Abstract:
BACKGROUND AND PURPOSE:Complex regional pain syndrome type I (CPRS I), is a complex of symptoms characterized by diffuse pain usually with associated swelling, vasomotor instability, and severe functional impairment of the affected extremity in stroke patients. Pain is a prominent feature and is often refractory to variety of treatment. METHODS:To investigate the clinical, functional, and psychosocial effects of upper extremity aerobic exercise (UEAE) and compare the effect of aerobic exercise with that of conventional physiotherapy in patients with CPRS type I following stroke as a randomized controlled assesor blinded 4 week-study. A total of 52 inpatients with stroke [mean age: 65.95 ± 8.7 (min. = 53, max. = 80) years, and the mean age of the control group was 67.50 ± 11.2 years], all within 6 months post-stroke and diagnosed with CPRS I. The UEAE program consisted of an arm crank ergometer (10 W/min), in addition to a conventional physiotherapy (whirlpool, TENS, retrograd massage). Primary outcome measures were CPRS clinical determinants (pain, hyperalgesia, allodynia, and autonomic abnormalities) secondary outcome measures were functional independence measure (FIM), Nottingham Health Profile (NHP), and Beck Depression Scale scores that were performed at 0 month (baseline) and 4 weeks (post-treatment). RESULTS:In UEAE group, patients reported significant pain relief (89.9%) and significant decline in CRPS signs and symptoms. The mean change in pain at shoulder, pain at the hand as well as and NHP and BDS scores between groups were statistically significant (P < 0.05). CONCLUSIONS:UEAE made an excellent improvement in the symptoms and signs of CRPS I. Combined treatment of conventional physiotherapy and aerobic exercises may be an excellent synthesis for this syndrome in these patients.
journal_name
Top Stroke Rehabiljournal_title
Topics in stroke rehabilitationauthors
Topcuoglu A,Gokkaya NK,Ucan H,Karakuş Ddoi
10.1179/1074935714Z.0000000025subject
Has Abstractpub_date
2015-08-01 00:00:00pages
253-61issue
4eissn
1074-9357issn
1945-5119journal_volume
22pub_type
杂志文章,随机对照试验abstract::Integrated networks add value to patient care through several mechanisms--sharing information and practice consistency based on evidence and access to a wide range of physicians and patient care venues. Successful networks are tied together through shared information systems and electronic medical records. The Domain ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/K8W2-TR3D-8JQ0-DWYD
更新日期:2002-10-01 00:00:00
abstract:PURPOSE:This study evaluated the impact of an educational intervention that integrates concepts of a community re-engagement framework (CR) and interprofessional collaboration (IPC) on health care providers' (HCP) practice with persons living with stroke (PLS). METHOD:A mixed-methods design was used in which HCPs (n =...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1310/tsr1901-63
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:This study was designed to evaluate the effectiveness of the compelled body weight shift (CBWS) therapy approach in the rehabilitation of individuals with chronic stroke. CBWS involves a forced shift of body weight toward a person's affected side by means of a shoe insert that establishes a lift of the nonaffec...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1310/tsr1906-556
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Most strokes occur in the context of other medical diagnoses. Currently, stroke rehabilitation evidence reviews have not synthesized or presented evidence with a focus on comorbidities and correspondingly may not align with current patient population. The purpose of this review was to determine the extent an...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/10749357.2017.1282412
更新日期:2017-07-01 00:00:00
abstract::Subarachnoid hemorrhage affects more than 25,000 Americans yearly and is most commonly caused by a ruptured, saccular, cerebral aneurysm. Current measures to evaluate and manage patients with nontraumatic subarachnoid hemorrhage are detailed. Areas of future progress are presented. The diagnosis and treatment of intra...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1996.11754101
更新日期:1996-03-01 00:00:00
abstract::The article will explore the use of the term medical necessity as it relates to wheeled mobility. Health insurance will cover a wheelchair if it is determined that it is medically necessary for a particular client. There are many different types of health insurance, and no universal definition of medical necessity. Th...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/564P-FWK1-Q96Y-5AXJ
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:About one-third of adult stroke patients suffer from aphasia when they are discharged from hospital. Aphasia seems to be a negative predictive factor affecting post-stroke functional recovery after rehabilitation, but this association has been scarcely addressed in previous research. OBJECTIVES:We aim to ev...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1818479
更新日期:2020-09-24 00:00:00
abstract:BACKGROUND:Against the background of linguistic and cultural differences, there is a need for translation and adaptation from the English version of the Fugl-Meyer Assessment (FMA) to Japanese. In addition, there is no study of inter-rater reliability of FMA all domains for affected upper extremities with appropriate s...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2018.1484987
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:Using secondary analysis and Friedemann's framework of systemic organization as a guide, the purpose of this article is to examine the experience of a subsample of five men caring for women with stroke who participated for 3 months in a Web-based support group. METHOD:Analysis of qualitative data (N = 224 entr...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/MHRL-NWL5-9XCG-JEMC
更新日期:2004-04-01 00:00:00
abstract::Stroke remains a leading cause of disability for older adults. While is it well established in the literature that exercise programs can have significant benefit, many stroke survivors do not receive specific recommendations for exercise or lack the motivation to continue exercising following discharge from rehabilita...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1602-140
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:This study describes current stroke care within hospital acute care settings. METHOD:Twenty-two acute care hospital sites in Central South Ontario were mailed a survey exploring the prevalence of stroke admissions, use of protocols and policies, staff resources, stroke-specific training, and available equipmen...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1405-1
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Balance is a common mobility limitation following stroke, but determination of the most effective balance-related plan of care can be difficult due to multiple balance impairments that vary between individuals. The Brief-BESTest is a validated outcome measure for balance based on six systems of postural cont...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2018.1517493
更新日期:2019-01-01 00:00:00
abstract::Telemedicine allows prompt assessment of acute stroke patients. This new technology has increased the administration of intravenous recombinant tissue plasminogen activator (rtPA) to eligible patients. In addition, telemedicine is being utilized in the rehabilitation of patients with cerebrovascular disease. This arti...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1310/tsr2002-101
更新日期:2013-03-01 00:00:00
abstract::Objectives This study assessed cognitive performance of subjects with aphasia during the acute stage of stroke and evaluated how such performance relates to recovery at 3 months. Materials & methods Patients with aphasia following a left hemisphere stroke were evaluated during the first (baseline) and the fourth-month...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1080/10749357.2017.1390904
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:Modifying assessments for people with aphasia has the potential to increase the validity of healthcare assessments across professional domains. This pilot study addressed the challenges of giving people with aphasia the power to fully participate in the assessment process. The study aimed to investigate the f...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1074935714Z.0000000034
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The similarities or differences of the three some (physiotherapists, patients, and caregivers) thought about the process of stroke rehabilitation can play a key role in the success of rehabilitation. OBJECTIVE:The aim of this qualitative study was to investigate the perspectives of the three some, with rega...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1074935714Z.0000000042
更新日期:2015-10-01 00:00:00
abstract::The required course for freshmen in Northwestern University's engineering school - a 2-quarter sequence called Engineering Design and Communication (EDC) - is noteworthy not only for its project-based focus on user-centered design, but also for its innovative integrated approach to teaching communication, teamwork, an...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1804-361
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Post-stroke sitting balance is a known predictor of independence of gait after stroke. However, previous studies used only qualitative scales or measured static or dynamic sitting balance alone. OBJECTIVES:To investigate whether quantitative parameters of sitting posturography at post-stroke 1 month can pre...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1806437
更新日期:2020-08-12 00:00:00
abstract:OBJECTIVES:To assess the use of extracorporeal shock wave therapy (ESWT) for the treatment of equinus foot after stroke and to correlate the ESWT effect on spastic plantar-flexor muscles with echo intensity on the Heckmatt scale. METHODS:The prospective open-label study examined 23 patients with poststroke lower limb ...
journal_title:Topics in stroke rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1310/tsr21S1-S17
更新日期:2014-01-01 00:00:00
abstract::Background Somatosensory stimulation may have a positive impact on recovery of motor function by maintaining cortical representation of the hand and acting to prime the motor system for movement. Objective Determine the efficacy of somatosensory stimulation on upper limb motor function after stroke. Methods Five elect...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1080/10749357.2017.1389054
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:To investigate whether bodyweight exercises can induce comparable levels of muscle activity as conventional machine exercises in chronic stroke patients. METHODS:Eighteen patients performed three repetitions of bilateral- and unilateral machine leg press and the bodyweight exercises chair rise and hip thrust...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2016.1274466
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Persons with stroke commonly have serious sequelae requiring long-term medical treatment. They often experience distress, and thus improving quality of life (QOL) has been considered a therapeutic objective in addition to prolonging the patient's life. OBJECTIVE:The aim of this study was to analyze the impa...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1310/tsr2003-226
更新日期:2013-05-01 00:00:00
abstract::Purpose To use a mixed method design to evaluate how clinicians judge falls in stroke patients as a beneficial event, and to identify patient-specific characteristics associated with beneficial falls. Methods The definition of beneficial falls was based on interviews with six experienced clinicians in stroke rehabilit...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1394631
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:This study investigated the physiological responses of stroke survivors to a 16-week program of moderate aerobic and anaerobic exercise. METHOD:Forty participants who were a minimum of 6 months post stroke underwent physiological testing over the course of 2 days that included a maximal VO(2) stress test, a Bi...
journal_title:Topics in stroke rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1310/0J2K-MDNX-1Q0L-8LX6
更新日期:2003-01-01 00:00:00
abstract::Intrathecal baclofen (ITB) therapy is a widely recognized management technique for severe, disabling spasticity in individuals with cerebral palsy and spinal and brain injuries. Its utility in the stroke population has only been recognized recently. Unlike the aforementioned patient populations, many stroke survivors ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/14PN-TV5C-AYUB-NDP2
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:Spasticity poststroke leads to muscle weakness and soft tissue contracture, however, it is not clear how muscle properties change due this motor neural disorder. The purpose was to compare medial gastrocnemius muscle architecture and mechanical properties of the plantarflexor muscles between stroke survivors ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2016.1210873
更新日期:2017-04-01 00:00:00
abstract:UNLABELLED:As hypothermia by immersion can reduce the sensory nerve conduction velocity, this study hypothesized that the reduction of sensory input to the ipsilesional upper extremity (UE) using cryotherapy would reduce the inhibitory activity of the contralesional hemisphere in chronic stroke subjects. OBJECTIVE:In ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1074935714Z.0000000023
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Marriages are one of the most powerful predictors of health and longevity, yet research in stroke has focused separately on survivors' experience of impairments and how spouses deal with caregiving. OBJECTIVES:The purpose of this constructivist grounded theory study was to understand the key themes related ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1342335
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Impaired balance and weak muscle strength are common deficits associated with stroke. Limited research has examined the relationship between balance and strength in people post-stroke. OBJECTIVE:To investigate the association between balance and muscular strength in people post-stroke. METHODS:A total of 1...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2019.1574417
更新日期:2019-04-01 00:00:00
abstract:PURPOSE:Education is a key component of post stroke care, but patients and carers often report dissatisfaction with information provided. A small number of studies have reported challenges surrounding the provision of information to this population, but patients' perspectives have not been explored in detail. The aim o...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1702-69
更新日期:2010-03-01 00:00:00