scholarly journals The Characteristics of Cognitive Impairment and Their Effects on Functional Outcome After Inpatient Rehabilitation in Subacute Stroke Patients

2017 ◽  
Vol 41 (5) ◽  
pp. 734 ◽  
Author(s):  
Soo Ho Park ◽  
Min Kyun Sohn ◽  
Sungju Jee ◽  
Shin Seung Yang
Keyword(s):  
Cognitive Impairment ◽  
Functional Outcome ◽  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Subacute Stroke

scholarly journals The Effect of Prolonged Inpatient Rehabilitation Therapy in Subacute Stroke Patients

2012 ◽  
Vol 36 (1) ◽  
pp. 16 ◽  
Author(s):  
Jong Hwa Lee ◽  
Sang Beom Kim ◽  
Kyeong Woo Lee ◽  
Ji Yeong Lee
Keyword(s):  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Subacute Stroke

scholarly journals Functional Outcome of Ischemic and Hemorrhagic Stroke Patients After Inpatient Rehabilitation

Stroke ◽  
2003 ◽  
Vol 34 (12) ◽  
pp. 2861-2865 ◽  
Author(s):  
Stefano Paolucci ◽  
Gabriella Antonucci ◽  
Maria Grazia Grasso ◽  
Maura Bragoni ◽  
Paola Coiro ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Hemorrhagic Stroke ◽  
Inpatient Rehabilitation ◽  
Stroke Patients

scholarly journals Degeneration of structural brain networks is associated with cognitive decline after ischaemic stroke

2020 ◽  
Author(s):  
Michele Veldsman ◽  
Hsiao-ju Cheng ◽  
Fang Ji ◽  
Emilio Werden ◽  
Mohamed Khlif ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Brain Networks ◽  
Higher Order ◽  
Cognitive Networks ◽  
Stroke Patients ◽  
Domain Specific ◽  
Subacute Stroke ◽  
Structural Brain

Abstract One third of ischemic stroke patients develop cognitive impairment. It is not known whether topographical secondary neurodegeneration within distributed brain structural covariance networks (SCNs) underlies this cognitive decline. We examined longitudinal changes in SCNs and their relationship to domain-specific cognitive decline in 73 ischemic stroke patients. Patients were scanned with magnetic resonance imaging (MRI) and assessed on five cognitive domains at subacute (3-months) and chronic (1-year) timepoints. Individual-level SCN scores of major cognitive networks were derived from MRI data at each timepoint. We found that distributed degeneration in higher-order cognitive networks was associated with cognitive impairment in subacute stroke. Importantly, faster degradation in these major cognitive SCNs over time was associated with greater decline in attention, memory, and language domains. Our findings suggest that subacute ischemic stroke is associated with degeneration of higher-order structural brain networks and degradation of these networks contribute to individual trajectories of longitudinal domain-specific cognitive dysfunction.

scholarly journals Blinding in electric current stimulation in subacute neglect patients with current densities of 0.8 A/m²: A cross-over pilot study

2020 ◽  
Author(s):  
Anna Gorsler ◽  
Ulrike Grittner ◽  
Nadine Külzow ◽  
Torsten Rackoll
Keyword(s):  
Standard Care ◽  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Sham Stimulation ◽  
Brain Volume Loss ◽  
Stroke Population ◽  
Subacute Stroke ◽  
Age Related ◽  
Current Densities ◽  
Improve Standard

Abstract Objective Transcranial direct current stimulation (tDCS) is a promising adjuvant technique to improve standard care neglect therapy in patients suffering from stroke. Current densities in tDCS are modeled by tissue distribution in the brain. Therefore, we hypothesized that higher current densities are needed in aged stroke population to counteract age related brain volume loss. Here it is still unresolved whether blinding of participants can be achieved. Our aim was to test whether stroke patients with left-sided hemineglect are able to differentiate beyond chance active tDCS from sham stimulation at a current density of 0.8 A/m². Therefore, we investigated 12 early subacute stroke patients with left-sided hemineglect in a cross-over design with two stimulation settings (active/sham stimulation in randomized order). Stimulation was performed simultaneous to standard care neglect therapy with 0.8 A/m² and progress of neglect symptomatology was monitored during inpatient rehabilitation.Results Our sample exhibited higher odds of correct guessing an active tDCS condition compared to wrongly judge an active tDCS condition as sham stimulation (Odds ratio 10.00, 95%CI: 0.65 - 154.40, p = 0.099). Therefore, we must question the feasibility of blinding success in studies with current densities of 0.8 A/m². Assessment in multisession protocols still warrants further investigation.

No. 137 Functional Outcome of Ischemic and Hemorrhagic Stroke Patients After Inpatient Rehabilitation

PM&R ◽  
2014 ◽  
Vol 6 (8) ◽  
pp. S123-S124
Author(s):  
Maria Vazquez Guimaraens ◽  
Belen Maside Oliete ◽  
Veronica Rodriguez Lopez ◽  
Carmen Crespo Lopez
Keyword(s):  
Functional Outcome ◽  
Hemorrhagic Stroke ◽  
Inpatient Rehabilitation ◽  
Stroke Patients

Poster 464 The Effects of Prolonged Inpatient Rehabilitation Therapy in Subacute Stroke Patients

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S336-S337
Author(s):  
Jong Hwa Lee ◽  
Min Ah Kim ◽  
Sang Beom Kim
Keyword(s):  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Subacute Stroke

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.

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