Latest & greatest articles for stroke

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Top results for stroke

121. Robot-assisted arm training after stroke helps people regain some strength and independence

Robot-assisted arm training after stroke helps people regain some strength and independence Stroke rehabilitation using robot-assisted arm training Discover Portal Discover Portal Robot-assisted arm training after stroke helps people regain some strength and independence Published on 11 December 2018 doi: People who have electromechanical or robot-assisted arm rehabilitation after stroke have better arm function and strength as well as finding it easier to complete activities of daily living (...) . Although moderate, the improvements suggest it may be worth considering these interventions as an adjunct to usual therapy. Many people have impaired arm function after a stroke and rehabilitation is often required. Robot-assisted arm training uses devices to support therapeutic movements. Feedback, given by the machines, allows the exercises to be tailored to the individual. Use can increase the intensity of therapy and improve motivation. The evidence for their use so far has not been strong

2019 NIHR Dissemination Centre

122. Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data. (PubMed)

Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data. To investigate whether further centralisation of acute stroke services in Greater Manchester in 2015 was associated with changes in outcomes and whether the effects of centralisation of acute stroke services in London in 2010 were sustained.Retrospective analyses of patient level data from the Hospital Episode (...) Statistics (HES) database linked to mortality data from the Office for National Statistics, and the Sentinel Stroke National Audit Programme (SSNAP).Acute stroke services in Greater Manchester and London, England.509 182 stroke patients in HES living in urban areas admitted between January 2008 and March 2016; 218 120 stroke patients in SSNAP between April 2013 and March 2016.Hub and spoke models for acute stroke care.Mortality at 90 days after hospital admission; length of acute hospital stay; treatment

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2019 BMJ

123. Lowering blood pressure reduces the risk of heart disease, stroke and death

Lowering blood pressure reduces the risk of heart disease, stroke and death Lowering blood pressure reduces the risk of heart disease, stroke and death Discover Portal Discover Portal Lowering blood pressure reduces the risk of heart disease, stroke and death Published on 23 February 2016 doi: This meta-analysis showed that a 10 mm Hg reduction of systolic blood pressure reduced the risk of major cardiovascular disease events by 20%, coronary heart disease by 17%, stroke by 27%, heart failure (...) were also hand searched to identify further relevant studies. The quality of the included studies was assessed: the majority of the studies (113) were judged to be of low risk of bias. What did it find? Every 10 mm Hg systolic blood pressure reduction reduced the risk of major cardiovascular events by 20% (relative risk [RR] 0.80, 95% confidence interval [CI] 0.77 to 0.83), coronary heart disease by 17% (RR 0.83, 95% CI 0.78 to 0.88), stroke by 27% (RR 0.73, 95% CI 0.68 to 0.77), heart failure

2019 NIHR Dissemination Centre

124. Effects of Physical Exercise Interventions on Dual-Task Gait Speed Following Stroke: A Systematic Review and Meta-Analysis

Effects of Physical Exercise Interventions on Dual-Task Gait Speed Following Stroke: A Systematic Review and Meta-Analysis To estimate the treatment effects of exercise and/or gait training interventions on dual-task walking in people with stroke. The secondary objective was to conduct subgroup analyses to compare the treatment effects of interventions involving dual-task training to those without any dual-task training.A systematic search of the literature was conducted in 6 databases (PubMed (...) , CINAHL, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Physiotherapy Evidence Database) up to July 18, 2017.Randomized controlled trials (RCTs), nonrandomized controlled trials, or uncontrolled studies involving individuals with stroke and examining the effects of exercise and/or gait training interventions on dual-task gait speed.We extracted data on participant characteristics, intervention duration, frequency, and type; pre and post gait speed and secondary nongait

2019 EvidenceUpdates

125. Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis To investigate whether isokinetic muscle strengthening improves muscle strength, mobility, and gait in post-stroke patients.We searched for randomized controlled trials at PubMed/Medline, SciELO, PEDro, and Cochrane Central Register of Controlled Trials, from the earliest date available to June 2018. Randomized controlled trials that examined (...) the effects of isokinetic muscle strengthening versus other rehabilitation interventions or control in post-stroke patients were included. Study quality was evaluated using the PEDro scale. Weighted mean difference (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test.In total, 13 studies (347 patients) focusing on the use of isokinetic in rehabilitation following stroke were included. All trials were of low-to-moderate quality. Isokinetic muscle

2019 EvidenceUpdates

126. Relation of the CHA2DS2-VASc Score to Risk of Thrombotic and Embolic Stroke in Community-Dwelling Individuals Without Atrial Fibrillation (From The Atherosclerosis Risk in Communities [ARIC] Study)

Relation of the CHA2DS2-VASc Score to Risk of Thrombotic and Embolic Stroke in Community-Dwelling Individuals Without Atrial Fibrillation (From The Atherosclerosis Risk in Communities [ARIC] Study) Recent hospital-based cohort studies found the CHA2DS2-VASc score to be associated with ischemic stroke in individuals without atrial fibrillation (AF). Our aim was to determine the distribution of embolic and thrombotic strokes and association with the CHA2DS2-VASc score, among community-dwelling (...) individuals without AF. We included participants from the Atherosclerosis Risk in Communities (ARIC) Study who attended visit 4 (1996 to 1998) and had no previous AF, stroke, or anticoagulant use (n = 10,671). During follow-up through 2008, incident AF cases (n = 760) and participants who started warfarin were censored. Incident AF was ascertained from study electrocardiograms and hospital discharge diagnosis codes, and stroke was physician-adjudicated. After 10 years of follow-up, 280 ischemic strokes

2019 EvidenceUpdates

127. Validation of the Simplified Stroke-Thrombolytic Predictive Instrument to Predict Functional Outcomes in Chinese Patients

Validation of the Simplified Stroke-Thrombolytic Predictive Instrument to Predict Functional Outcomes in Chinese Patients Background and Purpose- The simplified stroke-thrombolytic predictive instrument (s-Stroke-TPI) is useful for predicting the outcomes in thrombolysis-treated patients in Western populations. We aimed to validate its predictive value in Chinese patients. Methods- Data from thrombolysis implementation and monitor of acute ischemic stroke in China were analyzed. Patients (...) with acute ischemic stroke and treated with thrombolysis within 4.5 hours of symptom onset were included. The 3-month functional outcomes were assessed with the modified Rankin Scale (mRS). Model discrimination was quantified by calculating the area under receiver operating characteristic curve. s-Stroke-TPI was compared with dense artery sign, mRS score, age, glucose, onset to treatment time, and National Institutes of Health Stroke Scale or stroke prognostication using age and National Institutes

2019 EvidenceUpdates

128. Development and validation of a score to detect paroxysmal atrial fibrillation after stroke

Development and validation of a score to detect paroxysmal atrial fibrillation after stroke Prolonged monitoring times (72 hours) are recommended to detect paroxysmal atrial fibrillation (pAF) after ischemic stroke but this is not yet clinical practice; therefore, an individual patient selection for prolonged ECG monitoring might increase the diagnostic yield of pAF in a resource-saving manner.We used individual patient data from 3 prospective studies (ntotal = 1,556) performing prolonged (...) Holter-ECG monitoring (at least 72 hours) and centralized data evaluation after TIA or stroke in patients with sinus rhythm. Based on the TRIPOD (Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis) guideline, a clinical score was developed on one cohort, internally validated by bootstrapping, and externally validated on 2 other studies.pAF was detected in 77 of 1,556 patients (4.9%) during 72 hours of Holter monitoring. After logistic regression analysis

2019 EvidenceUpdates

129. Rate of peri-procedural stroke observed with cerebral embolic protection during transcatheter aortic valve replacement: a patient-level propensity-matched analysis

Rate of peri-procedural stroke observed with cerebral embolic protection during transcatheter aortic valve replacement: a patient-level propensity-matched analysis The role of cerebral embolic protection (CEP) in transcatheter aortic valve replacement (TAVR) remains controversial. Randomized trials have not been powered to demonstrate a reduction in stroke rates. The aim of this patient level pooled analysis was to validate the impact of the dual-filter CEP device (Claret Medical Inc., CA, USA (...) ) on peri-procedural stroke in a large number of TAVR patients.Patients from the SENTINEL US IDE trial were combined with the CLEAN-TAVI and SENTINEL-Ulm study in a patient level pooled analysis (N = 1306). Propensity score matching was performed to adjust for possible confounders. The primary endpoint was procedural stroke within 72 h post-TAVR according to Valve Academic Research Consortium-2 criteria. The secondary endpoint was the combination of all-cause mortality or all-stroke within 72 h after

2019 EvidenceUpdates

130. A systematic review of the effect of Bobath training on lower limb activity outcomes compared to other intervention or no intervention in adults with stroke

A systematic review of the effect of Bobath training on lower limb activity outcomes compared to other intervention or no intervention in adults with stroke Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

131. Challenges in the use of healthcare services after stroke: a systematic review and meta-synthesis of qualitative evidence

Challenges in the use of healthcare services after stroke: a systematic review and meta-synthesis of qualitative evidence Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

132. A systematic review and meta-analysis of mental practice for the upper limb after stroke

A systematic review and meta-analysis of mental practice for the upper limb after stroke Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites

2019 PROSPERO

133. The relationship between loss of strength and activity limitations after stroke

The relationship between loss of strength and activity limitations after stroke Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email

2019 PROSPERO

134. The impact of sleep disorders on functional recovery and participation following stroke: a systematic review

The impact of sleep disorders on functional recovery and participation following stroke: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

135. The Bobath concept (NDT) as a rehabilitation in stroke patients: a systematic review

The Bobath concept (NDT) as a rehabilitation in stroke patients: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites

2019 PROSPERO

136. The risk of stroke after hysterectomy with or without concomitant bilateral oophorectomy for benign diseases

The risk of stroke after hysterectomy with or without concomitant bilateral oophorectomy for benign diseases Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

137. The physiotherapeutic management of post stroke shoulder pain: a systematic review

The physiotherapeutic management of post stroke shoulder pain: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email

2019 PROSPERO

138. Vitamin D circulation, intake and the risk of stroke: a dose-response meta-analysis

Vitamin D circulation, intake and the risk of stroke: a dose-response meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email

2019 PROSPERO

139. Use of epiaortic ultrasound to decrease the risk of stroke after coronary artery bypass grafting

Use of epiaortic ultrasound to decrease the risk of stroke after coronary artery bypass grafting Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

140. Systematic review and meta-analysis of the efficacy and safety of acupuncture combined with antidepressant in the treatment of post-stroke depression

Systematic review and meta-analysis of the efficacy and safety of acupuncture combined with antidepressant in the treatment of post-stroke depression Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO