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stroke rehabilitation

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9841. Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. (Abstract)

Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. To compare the effects of robot-assisted movement training with conventional techniques for the rehabilitation of upper-limb motor function after stroke.Randomized controlled trial, 6-month follow-up.A Department of Veterans Affairs rehabilitation research and development center.Consecutive sample of 27 subjects with chronic hemiparesis (>6mo after (...) cerebrovascular accident) randomly allocated to group.All subjects received twenty-four 1-hour sessions over 2 months. Subjects in the robot group practiced shoulder and elbow movements while assisted by a robot manipulator. Subjects in the control group received neurodevelopmental therapy (targeting proximal upper limb function) and 5 minutes of exposure to the robot in each session.Fugl-Meyer assessment of motor impairment, FIMtrade mark instrument, and biomechanic measures of strength and reaching

2002 Archives of physical medicine and rehabilitation Controlled trial quality: uncertain

9842. Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. (Abstract)

Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. This study sought to evaluate early supported discharge and continued rehabilitation at home after stroke, at a minimum of 6 months after the intervention, in terms of patient outcome, resource use and health care cost.Eighty-three patients, moderately impaired 5-7 days after acute stroke, were included in a randomized controlled trial, 42 being allocated (...) visits to nurses in primary care (p = 0.03) and home rehabilitation (p = <0.001). Other differences in outcomes or resource utilization were nonsignificant.In Sweden, early supported discharge with continued rehabilitation at home proved no less beneficial as a rehabilitation service, and provided care and rehabilitation for 5 moderately disabled stroke patients over 12 months after stroke onset for the cost of 4 in routine rehabilitation.

2001 Cerebrovascular diseases (Basel, Switzerland) Controlled trial quality: uncertain

9843. Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care. (Abstract)

Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care. To compare the effectiveness and costs of a new domiciliary rehabilitation service for elderly stroke patients with geriatric day-hospital care.Randomized controlled trial.Stroke patients aged 55+ who required further rehabilitation after hospital discharge or after referral to geriatricians from the community.Poole area, East Dorset, a mixed urban/rural area on the south coast (...) not differ significantly between the two groups, with reduced health service costs in the domiciliary arm offset by higher social service costs.No significant differences were detected in the effectiveness of the two services. Neither service influenced patients' mental state, and their social activity remained low. Total costs were similar. A mixed model of day-hospital and domiciliary care may be most cost-effective for community stroke rehabilitation, but this requires further evaluation.

2001 Age and ageing Controlled trial quality: uncertain

9844. A randomized trial on the efficacy of intensive rehabilitation in the acute phase of ischemic stroke. (Abstract)

A randomized trial on the efficacy of intensive rehabilitation in the acute phase of ischemic stroke. Sixty patients admitted to hospital for hemispherical ischemic stroke causing severe disabilities were enrolled in the study. The patients were divided in two groups: A and B. The patients in group A were given intensive rehabilitative treatment; those in group B were given ordinary rehabilitative treatment. Both treatments lasted 14 days. At the end of that period, the patients of both groups (...) were sent to the same rehabilitation center to continue treatment, using the same methods for all. The patients were evaluated by means of the modified N. I. H. Stroke Scale and the Barthel-Index on the day of enrollment, on the 14(th) and 180(th) day. The results obtained from intensive treatment were no better than those obtained from ordinary treatment. This study shows that there is no point in adopting an intensive rehabilitative treatment for an ischemic stroke in its acute phase: a more

2003 Journal of neurology Controlled trial quality: uncertain

9845. Percutaneous endoscopic gastrostomy tube feeding may improve outcome of late rehabilitation following stroke. Full Text available with Trip Pro

Percutaneous endoscopic gastrostomy tube feeding may improve outcome of late rehabilitation following stroke. We describe three stroke patients with prolonged swallowing difficulty whose rehabilitation had been unsuccessful due to recurrent aspiration pneumonia and/or nasogastric tube dislodgement. Percutaneous endoscopic gastrostomy tube feeding, initiated 4-6 months following the onset of stroke, was associated with nutritional improvement, marked functional recovery and eventual discharge (...) from hospital. This form of nutritional support may find an important role in the rehabilitation of stroke patients with persisting difficulty with swallowing.

1992 Journal of the Royal Society of Medicine

9846. Stroke: neuroplasticity and recent approaches to rehabilitation Full Text available with Trip Pro

Stroke: neuroplasticity and recent approaches to rehabilitation 14617699 2003 12 02 2017 11 14 0022-3050 74 11 2003 Nov Journal of neurology, neurosurgery, and psychiatry J. Neurol. Neurosurg. Psychiatry Stroke: neuroplasticity and recent approaches to rehabilitation. 1465 Bracewell R M RM eng Editorial Comment England J Neurol Neurosurg Psychiatry 2985191R 0022-3050 IM J Neurol Neurosurg Psychiatry. 2003 Nov;74(11):1562-6 14617717 Electromyography Humans Motor Skills Disorders etiology (...) rehabilitation Neuronal Plasticity Stroke physiopathology Stroke Rehabilitation Task Performance and Analysis 2003 11 18 5 0 2003 12 3 5 0 2003 11 18 5 0 ppublish 14617699 PMC1738245

2003 Journal of neurology, neurosurgery, and psychiatry

9847. Neurology—Epitomes of Progress: Rehabilitation of Patients With Stroke Full Text available with Trip Pro

Neurology—Epitomes of Progress: Rehabilitation of Patients With Stroke 18748550 2010 06 30 2018 11 13 0093-0415 132 2 1980 Feb The Western journal of medicine West. J. Med. Neurology-epitomes of progress: rehabilitation of patients with stroke. 146 Dobkin B H BH eng Journal Article United States West J Med 0410504 0093-0415 1980 2 1 0 0 1980 2 1 0 1 1980 2 1 0 0 ppublish 18748550 PMC1271992 Stroke. 1979 Jan-Feb;10(1):1-4 107620 Arch Neurol. 1979 Apr;36(4):190-6 426663 N Engl J Med. 1975 Nov

1980 Western Journal of Medicine

9848. The rehabilitation of stroke patients. Full Text available with Trip Pro

The rehabilitation of stroke patients. 7320984 1982 03 22 2018 11 13 0035-8797 31 228 1981 Jul The Journal of the Royal College of General Practitioners J R Coll Gen Pract The rehabilitation of stroke patients. 390-1 eng Editorial England J R Coll Gen Pract 7503107 0035-8797 IM Cerebrovascular Disorders rehabilitation Home Care Services Hospitalization Humans 1981 7 1 1981 7 1 0 1 1981 7 1 0 0 ppublish 7320984 PMC1972135 Br Med J. 1979 Sep 15;2(6191):644-6 497757 J Chronic Dis. 1967 Jan;20(1

1981 The Journal of the Royal College of General Practitioners

9849. Rehabilitation of the Elderly Stroke Patient Full Text available with Trip Pro

Rehabilitation of the Elderly Stroke Patient AGE ALONE DOES NOT AFFECT THE OUTCOME OF REHABILITATION: approximately 75% of stroke patients are 65 years or over, yet 95% of these patients can be helped. Rehabilitation involves physiologic care, specific therapies, cognitive retraining, family and patient education, plus support and follow up. The process should be started early, pursued aggressively and monitored by follow-up visits for an indefinite period.

1981 Canadian Family Physician

9850. Stroke rehabilitation: a model predicting return home. Full Text available with Trip Pro

Stroke rehabilitation: a model predicting return home. We undertook this study to describe the changes in functional status for patients in a rehabilitation program for acute stroke and to identify the variables that best predict discharge home. Of 282 patients, 75% were discharged home. Increases in functional status were found for all 18 activities of the Functional Independence Measure from admission to discharge. Significant predictors of discharge disposition in a logistic regression model (...) were the admission and discharge functional status scores, length of stay, and living arrangement before the stroke. The functional status at discharge was the most important predictor. Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.

1991 Western Journal of Medicine

9851. Stroke rehabilitation: can we do better? Full Text available with Trip Pro

Stroke rehabilitation: can we do better? 1493386 1993 03 10 2018 11 13 0959-8138 305 6867 1992 Dec 12 BMJ (Clinical research ed.) BMJ Stroke rehabilitation: can we do better? 1446-7 Forster A A Young J J eng Editorial England BMJ 8900488 0959-8138 AIM IM Cerebrovascular Disorders rehabilitation Humans Physical Therapy Modalities Social Behavior Treatment Outcome 1992 12 12 1992 12 12 0 1 1992 12 12 0 0 ppublish 1493386 PMC1884084 Lancet. 1992 Mar 28;339(8796):791-3 1347814 BMJ. 1992 Apr 25;304 (...) (6834):1085-9 1586821 Stroke. 1990 Feb;21(2):236-40 2305398 Int Disabil Stud. 1988;10(3):107-12 3182567 J Epidemiol Community Health. 1986 Jun;40(2):166-9 3746178 Health Trends. 1991-1992;23(4):161-2 10117738 Br J Psychiatry. 1991 Jan;158:83-92 2015456 Br Med J (Clin Res Ed). 1986 Aug 16;293(6544):418-20 3091140 Br Med J (Clin Res Ed). 1987 Feb 14;294(6569):409-11 3101899 Br J Psychiatry. 1987 Aug;151:200-5 3690109 J R Coll Physicians Lond. 1982 Apr;16(2):100-4 7077560 BMJ. 1992 Mar 7;304(6827):609

1992 BMJ : British Medical Journal

9852. Family support and stroke rehabilitation. Full Text available with Trip Pro

Family support and stroke rehabilitation. 1475955 1993 02 04 2018 11 13 0093-0415 157 6 1992 Dec The Western journal of medicine West. J. Med. Family support and stroke rehabilitation. 665-6 Teraoka J J Burgard R R eng Journal Article United States West J Med 0410504 0093-0415 AIM IM Cerebrovascular Disorders rehabilitation Family Health Family Therapy Humans Patient Care Team 1992 12 1 1992 12 1 0 1 1992 12 1 0 0 ppublish 1475955 PMC1022106 Arch Phys Med Rehabil. 1987 Aug;68(8):508-12 3619614

1992 Western Journal of Medicine

9853. Formal rehabilitation after stroke. Full Text available with Trip Pro

Formal rehabilitation after stroke. 10136844 1994 11 09 2018 11 13 0963-8172 1 2 1992 Jun Quality in health care : QHC Qual Health Care Formal rehabilitation after stroke. 134-7 Freemantle N N School of Public Health, University of Leeds. Pollock C C Sheldon T A TA Mason J M JM Song F F Long A F AF Ibbotson S S eng Journal Article Review England Qual Health Care 9209948 0963-8172 H Cerebrovascular Disorders rehabilitation Humans Patient Care Team Rehabilitation Centers organization (...) & administration standards State Medicine standards Treatment Outcome United Kingdom 32 1992 5 8 1992 5 8 0 1 1992 5 8 0 0 ppublish 10136844 PMC1054979 BMJ. 1992 Mar 7;304(6827):609-13 1559090 BMJ. 1991 Sep 14;303(6803):636-8 1932911 J Chronic Dis. 1962 Mar;15:297-310 13892131 Stroke. 1979 Jan-Feb;10(1):5-8 155326 Br Med J. 1979 Jul 14;2(6182):87-9 466329 Br Med J. 1980 Apr 12;280(6220):1040-3 6996779 Br Med J. 1980 Sep 27;281(6244):827-9 7000279 Br Med J (Clin Res Ed). 1981 Feb 14;282(6263):517-20 6780105 J

1992 Quality In Health Care

9854. Rehabilitation of Stroke Patients In A Day Hospital Full Text available with Trip Pro

Rehabilitation of Stroke Patients In A Day Hospital A comprehensive rehabilitation program for stroke patients strives to rectify deficits in communication, cognition, sensation and motor function. Day hospitals can provide diagnostic and remedial therapy services daily or for several hours a week. At the same time, patients can live at home, maintaining their place in the family and community. Day hospitals can also benefit patients who were not introduced to a rehabilitation program soon (...) after suffering a stroke, and provide intermittent upgrading and maintenance therapy for those with recurrent or remote strokes. The day hospital can help the family physician to assess patients' functional status, and assist with caregiving. The experience of a Toronto day hospital is described.

1985 Canadian Family Physician

9855. Stroke Rehabilitation: Would Your Patient Benefit? Full Text available with Trip Pro

Stroke Rehabilitation: Would Your Patient Benefit? Stroke is a common event with major implications for functional loss for the patient, the family, and society. Very little can be done medically or surgically to enhance neurological function, so rehabilitation on functional grounds becomes paramount. It is very difficult to predict if a patient will benefit from rehabilitation on neurological grounds; any patient who is alert, can learn, and can cooperate should be offered a stroke (...) rehabilitation program as soon as he is able to participate in it.

1985 Canadian Family Physician

9856. Physical Medicine and Rehabilitation—Important Advances in Clinical Medicine: Rehabilitation of Stroke Patients Who Have Associated Cardiac Disease Full Text available with Trip Pro

Physical Medicine and Rehabilitation—Important Advances in Clinical Medicine: Rehabilitation of Stroke Patients Who Have Associated Cardiac Disease 18749534 2010 06 30 2018 11 13 0093-0415 140 4 1984 Apr The Western journal of medicine West. J. Med. Physical medicine and rehabilitation-important advances in clinical medicine: rehabilitation of stroke patients who have associated cardiac disease. 606 Lieberman J S JS Taylor R G RG eng Journal Article United States West J Med 0410504 0093-0415

1984 Western Journal of Medicine

9857. Recovery and Rehabilitation after Stroke Full Text available with Trip Pro

Recovery and Rehabilitation after Stroke The incidence of stroke is about 1.5 to 2.5 per 1000 population per year. Stroke is among the commonest diagnoses on the list of yearly bed-days in Canadian hospitals. Recovery after stroke is often a lengthy and complex process in which doctors, nurses, therapists and family members are closely involved, yet little information is available about the use of therapy in stroke rehabilitation. This article discusses the mechanisms of recovery, the natural (...) history of recovery of physical and social function, and the role of rehabilitation in treating acute stroke patients.

1986 Canadian Family Physician

9858. Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison. Full Text available with Trip Pro

Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison. The goal of this study was to assess the specific influence of stroke etiology on rehabilitation results.This was a case-control study of 270 inpatients with sequelae of first stroke who were enrolled in homogeneous subgroups and matched for stroke severity, basal disability, age (within 1 year), sex, and onset admission interval (within 3 days) who were different only in terms (...) of stroke origin, infarction versus hemorrhage. We compared the groups' length of stay, efficiency and effectiveness of treatment, and percentage of low and high responder patients. Odds ratios of dropouts and of low and high therapeutic response were also quantified.Compared with ischemic patients, hemorrhagic patients had significantly higher Canadian Neurological Scale and Rivermead Mobility Index scores at discharge; higher effectiveness and efficiency on the Canadian Neurological Scale, Barthel

2003 Stroke

9859. Quality of life during and after inpatient stroke rehabilitation. Full Text available with Trip Pro

Quality of life during and after inpatient stroke rehabilitation. Very limited longitudinal data are available that assess the health-related quality of life (HRQOL) of stroke survivors after discharge from inpatient rehabilitation. The purpose of this research was to assess changes in HRQOL during inpatient rehabilitation and again 6 months after discharge.This was a prospective study of all eligible patients admitted to an inpatient stroke rehabilitation hospital over a 3-year period. HRQOL (...) to improve, with 1 attaining statistical significance. However, there were marked and statistically significant declines in the other 5 domains of the SF-36. Feedback was obtained from a subset of the patients as to the reasons for these declines.Substantial gains in HRQOL during inpatient stroke rehabilitation may be followed by equally substantial declines in the 6 months after discharge. There is a need for longitudinal research into the HRQOL of stroke survivors and their families, as well as a need

2003 Stroke

9860. Constraint-induced movement therapy and rehabilitation exercises lessen motor deficits and volume of brain injury after striatal hemorrhagic stroke in rats. Full Text available with Trip Pro

Constraint-induced movement therapy and rehabilitation exercises lessen motor deficits and volume of brain injury after striatal hemorrhagic stroke in rats. Constraint-induced movement therapy (CIMT) promotes motor recovery after occlusive stroke in humans, but its efficacy after intracerebral hemorrhage (ICH) has not been investigated clinically or in the laboratory. In this study we tested whether CIMT and a rehabilitation exercise program would lessen motor deficits after ICH in rats.Rats (...) were subjected to striatal ICH (via infusion of collagenase) or sham stroke. Seven days later, treatment began with CIMT (8 h/d of ipsilateral forelimb restraint), rehabilitation exercises (eg, reaching, walking; 1 h/d), or both for 7 days. Some rats were not treated. Motor deficits were assessed up to the 60-day survival time, after which the volume of tissue lost was determined.Untreated ICH rats made more limb slips traversing a horizontal ladder and showed an asymmetry toward less use

2003 Stroke

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