scholarly journals EFFECT OF NEURAL MOBILIZATION ON BALANCE, FLEXIBILITY, STRENGTH AND GAIT IN STROKE PATIENTS

2020 ◽  
pp. 1-5
Author(s):  
Rosimere de Lima Souza ◽  
Karine Rocha Moriz ◽  
Francisca Deyze Reis Teixiera ◽  
Adriano Araújo Fernandes ◽  
Sinval Souza da Costa Neto ◽  
...  
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Muscular Endurance ◽  
Stroke Patients ◽  
Homogeneous Sample ◽  
Neurological Sequelae ◽  
Positive Effects ◽  
Normal Individuals ◽  
Neurological Patients

Background: Neural mobilization is characterized by the neurodynamics of the nervous system with the objectives of: reducing musculoskeletal tension and pain and increasing muscular endurance and strength. Stroke is a worldwide health problem due to the impacts on quality of life, and makes the physical capacity of individuals after stroke about 40% lower of normal individuals of the same age. Objective: To verify the efficacy of neural mobilization in patients with stroke. Methods: This is a blinded randomized clinical trial performed in 12 volunteers, aged between 20 and 80 years, with a diagnosis of ischemic or hemorrhagic stroke. It was performed five mobilizations of 60 seconds in the bilateral sciatic nerve. The degree of balance and gait of the volunteers was verified, as well as the muscular strength and flexibility of the quadriceps and hamstrings muscles pre-mobilization, immediately after and after 10 sessions performed three times a week. Results: Neural mobilization on neurological patients showed positive effects in relation to flexibility, lower limb muscle strength, gait and balance. Conclusion: The present study demonstrated that the technique of neural mobilization can present good results in neurological patients with stroke sequelae. However, it is suggested that more studies be done with a larger number of volunteers and with a homogeneous sample on the approach of this technique in patients with neurological sequelae.

KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

The Effectiveness of Mental Practice Interventions on Psychological Health in Stroke Patients: A Systematic Review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Vera Storm ◽  
Till Utesch
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Psychological Health ◽  
Randomized Clinical Trials ◽  
Mental Practice ◽  
Systematic Research ◽  
Stroke Patients ◽  
Positive Effects ◽  
Intervention Protocol

Abstract Objective Motor impairments after stroke can lead to limitations in functional performance and mental health. Previous systematic reviews and meta-analyses have mainly assessed randomized clinical trials of mental practice interventions (MPI) among stroke patients, focusing on physical outcomes. However, mentally rehearsing a motor movement might increase a patient’s self-confidence within the recovery process and thus also lead to positive effects on psychological outcomes. Therefore, we aim to investigate the effectiveness of MPI on psychological health outcomes. Methods We performed a systematic review of RCTs according to PRISMA guidelines. 16.125 records were identified through PubMed, Web of Science, Science Direct, and Cochrane resulting in 8.573 documents after duplicates were removed. After excluding 8.507 documents during title and abstract screening, 64 could be full-text screened. All clinical and randomized controlled trials designed to investigate the effects of mental practice on psychological health in adult patients after stroke were considered eligible. Results Six studies met the eligibility criteria and were included in the qualitative analysis. The six included studies partly showed positive effects of MPI on psychological health such as quality of life, stroke-specific quality of life, fall-related self-efficacy, positive and negative affect but not on anxiety and depression. Overall, the methodological power is lacking. The included studies differ substantially regarding study design, sample size, intervention protocol and psychological health operationalization. Conclusions The results show inconsistent effects of MPI on psychological health. More systematic research is needed to investigate the effects of MPI on psychological health and give several recommendations for future research.

scholarly journals Pengaruh hidroterapi rendam kaki air hangat terhadap kekuatan otot pada pasien stroke non hemoragik

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Blood Clot ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Quasi Experimental ◽  
The Brain

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.

scholarly journals Review of Rehabilitation of Ischaemic Stroke Patients

1970 ◽  
Vol 18 (2) ◽  
pp. 169-173
Author(s):  
K Mahmood ◽  
MS Hossain ◽  
S Rahman
Keyword(s):  
Stroke Patient ◽  
Stroke Rehabilitation ◽  
Holistic Approach ◽  
Major Theme ◽  
Stroke Patients ◽  
Rehabilitation Team ◽  
Positive Effects ◽  
Comprehensive Rehabilitation ◽  
Rehabilitation Activity

Rehabilitation of stroke patient is a continuum, starting within days of onset and ending only when it no longer produces any positive effects. Although rehabilitation intervention is important during the acute phase of care, it is secondary to the activities involved in diagnosis and acute medical treatment. However, when a patient has a persisting major continuing impairment, such as hemiplegia with disabilities, the rehabilitation components of care quickly become the main focus of management. Stroke rehabilitation is always done by the patient, rather than to the patient .The major theme of rehabilitation is the enhancement of quality of life of stroke patient. The comprehensive rehabilitation management programme is characterized by a holistic approach and understanding the rehabilitation of the patients who sustain stroke. It is important because it involves virtually all elements of rehabilitation activity and all members of the rehabilitation team. In this article we aim to provide an overview of the area of rehabilitation in the management of ischemic stroke to improve the quality of service for the stroke patients. Key words: Stroke; rehabilitation. DOI: 10.3329/jdmc.v18i2.6281 J Dhaka Med Coll. 2009; 18(2) : 169-173

scholarly journals Effect of Functional Training on Physical Fitness Among Athletes: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Wensheng Xiao ◽  
Kim Geok Soh ◽  
Mohd Rozilee Wazir Norjali Wazir ◽  
Othman Talib ◽  
Xiaorong Bai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Composition ◽  
Physical Fitness ◽  
Muscular Strength ◽  
Power Balance ◽  
Muscular Endurance ◽  
Eligibility Criteria ◽  
Functional Training ◽  
Training Interventions

There is evidence that functional training is beneficial for the overall physical fitness of athletes. However, there is a lack of a systematic review focused on the effects of functional training on athletes' physical fitness. Thus, the aimed of the present review is to clarify the effects of functional training on physical fitness among athletes. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) Statement guidelines, the systematic search of PubMed, SCOPUS, EBSCOhost (SPORTDiscus), and CINAHL Plus databases was undertaken on the 2nd November 2020 to identify the reported studies, using a combination of keywords related to functional training, physical fitness, and athletes. From the 145 studies, only nine articles met all eligibility criteria and were included in the systematic review. The assessment was performed on the Pedro scale, and the quality of the study included in the nine studies was fair (ranging from 3 to 4). The results showed that speed (n = 6) was the aspect of physical fitness studied in functional training interventions, followed by muscular strength (n = 5), power (n = 4), balance (n = 3), body composition (n = 3), agility (n = 3), flexibility (n = 1) and muscular endurance (n = 1). Existing evidence concludes that functional training significantly impacts speed, muscular strength, power, balance, and agility. Furthermore, there are still limit numbers of evidence showing effect of functional training on flexibility and muscular endurance. In contrast, no significant improvement was found in body composition where functional training was conducted.Systematic Review Registration:https://www.crd.york.ac.uk/prospero, identifier: CRD4202123092.

scholarly journals KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension. Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

scholarly journals A Quality-of-Life Instrument for Young Hemorrhagic Stroke Patients

Stroke ◽  
2001 ◽  
Vol 32 (3) ◽  
pp. 687-695 ◽  
Author(s):  
Azita G. Hamedani ◽  
Carolyn K. Wells ◽  
Lawrence M. Brass ◽  
Walter N. Kernan ◽  
Catherine M. Viscoli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hemorrhagic Stroke ◽  
Stroke Patients ◽  
Life Instrument

STROKE IMPACT ON THE COGNITIVE FUNCTIONS OF MOROCCAN NEURO-LESIONED PATIENTS IN THE GHARB REGION

2019 ◽  
Vol 17 (1) ◽  
pp. 25-38
Author(s):  
Coffi Sèdégnan Mènon ◽  
Ahmed Omar Touhami Ahami ◽  
Mohamed Latifi ◽  
Dafin Fior Mureşanu ◽  
Imane Gam ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Functions ◽  
Test Scores ◽  
Neuropsychological Tests ◽  
Hemorrhagic Stroke ◽  
Digit Span ◽  
Control Group ◽  
Stroke Patients ◽  
Injured Patients

Stroke (ischemic and hemorrhagic stroke) is a sudden-onset neurological deficit resulting from focal vascular lesions. This is due to a clot-induced obstruction of a vessel (ischemic stroke) or a rupture of a vessel causing haemorrhage (hemorrhagic stroke). The management of neuro-injured patients (AVC) is a major public health problem. The principal aim of this study is to evaluate the short and long term neuropsychological sequences following a neurological accident of neuro-injured patients hospitalized at the Kenitra Provincial Center (Morocco) in comparison with the control group. We tested 34 stroke patients, with an average age sample of 59.12 years, for a standard deviation of 14.35 with extremes between 32 and 82 years. Of these patients, 20 were female (58.82%) and 14 male (41.18%). The sex ratio is 0.7 in favour of the female sex. Both the neuro-lesioned patients and the control group benefited from neuropsychological tests. In the neurocognitive evaluation we used three neuropsychological tests: (a) The bell test or non-verbal bell dam test allows for a selective, visuospatial and strategic attentional evaluation; (b) Raven's test focuses on the nonverbal neuropsychological intelligence where the subject is led to analyze and solve each test problem based on inductive reasoning; (c) The digit memory test is a test to evaluate the short-term verbal memory and working memory capabilities of stroke patients. Our results showed through the various neurocognitive tests that our stroke patients obtained lowers score, compared to the control group (p <0.05). Raven Standard Progress Matrix Test Scores (SPMR):(Mean-Patients = 32.49, SD = 7.43 < Mean-Controls = 42.01, SD = 3.98). Digit Memory Test scores: Forward digit span (Mean-Patients = 2.21, SD = 0.5 <Mean-Controls = 2.65, SD = 0.49). Backward digit span (Mean-Patients = 1.74; SD = 0.6 <Mean-Controls = 2.41, SD = 0.5). Bell test (Mean-Patients = 24.35; SD = 2.62 < Mean-Controls = 30.18; SD= 2.52). The patient quality of life is consequently highly affected. Rehabilitation was effective and is very important because it improves cognitive functions such as nonverbal skills, visuospatial and strategic attention, along with the digit memory equally improving patient quality of life.

scholarly journals The Effectiveness of Music Therapy on Hand Function in Patients With Stroke: A Systematic Review of Randomized Controlled Trials

2021 ◽  
Vol 12 ◽  
Author(s):  
Wen-Hao Huang ◽  
Zu-Lin Dou ◽  
Hui-Min Jin ◽  
Ying Cui ◽  
Xin Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Music Therapy ◽  
Randomized Controlled Trials ◽  
Hand Function ◽  
Risk Of Bias ◽  
Controlled Trials ◽  
Stroke Patients ◽  
Positive Effects ◽  
Randomized Controlled

Objective: This study aims to evaluate the efficacy of music-supported therapy for stroke patients' hand function.Methods: The databases used included Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PubMed, Embase, Music Index, and Google Scholar. Studies published between January 2010 and August 2020 were included. The searching key terms included “music-supported therapy,” “music therapy,” “hand function,” “hand dysfunction,” “stroke,” “ischemic,” and “hemorrhagic.” Randomized controlled trials or controlled trials involving adults who have hand function problems caused by stroke are included in this study. The methodological quality and risk of bias of the included studies were rated by two independent assessors under the guidance of Cochrane collaboration's risk of bias tool.Results: Twelve studies that met the inclusion criteria were included in this study. Totally, the data included 598 stroke patients (345 male, 253 female) with recruited time from 1.7 months to 3 years, and the mean age of the participants were 61.09 years old. Based on the Cochrane risk of bias tool, study quality ranged from three to seven out of seven points. Compared with the control group, outcomes including hand strength, range of joint motion, dexterity of hands, arm function, and quality of life were significantly superior with music-supported therapy. Five studies reported improved dexterity of hands, and one study reported the improvement of range of motion and strength of patients' hands, which supported the therapy has positive effects on patients' hand function and improving their quality of life after the therapy. The therapy ranged over a period of 4–8 weeks, with an average duration of 30 min/session and an average of three times per week.Conclusion: Based on the results, music-supported therapy could be a useful treatment for improving hand function and activities of daily living in patients with stroke, especially for patients within 6 months after stroke. However, the low certainty of evidence downgrades our confidence to practice in hospital. More and more randomized controlled trials and larger sample sizes are required for a deeper review.

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