Real-World Fitness May Cut Stroke Risk
Maybe you're not in tip-top shape. But even a humble level of physical fitness may help you avoid a stroke. New research shows that men and women over 40 who can climb stairs, carry groceries, kneel, bend, and lift may be 50% less likely to suffer a stroke than those who can't do those things.
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Movement Therapy Helps Stroke Patients
Stroke patients with mild to moderate impairments can reap long-lasting benefits from a two-week program of specialized movement therapy, according to a study that tracked them for two years.
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Lipitor Linked to Bleeding After Stroke
Stroke survivors who take high doses of a widely prescribed cholesterol-lowering drug appear to be at increased risk for stroke from bleeding in the brain, also known as hemorrhagic stroke. But the benefits of treatment still outweigh the risks for most, experts say.
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Thalamic Vascular Lesions
Background and Purpose The data of patients with an MRI-confirmed diagnosis of thalamic stroke were analyzed to identify risk factors and to describe the clinical syndromes according to the thalamic arterial territory involved.
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Measurement of Instrumental Activities of Daily Living in Stroke
Background Functional assessment in stroke patients is critical in both clinical practice and outcome studies. Ability in the areas relating to instrumental activities of daily living (IADL) that require increased interaction with the environment, whether household or community, appears to be a prerequisite for independent living in the community. The majority of the research in this area has been in the geriatric population. A literature review was undertaken to answer the following questions:
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Recommendations for the Management of Intracranial Arteriovenous Malformations
Intracranial arteriovenous malformations (AVMs) are relatively uncommon but increasingly recognized lesions that can cause serious neurological symptoms or death. Although AVMs can present with hemorrhage or seizure, since the advent of contemporary brain imaging techniques, an increasing number are detected before rupture. Over the last decade, there have been significant developments in the management of intracranial AVMs.
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A Randomized, Controlled Pilot Study of a Home-Based Exercise Program for Individuals With Mild and Moderate Stroke
Background and Purpose—Many stroke survivors have minimal to moderate neurological deficits but are physically deconditioned and have a high prevalence of cardiovascular problems; all of these are potentially modifiable with exercise.
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Recommendations for Comprehensive Stroke Centers
Background and Purpose— To develop recommendations for the establishment of comprehensive stroke centers capable of delivering the full spectrum of care to seriously ill patients with stroke and cerebrovascular disease. Recommendations were developed by members of the Brain Attack Coalition (BAC), which is a multidisciplinary group of members from major professional organizations involved with the care of patients with stroke and cerebrovascular disease.
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Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients
Background and Purpose— A new gait training strategy for patients with stroke seeks to increase walking speed through treadmill training. This study compares the effects of structured speed-dependent treadmill training (STT) (with the use of an interval paradigm to increase the treadmill speed stepwise according to principles of sport physiology) with limited progressive treadmill training (LTT) and conventional gait training (CGT) on clinical outcome measures for patients with hemiparesis.
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Brain Plasticity and Stroke Rehabilitation
Abstract—Neuronal connections and cortical maps are continuously remodeled by our experience. Knowledge of the potential capabilityof the brain to compensate for lesions is a prerequisite for optimal stroke rehabilitation strategies. Experimental focal cortical lesions induce changes in adjacent cortex and in the contralateral hemisphere. Neuroimaging studies in stroke patients indicate altered poststroke activation patterns, which suggest some functional reorganization.
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Prevention of Shoulder Subluxation After Stroke With Electrical Stimulation
Background and Purpose—Subluxation is a significant problem in poststroke hemiplegia, resulting in pain and loss of function. Current treatments are not proved and not considered effective. It has been demonstrated that cyclical electrical stimulation of the shoulder muscles can reduce existing subluxation. The purpose of this study was to determine whether electrical stimulation could prevent subluxation in both the short and long terms.
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Forced Use of the Upper Extremity in Chronic Stroke Patients
Background and Purpose—Of all stroke survivors, 30% to 66% are unable to use their affected arm in performing activities of daily living. Although forced use therapy appears to improve arm function in chronic stroke patients, there is no conclusive evidence. This study evaluates the effectiveness of forced use therapy.
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Effects of Constraint-Induced Movement Therapy on Patients With Chronic Motor Deficits After Stroke
Background and Purpose—Constraint-induced movement therapy (CI therapy) has previously been shown to produce large improvements in actual amount of use of a more affected upper extremity in the "real-world" environment in patients with chronic stroke (ie, >1 year after the event). This work was carried out in an American laboratory. Our aim was to determine whether these results could be replicated in another laboratory located in Germany, operating within the context of a healthcare system in which administration of conventional types of physical therapy is generally more extensive than in the United States.
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Intensity of Aphasia Therapy, Impact on Recovery
Background— It has been speculated that the conflicting results demonstrated across poststroke aphasia therapy studies might be related to differences in intensity of therapy provided across studies. The aim of this study is to investigate the relationship between intensity of aphasia therapy and aphasia recovery.
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