Evaluation of a comprehensive assessment battery for stroke patients

Gibson, Lorna M; Wj, MacLennan; Gray, Charla Krystine; Pentland, B

doi:10.1097/00004356-199106000-00001

Cited by 13 publications

(10 citation statements)

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“…33 Mobility was measured using the Rivermead Mobility Index, 34 the 10-m timed walk, and the 2-minute walking distance (both were assessed twice after 5-minute periods of rest and the average score was used). Walking aids were allowed for testing (identical for pre-and posttraining sessions), but not for training.…”

Section: Outcome Scoresmentioning

confidence: 99%

Brain Activity Changes Associated With Treadmill Training After Stroke

Enzinger

Dawes²,

Johansen‐Berg³

et al. 2009

Stroke

136

107

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Background and Purpose-The mechanisms underlying motor recovery after stroke are not fully understood. Several studies used functional MRI longitudinally to relate brain activity changes with performance gains of the upper limb after therapy, but research into training-induced recovery of lower limb function has been relatively neglected thus far. Methods-We investigated functional reorganization after 4 weeks of treadmill training with partial body weight support in 18 chronic patients (mean age, 59.9Ϯ13.5 years) with mild to moderate paresis (Motricity Index affected leg: 77.7Ϯ10.5; range, 9 to 99) and gait impairment (Functional Ambulation Category: 4.4Ϯ0.6; range, 3 to 5) due to a single subcortical ischemic stroke using repeated 3.0-T functional MRI and an ankle-dorsiflexion paradigm. Results-Walking endurance improved after training (2-minute timed walking distance: 121.5Ϯ39.0 versus pre:105.1Ϯ38.1 m; Pϭ0.0001). For active movement of the paretic foot versus rest, greater walking endurance correlated with increased brain activity in the bilateral primary sensorimotor cortices, the cingulate motor areas, and the caudate nuclei bilaterally and in the thalamus of the affected hemisphere. Conclusions-Despite the strong subcortical contributions to gait control, rehabilitation-associated walking improvements are associated with cortical activation changes. This is similar to findings in upper limb rehabilitation with some differences in the involved cortical areas. We observed bihemispheric activation increases with greater recovery both in cortical and subcortical regions with movement of the paretic foot. However, although the dorsal premotor cortex appears to play an important role in recovery of hand movements, evidence for the involvement of this region in lower extremity recovery was not found.

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Section: Outcome Scoresmentioning

confidence: 99%

Brain Activity Changes Associated With Treadmill Training After Stroke

Enzinger

Dawes²,

Johansen‐Berg³

et al. 2009

Stroke

136

107

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“…The cut‐off values were calculated using normal population. This method often leads to a highly sensitive cut‐off score but with very limited specificity especially in stroke patients where visual impairments are common [12].…”

Section: Discussionmentioning

confidence: 99%

“…A major criticism of the FAST is its reliance on visual abilities for most of the assessment. Patients with visual‐spatial neglect and attention deficits were found to perform poorly on the FAST despite having normal language function [11,12]. As neglect and impaired attention are common associations with non‐dominant hemisphere stroke, this problem brings the specificity of FAST into question.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the language component of the Addenbrooke's Cognitive Examination - Revised (ACE-R) as a screening tool for aphasia in stroke patients

Gaber

Parsons

Gautam

2011

Australasian Journal on Ageing

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“…No que diz respeito à primeira questão de pesquisa dessa revisão sistemática sobre quais instrumentos de avaliação da comunicação breve são utilizados para a população adulta, foram encontrados dez instrumentos. Durante o processo de análise verificou-se que os testes relatados nos artigos diferenciam entre screenings [23][24][25][26][27][28][29][30][31][32][33][34][35]27,31,[33][34][35][36][37][38][39][40] e avaliações breves 26,[28][29][30]32 .…”

Section: Introductionunclassified

Instrumentos de avaliação breve da comunicação: ferramentas existentes e sua aplicabilidade clínica

et al. 2011

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TEMA: a avaliação breve da comunicação é um recurso útil aos profissionais da saúde, pois fornece informações que subsidiam tanto o diagnóstico funcional, quanto o planejamento e a execução de avaliações expandidas e de medidas de reabilitação a serem realizados em cada caso. OBJETIVO: apresentar uma revisão sistemática acerca do uso de instrumentos padronizados de avaliação breve da comunicação e caracterizar as populações alvo descritas. CONCLUSÃO: encontraram-se 18 artigos, com 10 instrumentos breves, sendo a população mais examinada a de pacientes pós-acidente vascular cerebral. Os componentes lingüísticos prevalentes nas avaliações foram expressão, compreensão, leitura e escrita.

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Evaluation of a comprehensive assessment battery for stroke patients

Cited by 13 publications

References 0 publications

Brain Activity Changes Associated With Treadmill Training After Stroke

Brain Activity Changes Associated With Treadmill Training After Stroke

Validation of the language component of the Addenbrooke's Cognitive Examination - Revised (ACE-R) as a screening tool for aphasia in stroke patients

Instrumentos de avaliação breve da comunicação: ferramentas existentes e sua aplicabilidade clínica

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