Evaluation Of Functional Capacity After Stroke With Special Emphasis On Motor Function And Activities Of Daily Living
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Evaluation Of Functional Capacity After Stroke With Special Emphasis On Motor Function And Activities Of Daily Living
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Author : Birgitta Lindmark
language : en
Publisher:
Release Date : 1988
Evaluation Of Functional Capacity After Stroke With Special Emphasis On Motor Function And Activities Of Daily Living written by Birgitta Lindmark and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with Brain categories.
Long Term Effects Of Stroke
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Author : Julian Bogousslavsky
language : en
Publisher: CRC Press
Release Date : 2002-06-21
Long Term Effects Of Stroke written by Julian Bogousslavsky and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-06-21 with Medical categories.
Evaluating the major strategies used to prevent stroke recurrence, such as antiplatelet and anticoagulant therapies, this reference assesses the efficacy of pharmacological interventions, therapeutic regimens, and quality of care for stroke patients-detecting risk factors and potential mechanisms of stroke to prevent functional disability and increase quality of life, independence, and psychological well-being in post-stroke management programs. Considers the complex issue of cost vs. benefit in post-stroke rehabilitation. Addressing common dysfunctions that occur after stroke, including motor impairment, neurobehavioral changes, cognitive loss, emotional disorders, and dementia, Long-Term Effects of Stroke discusses the patterns and epidemiology of ischemic and hemorrhagic stroke the development of neurobiologically based therapeutic strategies the possible emergence of depression, anxiety, mania, and psychosis after stroke pharmacological and cell-based modalities to enhance stroke recovery Offering perspectives from leading international authorities in the field, Long-Term Effects of Stroke is a unique and valuable guide for clinical neurologists; cardiologists; cardiovascular specialists; cardiac, cardiovascular, and vascular surgeons; neurosurgeons; primary care, family practice, emergency room, and internal medicine physicians; physiologists; nurses, paramedical, and emergency medical personnel; and medical school students in these disciplines.
Recovery After Stroke
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Author : Michael P. Barnes
language : en
Publisher: Cambridge University Press
Release Date : 2005-03-10
Recovery After Stroke written by Michael P. Barnes and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005-03-10 with Medical categories.
Covering neuroscience and rehabilitation strategies, an essential handbook and reference for multidisciplinary stroke rehabilitation teams.
Principles And Practice Of Restorative Neurology
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Author : Robert R Young
language : en
Publisher: Butterworth-Heinemann
Release Date : 2013-10-22
Principles And Practice Of Restorative Neurology written by Robert R Young and has been published by Butterworth-Heinemann this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10-22 with Medical categories.
Principles and Practice of Restorative Neurology is a collection of topics in clinical neurology where progress through research has brought concepts of patient management. The collection emphasizes research done clinically and in experimental laboratories and attempts to discuss restorative neurology in the larger context, encompassing biology, neurobiology, and rehabilitative engineering. The book discusses the concept that neurology should be more therapeutic instead of being just diagnostic because of advances in techniques and drugs. An epidemiology of disability and the evaluation of restorative neurology are explained. The text also presents the developments in the pharmacotherapy of major neurological disorders, such as Parkinson's disease, dementia, and stroke. The use of biomechanical or rehabilitation engineering to treat impaired or lost functions in a patient is compared; the feedback mechanisms and the kinds of treatment including microsurgery, nuerostimulation methods, surgery, and molecular genetics that are applied to specific disorders are discussed extensively. The book also reviews the approaches of gene correction for disorders in the central nervous system. Finally, the future needs of neurology in terms of diagnosis and treatments are dealt with as more research, techniques, and drugs are being discovered and proved useful. The collection is intended for neurologists, neurologists in training, and other physicians whose work lies with neurological disorders. The book can also prove useful for practitioners and academicians in the fields of neurosurgery, internal medicine, psychiatry, and rehabilitation medicine.
Functional Assessment For Adults With Disabilities
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-08-31
Functional Assessment For Adults With Disabilities written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-31 with Medical categories.
The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.
Assessments And Risk Factors For Falls In Persons With Acute Stroke
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Author : Hanna Sjöholm
language : en
Publisher: Linköping University Electronic Press
Release Date : 2021-02-22
Assessments And Risk Factors For Falls In Persons With Acute Stroke written by Hanna Sjöholm and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-02-22 with Electronic books categories.
Background: Early identification of risk factors is crucial for reducing the high fall risk associated with stroke, and sex differences in relation to falls need to be further investigated. There is a lack of uniform, standardized, and reliable testing procedures for postural reactions, and existing tests assessing negotiating obstacles while walking cannot be performed when walking aids are used. Aim: To investigate the predictive validity of fall risk in persons with acute stroke for easily administered data and assessments, as well as to investigate the psychometric properties of two new tests. Methods: The Postural Rections Test (PRT) and the Cone Evasion Walk Test (CEW) were developed based on literature, and on input from an expert panel. To estimate the reliability of the PRT and CEW, video-recordings of 20 persons with acute stroke performing each item in the PRT and CEW were assessed by 10 physiotherapists on two occasions, at least two weeks apart. The construct validity of the CEW (n = 221), was examined in relation to selected corresponding tests, and predictive validity by correlating the CEW to falls within six months. In 124 women and 160 men the results from the PRT and CEW, along with other easily administered data and assessments on participant characteristics, functions, and activities were analyzed in relation to the number of days to the first fall by Cox regression, while fall incidence was analyzed by negative binomial regression, both for the total cohort, and for women and men separately. Sex differences in monthly fall incidence were analyzed with Poisson regression. Results: For the intra-rater reliability of the PRT, the overall proportion of agreement was 87 − 92% for the different postural reactions, and in median 9–10 out of 10 physiotherapists scored the same value for inter-rater reliability. In the CEW the intra-class correlation coefficients for intra-rater and inter-rater reliability were 0.88–0.98. The results showed expected poor to moderate correlations to the selected tests for construct validity, and to falls within six months. Participants touched significantly more cones on the side that was opposite to the side of their lesion. The Cox regression analysis showed that intake of more than eight medications, paresis in the arms, paresis in the legs, impaired protective reactions in sitting, and limitations in self-care activities were decisive risk factors for the time to the first fall, and according to the negative binomial regression, limitations in mobility activities was a decisive risk factor for high fall incidence in the total cohort (p<0.0005). The assessor’s judgment of a person’s six-month fall risk, was particularly well suited for identification of individuals with a high risk for multiple falls; however only in women when analyzed for each sex separately (p<0.0005). Compared to men, a higher number of fall risk factors were identified in women, including impaired mental functions, paresis in the arms, and limitations in several activities of self-care and mobility (p<0.0005). In men, the most decisive fall risk factors were intake of a high number of medications, intake of antidepressants, and mobility limitations (p=0.001). Fall incidence during the first month from discharge was significantly higher in men compared to women. Conclusions: The PRT and CEW can be reliably used in persons with acute stroke, and are valid for assessment of fall risk. A high quantity and wide range of rapid and easily collected data can be used for identification of persons at high risk for falls. The risk factors differed in part when analyzing the time to the first fall, and six-month fall incidence, and different fall risk factors were the most decisive when analyzed separately in women and men. Monthly fall incidence was higher in men during the first month. Bakgrund: Tidig identifiering av riskfaktorer för fall är av väsentlig betydelse för att minska den höga fallrisken hos personer med stroke, och kunskap om eventuella könsskillnader vad gäller riskfaktorer för fall behövs för att kunna individanpassa fallriskbedömningar och fallpreventiva insatser. Det har tidigare saknats ett enhetligt och standardiserat bedömningsförfarande för posturala reaktioner; dvs jämvikts-, upprätnings- och fallskyddsreaktioner. Det har även saknats ett bedömningsinstrument för förmågan att undvika föremål i samband med gång, som kan utföras av personer som går med gånghjälpmedel. Syfte: Att hos personer med akut stroke undersöka prediktiv validitet av fallrisk för lättadministrerade patientdata och bedömningsinstrument, liksom att undersöka psykometriska egenskaper för två nyutvecklade tester. Metod: Reliabilitetstestningen av Postural Reactions Test (PRT) och Cone Evasion Walk Test (CEW) utfördes genom att personer med akut stroke filmades då de utförde testerna. När alla delmoment i PRT samt CEW utförts av 20 personer vardera bedömdes testutförandena på filmerna av 10 sjukgymnaster vid två olika tillfällen, med minst två veckors mellanrum. Begreppsvaliditeten av CEW undersöktes genom att analysera samstämmigheten mellan CEW och ett antal utvalda, relaterade bedömningsinstrument. Deltagarna i studien noterade huruvida de fallit eller ej i falldagböcker och sedan samlades denna information in via månatliga telefonsamtal under sex månaders tid. Snabbt och enkelt insamlad patientdata och testresultat från lättadministrerade funktions- och aktivitetstester analyserades i förhållande till fall både för samtliga deltagare i studien (284 stycken), men även för kvinnor och män separat. Könsskillnader i månatlig fallincidens analyserades också. Resultat: Undersökningen av intrabedömarreliabilitet visade att samstämmigheten för de enskilda fysioterapeuterna i bedömningen av testutförandena mellan de två testtillfällena var 87-92% för PRT och 70-90% för CEW. Undersökningen av interbedömarreliabiliteten visade att i median 9–10 av 10 fysioterapeuter gjorde samma bedömning av testutförandena av PRT, liksom av CEW. Resultaten av validitetstestingen visade ett signifikant men svagt samband mellan CEW och Timed Up and Go, Functional Ambulation Classification, Star Cancellation Test och uppmärksamhetsuppgiften “upprepa subtraktion av sju från 100” i Montreal Cognitive Assessment. I utförandet av CEW, gick deltagarna på signifikant fler koner på den sida som var motsatt deras hjärnskada. Ett signifikant svagt samband identifierades mellan CEW och antalet fall. I den totala kohorten var användande av fler än åtta läkemedel, armpares, benpares, nedsatta fallskyddsreaktioner i sittande, och nedsatt förmåga att utföra aktiviteter i det dagliga livet avgörande riskfaktorer för tidiga fall. En begränsad förflyttningsförmåga var en avgörande riskfaktorer för hög fallincidens. Testledarens bedömning av risken att falla de kommande 6 månaderna var särskilt väl lämpad för identifiering av personer med en hög risk för hög fallincidens, dock endast för kvinnorna när analysen utfördes för kvinnor och män separat. Fler riskfaktorer identifierades hos kvinnorna, däribland nedsatta psykiska funktioner, armpares och nedsättningar i flera olika aktiviteter rörande personlig vård och förflyttningar. Hos männen var de mest avgörande riskfaktorerna ett stort antal intagna läkemedel, användande av antidepressiva läkemedel samt en begränsad förflyttningsförmåga. Den månatliga fallincidensen var signifikant högre hos männen än hos kvinnorna den första månaden efter utskrivningen från någon av strokeavdelningarna. Konklusion: PRT och CEW kompletterar befintliga bedömningsinstrument och är reliabla och valida för bedömning vid akut stroke. Både CEW och PRT-bedömningen av fallskyddsreaktioner i sittande kan användas för identifiering av personer med en förhöjd risk att falla. Ytterligare ett stort antal lättadministrerade bedömningsinstrument som kan användas för bedömning av fallrisk identifierades. Riskfaktorerna skiljde sig åt avseende risken att falla snart och risken att falla mycket och det var olika fallriskfaktorer som var de mest avgörande för kvinnorna jämfört med männen. Den första månaden efter utskrivning från strokeavdelning var den månatliga fallincidensen högre bland männen än bland kvinnorna.
Acute Stroke Nursing
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Author : Jane Williams
language : en
Publisher: John Wiley & Sons
Release Date : 2013-05-07
Acute Stroke Nursing written by Jane Williams and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-07 with Medical categories.
Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing. Evidence-based and practical in style, with case studies and practice examples throughout Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education The first text to explore stroke management from UK and international perspectives, and with a nursing focus
Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 2000
Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medicine categories.
Age Associated Neurological Diseases
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Author : Lüder Deecke
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-03-13
Age Associated Neurological Diseases written by Lüder Deecke and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-13 with Medical categories.
The papers compiled in this supplementum are a selection of the best con th tributions presented at the 19 Central-European Neurological Symposium (CNS 19) held on June 29 - July 1, 1989 in Vienna. The main topic of this conference was degenerative and age-associated neurological diseases. In recent decades life expectancy has dramatically increased, at least in the industrialized countries. This has led to extreme distortions of the so-called population pyramids that no longer look like such but begin to almost resemble cylinders. As a consequence of this "overaging" of the population, diseases that are associated with age have become much more common than before. It was thus more than reasonable to devote a congress of the CNS series to these important neurological diseases. The following fields of interest are covered: Age-associated memory impairment (AAMI), Alzheimer's and other dementias, Parkinson's disease and other movement disorders, stroke and others. Concerning the de men tias, some papers deal with diagnosis employing neuro-imaging methods such as MRI, CT, PET and SPECT, others using electrophysiological methods. An important aspect in the early preclinical diagnosis of dementia is the inclusion of neuropsychological tests to enhance the chance of effec tive early treatment. Also drugs that are now under clinical investigation are discussed and preliminary results are presented.
Stem Cells In Regenerative Medicine Carpe Diem Carpe Vitam
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Author : Mike K.S. Chan
language : en
Publisher: Troubador Publishing Ltd
Release Date : 2019-08-02
Stem Cells In Regenerative Medicine Carpe Diem Carpe Vitam written by Mike K.S. Chan and has been published by Troubador Publishing Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-08-02 with Medical categories.
In most of the doctors’ perception the term ‘regenerative medicine’ is associated with tissue reconstruction after severe injuries, burns or trauma.