Schlaganfall

Diener,; Hacke,; Forsting,

doi:10.1024/0301-1526.34.1.70c

Cited by 3 publications

(5 citation statements)

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“…Therefore, the first weeks are an ideal time to ensure optimal functional and structural reorganization of the brain. Hence, an early active training of the disturbed functions leads to functional recovery [15].…”

Section: Target Group and Correspondingmentioning

confidence: 99%

“…To this already high level of suffering, patients often suffer from depression, a so-called poststroke depression. The resulting psychological problems can prevent a successful motor therapy, since the motivation and cooperation of the patient play a crucial role [15].…”

Section: Target Group and Correspondingmentioning

confidence: 99%

“…Together with the patient, specialised everyday and (if necessary) job-relevant therapy goals are determined. The treatment team selects an appropriate therapy concept [15]. The various therapeutic measures for arm rehabilitation, which can be transferred to a robotic system, include repetitive training, uni-and bilateral training, the effect of training at distal positions, task-oriented training, and mirror therapy [13,[16][17][18][19].…”

Section: Target Group and Correspondingmentioning

confidence: 99%

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Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

Benitez

Tabie

Will

et al. 2013

Journal of Robotics

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The rehabilitation of patients should not only be limited to the first phases during intense hospital care but also support and therapy should be guaranteed in later stages, especially during daily life activities if the patient’s state requires this. However, aid should only be given to the patient if needed and as much as it is required. To allow this, automatic self-initiated movement support and patient-cooperative control strategies have to be developed and integrated into assistive systems. In this work, we first give an overview of different kinds of neuromuscular diseases, review different forms of therapy, and explain possible fields of rehabilitation and benefits of robotic aided rehabilitation. Next, the mechanical design and control scheme of an upper limb orthosis for rehabilitation are presented. Two control models for the orthosis are explained which compute the triggering function and the level of assistance provided by the device. As input to the model fused sensor data from the orthosis and physiology data in terms of electromyography (EMG) signals are used.

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Section: Target Group and Correspondingmentioning

confidence: 99%

Section: Target Group and Correspondingmentioning

confidence: 99%

Section: Target Group and Correspondingmentioning

confidence: 99%

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Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

Benitez

Tabie

Will

et al. 2013

Journal of Robotics

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“…Thus, the distinction between TIA and strokes is somewhat arbitrary. The aetiology of ischaemic events might comprise, among others, embolism, atrial or venous thrombosis and indirect ischaemia . Embolism is described as the primary aetiology of ischaemic strokes whereby an intra‐cranial artery is blocked by arterial emboli or particles originating from bone marrow, metastatic cells or blood clots formed around bacterial colonies.…”

Section: Pathophysiology Of Strokementioning

confidence: 99%

Oro‐facial impairment in stroke patients

Schimmel

Ono

Lam

et al. 2017

J of Oral Rehabilitation

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Stroke is considered one of the leading causes of death and acquired disability with a peak prevalence over the age of 80 years. Stroke may cause debilitating neurological deficiencies that frequently result in sensory deficits, motor impairment, muscular atrophy, cognitive deficits and psychosocial impairment. Oro-facial impairment may occur due to the frequent involvement of the cranial nerves' cortical representation areas, central nervous system pathways or motoneuron pools. The aim of this narrative, non-systematic review was to discuss the implications of stroke on oro-facial functions and oral health-related quality of life (OHRQoL). Stroke patients demonstrate an impaired masticatory performance, possibly due to reduced tongue forces and disturbed oral sensitivity. Furthermore, facial asymmetry is common, but mostly discrete and lip restraining forces are reduced. Bite force is not different between the ipsi- and contra-lesional side. In contrast, the contra-lesional handgrip strength and tongue-palate contact during swallowing are significantly impaired. OHRQoL is significantly reduced mainly because of the functional impairment. It can be concluded that impaired chewing efficiency, dysphagia, facial asymmetry, reduced lip force and OHRQoL are quantifiable symptoms of oro-facial impairment following a stroke. In the absence of functional rehabilitation, these symptoms seem not to improve. Furthermore, stroke affects the upper limb and the masseter muscle differently, both, at a functional and a morphological level. The rehabilitation of stroke survivors should, therefore, also seek to improve the strength and co-ordination of the oro-facial musculature. This would in turn help improve OHRQoL and the masticatory function, subsequently preventing weight loss and malnutrition.

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“…Die durch die Immobilität entwickelten Kraftdefizite [12] erschweren und verzögern die Mobilisation. Da diese häufig gepaart mit Komplikationen bei älteren Patient*innen auftreten, verlängert sich die Verweildauer auf der Schlaganfallstation [12,[22][23][24].…”

Section: Introductionunclassified

Verkürzte Aufenthaltsdauer auf der Schlaganfallstation bei frühmobilisierten Patient*innen mit Schlaganfall

Bohle

Brück

2022

neuroreha

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Zusammenfassung Zielsetzung Ziel der vorliegenden Arbeit war es, den Zusammenhang zwischen dem Zeitpunkt der ersten Mobilisation und der Verweildauer auf der Schlaganfallstation bei Patient*innen mit einem akuten Schlaganfallereignis zu untersuchen. Methode Auf der akuten Schlaganfallstation des Asklepios Klinikums Harburg wurde eine sechswöchige empirische, explorative Untersuchung durchgeführt. Es konnten 101 Datensätze statistisch ausgewertet werden. Die Daten wurden über das digitale Dokumentationsprogramm des Krankenhauses erhoben, wobei nicht in den Ablauf auf der Schlaganfallstation eingegriffen und keine Intervention durchgeführt wurde. Ergebnisse Zwischen dem Zeitpunkt der ersten Mobilisation und der Verweildauer auf der Schlaganfallstation bestand ein moderater positiver Zusammenhang (r=0,409, p=< 0,001). In den Mobilisationszeiträumen ≤ 24 Stunden, 25–48 Stunden und ≥ 49 Stunden verweilten die am frühesten mobilisierten Patient*innen im Durchschnitt am kürzesten auf der Station, gefolgt von den später mobilisierten Patient*innen. Diskussion Das Alter, die vorliegende Schlaganfallschwere zum Zeitpunkt der Einlieferung auf der Schlaganfallstation sowie die Art des Schlaganfalls können möglicherweise den Zusammenhang zwischen dem Zeitpunkt der ersten Mobilisation und der Verweildauer auf der Station beeinflusst haben.

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Schlaganfall

Cited by 3 publications

References 0 publications

Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

Oro‐facial impairment in stroke patients

Verkürzte Aufenthaltsdauer auf der Schlaganfallstation bei frühmobilisierten Patient*innen mit Schlaganfall

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