. Hasil TUG test sebelum perlakuan didapatkan rerata±SD sebesar 31,17±1,82 sedangkan rerata±SD TUG test setelah perlakuan sebesar 18,50±5,17 dan p = 0,027 (p < 0,05). Data ini juga menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan dinamis pada pasien pasca stroke. Latihan stabilisasi postural meningkatkan keseimbangan statis dan dinamis pada pasien pasca stroke. Kata kunci: Latihan, Keseimbangan , Stroke ABSTRACT Many cases of stroke in the field, where the handling of post-stroke patients only focuses on motor skills and lack of attention to postural control. While in post-stroke patients have problems with postural control that controls the position of the body to remain upright. The existence of these problems hamper the movement in post-stroke patients and lead to increased disturbance of balance. This study aims to know the benefits of postural stabilization exercises to improve static and dynamic balance in patients with post stroke. This was an experimental pre using the design of a one group pre-test and post-test design. The number of subjects as many as 6 people, get as much 3x/minggu postural stabilization exercises for 1 month. Result of FRT before treatment obtained a mean ± SD of 19.67 ± 6.28 while the mean ± SD FRT after treatment for 25.50 ± 5.28 and p = 0.004 (p <0.05). It shows atients with post stroke. Results TUG test before and after treatment. TUG test results obtained before treatment the mean ± SD of 31.17 ± 1.82 while the mean ± SD TUG test after treatment for 18.50 ± 5.17 and p = 0.027 (p <0.05). It means there is influence between postural stabilization exercises on dynamic balance in patients with post stroke.The postural stabilization exercises enhance static and dynamic balance in patients with post stroke. Keywords: Exercise, balance, Stroke

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