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 evaluate the impact of aphasia in cognitive functional outcomes in working-age first-ever ischemic stroke adults. METHODS:Retrospective observational cohort study. One hundred and thirty ischemic (≤ 64 years old) adult stroke patients (43.07% with aphasia) admitted to a rehabilitation center between 2007 and 2019 were analyzed. Univariate and multivariate linear regressions were performed using state-of-the-art variables (stroke severity, gender, age) extending them with potential confounders (e.g. diabetes, medication for depression). The cognitive subtest (C-FIM) of the Functional Independence Measure (FIM) at discharge and C-FIM gain were the dependent variables. RESULTS:Patients with aphasia (PWA) had lower C-FIM scores at admission and at discharge. No significant differences were observed in relation to C-FIM gain, C-FIM efficiency, C-FIM effectiveness and length of stay (LOS). C-FIM gain was remarkably higher though non-significant (p = .059) in PWA. Regression analysis identifies C-FIM at admission and aphasia as significant predictors of C-FIM at discharge (R2 = 0.72). The same variables plus taking medication for depression predicted C-FIM gain (R2 = 0.38). CONCLUSIONS:We identified no significant differences in C-FIM outcomes (gain, efficiency and effectiveness) either in LOS between PWA and patients without aphasia, though C-FIM differences were significant at admission and discharge. Aphasia was a significant predictor of C-FIM gain and C-FIM at discharge.
journal_name
Top Stroke Rehabiljournal_title
Topics in stroke rehabilitationauthors
García-Rudolph A,García-Molina A,Cegarra B,Opisso E,Saurí J,Tormos JM,Bernabeu Mdoi
10.1080/10749357.2020.1818479subject
Has Abstractpub_date
2020-09-24 00:00:00pages
1-12eissn
1074-9357issn
1945-5119pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Studies suggest that family caregiver well-being (ie, depressive symptoms and life satisfaction) may affect stroke survivor depressive symptoms. We used mediation analysis to assess whether caregiver well-being might be a factor explaining stroke survivor depressive symptoms, after controlling fo...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr2001-44
更新日期:2013-01-01 00:00:00
abstract::The following is an attempt to consider how various ways of thinking about the aphasic condition influence how the problem is approached for rehabilitation. The fundamental theory of three popular, traditional approaches to assessment of aphasia are considered with particular regard to their consequential influence up...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1994.11754017
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:Virtual reality (VR) is becoming a popular alternative to traditional upper and lower limb rehabilitation following a stroke. OBJECTIVE:To conduct a systematic review and meta-analysis on the effectiveness of VR interventions for improving balance in a chronic stroke (≥6 months) population. DATA SOURCES:A ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1080/10749357.2016.1192361
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Stroke presents with heterogeneous recovery periods, severity, and manifestation of deficits, all of which may adversely impact fitness-to-drive. Little is known about the association between site of lesion and driving performance after stroke. OBJECTIVE:To investigate the association between site of stroke...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1074935714Z.0000000018
更新日期:2015-08-01 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:BACKGROUND:Attention deficits are common post stroke and result in poorer functional outcomes. This study examined the frequency of attention deficits after incident stroke and their correlates. METHOD:Attention of 94 stroke survivors was assessed using the Bells test, Trails Making Test A/B, 2.4- and 2.0-second trial...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1706-463
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVES:In India, post-stroke outcomes are determined using functional outcome measures (FOMs), the contents of which have not been validated for their relevance to the Indian population. In this study, we aimed to evaluate the cultural validity of five frequently used stroke-specific FOMs by comparing their content...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2016.1234190
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Aerobic training can improve cardiorespiratory fitness in individuals after stroke. However, the effects of short-term and long-term detraining are not well known. OBJECTIVE:To determine the effects of short-term (1-month) and long-term (6-month) detraining on cardiorespiratory fitness (VO2peak) of individu...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1816074
更新日期:2020-09-03 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::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::Spatial neglect is a debilitating poststroke neurocognitive disorder associated with prolonged hospitalization and poor rehabilitation outcomes. The literature suggests a high prevalence of this disorder, but clinicians have difficulty reliably identifying affected survivors. This discrepancy may result from suboptima...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1310/tsr1905-423
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Demonstrating the treatment fidelity of an intervention is a key methodological requirement of any trial testing the impact of the intervention. PURPOSE:The purpose of this report was to serve as a model for evaluating treatment fidelity in stroke exercise intervention studies and to provide evidence for tr...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr18s01-611
更新日期:2011-10-01 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:OBJECTIVE:To assess the effectiveness of electroacupuncture (EA) with rehabilitation training in reducing limb spasticity in post-stroke patients. METHODS:A systematic review was performed by electronically searching six databases (Medline/Pubmed, Embase, Cochrane Library, China National Knowledge Infrastructure, Data...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2020.1812938
更新日期:2020-08-26 00:00:00
abstract:PURPOSE:To identify the percentage of persons with stroke resuming therapy within 4 weeks of inpatient rehabilitation discharge, to compare the characteristics of those who did and did not resume therapy, and to determine the predictors of resuming physical (PT), occupational (OT), and speech (ST) therapy. METHOD:Soci...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1601-80
更新日期:2009-01-01 00:00:00
abstract::In the July-August 2008 issue of Topics in Stroke Rehabilitation, Greig and colleagues described a small, qualitative study of features of mobile phone handset design, documentation, and use that either enhance or hinder usability for people with aphasia. The authors noted that, despite considerable difficulties, stud...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1705-353
更新日期:2010-09-01 00:00:00
abstract::Poststroke somatosensory impairment is prevalent, yet commonly used clinical measures lack the sensitivity needed to quantify impairment and detect change due to intervention. This selective review, prepared and presented as a part of the I-Treat Conference (June 22, 2013, Columbus, Ohio), discusses the prevalence of ...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,评审
doi:10.1310/tsr2104-290
更新日期:2014-07-01 00:00:00
abstract::The aims of this study were to document the readability of a stroke education brochure and to illustrate how the readability of this document might be improved. Readability analyses using three different formulas were conducted on a stroke education brochure from the Australian National Stroke Foundation. Consistent w...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/6UM4-6J7J-YTLC-K976
更新日期:2001-01-01 00:00:00
abstract::Objectives The sit to stand (STS) movement is key to independence and commonly affected by stroke. Repetitive practice is likely to improve STS ability during rehabilitation, however current practice levels are unknown. The objective of this study was simply to count the number of STS movements performed during the re...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1080/10749357.2017.1374687
更新日期:2017-12-01 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::Background Post-stroke fatigue is common and disabling. Objectives The aim of NotFAST was to examine factors associated with fatigue in stroke survivors without depression, six months after stroke. Methods Participants were recruited from four UK stroke units. Those with high levels of depressive symptoms (score ≥7 on...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.2017.1368912
更新日期:2017-12-01 00:00:00
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journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr2103-228
更新日期:2014-05-01 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:Depression after stroke is common and increases morbidity and mortality in the first years after stroke onset. Nevertheless, little is known about the role of psychosocial factors on the etiology of depression in early as well as in the late poststroke stages. The aim of our study was to investigate the influen...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/tsr1403-25
更新日期:2007-05-01 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::Postural control is an essential component to be considered in the rehabilitation of stroke survivors. This article attempts to provide the clinician with terminology and frameworks for classification in order to provide a more focused intervention. There is a comparison of some of the available assessments of impairm...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1995.11754043
更新日期:1995-01-01 00:00:00
abstract::Stroke is commonly thought of as a disease of the elderly, but it should be understood that stroke also occurs in young adults. Furthermore, it is important to appreciate the differences in epidemiology of these cohorts in order to effectively care for young adults with stroke. Diagnostic imaging has proven to be extr...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1080/10749357.1994.11754002
更新日期:1994-03-01 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:BACKGROUND:Loss of skeletal muscle mass is one of the main reasons for disability in patients with stroke. However, lower leg muscle wasting has not been studied in acute stroke patients. OBJECTIVE:To investigate the changes in quadriceps muscle thickness in acute non-ambulatory stroke survivors. METHODS:A total of 1...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1179/1945511915Y.0000000002
更新日期:2016-02-01 00:00:00
abstract::Stroke onset causes disruption of family roles as caregiving tasks are assumed. The current study presents a qualitative and quantitative analysis of the problems of 123 older, spousal stroke caregivers. Problems were coded into 14 categories; frequencies of occurrence and difficulty were also analyzed. Differences in...
journal_title:Topics in stroke rehabilitation
pub_type: 杂志文章
doi:10.1310/DDBP-TRCC-3KVA-4B94
更新日期:2002-04-01 00:00:00