Prognostic factors for ambulation and activities of daily living in the subacute phase after stroke. A systematic review of the literature

2003 ◽  
Vol 17 (2) ◽  
pp. 119-129 ◽  
Author(s):  
R Meijer ◽  
D S Ihnenfeldt ◽  
I JM de Groot ◽  
J van Limbeek ◽  
M Vermeulen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prognostic Factors ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Review Of The Literature ◽  
Subacute Phase

Prediction of Independent Walking in People Who Are Nonambulatory Early After Stroke: A Systematic Review

Stroke ◽  
2021 ◽  
Author(s):  
Elisabeth Preston ◽  
Louise Ada ◽  
Rosalyn Stanton ◽  
Niruthikha Mahendran ◽  
Catherine M. Dean
Keyword(s):  
Systematic Review ◽  
Cognitive Impairment ◽  
Prognostic Factors ◽  
Activities Of Daily Living ◽  
Odds Ratio ◽  
Daily Living ◽  
Corticospinal Tract ◽  
Unique Identifier ◽  
Leg Strength ◽  
Younger Age

Background and Purpose: One systematic review has examined factors that predict walking outcome at one month in initially nonambulatory patients after stroke. The purpose of this systematic review was to examine, in nonambulatory people within a month of stroke, which factors predict independent walking at 3, 6, and 12 months. Methods: Prognostic factors: Any factors measured within one month after stroke with the aim of predicting independent walking. Outcome of interest: Independent walking defined as walking with or without an aid but with no human assistance. Results: Fifteen studies comprising 2344 nonambulatory participants after stroke were included. Risk of bias was low in 7 studies and moderate in 8 studies. Individual meta-analyses of 2 to 4 studies were performed to calculate the pooled estimate of the odds ratio for 12 prognostic factors. Younger age (odds ratio [OR], 3.4, P <0.001), an intact corticospinal tract (OR, 8.3, P <0.001), good leg strength (OR, 5.0, P <0.001), no cognitive impairment (OR, 3.5, P <0.001), no neglect (OR, 2.4, P =0.006), continence (OR, 2.3, P <0.001), good sitting (OR, 7.9, P <0.001), and independence in activities of daily living (OR 10.5, P <0.001) predicted independent walking at 3 months. Younger age (OR, 2.1, P <0.001), continence (OR, 13.8, P <0.001), and good sitting (OR, 19.1, P <0.001) predicted independent walking at 6 months. There were insufficient data at 12 months. Conclusions: Younger age, an intact corticospinal tract, good leg strength, continence, no cognitive impairment, no neglect, good sitting, and independence in activities of daily living in patients who are nonambulatory early after stroke predict independent walking at 3 months. Registration: URL: https://www.crd.york.ac.uk/prospero/ ; Unique identifier: CRD42018108794.

scholarly journals Efficacy of Surgery for the Treatment of Gastric Cancer Liver Metastases: A Systematic Review of the Literature and Meta-Analysis of Prognostic Factors

2021 ◽  
Vol 10 (5) ◽  
pp. 1141
Author(s):  
Gianpaolo Marte ◽  
Andrea Tufo ◽  
Francesca Steccanella ◽  
Ester Marra ◽  
Piera Federico ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Systematic Review ◽  
Prognostic Factors ◽  
Liver Metastases ◽  
Meta Analysis ◽  
Multidisciplinary Treatment ◽  
Review Of The Literature ◽  
Term Survival ◽  
The Impact

Background: In the last 10 years, the management of patients with gastric cancer liver metastases (GCLM) has changed from chemotherapy alone, towards a multidisciplinary treatment with liver surgery playing a leading role. The aim of this systematic review and meta-analysis is to assess the efficacy of hepatectomy for GCLM and to analyze the impact of related prognostic factors on long-term outcomes. Methods: The databases PubMed (Medline), EMBASE, and Google Scholar were searched for relevant articles from January 2010 to September 2020. We included prospective and retrospective studies that reported the outcomes after hepatectomy for GCLM. A systematic review of the literature and meta-analysis of prognostic factors was performed. Results: We included 40 studies, including 1573 participants who underwent hepatic resection for GCLM. Post-operative morbidity and 30-day mortality rates were 24.7% and 1.6%, respectively. One-year, 3-years, and 5-years overall survival (OS) were 72%, 37%, and 26%, respectively. The 1-year, 3-years, and 5-years disease-free survival (DFS) were 44%, 24%, and 22%, respectively. Well-moderately differentiated tumors, pT1–2 and pN0–1 adenocarcinoma, R0 resection, the presence of solitary metastasis, unilobar metastases, metachronous metastasis, and chemotherapy were all strongly positively associated to better OS and DFS. Conclusion: In the present study, we demonstrated that hepatectomy for GCLM is feasible and provides benefits in terms of long-term survival. Identification of patient subgroups that could benefit from surgical treatment is mandatory in a multidisciplinary setting.

scholarly journals Reabilitação do equilíbrio postural com o uso de jogos de realidade virtual

2017 ◽  
Vol 8 (1) ◽  
pp. 161
Author(s):  
Luana Hilario de Meireles Lima ◽  
Diego Santos Fagundes ◽  
Miguel Furtado Menezes ◽  
Maiara Lazaretti Rodrigues Do Prado ◽  
Michele Thais Favero
Keyword(s):  
Virtual Reality ◽  
Activities Of Daily Living ◽  
Therapeutic Intervention ◽  
Postural Balance ◽  
Daily Living ◽  
Review Of The Literature ◽  
Risk Of Falls ◽  
Balance Deficits ◽  
Technological Tool ◽  
Traditional Therapies

Os déficits de equilíbrio postural podem levar a limitações nas atividades de vida diária, reduzindo a autonomia e aumentando o risco de quedas dos indivíduos. A fisioterapia dispõe de uma variedade de recursos que podem ser utilizados para a reabilitação do equilíbrio postural, e a realidade virtual é um dos recursos que vem sendo utilizado com este objetivo, pois através de repetição, feedback e motivação, pode proporcionar ao usuário maior controle do equilíbrio postural. Objetivo: Revisar a literatura existente sobre os efeitos das intervenções com jogos de realidade virtual na reabilitação de déficits de equilíbrio postural. Método: Foi realizada uma revisão de literatura utilizando Descritores em Ciências da Saúde (DECs), com análise de publicações impressas em livros do acervo da Biblioteca Júlio Bordignon da Faculdade de Educação e Meio Ambiente – FAEMA, e consulta de trabalhos indexados e publicados nas bases de dados LILACS, SCIELO, PubMed e Google Acadêmico. Considerações Finais: Os estudos analisados apontam que a intervenção terapêutica com o uso da realidade virtual como uma ferramenta tecnológica para a reabilitação do equilíbrio postural mostrou ser de grande importância e poderia auxiliar as terapias tradicionais, no entanto, mais estudos serão necessários para entender qual é o mecanismo pelo qual a realidade virtual atua melhorando o equilíbrio postural. ABSTRACT: Postural balance deficits can lead to limitations in activities of daily living, reducing autonomy and increasing the risk of falls of individuals. Physiotherapy has a variety of resources that can be used for the rehabilitation of postural balance, and virtual reality is one of the resources that has been used with this objective, because through repetition, feedback and motivation can provide the user greater control of the postural balance. Aim: To review the existing literature on the effects of interventions with virtual reality games in the rehabilitation of postural balance deficits. Method: A review of the literature was performed with Descritores em Ciências da Saúde (DECs) an analysis of publications printed on books from the Júlio Bordignon Library of the Faculdade de Educação e Meio Ambiente - FAEMA, and confer of papers indexed and published in the databases LILACS, SCIELO, PubMed and Google Scholar. Conclusions:  The studies analyzed indicate that therapeutic intervention with the use of virtual reality as a technological tool for the rehabilitation of postural balance has been shown to be of great importance and could help traditional therapies; however, further studies will be necessary to understand the mechanism by which virtual reality works by improving postural balance.

scholarly journals Prognostic Factors for Development of Subsequent Metastases in Localized Osteosarcoma: A Systematic Review and Identification of Literature Gaps

Sarcoma ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Patrick Basile ◽  
Emily Greengard ◽  
Brenda Weigel ◽  
Logan Spector
Keyword(s):  
Systematic Review ◽  
Prognostic Factors ◽  
Predictive Models ◽  
Pulmonary Metastases ◽  
Tumor Location ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Histologic Response ◽  
Exclusion Criteria

Aim. To investigate prognostic factors in pediatric and young adult patients with localized osteosarcoma that could predict the development of subsequent pulmonary metastases and lead to an ability to risk-stratify therapy. We performed a systematic review of the literature published since January 1990 to establish common evidence-based prognostic factors. Methods. PubMed and Embase searches (Jan 1990–Aug 2018) were performed. Two reviewers independently selected papers for patients with localized osteosarcoma with subsequent metastatic development and then reviewed for quality of methods and prognostic factors. Results. Database searches yielded 216 unique results. After screening, 27 full-text articles were studied in depth, with 9 items fulfilling predetermined inclusion and exclusion criteria. Age, tumor location, tumor size/volume, and histologic response carried independent prognostic value in the majority of the studies. Conclusions. Several prognostic factors seemed to be consistent amongst the studies, but the heterogeneity and smaller sizes of the study populations made pooling of results difficult. Standardization of larger patient populations and consistent definitions/cutoffs for prognostic factors are needed to further assess for consistent prognostic factors and potential predictive models to be developed.

Assessment of hand function during activities of daily living using motion tracking cameras: A systematic review

2019 ◽  
Vol 233 (8) ◽  
pp. 764-783 ◽  
Author(s):  
Lisa Reissner ◽  
Gabriella Fischer ◽  
Renate List ◽  
Pietro Giovanoli ◽  
Maurizio Calcagni
Keyword(s):  
Systematic Review ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Motion Tracking ◽  
Hand Function ◽  
Body Part ◽  
The Body ◽  
Human Hand ◽  
3D Motion Analysis ◽  
Human Kinematics

The human hand is the most frequently used body part in activities of daily living. With its complex anatomical structure and the small size compared to the body, assessing the functional capability is highly challenging. The aim of this review was to provide a systematic overview on currently available 3D motion analysis based on skin markers for the assessment of hand function during activities of daily living. It is focused on methodology rather than results. A systematic review according to the PRISMA guidelines was performed. The systematic search yielded 1349 discrete articles. Of 147 articles included on basis of title, 123 were excluded after abstract review, and 24 were included in the full-text analysis with 13 key articles. There is still limited knowledge about hand and finger kinematics during activities of daily living. A standardization of the task is required in order to overcome the nonrepetitive nature and high variability of upper limb motion and ensure repeatability of task performance. To yield a progress in the analysis of human hand movements, an assessment of human kinematics including fingers, wrist, and thumb and an identification of relevant parameters that characterize a healthy motion pattern during functional tasks are needed.

Sign in / Sign up

Export Citation Format

Share Document