scholarly journals The motor activity in acute cerebral stroke based on the Performance Oriented Mobility Assessment test modified by M. T inetti (1986), functional stress tests and screening assessment of visual-spatial disorders

2019 ◽  
Vol 25 (2) ◽  
pp. 169-175
Author(s):  
A. N. Alekhin ◽  
I. V. Sakovsky ◽  
V. V. Kemstach ◽  
V. G. Pomnikov ◽  
V. M. Tarantseva ◽  
...  

Objective. The article presents the survey data of 80 patients in the acute period of cerebral stroke who were treated in the department of the primary vascular center. Design and methods. Upon recommendations of the motor activity, the patients with acute stroke were screened for the presence of neglect. The choice of motor activity was based on the Performance Oriented Mobility Assessment test in the modification of M. Tinetti (1986) and the results of functional stress tests. Results. There were no complications or falls at the hospital when adequate vegetative support and a high score at Performance Oriented Mobility Assessment in the modification of M. Tinetti (1986) were present, as well as in the absence of visual-spatial inability. The patients with the significant visual-spatial neglect showed higher risk of falls, even with adequate vegetative support and postural stability. Results. We demonstrated the possibility, as well as the prognostic value of the Performance Oriented Mobility Assessment in the modification of M. Tinetti (1986) and functional stress tests along with the assessment of visual-spatial neglect in planning the early motor rehabilitation of patients with cerebral stroke. In addition, we developed an algorithm for the motor rehabilitation planning.

2019 ◽  
Vol 25 (05) ◽  
pp. 490-500
Author(s):  
Christiane E. Whitehouse ◽  
Janet Green ◽  
Sarah M. Giles ◽  
Rosanna Rahman ◽  
Jamesie Coolican ◽  
...  

Objectives: Visual-spatial neglect is a common attentional disorder after right-hemisphere stroke and is associated with poor rehabilitation outcomes. The presence of neglect symptoms has been reported to vary across personal, peripersonal, and extrapersonal space. Currently, no measure is available to assess neglect severity equally across these spatial regions and may be missing subsets of symptoms or patients with neglect entirely. We sought to provide initial construct validity for a novel assessment tool that measures neglect symptoms equally for these spatial regions: the Halifax Visual Scanning Test (HVST). Methods: In Study I, the HVST was compared to conventional measures of neglect and functional outcome scores (wheelchair navigation) in 15 stroke inpatients and 14 healthy controls. In Study II, 19 additional controls were combined with the control data from Study I to establish cutoffs for impairment. Patterns of neglect in the stroke group were examined. Results: In Study I, performance on all HVST subtests were correlated with the majority of conventional subtests and wheelchair navigation outcomes. In Study II, neglect-related deficits in visual scanning showed dissociations across spatial regions. Four inpatients exhibited symptoms of neglect on the HVST that were not detected on conventional measures, one of which showed symptoms in personal and extrapersonal space exclusively. Conclusions: The HVST appears a useful measure of neglect symptoms in different spatial regions that may not be detected with conventional measures and that correlates with functional wheelchair performance. Preliminary control data are presented and further research to add to this normative database appears warranted. (JINS, 2019, 25, 490–500)


2020 ◽  
Vol 714 ◽  
pp. 134528
Author(s):  
Linlin Ye ◽  
Lei Cao ◽  
Huanxin Xie ◽  
Guixiang Shan ◽  
Jie Hu ◽  
...  

2009 ◽  
Vol 72 (5) ◽  
pp. 219-225 ◽  
Author(s):  
Maria Stella Stein ◽  
David Maskill ◽  
Louise Marston

This study evaluated basic functional mobility in 25 patients with stroke and visual-spatial neglect during inpatient rehabilitation and early follow-up. Seven patients with neglect and 12 patients without neglect were discharged home and the rest to institutions. Patients without neglect achieved higher outcomes in a shorter time (mean 52 and 79 days respectively). All patients discharged home continued to improve at least up to 5 weeks post-discharge. The patients discharged to institutions achieved lower outcomes overall and quickly deteriorated to admission levels post-discharge. The results inform occupational therapy practice in the areas of assessment, discharge planning, destination and expected functional mobility outcomes in the community.


2007 ◽  
Vol 44 (3) ◽  
pp. 191-200
Author(s):  
Rebecca L Billingsley ◽  
Frederick F Lang ◽  
John M Slopis ◽  
Gregory W Schrimsher ◽  
Joann L Ater ◽  
...  

2011 ◽  
Vol 4 (7) ◽  
pp. 740-751 ◽  
Author(s):  
Clerio F. de Azevedo ◽  
Marcelo S. Hadlich ◽  
Sabrina G. Bezerra ◽  
João L. Petriz ◽  
Rogério R. Alves ◽  
...  

2019 ◽  
pp. 8-13
Author(s):  
L. Nazarenko ◽  
◽  
L. Guk ◽  

The possibilities of functional stress tests are highlighted from the point of view of determining the adaptation resources of the fetus, the uteroplacental complex, functional impairments and the prediction of the effectiveness of births with a favorable perinatal outcome. The expediency and benefits are justified by the need to optimize the choice of an adequate model of delivery, as well as the timely organization of preventive, diagnostic, therapeutic, and rehabilitation measures. Key words: adaptation resource, fetus, oxytocin test, sound effect.


2012 ◽  
Vol 26 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Arnaud Saj ◽  
Jacques Honoré ◽  
Béranger Braem ◽  
Thérèse Bernati ◽  
Marc Rousseaux

Brain ◽  
1991 ◽  
Vol 114 (4) ◽  
pp. 1575-1593 ◽  
Author(s):  
DANICA MIJOVIĆ

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Anna Szczygielska Babiuch ◽  
Katarzyna Oestervemb ◽  
Anna Lipińska ◽  
Magdalena Lipińska Stańczak ◽  
Magdalena Cholewa ◽  
...  

AbstractThe main aim of the study was to assess the risk of falls, and physical fitness in the group of women aged 60 to 65 years of age suffering from an identified osteoporosis in comparison to a similar group of healthy women. The main question was: What is the level of physical fitness and risk of fall among women with osteoporosis compared to healthy women? The research included 262 women aged 60 to 65 of age: 135 with osteoporosis and 127 healthy ones, living in the Małopolskie and the Świętokrzyskie Provinces of Poland. To assess the level of physical fitness, the Senior Fitness Test (SFT) was used, while the Tinetti POMA (Performance Oriented Mobility Assessment) and Timed Up&Go test (TUG) were used to asses the risk of fall. Significant statistical differences in average results of physical fitness assessment were noticed as regards the following aspects: flexibility of the lower body part p < 0.001; flexibility of the upper body part p < 0.001. Essential differences were demonstrated in assessing the risk of falling with p < 0.01. Women with osteoporosis are marked by a lower physical fitness than healthy women. A higher percentage of great and serious risk of fall was demonstrated among women with osteoporosis.


2016 ◽  
Vol 94 (9) ◽  
pp. 657-662 ◽  
Author(s):  
Aleksey A. Kulesh ◽  
E. M. Kuklina ◽  
V. V. Shestakov

Introduction. Inflammation is probably the main process that links cardiovascular risk factors with damage to blood vessels and neurons. Elucidation of mechanisms of this relationship is an important issue. Materials and methods. 70 acute stroke patients were studied to assess their neuropsychological (MMSE, MoCA, FAB, Clock Drawing Test, Shulte Tables and Verbal Fluency) and functional status (mRS, RivermeadMobility Index). The serum and liquor IL-1β, IL-6, TNFa and IL-10 levels were analyzed. Control group included subjects without cerebrovascular diseases. Results. Stroke patients had higher IL-10 serum concentration than controls. No difference was found for other cytokines. There was correlation between serum and liquor cytokines levels. We found positive correlation between IL-1β, IL-6 and IL-10 levels. High IL-1β concentration was associated with vascular riskfactors, cardioembolic stroke, enhanced severity of cerebral stroke, low processing speed, impaired executive and visual-spatial functions and higher grade of mRS on discharge. The same pattern was revealed for IL-6 and IL-10. IL-6 level was related to mRS without relation to NIHSS on admission. High TNFa concentration was linked with vascular riskfactors, low MMSE score and processing speed. Discussion. Despite the antagonistic effects of IL-1β, IL-6 and IL-10 on inflammation, associations of these cytokines with anamnestic, clinical, neuropsychological and functional characteristics were similar in acute ischemic stroke. Probably, this fact indicates that during the acute ischemic brain damage process the immune response develops at the same time in pro- and anti-inflammatory directions. Its magnitude correlates with the damage severity and is associated with the effects of vascular riskfactors before stroke.


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