Functional Outcome of Ischemic and Hemorrhagic Stroke Patients After Inpatient Rehabilitation

Paolucci, Stefano; Antonucci, Gabriella; Grasso, Maria Grazia; Bragoni, Maura; Coiro, Paola; Angelis, Domenico De; Fusco, Francesca R.; Morelli, Daniela; Venturiero, Vincenzo; Troisi, Elio; Pratesi, Luca

doi:10.1161/01.str.0000102902.39759.d3

Cited by 244 publications

(195 citation statements)

References 40 publications

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“…Such spatial biases may have profound functional consequences such as missing food on half of the plate, missing words from one side of a page and failure to use left limbs (e.g., Robertson & Halligan, 1999). Chronic neglect is associated with slowed recovery and appears to have significantly greater impact on functional disability and family burden than would be predicted by simple measures of severity such as lesion extent (Buxbaum et al, 2004;Paolucci et al, 2003).…”

Section: Introductionmentioning

confidence: 96%

A demonstration of endogenous modulation of unilateral spatial neglect: The impact of apparent time-pressure on spatial bias

George

Mercer

Walker

et al. 2007

J Int Neuropsychol Soc

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Unilateral neglect, a lack of awareness for one side of space, is a common and debilitating consequence of stroke. Previous work has identified a relationship between enduring left neglect and diminished general alertness and shown that increasing alertness can temporarily reduce the severity of the spatial bias. In that research, alertness was modulated by loud tones or with pharmacological stimulants. Here we examine whether cognitive, endogenously driven changes can produce similar short-term improvements. Time-pressure is associated with increased subjective arousal and increased activation in cortical regions associated with alertness. Here five patients completed a spatial cancellation task with and without instructions regarding a time limit. Significant reductions in neglect severity were observed when patients believed that they were acting under time-pressure, despite the conditions being equivalent in the actual (unlimited) time available. Functional imaging work has highlighted the secondary effects that damage to networks mediating alertness can have on structurally intact spatial systems. The results here suggest that activation of presumably spared function in these damaged networks can induce moment-by-moment changes in spatial function and, crucially, that this can be achieved using entirely endogenous means. (JINS, 2008, 14, 33-41.)

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Section: Introductionmentioning

confidence: 96%

A demonstration of endogenous modulation of unilateral spatial neglect: The impact of apparent time-pressure on spatial bias

George

Mercer

Walker

et al. 2007

J Int Neuropsychol Soc

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“…In the first three months, 50-60% improvement occurs in the upper and 80-90% improvement in the lower extremities. Upper limb healing may continue for one to two years in hemiplegia rehabilitation, where the greatest functional development is experienced during the first six months (25). Our study included hemiplegic patients in the post-stroke, 1-3 months period when the healing is fastest.…”

Section: Discussionmentioning

confidence: 99%

Relationship among pain, function, and motor activity in early hemiplegic patients

Talu¹,

Kamışlı²,

Talu³

2018

J Turgut Ozal Med Cent

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Aim: Evaluation of the relationship among upper extremity pain, function, and motor activity in early hemiplegic patients Material and Methods: Fifty-three subjects, who had suffered hemiplegia between 1-3 months after stroke, were included in this study. Visual Analogue Scale was used for pain assessment, Fugl-Meyer Upper Extremity Motor Assessment Scale was used for upper extremity function evaluation, and Motor Activity Log-28 was used for evaluating motor activity after the demographic data of the subjects were recorded. Brunnstrom stages were used to identify, define, and quantify the recovery stages after stroke. Results: The average age of the individuals participating in the study was 54.56±8.10, and the Body Mass Index was 26.12±3.68. The subjects' rest pain score was 30.00±19.90 and the activity pain score 42.83±24.44. The total score of the Fugl-Meyer Upper Extremity Motor Evaluatıon Scale was 18.84±17.08, the Quality of Movement sub-parameter score of the Motor Activity Log was 28 0.89±0.87, and the Amount of Use sub parameter score was 0.93±0.92. The relationship between the upper extremity function of the patients and motor activity was observed, which showed that all sub-parameters had a moderate correlation in the positive direction (r=0.539-0.779, p<0.001). However, there was no relationship between pain, function and motor activity (r=0.054-0.238, p=0.086-0.700). Conclusion: This study showed that upper extremity motor activity and function were significantly affected and closely related to each other in early hemiplegic patients. However, there was no correlation between pain, function and motor activity.

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“…[11][12][13][14][15][16][17][18][19][20] To our knowledge, current study is the first to assess the effect of PNF exercises on functional outcome and QoL in acute stroke. Paolucci et al 21 have stated that the patients with hemorrhagic stroke have better functional prognosis but the other prognostic factors, such as stroke origin, stroke severity, age, and onset to origin interval strongly affect the functional outcome. Haacke et al 22 considered BI as an important predictor of QoL.…”

Section: Discussionmentioning

confidence: 99%

Effects of Early Proprioceptive Neuromuscular Facilitation Exercises on Functional Outcome and Quality of Life in Patients with Stroke

Chaturvedi¹,

Tiwari²,

Singh³

et al. 2017

MGM Journal of Medical Sciences

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Objective: To evaluate the effects of proprioceptive neuromuscular facilitation (PNF) exercises on functional outcome and quality of life (QoL) in patients with acute stroke. Materials and methods:Ninety patients were recruited in this study and divided into two groups: Patients admitted within 48 hours after stroke (group I, n = 41) and patients referred from elsewhere after 2 to 3 weeks (group II, n = 49). Both groups were given PNF exercises for 4 weeks. Functional outcome was assessed by Barthel Index (BI), and QoL was assessed by Stroke-Specific Quality of Life (SSQOL) scale before and after the intervention. Patients were followed up in the outpatient department of the Department of Neurology at 1, 3, and 6 months and BI and SSQOL scores were again assessed.Results: Group I showed significant and better recovery in functional activities (p < 0.05) and better QoL as compared with group II (p < 0.05). We also compared functional outcome and QoL in ischemic vs hemorrhagic stroke (p = 0.284) and left vs right stroke (p = 0.973) and found there was no significant difference.Conclusion: Improvement in activities of daily living may result in better QoL. The PNF exercises are very effective in improving muscle tone, functional outcome, and QoL. The PNF exercises should be given from the first day after stroke.

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Functional Outcome of Ischemic and Hemorrhagic Stroke Patients After Inpatient Rehabilitation

Cited by 244 publications

References 40 publications

A demonstration of endogenous modulation of unilateral spatial neglect: The impact of apparent time-pressure on spatial bias

A demonstration of endogenous modulation of unilateral spatial neglect: The impact of apparent time-pressure on spatial bias

Relationship among pain, function, and motor activity in early hemiplegic patients

Effects of Early Proprioceptive Neuromuscular Facilitation Exercises on Functional Outcome and Quality of Life in Patients with Stroke

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