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stroke rehabilitation

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1. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management

occlusion of the proximal posterior circulation (that is, basilar or posterior cerebral artery) demonstrated by CTA or MRA and and Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 38if there is the potential to salvage brain tissue, as shown by imaging such as CT perfusion or diffusion-weighted MRI sequences showing limited (...) ) for people with acute stroke who meet all of the following criteria: Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 17 of 38clinical deficits that suggest infarction in the territory of the middle cerebral artery, with a score above 15 on the NIHSS decreased level of consciousness, with a score of 1 or more on item 1a

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Rehabilitation of patients after transient ischaemic attack or minor stroke: pilot feasibility randomised trial of a home-based prevention programme. (Abstract)

Rehabilitation of patients after transient ischaemic attack or minor stroke: pilot feasibility randomised trial of a home-based prevention programme. Although the importance of secondary prevention after transient ischaemic attack (TIA) or minor stroke is recognised, research is sparse regarding novel, effective ways in which to intervene in a primary care context.To pilot a randomised controlled trial (RCT) of a novel home-based prevention programme (The Healthy Brain Rehabilitation Manual (...) ) for patients with TIA or 'minor' stroke.Pilot RCT, home-based, undertaken in Northern Ireland between May 2017 and March 2018.Patients within 4 weeks of a first TIA or 'minor' stroke received study information from clinicians in four hospitals. Participants were randomly allocated to one of three groups: standard care (control group) (n = 12); standard care with manual and GP follow-up (n = 14); or standard care with manual and stroke nurse follow-up (n = 14). Patients in all groups received telephone

2019 British Journal of General Practice

3. The efficacy and safety of endovascular recanalization of occluded large cerebral arteries during the subacute phase of cerebral infarction: a case series report Full Text available with Trip Pro

The efficacy and safety of endovascular recanalization of occluded large cerebral arteries during the subacute phase of cerebral infarction: a case series report Intravenous tissue plasminogen activator with or without mechanical thrombectomy during the acute phase are approved therapies for ischaemic stroke. Due to the short treatment time window (<6 hours) and often treatment failure, these patients would still have an intracranial arterial occlusion (IAO). It is unclear whether (...) partially recanalized and two failed to open. One patient with left C6 segment occlusion of the carotid artery had a central retinal artery embolism after PTAS. The perioperative adverse events were 6.25%. At 3 months, the distribution of modified Rankin scale scores was 0 (seven cases), 1 (three cases), 2 (five cases) and 3 (one case).Selective PTA or PTAS could be performed in ischaemic stroke patients with a small infarct size and large area of hypoperfusion from an occluded large cerebral artery

2017 Stroke and vascular neurology

4. Validity of the PROMIS-10 Global Health assessed by telephone and on paper in minor stroke and transient ischaemic attack in the Netherlands. Full Text available with Trip Pro

Validity of the PROMIS-10 Global Health assessed by telephone and on paper in minor stroke and transient ischaemic attack in the Netherlands. Dysfunction after transient ischaemic attack (TIA) and minor stroke is often underestimated by clinical measures. Patient-reported outcome measures used in value-based healthcare may help in detecting these problems. The Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10 Global Health) is a concise patient-centred (...) outcome measuring tool proposed for assessing health status in patients who had stroke. This study aims to address the validity of the Dutch PROMIS-10 in patients who had stroke in the Netherlands and also aims to compare telephone versus on-paper assessment.Observational cohort study.Single-centre hospital in the Netherlands.75 patients who were diagnosed with TIA or minor stroke and discharged without rehabilitation treatment 1 year ago (between December 2014 and January 2016) completed

2018 BMJ open

5. Wernicke's encephalopathy due to malnutrition and parenteral nutrition in a patient with cerebral infarction: A case report. Full Text available with Trip Pro

rehabilitation training when her condition was relatively stable, and her muscle strength of limbs and physical function gradually improved.Infarction-related malnutrition may result in nutrient deficiency-related neurological complications, such as WE. Thus, it is important to pay close attention to the nutritional status of patients with cerebral infarction. In addition, early recognition and differential diagnosis of WE in patients with infarction-related malnutrition are necessary, early treatment (...) Wernicke's encephalopathy due to malnutrition and parenteral nutrition in a patient with cerebral infarction: A case report. Wernicke's encephalopathy (WE) is a severe neuropsychiatric disorder, which results from a nutritional deficiency of thiamine. The occurrence of WE is rarely reported in patients with cerebral infarction, who often have complications of malnutrition. Cerebral infarction is a neurological disease, patients with cerebral infarction may show symptoms such as disturbance

2020 Medicine

6. Motor recovery by the aberrant pyramidal pathway in a patient with cerebral infarct. Full Text available with Trip Pro

upper and lower extremities (2/2) due to cerebral infarct on the right cerebral peduncle of midbrain. One week after her stroke, her motor weakness was similar to that at the onset (2/2). During 5 weeks' rehabilitation, her motor weakness recovered to the point that she was able to move upper and lower extremities against gravity with some resistance (4/4).Cerebral infarct on the right cerebral peduncle of midbrain INTERVENTIONS:: She participated in a comprehensive rehabilitative management program (...) Motor recovery by the aberrant pyramidal pathway in a patient with cerebral infarct. The aberrant pyramidal tract (APT) refers to the collateral pathway of the pyramidal tract (PT) descending through the medial lemniscus in the midbrain and pons. We report on a patient who showed changes of the APT from the early stage to the chronic stage concurrent with motor recovery following an infarct in the cerebral peduncle.An 84-year-old female patient presented with moderate motor weakness of her

2020 Medicine

7. Canadian Stroke Best Practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019

be costly, or forgo super- vised therapy and potentially not meet their rehabilita- tion and recovery potential. The 2019 update of the Canadian Stroke Best Practice Recommendations (CSBPR): Rehabilitation and Recovery following Stroke module is a comprehen- sive summary of current evidence-based recommenda- tions, focusing primarily on the management of people who have already had a moderately or severely dis- abling stroke. People with milder stroke or transient ischemic attack may not require (...) for select patients with acute stroke (for instance, people with more mild strokesor transient ischemic attack) butcautionisadvised, andclinical judgmentshouldbeused(Evidence Level C). (iv) Once deemed to be medically and neurologically stable, patients should receive a recommended three hours perdayof directtask-specific therapy, five days aweek, delivered by the interdisciplinary stroke team (Evidence Level C); more therapy results in better outcomes (Evidence Level A). (v) Individualized

2020 CPG Infobase

8. Prospective clinical study of rehabilitation interventions with multisensory interactive training in patients with cerebral infarction: study protocol for a randomised controlled trial Full Text available with Trip Pro

Prospective clinical study of rehabilitation interventions with multisensory interactive training in patients with cerebral infarction: study protocol for a randomised controlled trial Multisensory interactive training has an increasingly prominent role in stroke rehabilitation. Currently, there is insufficient evidence to demonstrate its efficacy on gait improvement, upper limb and lower limb functional improvement, global motor function and cognitive improvement. A recent Cochrane review (...) limb functional recovery over a medium- to long-term period.Two hundred and twenty-four acute stroke patients will be recruited from a single centre over a period of 6 years. Participants will be randomly assigned to either conventional therapy or conventional therapy with VR training. Outcomes will be recorded at baseline, post intervention and at 3, 6 and 12 months post intervention. Primary outcome measure is gait speed. Secondary outcome measures include kinematic data of upper and lower limb

2017 Trials Controlled trial quality: predicted high

9. Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report. Full Text available with Trip Pro

by aspiration of endovascular thrombi. She recovered with mild residual paralysis of the left upper extremity and was transferred to a rehabilitation facility.We present a patient with a cerebral infarction after left upper lobectomy. Left upper lobectomy is associated with an increased risk of postoperative thromboembolism. Although the exact mechanism of thrombosis after left upper lobectomy is unclear, a judicious decision should be made regarding epidural catheter placement for postoperative analgesia. (...) Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report. There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobectomy, considering the increased risk of postoperative

2019 BMC Anesthesiology

10. Refractory Mycoplasma pneumoniae pneumonia with concomitant acute cerebral infarction in a child: A case report and literature review. Full Text available with Trip Pro

cerebral infarction.The patient recovered with aggressive antibiotic therapy, antiinflammation therapy with methylprednisolone, and gamma immunoglobulin and anticoagulation therapy with aspirin and low molecular weight heparin along with rehabilitation training.At 8 days postadmission, his consciousness was improved and at the 6-month follow-up visit, his muscle power of bilateral upper and lower limbs was normal except still poor right handgrip power.Stroke or cerebral infarction should be considered (...) Refractory Mycoplasma pneumoniae pneumonia with concomitant acute cerebral infarction in a child: A case report and literature review. Mycoplasma pneumoniae pneumonia, a common cause of community-acquired pneumonia in children, is rarely complicated with acute cerebral infarction.We present a 7-year-old boy with severe M pneumoniae pneumonia who developed impaired consciousness, aphasia, and reduced limb muscle power 7 days postadmission.Mycoplasma pneumoniae pneumonia with concomitant acute

2018 Medicine

11. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. (Abstract)

Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. The incidence of stroke is high in China. The dysphagia caused by cerebral infarction (CI), seriously affects patients' life quality, and even endangers patients' lives. It is necessary to explore how to improve dysphagia caused by CI.To compare the effects of rehabilitation training on dysphagia and psychological state after CI between Shaker exercise and chin (...) , traditional rehabilitation training and routine nursing. The patients in control group only receive the routine treatments. Besides the routine treatments, the patients in CTAR group also received CTAR exercise, and the patients in Shaker group also received Shaker exercise. VFSS was performed again on all patients, respectively, 2, 4, and 6 weeks after exercise. SDS was performed again on all patients 6 weeks after exercise.There were no statistical differences amongst the three groups in VFSS and SDS

2018 European journal of physical and rehabilitation medicine Controlled trial quality: uncertain

12. Injury of the Lower Ascending Reticular Activating System by Subfalcine Herniation in a Patient With a Cerebral Infarct Full Text available with Trip Pro

Injury of the Lower Ascending Reticular Activating System by Subfalcine Herniation in a Patient With a Cerebral Infarct 30180537 2018 11 14 2234-0645 42 4 2018 Aug Annals of rehabilitation medicine Ann Rehabil Med Injury of the Lower Ascending Reticular Activating System by Subfalcine Herniation in a Patient With a Cerebral Infarct. 639-641 10.5535/arm.2018.42.4.639 Jang Sung Ho SH Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea. Kwon (...) Young Hyeon YH Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea. eng 2015R1A2A2A01004073 National Research Foundation of Korea Journal Article 2018 08 31 Korea (South) Ann Rehabil Med 101573065 2234-0645 2017 11 29 2018 01 04 2018 9 6 6 0 2018 9 6 6 0 2018 9 6 6 1 ppublish 30180537 arm.2018.42.4.639 10.5535/arm.2018.42.4.639 PMC6129711 Drugs. 2013 Nov;73(17):1849-62 24170667 Neurology. 2015 May 12;84(19):1997-9 25878182 Am J Phys Med Rehabil

2018 Annals of rehabilitation medicine

13. Long-Term Outcomes of FIM Motor Items Predicted From Acute Stage NIHSS of Patients With Middle Cerebral Artery Infarct Full Text available with Trip Pro

Long-Term Outcomes of FIM Motor Items Predicted From Acute Stage NIHSS of Patients With Middle Cerebral Artery Infarct To outline the association between the National Institutes of Health Stroke Scale (NIHSS) in the acute stage and the Functional Independence Measure (FIM) of motor items several months later.Seventy-nine infarct cases with middle-cerebral-artery region transferred to long-term rehabilitation facilities were analyzed. Patients were allocated to either the model-development group (...) models were assessed in the confirmatory group (n=26); these were successful except for the stairs climb item.In combination with age and pre-stroke status, the NIHSS items (especially the affected extremity items) may be useful for the prediction of long-term outcome in terms of activities in daily living.

2018 Annals of rehabilitation medicine

14. Recommendations for the Management of Cerebral and Cerebellar Infarction with Swelling

suffer neurological deterioration attributable to cerebral swelling after ischemia. Hemispheric Stroke Patients with significant swelling typically have occlusions of the internal carotid artery, MCA, or both. The natural history of a large infarction after internal carotid artery versus MCA infarction is not clear, especially when independent of ante- rior cerebral artery territory infarction. Infarctions from MCA branch occlusions typically do not result in swelling with clinically significant mass (...) Recommendations for the Management of Cerebral and Cerebellar Infarction with Swelling 1222 Background and Purpose—There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and how to best inform families facing complex decisions on surgical intervention in deteriorating patients. This scientific statement

2014 Congress of Neurological Surgeons

15. Efficacy of early rehabilitation therapy on movement ability of hemiplegic lower extremity in patients with acute cerebrovascular accident. Full Text available with Trip Pro

Efficacy of early rehabilitation therapy on movement ability of hemiplegic lower extremity in patients with acute cerebrovascular accident. This study aims to investigate the efficacy of early rehabilitation therapy on the movement ability of hemiplegic lower extremity in patients with acute cerebrovascular accident (CVA).A total of 86 patients who suffered from acute CVA were selected and divided into 2 groups, according to random number tables: control group, and research group. Patients (...) in the control group received routine primary therapy, while patients in the research group received rehabilitation based on the basic therapy. The recovery of hemiplegic limb movement ability and the improvement of daily living ability before and after treatment were evaluated using the simplified Fugl-Meyer assessment (FMA), neurologic deficit scale (NDS), and Barthel index (BI). After treatment, the clinical efficacy and satisfaction degree for treatment were compared.The FMA, NDS, and BI of patients

2018 Medicine Controlled trial quality: uncertain

16. Effects of action observation therapy on upper extremity function, daily activities and motion evoked potential in cerebral infarction patients. Full Text available with Trip Pro

elevate the movement function of cerebral infarction patients in subacute seizure phase with upper limb dysfunction, which expanded the application range of motion observation therapy and provided an effective therapy strategy for upper extremities hemiplegia in stroke patients. (...) Effects of action observation therapy on upper extremity function, daily activities and motion evoked potential in cerebral infarction patients. The aim of this study was to explore the effects of action observation therapy on motor function of upper extremity, activities of daily living, and motion evoked potential in cerebral infarction patients.Cerebral infarction survivors were randomly assigned to an experimental group (28 patients) or a control group (25 patients). The conventional

2017 Medicine Controlled trial quality: uncertain

17. Cerebral Infarction by Paradoxical Gas Embolism During Laparoscopic Liver Resection with Injury of the Hepatic Vessels in a Patient without a Right-to-Left Systemic Shunt Full Text available with Trip Pro

area of the cerebral cortex right side predominantly, with poor blood flow confirmed by the brain perfusion single-photon emission CT. Rehabilitation was gradually achieved with Botox injections. CONCLUSIONS Cerebral infarction by paradoxical gas embolism is a rare complication in laparoscopic surgery, but it is important to be aware of the risk and to be prepared to treat it. (...) Cerebral Infarction by Paradoxical Gas Embolism During Laparoscopic Liver Resection with Injury of the Hepatic Vessels in a Patient without a Right-to-Left Systemic Shunt BACKGROUND Carbon dioxide (CO2) is believed to be the safest gas for laparoscopic surgery, which is a standard procedure. We experienced severe cerebral infarction caused by paradoxical CO2 embolism during laparoscopic liver resection with injury of the hepatic vessels despite the absence of a right-to-left systemic shunt

2017 The American journal of case reports

18. Isolated Striatocapsular Infarcts after Endovascular Treatment of Acute Proximal Middle Cerebral Artery Occlusions: Prevalence, Enabling Factors, and Clinical Outcome Full Text available with Trip Pro

Isolated Striatocapsular Infarcts after Endovascular Treatment of Acute Proximal Middle Cerebral Artery Occlusions: Prevalence, Enabling Factors, and Clinical Outcome Striatocapsular infarcts (SCIs) are defined as large subcortical infarcts involving the territory of more than one lenticulostriate artery. SCI without concomitant ischemia in the more distal middle cerebral artery (MCA) territory [isolated SCI (iSCI)] has been described as a rare infarct pattern. The purpose of this study (...) iSCI patients, in general, had a more favorable outcome, considerable heterogeneity in outcome was observed.High rates of successful reperfusion (TICI 2b/3) and in particular, complete reperfusion (TICI 3) are associated with iSCIs. The high prevalence of iSCI in successfully reperfused patients with good collaterals corroborates previous concepts of iSCI pathogenesis. iSCI, once considered a rare pattern of cerebral ischemia, is likely to become more prevalent with increases in endovascular stroke

2017 Frontiers in neurology

19. MRI Study of the Structural and Functional Rehabilitation in the Cerebral Infarction Patients With Diabetes

provided by Minming Zhang, Zhejiang University: cerebral infarction diabetes rehabilitation MRI Additional relevant MeSH terms: Layout table for MeSH terms Diabetes Mellitus Infarction Cerebral Infarction Stroke Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Ischemia Pathologic Processes Necrosis Brain Infarction Brain Ischemia Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Nervous System Diseases Vascular Diseases Cardiovascular Diseases (...) doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 80 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Sampling Method: Probability Sample Study Population with a definition of stroke within 3 to 7 days after onset Criteria Inclusion Criteria: first-ever ischemic stroke; single infarct in the distribution of the middle cerebral

2015 Clinical Trials

20. Screening Tools to Identify Adults with Cognitive Impairment Associated with a Cerebrovascular Accident or Traumatic Brain Injury

No literature identified. Non-Randomized Studies Cerebrovascular Disease and Accident 2. Dong Y, Slavin MJ, Chan BP, Venketasubramanian N, Sharma VK, Collinson SL, et al. Improving screening for vascular cognitive impairment at three to six months after mild ischemic stroke and transient ischemic attack. Int Psychogeriatr. 2014 May;26(5):787-93. PubMed: PM24423626 3. Lees R, Lua J, Melling E, Miao Y, Tan J, Quinn TJ. Cog-4 has limited diagnostic test accuracy and validity for cognitive assessment in stroke (...) and hypertensive arteriopathy after transient ischemic attack or minor stroke. Stroke. 2014 Nov;45(11):3337-42. PubMed: PM25248911 6. Xu Q, Cao WW, Mi JH, Yu L, Lin Y, Li YS. Brief screening for mild cognitive impairment in subcortical ischemic vascular disease: a comparison study of the Montreal Cognitive Assessment with the Mini-mental State Examination. Eur Neurol. 2014;71(3-4):106-14. PubMed: PM24335198 7. Blackburn DJ, Bafadhel L, Randall M, Harkness KA. Cognitive screening in the acute stroke setting

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

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