scholarly journals Influencing the effectiveness of post-stroke motor rehabilitation factors

2019 ◽  
pp. 82-92
Author(s):  
D. V. Zaharov ◽  
V. A. Mihailov
Keyword(s):  
Brain Damage ◽  
Motor Rehabilitation ◽  
Regenerative Processes ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Post Stroke

The issues of neurorehabilitation of stroke patients are considered. The importance of the phenomenon of neuroplasticity, which underlies the regenerative processes after brain damage is emphasized. The principles of rehabilitation therapy in stroke patients are considered. Particular attention is paid to the issue of pharmacotherapy through neurotransmitters focused on increasing neuroplasticity and neurogenesis.

A Positive Relationship between Cognitive Reserve and Cognitive Function after Stroke: Dynamic Proxies Correlate Better than Static Proxies

2019 ◽  
Vol 25 (09) ◽  
pp. 910-921 ◽  
Author(s):  
Macarena Gil-Pagés ◽  
Rocío Sánchez-Carrión ◽  
Jose M. Tormos ◽  
Antonia Enseñat-Cantallops ◽  
Alberto García-Molina
Keyword(s):  
Cognitive Performance ◽  
Brain Damage ◽  
Cognitive Reserve ◽  
Daily Life ◽  
Stroke Patients ◽  
Self Assessment ◽  
Chronic Stage ◽  
Post Stroke ◽  
Before And After ◽  
Mean Differences

AbstractObjectives: How brain damage after stroke is related to specific clinical manifestation and recovery is incompletely understood. We studied cognitive reserve (CR) in stroke patients by two types of measurements: (i) objectively verifiable static proxies (i.e., education, occupational attainment), and (ii) subjective, dynamic proxies based on patient testimony in response to a questionnaire. We hypothesized that one or both of these types of CR measurements might correlate positively with patient cognitive performance during the post-acute and chronic phases of recovery. Method: Thirty-four stroke patients underwent neuropsychological assessment at 2, 6 and 24 months after stroke onset. In chronic stage at 24+ months, self-rating assessments of cognitive performance in daily life and social integration were obtained. CR before and after stroke was estimated using static proxies and dynamic proxies were obtained using the Cognitive Reserve Scale (CRS-Pre-stroke, CRS-Post-stroke). Results: CRS-Pre-stroke and CRS-Post-stroke showed significant mean differences. Dynamic proxies showed positive correlation with self-assessment of attention, metacognition, and functional ability in chronic stage. In contrast, significant correlations between static proxies and cognitive recovery were not found. Conclusions: Dynamic proxies of CR were positively correlated with patients’ perception of their functional abilities in daily life. To best guide cognitive prognosis and treatment, we propose that dynamic proxies of CR should be included in neuropsychological assessments of patients with brain damage.

scholarly journals Mental Practice Combined with Motor Rehabilitation to Treat Upper Limb Hemiparesis of Post-Stroke Patients: Clinical and Experimental Evidence

2016 ◽  
Vol 12 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Sergio Machado ◽  
Eduardo Lattari ◽  
Flávia Paes ◽  
Nuno B.F. Rocha ◽  
Antonio E. Nardi ◽  
...  
Keyword(s):  
Daily Living ◽  
Mental Practice ◽  
Motor Deficits ◽  
Motor Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Post Stroke ◽  
Sensorimotor Deficits ◽  
The World ◽  
Per Se

Stroke is one of the major causes of disability in the world. Due to the extended lifetime of the world's population, the number of people affected by stroke has increased substantially over the last years. Stroke may lead to sensorimotor deficits, usually causing hemiplegia or hemiparesia. In order to reduce motor deficits and accelerate functional recovery, MP combined with motor rehabilitation was introduced to the rehabilitation process of post-stroke patients. Evidence has shown that MP combining with motor rehabilitation based on activities of daily living was more effective than conventional motor rehabilitation used per se. This combination proved very useful and effective, with significant results in improvement of motor deficits in post-stroke patients. However, further studies must be conducted to determine specific parameters, such as type of imagery, frequency or duration.

scholarly journals Cognitive impairment and dementia

2018 ◽  
pp. 10-15
Author(s):  
V. A. Parfenov ◽  
S. V. Verbitskaya
Keyword(s):  
Cognitive Impairment ◽  
Brain Damage ◽  
Cognitive Functions ◽  
Stroke Prevention ◽  
Stroke Patients ◽  
Acquired Disability ◽  
Post Stroke ◽  
Treatment And Prevention ◽  
Meta Analyses

Cognitive impairment (CI) is one of the causes of acquired disability in post-stroke patients. The article presents an analysis of the prevalence, pathogenesis, manifestations, diagnosis, treatment and prevention of post-stroke CI. It is noted that CI can be caused not only by focal vascular brain damage, but also by the presence of concomitant vascular and degenerative lesions in stroke patients. The authors present the results of their own study of CI in 350 patients after stroke within 5 years. The treatment and prevention of CI progression are based on stroke prevention, non-pharmaceutical and pharmaceutical methods for improving cognitive functions. The article discusses data on the use of Cerebrolysin in post-stroke patients, the results of the two latter meta-analyses of Cerebrolysin use.

scholarly journals Influence of bimanual exercise on muscle activation in post-stroke patients

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Matti Itkonen ◽  
Álvaro Costa ◽  
Hiroshi Yamasaki ◽  
Shotaro Okajima ◽  
Fady Alnajjar ◽  
...  
Keyword(s):  
Brain Damage ◽  
Stroke Rehabilitation ◽  
Muscle Activation ◽  
Neural Circuits ◽  
Surface Emg ◽  
Motor Deficits ◽  
Stroke Patients ◽  
Post Stroke ◽  
Task Conditions ◽  
Phase Motion

Abstract Brain damage due to stroke often leaves survivors with lateral functional motor deficits. Bimanual rehabilitation of the paretic arm is an active field of research aimed at restoring normal functionality by making use of the complex neural bindings that exist between the arms. In search of an effective rehabilitation method, we introduced a group of post-stroke rehabilitation patients to a set of bimanual motion tasks with inter-manual coupling and phasing. The surface EMG profiles of the patients were compared in order to understand the effect of the motion conditions. The paretic arms of the patients were more strongly affected by the task conditions compared with the non-paretic arms. These results suggest that in-phase motion may activate neural circuits that trigger recovery. Coupling also had an effect on behavior, but the response of patients was divided between those whom coupling helped or hindered.

scholarly journals Access to post-stroke physical rehabilitation after acute reperfusion therapy– the neglected link in ischemic stroke management: a retrospective cohort study

2021 ◽  
Vol 12 (Vol.12, no.1) ◽  
pp. 46-52
Author(s):  
Răzvan Alexandru RADU ◽  
Elena Oana TERECOASĂ ◽  
CĂȘARU Bogdan ◽  
Iulian ENACHE ◽  
Cristina GHIȚĂ ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Physical Therapy ◽  
Stroke Rehabilitation ◽  
Reperfusion Therapy ◽  
Median Frequency ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Post Stroke ◽  
Tertiary Center ◽  
Hospital Rehabilitation

Background: The burden of stroke is high in Romania and data regarding access to post – stroke rehabilitation are almost non–existent. We aimed to determine the percentage of patients who benefited from post–stroke rehabilitation and to describe the most common rehabilitation settings. Methods: A structured telephone-based questionnaire regarding access to post–stroke rehabilitation therapy and outcomes was administered to all patients with ischemic stroke who benefited from reperfusion therapy in a tertiary center in 2019. Results: 211 stroke patients received reperfusion therapy during the studied period. Out of these, 208 patients were included in the initial analysis and 109 patients were deemed eligible for post–stroke rehabilitation therapy. 57 patients (55.8%) performed post–stroke rehabilitation. In-hospital rehabilitation was reported by 35 patients (32.1%) with a median length of hospital stay of 14 days. 28 patients (25.6%) performed home based physical therapy with a median frequency of 3 sessions per week. 12 patients (11.1%) were admitted to nursing homes. Compared to stroke patients who did not perform in–hospital rehabilitation, those who did were younger (median age 65 years vs. 73 years, p=0.01) and more likely to have moderate–severe post–stroke disability (mRS score 3 – 5 at discharge 80% vs. 59.4%, p=0.03). mRS score at discharge ≤ 2 was a significant predictor for not pursuing post-stroke rehabilitation (p < 0.001). Conclusion: Approximately 50% of the stroke patients treated with reperfusion therapies were eligible for post–stroke rehabilitation and approximately 50% of them had access to rehabilitation therapy while only 30% had access to in-hospital rehabilitation. Keywords: Stroke rehabilitation; Eastern Europe; Romania; Rehabilitation Center; Physical Therapy,

scholarly journals EFFECTIVITY OF NINTENDO WII AS REHABILITATION THERAPY IN POST STROKE PATIENTS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Rachmawati Wardani ◽  
Sirin Salsabila ◽  
Arizal Novrianto Rahman ◽  
Rodhiyan Rakhmatiar
Keyword(s):  
Systematic Review ◽  
Medical Rehabilitation ◽  
Walking Ability ◽  
Stroke Patients ◽  
Nintendo Wii ◽  
Rehabilitation Therapy ◽  
Post Stroke ◽  
Online Databases ◽  
Independent Life ◽  
Alternative Choice

Post stroke patients need medical rehabilitation to live an independent life. Nintendo Wii technology presents an alternative choice that is quite safe, feasible, and has a high potential in rehabilitating & restoring motor function in post stroke patients. Although it has been widely used as adjunct therapy in stroke rehabilitation facilities throughout the world, only a few acknowledge its effectivity in post-stroke patients. This study aims to conduct a systematic review in order to identify and assess the results used in evaluating Nintendo Wii technology as rehabilitation therapy for stroke patients. Thus, the study used for this research is systematic review. Materials included in this study are research/studies found in NCBI, PubMed, Cochrane and other relevant online databases. From this research, it is found that Virtual Reality (VR) such as Nintendo Wii considered as an additional rehabilitation therapy that provides a significant improvement in various aspects of exercise therapy, such as; balance; walking ability; statistical and dynamic strengths; motivation as well as socialization; and recovery of physical function in stroke patients. Nintendo Wii can also be used safely in stroke patients and there have been no reports of side effects from this therapy.

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