Hypertension is a very common chronic disease world wide, and stroke is one of it's complications if not treated properly. In Bangladesh, women have traditionally tended to overlook their own disease states when a male member of the family is already afflicted. The cross sectional observational study was carried out to explore the knowledge, attitude and perception hypertensive females have towards stroke between July 2012 and December 2012 at HFRCMCH. Admitted and outdoor female hypertensive patients were randomly selected; with their consent they were asked to respond to a prestructured questionnaire. We found that 52% of our cohort identified the brain as being the organ involved in stroke; however 35% still believed it to be a disease of the heart. Around 80% of the patients did understand the complications and impact stroke would have on their daily lives; however, there were some conceptual misunderstandings with regards to the risk factors and warning signs. Hypertensive women need to have a clearer concept regarding their own disease, understand the warning signs and the risk factor of stroke and in turn create a greater awareness of the link between hypertension and stroke.
The recovery of upper extremity (UE) function after stroke is slower and less complete than return of mobility. Neuroplasticity is the key mechanism underlying improvement in functional outcome after stroke. Robotic devices can stimulate neuroplasticity by providing high-intensity, repetitive, task-specific training. Aim of this prospective randomized controlled study was to evaluate the efficacy of Robot-assisted therapy as an adjunct to conventional rehabilitation program in management of UE weakness in stroke patients in terms of motor recovery & functional outcome. Sixty four patients, having stroke duration less than two years, included in the study (n=64) and divided in two groups. Thirty two subjects in control group received conventional rehabilitation program & thirty two in study group additionally received Robot-assisted therapy using over four weeks. Assessment was done pretreatment, at 1 month & at 4 months. The outcome measures were:Fugl-Meyer Assessment(FMA) score for upper extremity & Motor Activity Log scale(MAL) comprising of Amount of Use(AOU) score and Quality of Use (QOU) score. Chi-Square test and paired t test were used. Results were considered significant at 5% that is P value<0.05. The study group exhibited greater motor recovery than the control group on the FMA scores at 1month and 4months. The mean AOU and QOS scores of MAL in the study group were also better than that of control group at 1month and 4months. So it can be concluded thatRobot-assisted therapy can be used as a complement to conventional therapy for improving UE function in stroke.
Introduction: Stroke is an omnipresent health problem that causes impairments in multiple domains and often leads to serious long-lasting consequences like pathological gait patterns. Gait rehabilitation is an important criterion for improvement in functionality. Body Weight Supported Treadmill Training (BWSTT) is being used as a method of gait rehabilitation, but efficiency of this method beyond traditional training is lacking evidence. Aim: To evaluate the effect of body weight supported treadmill training on gait recovery, lower limb function and dynamic balance in chronic stroke patients. Materials and Methods: A randomised controlled trial conducted in the Department of Neurorehabilitation of a specialty hospital, on 30 ambulatory chronic stroke patients having post stroke duration of six months or more. Study subjects were randomised into two groups. Group A received BWSTT with conventional rehabilitation for four weeks. Group B received only conventional rehabilitation for four weeks. Duration of conventional rehabilitation was 40 minutes in each group. Along with that group A received 20 minutes BWSTT and group B received 20 minutes of conventional gait training. Therapy was given three days a week. Assessment tools were Timed Up and Go test (TUG), Cadence, 10 metre Walk Test and Berg Balance Scale (BBS). The paired t-test was used for intragroup analysis and the unpaired t-test was used for intergroup analysis. Results: Total of 30 patients were registered in the study with mean age (years) 52.07±3.6736 and 52.40±3.906 for group A and group B, respectively. There was significant improvement in all outcome measures, e.g., BBS, TUG, 10 metre walk test and Cadence, in both the groups, pre and post intervention, but group A showed statistically significant improvement in parameters like dynamic balance, walking speed, and postural control and walking function (p<0.05). Conclusion: The BWSTT offers improvement in gait, in terms of walking speed, dynamic balance, posture control, that is significantly more than that of conventional gait training, as found in this study. The BWSTT might be included as a part of stroke rehabilitation program. Further multicentre studies with larger samples can throw more light on the intensity, dosage and methods of using BWSTT.
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