Neurorehabilitation for an individual with bilateral thalamic stroke and preexisting visual impairment presenting with impaired use of sensory cues: a case report

Kelly, Christina; Meyer, Jen; Hanks, Valery; Barefield, Christy

doi:10.1080/09593985.2019.1683920

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…After any stroke, rehabilitation is fundamental and can critically impact the patient’s recovery 21–23. Targeted neurorehabilitation programmes are particularly effective, as demonstrated in our case 23 24.…”

Section: Discussionmentioning

confidence: 80%

Role of neurorehabilitation in the recovery of bilateral thalamic stroke related to the artery of Percheron anatomical variant

Polito,

Russo,

Santilli

et al. 2023

BMJ Case Rep

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Bilateral thalamic stroke is a rare condition, mostly related to the presence of the artery of Percheron (AoP) variant. The clinical presentation of AoP-related strokes is remarkably heterogeneous and often includes cognitive and behavioural alterations. Our report describes the clinical course of an AoP-related bilateral thalamic stroke and highlights the pivotal role of a tailored rehabilitation programme plays in enhancing recovery. A man in his 40s was admitted to the neurology ward due to the abrupt onset of mental status alterations and weakness in his left limbs. The first brain CT scan and subsequent MRI exam revealed a bilateral thalamic stroke and the presence of an AoP anatomical variant. After the first critical phase, the patient’s condition became stable, but he still suffered from severe attention, memory and speech deficits. The patient was then transferred to the rehabilitation unit and was subjected to a tailored neurorehabilitation programme that allowed a complete recovery of the symptoms. Neurorehabilitation plays a pivotal role in the patient’s recovery and should always be pursued to minimise the residual deficits and, most importantly, to prevent permanent cognitive deficits.

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Section: Discussionmentioning

confidence: 80%

Role of neurorehabilitation in the recovery of bilateral thalamic stroke related to the artery of Percheron anatomical variant

Polito,

Russo,

Santilli

et al. 2023

BMJ Case Rep

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“…The novelty of this study lies in its integrative approach to poststroke rehabilitation. Instead of relying on just one type of therapeutic intervention, we incorporate three distinct types of rehabilitation: (1) goal-oriented training, (2) proprioceptive training, and (3) dual task training. By weaving these three methodologies together, our objective is to foster a more comprehensive and synergistic rehabilitative experience.…”

Section: Discussionmentioning

confidence: 99%

“…In stroke patients, balance and proprioceptive impairment are important causes of functional limitations [ 2 ], and they are present in 48.1% [ 3 ] and 34%–64% [ 4 ] respectively.…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Goal-Oriented Dual Task Proprioceptive Training in Subacute Stroke: A Retrospective Observational Study

Chiaramonte,

D’Amico,

Caramma

et al. 2024

Ann Rehabil Med

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Objective: To show the effectiveness of goal-oriented proprioceptive training in subacute stroke for balance, autonomy, and fall risk.Methods: Out a total of 35 patients, consistent in age (75.31±8.65 years), type of stroke (ischemic, 3 to 11 weeks before), and motor impairment, 18 patients underwent solely proprioceptive rehabilitation, the other 17 dual task exercises. The study assessed autonomy using Barthel Index, fall risk with Timed Up and Go Test (TUG), balance through Berg Balance Scale (BBS) and Tinetti test.Results: After two months, significant improvements were recorded in Barthel Index, BBS (p<0.0001), Tinetti test (p<0.0001 in dual task group, p=0.0029 in single task group), and TUG (p=0.0052 in dual task group, p=0.0020 in single task group) in both groups. Comparing the two groups, dual task group showed a significant difference in Tinetti balance assessment (p=0.0052), between the total score of Tinetti test and TUG in single (p=0.0271), and dual task (p=0.0235). Likewise, Tinetti gait test was significantly related to TUG in single (p=0.0536), and dual task (p=0.0466), while Tinetti balance test to Barthel Index (p=0.0394), BBS (p<0.0001), and TUG in single (p=0.0219), and dual task (p=0.0196). Lastly, there is a positive correlation of the use of aids with BBS (p=0.0074), and total score of Tinetti test (p=0.0160).Conclusion: In subacute stroke, goal-oriented proprioceptive training improved balance, but only partially autonomy. Furthermore, the use of aids after dual-task exercises improved recovery of balance, but did not reduced falls.

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“…Depending on the stage and severity of the disease and based on the localisation of cerebral impairment, stroke can affect consciousness, sensory perception, language, sphincter incontinence, and cognitive and motor abilities, such as postural balance and gait. Stroke imbalance could be due to sensory deficit or motor impairment and is a major cause of functional limitations [ 10 ]. About 18% of stroke patients have somatosensory impairment, influencing the prognosis and the outcome of rehabilitation; in fact, about 78% of them report activity loss [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Proprioceptive and Dual-Task Training: The Key of Stroke Rehabilitation, A Systematic Review

Chiaramonte

Bonfiglio

Leonforte

et al. 2022

JFMK

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This systematic review aims to reveal the effectiveness of proprioceptive exercise combined with dual-task training in stroke patients. The research was conducted using PubMed, Cochrane Library, Web of Science, and Scopus databases to evaluate studies of rehabilitation interventions with proprioceptive and dual-task exercises in patients with stroke. The keywords for the search were: “stroke” AND “proprioception” OR “proprioceptive” AND “rehabilitation” OR “training” OR “exercises” AND “dual-task” OR “task-performance” with the following inclusion criteria: comparative studies of rehabilitation interventions with proprioceptive and dual-task exercises in stroke patients. Of the 104,014 studies identified, 23 were included according to the inclusion criteria. Proprioceptive and dual-task exercises stimulate and promote postural balance, gait, and quality of life and reduce the risk of falls in stroke patients compared with traditional rehabilitation programs. In conclusion, this systematic review suggests that proprioceptive exercise combined with dual-task training is needed to improve balance and recover gait. Moreover, it provides a comprehensive overview of the literature on the various proprioceptive treatments with contextual dual-task exercises for imbalance after stroke, providing a guide for choosing a complete rehabilitation protocol that combines these two techniques.

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Neurorehabilitation for an individual with bilateral thalamic stroke and preexisting visual impairment presenting with impaired use of sensory cues: a case report

Cited by 4 publications

References 13 publications

Role of neurorehabilitation in the recovery of bilateral thalamic stroke related to the artery of Percheron anatomical variant

Role of neurorehabilitation in the recovery of bilateral thalamic stroke related to the artery of Percheron anatomical variant

The Effectiveness of Goal-Oriented Dual Task Proprioceptive Training in Subacute Stroke: A Retrospective Observational Study

Proprioceptive and Dual-Task Training: The Key of Stroke Rehabilitation, A Systematic Review

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