scholarly journals Effects of Inpatient Rehabilitation on Functional Recovery of Stroke Patients: a Comparison of Chronic Stroke Patients with and without Cognitive Impairment

2012 ◽  
Vol 24 (3) ◽  
pp. 245-248 ◽  
Author(s):  
Ki-Hun Cho ◽  
Wan-Hee Lee
Keyword(s):  
Cognitive Impairment ◽  
Functional Recovery ◽  
Inpatient Rehabilitation ◽  
Chronic Stroke ◽  
Stroke Patients

scholarly journals Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial

2021 ◽  
Vol 18 (2) ◽  
pp. 583
Author(s):  
Reem M. Alwhaibi ◽  
Noha F. Mahmoud ◽  
Mye A. Basheer ◽  
Hoda M. Zakaria ◽  
Mahmoud Y. Elzanaty ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Lower Extremity ◽  
Functional Recovery ◽  
Intervention Group ◽  
Chronic Stroke ◽  
Post Treatment ◽  
Control Group ◽  
Stroke Patients ◽  
Significant Difference ◽  
Group Post

Recovery of lower extremity (LE) function in chronic stroke patients is considered a barrier to community reintegration. An adequate training program is required to improve neural and functional performance of the affected LE in chronic stroke patients. The current study aimed to evaluate the effect of somatosensory rehabilitation on neural and functional recovery of LE in stroke patients. Thirty male and female patients were recruited and randomized to equal groups: control group (GI) and intervention group (GII). All patients were matched for age, duration of stroke, and degree of motor impairment of the affected LE. Both groups received standard program of physical therapy in addition to somatosensory rehabilitation for GII. The duration of treatment for both groups was eight consecutive weeks. Outcome measures used were Functional Independent Measure (FIM) and Quantitative Electroencephalography (QEEG), obtained pre- and post-treatment. A significant improvement was found in the FIM scores of the intervention group (GII), as compared to the control group (GI) (p < 0.001). Additionally, QEEG scores improved within the intervention group post-treatment. QEEG scores did not improve within the control group post-treatment, except for “Cz-AR”, compared to pretreatment, with no significant difference between groups. Adding somatosensory training to standard physical therapy program results in better improvement of neuromuscular control of LE function in chronic stroke patients.

Cortical effect and functional recovery by the electromyography-triggered neuromuscular stimulation in chronic stroke patients

2008 ◽  
Vol 442 (3) ◽  
pp. 174-179 ◽  
Author(s):  
Hwa Kyung Shin ◽  
Sang Hyun Cho ◽  
Hye-seon Jeon ◽  
Young-Hee Lee ◽  
Jun Chan Song ◽  
...  
Keyword(s):  
Functional Recovery ◽  
Chronic Stroke ◽  
Neuromuscular Stimulation ◽  
Stroke Patients

scholarly journals Efficacy of repetitive peripheral magnetic stimulation on the functional recovery in stroke patients

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
F F Kenawy ◽  
S A Helal ◽  
M M Moustafa ◽  
N M Elnahas ◽  
L M Elnabil ◽  
...  
Keyword(s):  
Functional Recovery ◽  
Lower Limb ◽  
Rating Scale ◽  
Chronic Stroke ◽  
University Hospital ◽  
Control Group ◽  
Stroke Patients ◽  
National Priority ◽  
Significant Difference ◽  
And Control

Abstract © 2018 Institute of Psychiatry, Ain Shams University Copyright r 2018 Institute of Psychiatry, Ain Shams University. Unauthorized reproduction of this article is prohibited. Background Optimizing the management of stroke is a national priority. In Egypt, the mean crude prevalence rate of stroke is 721.6/100,000 1of which almost 30 percent suffer from post stroke spasticity. Theta Burst Stimulation (TBS) is a new faster modality of the conventional rTMS that is used to improve functional recovery after stroke. Objective This work was carried out to assess the effects of peripheral TBS in improving the functional recovery of the lower limb after stroke. Patients and methods A case–control study was conducted to include 27 patients with chronic stroke, who were selected from the attendants of the neurology outpatient clinic in Ain Shams University Hospital, along with 19 participants of age-matched and sex-matched stroke patients as a control group. Case and control groups were subjected to neurological and functional assessment using gait assessment rating scale (GARS) at baseline and after the sessions. An informed written consent was taken from patients included in the study. All patients received 6 sessions of peripheral TBS on affected lower limb. Results There was a statistically significant difference between the two groups in the improvement of functional scale (GARS). Conclusion Peripheral TBS improves gait and functional recovery in chronic stroke patients.

Abstract T P119: Challenges Associated with Access to Stroke Rehabilitation for Patients with Cognitive Impairment in Toronto

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Elizabeth Linkewich ◽  
Nicola Tahair ◽  
Michelle Donald ◽  
Sylvia Quant
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Rehabilitation ◽  
Stroke Rehabilitation ◽  
Best Practice ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Services ◽  
Cognitive Screening ◽  
Stroke Patients ◽  
Referral Decisions ◽  
Rehabilitation Facilities

Background: Cognitive Impairment (CI) affects up to 60% of stroke survivors and is associated with poorer recovery and decreased function. Toronto clinicians report limited access to inpatient rehabilitation for stroke patients with CI. Purpose: To inform system planning that aligns with best practice for stroke patients with CI, the Toronto Stroke Networks examined: 1) access to inpatient rehabilitation services for stroke patients with CI; 2) facility differences with respect to referral decisions; and 3) the frequency of documented standardized cognitive screening (SCS) in inpatient rehabilitation referrals. Methods: Data were abstracted from the E-Stroke Rehab Referral System for fiscal years 2012-2014. Initial high intensity rehabilitation (HIR) referrals for 5 rehabilitation facilities in Toronto were analyzed to examine: percentage of referrals accepted, declined, and declined due to CI, and percentage of referrals reporting SCS in referral documentation. These data were further stratified by facility. A survey of cognitive rehabilitation was completed across 6 rehabilitation facilities. Results: There are no cognitive rehabilitation services that cater specifically to stroke patients reported in Toronto. Of the total number of HIR referrals (n=5005), 68.3% of initial referrals were accepted and 18.2% declined. Of the declined referrals (n=910), 17.5% were declined due to CI with variability across the 5 rehabilitation facilities ranging from 0.6 to 46.5%. Further, when examining referrals that were pending a decision or declined due to CI (n=508), 78.5% (range 48-100%) of these referrals across, 10 referring acute care facilities, had no documented SCS. Conclusions: Stroke patients with CI do not have adequate or consistent access to stroke rehabilitation across sites within Toronto. Additionally, there is a lack of documented SCS in rehabilitation referrals, which could impact access to rehabilitation. This work will further inform educational initiatives that support increased access to inpatient rehabilitation for persons with stroke and CI.

scholarly journals Cognitive Deficits in Chronic Stroke Patients: Neuropsychological Assessment, Depression, and Self-Reports

2017 ◽  
Vol 7 (2) ◽  
pp. 283-296 ◽  
Author(s):  
Arne E. Nakling ◽  
Dag Aarsland ◽  
Halvor Næss ◽  
Daniel Wollschlaeger ◽  
Tormod Fladby ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Sensitivity And Specificity ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Symptoms Of Depression ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Self Reports ◽  
Low Sensitivity

Background: Following stroke, clinicians are challenged to detect and untangle symptoms of cognitive dysfunction and mood disorders. Additionally, they need to evaluate the informative value of self-reports to identify patients in need of further attendance. Aims: To examine the association between neuropsychological measures, symptoms of depression, and self-reported cognitive function. Methods: One-hundred and five chronic stroke patients underwent assessment covering 6 cognitive domains and answered the Hospital Anxiety and Depression Scale and the Memory and Thinking Scale from the Stroke Impact Scale 1 year after stroke. Age and gender difference in cognitive impairment were examined; linear regression was used to predict depression scores. Sensitivity and specificity analyses were used to validate self-reported functioning against performance on cognitive tests. Results: Cognitive impairment was observed in 60% of the patients in at least 1 cognitive domain. Cognitive performance was associated with symptoms of depression as well as with self-reported cognitive function. The final analyses revealed low sensitivity and specificity for the Memory and Thinking subscale from the Stroke Impact Scale. Conclusion: Cognitive impairment occurs frequently even in patients in a chronic phase after stroke and predicts symptoms of depression. Using the Stroke Impact Scale, clinicians should be aware of low sensitivity of self-reported cognitive function.

Sign in / Sign up

Export Citation Format

Share Document