Locomotion Outcome in Hemiplegic Patients with Middle Cerebral Artery Infarction: The Difference Between Right- and Left-Sided Lesions

Hemorrhagic versus ischemic stroke: Who can best benefit from blended conventional physiotherapy with robotic-assisted gait therapy?

“…Other factors that may influence interpretation are severity of paralysis [24], level of activities of daily living (ADL) [25,26], anatomic localization of the lesion [27], affected cerebral hemisphere [28,29], extent of subsequent recovery [30,31], age [32,33], gender [34], rehabilitation treatment plan [34–36], as well as lesion etiology [30,31,37]. …”

Prediction of Stroke Rehabilitation Outcome with Xenon-enhanced Computed Tomography Cerebral Blood Flow Study

“…The FIM, which assesses the patient's need for assistance to accomplish daily activities, is an ordinal scale like NIHSS and mRS, therefore, there is room for the argument as for handling it as a unidimensional continuous variable. However, clinical utility of the FIM as consecutive scale has been shown by many reports 3,4,5,18 and been recognized to be of clinical relevance. Therefore, we adopted the FIM to evaluate the rehabilitation results in this study.…”

“…The CBF values of cerebral cortex, basal ganglia, and thalamus could be varied due to transneural depression. 4,7,12 In the acute stage, initial brain lesions cause stress to adjacent brain tissue, perifocal edema, and raised intracranial pressure, then lead to CBF decrease. Nevertheless, this stage often shows a discrepancy between clinical symptoms and CBF values such as luxury perfusion.…”

“…4 Single-photon emission CT (SPECT) 10 study showed that the right brain correlated with overall improvement of functional independence measure (FIM), 2,10 which is a scale of impairment widely used to evaluate stroke recovery relating to both motor and cognitive functions. The purpose of this study was to ascertain the mutual relations of factors affecting stroke recovery, to clarify the prognostic difference depending on the etiology or lesion sites, and to reveal the formula for predicting rehabilitation outcome, by means of a quantitative CBF study with Xenonenhanced computed tomography (Xenon CT).…”

Intracerebral Hemorrhage: Issues in Rehabilitation

“…There is a conlicting evidence whether which hemisphere stroke corroborates with a beter outcome [45][46][47]. The controversy stems from various factors including the varied outcome scales used, measurement domain, presence of hemineglect and the timing of evaluation; for example, in considering vocational rehabilitation, patients with the right hemisphere stroke appear to have a beter outcome [48].…”