Positive Balance Recovery in Ischemic Post-Stroke Patients with Delayed Access to Physical Therapy

Silva, Anselmo de Athayde Costa e; Júnior, Alex Tadeu Viana da Cruz; Nascimento, Nathalya Ingrid Cardoso do; Candeira, Skarleth Raissa Andrade; Almeida, Aline do Socorro Soares Cardoso; Castro, Ketlin Jaquelline Santana de; Lima, Ramon Costa de; Barroso, Tatiana Generoso Campos Pinho; Souza, Givago da Silva; Callegari, Bianca

doi:10.1155/2020/9153174

Cited by 7 publications

(5 citation statements)

References 29 publications

(24 reference statements)

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“…Stroke represents the fourth cause of death worldwide; carotid artery stenosis is one of the important causes of stroke [ 1 ]. Carotid endarterectomy (CEA) has been identified as the preferred treatment for carotid stenosis.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] Safety and Efficacy of Early Carotid Endarterectomy in Patients with Symptomatic Carotid Artery Stenosis: A Meta‐Analysis

Chen

Wang

et al. 2021

BioMed Research International

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Background and Purpose. This study is aimed at assessing the differences in postoperative stroke, myocardial infarction (MI), and mortality in patients with symptomatic carotid artery stenosis (sCAS) treated with early or late carotid endarterectomy (CEA) to determine and compare the safety of different operation timing. Design. A systematic document retrieval of studies published in the past 10 years reporting periprocedural stroke/mortality/MI after carotid endarterectomy (CEA) related to the time between CEA and qualifying neurological symptoms. The application database has “PubMed, EMbase and Cochrane databases.” RevMan5.3 software provided by the Cochrane collaboration was used for meta-analysis. Results. A systematic literature search was conducted in databases. A total of 10 articles were included in this study. They were divided into early CEA and delayed CEA with operation within 48 h, 1 w, or 2 w after onset of neurological symptoms. Incidence of the postoperative stroke in patients undergoing delayed CEA (≥48 h) was significantly higher than patients with delayed CEA (<48 h) ( OR = 2.14 , 95% CI: 1.43-3.21, P = 0.0002 ). The postoperative mortality of patients after delayed CEA (≥48 h) was significantly higher than patients after early CEA (<48 h) ( OR = 1.35 , 95% CI: 1.06-1.71, P = 0.02 ). The risk of postoperative mortality of patients treated with delayed CEA (≥7 d) was significantly higher than patients after the early CEA group (<7 d) ( OR = 1.69 , 95% CI: 1.21-2.32, P = 0.001 ). Conclusion. Early CEA is safe and effective for a part of patients with symptomatic carotid stenosis, but a comprehensive preoperative evaluation of patients with carotid stenosis must be performed.

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Section: Introductionmentioning

confidence: 99%

[Retracted] Safety and Efficacy of Early Carotid Endarterectomy in Patients with Symptomatic Carotid Artery Stenosis: A Meta‐Analysis

Chen

Wang

et al. 2021

BioMed Research International

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“…У неврологічній реабілітації використовується широкий спектр методів лікування та підходів з різних філософських підходів. Дослідження на підтримку різних підходів дуже різноманітні: велика кількість досліджень на підтримку використання деяких методів, тоді як інші підходи мають обмежені докази на підтримку їх використання, але покладаються на попередні докази [11,12,13].…”

Section: застосування новітніх засобів у фізичній терапії хворих з іш...unclassified

Using the Latest Means in Physical Therapy of Patients with Ischemic Stroke

Ripka¹,

Khudetskyy²,

Antonova-Rafi³

et al. 2023

Ukr. ž. med. bìol. sportu

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The purpose of the study was to develop a physical therapy program for people after an ischemic stroke at the inpatient recovery stage and describe its effectiveness. Materials and methods. The following effective and objective methods of assessing the functional state of patients after ischemic stroke were used in the study: analysis of special scientific and methodical literature, clinical and instrumental research methods (survey, Berg balance scale, VAS, MMT Lovett, Cross-out test stars, Stand and Walk Test, 10-meter test, Rivermead Index, Modified Rankin Scale, Montreal Cognitive Dysfunction Scale, Hospital Depression and Anxiety Scale), methods of mathematical statistics. In order to evaluate the effectiveness of the developed program of physical therapy for patients with ischemic stroke, a study was conducted of 20 patients, aged 45-65, at the inpatient rehabilitation department. The proposed method contributes to the restoration of balance, coordination and gait speed, muscle strength, activity in everyday life, level of self-care, cognitive abilities, reduces pain syndrome, severity of neglect, level of depression and anxiety. The presented materials can be used in the process of activity of specialized medical, rehabilitation and health facilities, medical centers, as well as for practical study by students of higher educational institutions specializing in “Physical therapy, occupational therapy”. The study was conducted from November 2021 to November 2022 in the department of physical and medical rehabilitation of Kyiv City Clinical Hospital No. 6, which provides scheduled specialized medical care to patients with neurological and orthopedic pathologies. Results and discussion. 20 patients were evaluated, 10 patients were assigned to the main group and 10 – to the control group. The initial indicators of the studied parameters in patients of both groups did not differ statistically significantly (p>0.05). The age group of patients is from 45 to 65 years old. The effectiveness of rehabilitation largely depends on the individual program developed by a professional. The basis of the programs is an individual approach and the patient's return to the most fulfilling life and adaptation in society. Positive results of rehabilitation are possible only with a comprehensive approach to restoring lost functions. Conclusion. Based on the obtained results of the study of the control and main groups, it can be concluded that the addition of mirror gymnastics, kinesiotherapy in the rehabilitation cage, postisometric relaxation, myostimulation of the plegic muscles and ideomotor exercises to the classical program of physical therapy for patients after ischemic stroke is an effective way to combat progression of this disease

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“…Moving beyond whole-body movements as described above, there is a need to now identify and measure CNS function that controls two of the basic components of gait coordination. The first is the CNS control of balance coordination (single limb, double limb, and weight transfer) during walking (e.g., [ 64 ]). Understandably, balance during walking is less understood versus static standing balance or balance during gait initiation.…”

Section: Future Workmentioning

confidence: 99%

Targeting CNS Neural Mechanisms of Gait in Stroke Neurorehabilitation

McCabe¹,

Pundik

Daly

2022

Brain Sciences

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The central nervous system (CNS) control of human gait is complex, including descending cortical control, affective ascending neural pathways, interhemispheric communication, whole brain networks of functional connectivity, and neural interactions between the brain and spinal cord. Many important studies were conducted in the past, which administered gait training using externally targeted methods such as treadmill, weight support, over-ground gait coordination training, functional electrical stimulation, bracing, and walking aids. Though the phenomenon of CNS activity-dependent plasticity has served as a basis for more recently developed gait training methods, neurorehabilitation gait training has yet to be precisely focused and quantified according to the CNS source of gait control. Therefore, we offer the following hypotheses to the field: Hypothesis 1. Gait neurorehabilitation after stroke will move forward in important ways if research studies include brain structural and functional characteristics as measures of response to treatment. Hypothesis 2. Individuals with persistent gait dyscoordination after stroke will achieve greater recovery in response to interventions that incorporate the current and emerging knowledge of CNS function by directly engaging CNS plasticity and pairing it with peripherally directed, plasticity-based motor learning interventions. These hypotheses are justified by the increase in the study of neural control of motor function, with emerging research beginning to elucidate neural factors that drive recovery. Some are developing new measures of brain function. A number of groups have developed and are sharing sophisticated, curated databases containing brain images and brain signal data, as well as other types of measures and signal processing methods for data analysis. It will be to the great advantage of stroke survivors if the results of the current state-of-the-art and emerging neural function research can be applied to the development of new gait training interventions.

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Positive Balance Recovery in Ischemic Post-Stroke Patients with Delayed Access to Physical Therapy

Cited by 7 publications

References 29 publications

[Retracted] Safety and Efficacy of Early Carotid Endarterectomy in Patients with Symptomatic Carotid Artery Stenosis: A Meta‐Analysis

[Retracted] Safety and Efficacy of Early Carotid Endarterectomy in Patients with Symptomatic Carotid Artery Stenosis: A Meta‐Analysis

Using the Latest Means in Physical Therapy of Patients with Ischemic Stroke

Targeting CNS Neural Mechanisms of Gait in Stroke Neurorehabilitation

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