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Articles 1 - 12 of 12
Full-Text Articles in Rehabilitation and Therapy
Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen
Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen
Rehabilitation Practice and Science
A common symptom that occurs after strokes is impaired contralesional motor function and contralateral limbs weakness. Such weakness of the limbs is often found in a supratentorial stroke. Two patients with ipsilateral limbs weakness after supratentorial stroke events were reported. One was a recurrent ischemic stroke in the right frontal lobe with right hemiparesis; the other was a new ischemic stroke in the right thalamus with right hemiparesis. There were few reported cases of ipsilateral hemiparesis caused by a supratentorial cerebral lesion. The mechanism of such symptoms may be related to 1. Activation and cortical reorganization within the motor areas …
Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu
Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu
Rehabilitation Practice and Science
Cerebral stroke and spinal cord infarction are rare complications after coronary artery bypass graft (CABG). The coexistence of them in one case is extremely rare. Cerebral microemboli generated during CABG is connected to acute ischemic stroke. Spinal cord infarction after CABG is related to hypoperfusion of the spinal cord. Except for the cardiovascular disease, the use of cardiopulmonary bypass during or after surgery is also a risk factor for both of the complications. They are not only increase the length of hospital stay but also contribute to patient's poor prognosis.We reported a 61-year-old male, with histories of hypertension, type II …
A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee
A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee
Rehabilitation Practice and Science
Bardet-Biedl syndrome (BBS) is a rare inherited disease. Up to date, there have been 14 known BBS-related mutation genes, resulting in ciliopathy with multiple abnormalities such as obesity, pigmentary retinopathy, polydactyly, learning disabilities, poor coordination, renal dysfunction, diabetes and hypertension. This case was a 29-year-old male, who was diagnosed as Bardet-Biedl syndrome since childhood and then was followed up for control of complications. He suffered from stroke at age of 29. Risks of young stroke were surveyed. Poorly controlled hypertension, hyperlipidemia, hyperglycemia and hyperfibrinogenemia were noted. No other examination revealed abnormality. He had received treatment of stroke in acute phase, …
The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang
The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang
Rehabilitation Practice and Science
This study explores the factors correlated to the use of home-based rehabilitation services by stroke patients for whom care is provided according to the state policy pertaining to the 10-year long-term care plan.During July 2008–June 2010, data were collected from 759 stroke patients by using a long-term care management service evaluation form. These patients had initially applied for services at the long-term care centers of the Bureau of Public Health in Taichung County. Of these, 119(15.7%) eventually used home-based rehabilitation services. Using the Andersen health behavior model, we investigated how various factors influence the use of home-based rehabilitation services by …
Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung
Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung
Rehabilitation Practice and Science
Function of the upper limbs is crucial in daily activities. Motor recovery of upper limbs after stroke is slower and less complete than of lower limbs. During the recovery period, abnormal synergies always disturb daily life activity. Various therapeutic techniques have been developed to improve the function of upper limbs after stroke, such as the neuro-rehabilitation robot, which was developed in recent years and shows numerous positive outcomes for upper-limb facilitation after stroke. For the evaluation of motor recovery after stroke, Brunnstrom stages and the Modified Ashworth scale are commonly used and convenient. However, both depend heavily on the evaluator …
Motor Control Of Exercise That Emphasizes Speed Post-Stroke, Vicki L. Gray
Motor Control Of Exercise That Emphasizes Speed Post-Stroke, Vicki L. Gray
Electronic Thesis and Dissertation Repository
Purpose: To investigate whether a single session of closed kinetic chain (CKC) and open kinetic chain (OKC) exercises emphasizing speed post-stroke could evoke changes in the motor control and whether these improvements would transfer to postural tasks.
Methods: Thirty-two individuals post-stroke and 32 age- and sex- matched controls performed a single session of 50 fast squats and steps (Chapter 3). Internal perturbations (arm raise/load drop) were used to assess postural responses before exercises (Pre), immediately after exercises (Post) and 15 minutes after exercises (Retention) (Chapter 4). Eleven individuals post-stroke performed a single session of 50 fast knee and ankle OKC …
The Effectiveness Of Secondary Prevention Lifestyle Interventions Designed To Change Lifestyle Behavior Following Stroke: Summary Of A Systematic Review, Maggie Lawrence, Susan Kerr, Caroline Mcvey, John Godwin
The Effectiveness Of Secondary Prevention Lifestyle Interventions Designed To Change Lifestyle Behavior Following Stroke: Summary Of A Systematic Review, Maggie Lawrence, Susan Kerr, Caroline Mcvey, John Godwin
Dr. Maggie Lawrence
Background A feature of stroke is that it recurs (25% within
five-years). Risk factors for stroke and recurrent stroke
include smoking, alcohol consumption, poor diet, and physical
inactivity.
Aim To evaluate the effectiveness of secondary prevention
lifestyle interventions designed to change lifestyle behavior
following stroke. This short paper presents a summary of the
systematic review process and findings.
Methods Ten major databases were searched using subject
headings and key words. Papers were screened using
review-specific criteria. Critical appraisal and data extraction
were conducted independently by two reviewers. Data were
pooled in statistical meta-analysis; where this was not possible
findings were …
Defining And Measuring Patient-Centred Care: An Example From A Mixed Methods Systematic Review Of The Stroke Literature., Maggie Lawrence, Sue Kinn
Defining And Measuring Patient-Centred Care: An Example From A Mixed Methods Systematic Review Of The Stroke Literature., Maggie Lawrence, Sue Kinn
Dr. Maggie Lawrence
Background
Involving patients in the determination of their care is increasingly important, and healthcare professionals worldwide have recognised a need for clinical outcome measures and interventions that facilitate patient-centred care delivery in a range of settings.
Aim
A mixed-methods review was conducted, which aimed to identify stroke-specific patient-centred outcome measures, patient-centred interventions, and family-centred interventions.
Search strategy
Databases searched included MEDLINE and PsycINFO; search strings were based on MeSH terms and keywords associated with the terms ‘stroke’ and ‘patient-centred’.
Data extraction and analysis
Descriptive statistics were used to report quantitative data; papers included in the review were also underwent thematic …
Pirandello’S Analogy: A Source For A Better Understanding Of The Social Impact Of Stroke, M.A.C. Van Haaren, Maggie Lawrence, P.H. Goossens, B. Van Den Bossche, M.J.H. Wermer, A.A. Kaptein
Pirandello’S Analogy: A Source For A Better Understanding Of The Social Impact Of Stroke, M.A.C. Van Haaren, Maggie Lawrence, P.H. Goossens, B. Van Den Bossche, M.J.H. Wermer, A.A. Kaptein
Dr. Maggie Lawrence
Background: Suffering a stroke has major implications for the patient. To understand human suffering, one should understand society. Pirandello described society as a higher entity than the individual, thereby justifying human adaptability to society. We explore a qualitative finding that suggests that social trends may influence how stroke patients prioritize aspects of their rehabilitation. Methods: We compare a contemporary patient’s experience of stroke recovery with that of a fictional character from the works of Luigi Pirandello. Both patients had two main residual symptoms: hemiparesis and aphasia. Results: The rehabilitation priorities of the two patients differed, and appeared to reflect the …
Determining The Needs, Priorities, And Desired Rehabilitation Outcomes Of Young Adults Who Have Had A Stroke, Maggie Lawrence, Sue Kinn
Determining The Needs, Priorities, And Desired Rehabilitation Outcomes Of Young Adults Who Have Had A Stroke, Maggie Lawrence, Sue Kinn
Dr. Maggie Lawrence
Background: Guidelines state that young adults’ rehabilitation needs and priorities following stroke are different from older adults’. However, there is a lack of evidence regarding young adults’ perspectives of their needs and priorities.
Aims: To gain an understanding of young adults’ experience of stroke and associated rehabilitation needs, priorities and desired outcomes.
Methods: Longitudinal data were gathered using unstructured interviews and analysed using phenomenological reduction.
Results: Ten young adults took part in up to four interviews over two years. An overarching theme, Embodied Disorientation, and three sub-themes: Mortal Body, Situated Body, and Embodied Perception of Difference, described the young adults’ …
Aphasia Incidence And Intervention In The Acute Hospital Setting, Dominique Lidia Ferreira
Aphasia Incidence And Intervention In The Acute Hospital Setting, Dominique Lidia Ferreira
Theses : Honours
Background: Current research highlights the significance of providing early and intensive aphasia therapy to maximise neural plasticity and enhance communication gains. Acute speech pathology service delivery in Australia does not consistently meet best practice standards recommended by the National Stroke Foundation. Aims: This study aimed to: i) investigate the incidence of post-stroke aphasia in the acute setting; ii) determine the referral rate to speech pathology for patients with aphasia; iii) investigate the amount of language therapy provided to people with aphasia and iv) explore the relative proportion of aphasia service delivery within the overall caseload management of speech pathologists. Method …
Constraint Induced Aphasia Therapy In The Very Early Phase Of Recovery Following Stroke, Sarah D'Souza
Constraint Induced Aphasia Therapy In The Very Early Phase Of Recovery Following Stroke, Sarah D'Souza
Theses : Honours
Background and purpose: Research suggests communication outcomes following stroke may be greater when treatment is administered in the acute phase of recovery. In addition, treatment outcomes are improved when therapy is provided at a greater intensity. Constraint Induced Aphasia Therapy (CIAT) has addressed the issue of treatment intensity by delivering therapy for three hours per weekday for two weeks, but its effectiveness has largely been investigated in the chronic phase of recovery. Treatment outcomes have typically been assessed on standardised tests and few studies have used connected speech and discourse measures to assess change. This research investigated daily intervention in …