How to Measure Recovery? Revisiting Concepts and Methods for Stroke Studies.

Abstract:

:In clinical trials, assessing efficacy is based on validated scales, and the primary endpoint is usually based on a single scale. The aim of the review is to revisit the concepts and methods to design and analyze studies focused on restoration, recovery and or compensation. These studies are becoming more frequent with the development of restorative medicine. After discussing the definitions of recovery, we address the concept of recovery as the regain of lost capabilities, when the patient reaches a new equilibrium. Recovery is a dynamic process which assessment includes information from initial and final status, their difference, the difference between the final status of the patient and normality, and the speed of restoration. Finally, recovery can be assessed either for a specific function (focal restoration) or for a more global restoration. A single scale is not able to assess all the facets of a skill or a function, therefore complementary information should be collected and analyzed simultaneously to be tested in a single analysis. We are suggesting that recovery should be considered as a latent variable and therefore cannot be measured in pure form. We are also suggesting to customize the data collection and analysis according to the characteristics of the subjects, the mechanisms of action and consequences of the intervention. Moreover, recovery trials should benefit from latent variable analysis methods. Structural equation modeling is likely the best candidate for this approach applicable in pre-clinical and clinical studies.

journal_name

Transl Stroke Res

authors

Hommel M,Detante O,Favre I,Touzé E,Jaillard A

doi

10.1007/s12975-016-0488-0

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

388-94

issue

5

eissn

1868-4483

issn

1868-601X

pii

10.1007/s12975-016-0488-0

journal_volume

7

pub_type

杂志文章,评审
  • Vasoconstriction and Impairment of Neurovascular Coupling after Subarachnoid Hemorrhage: a Descriptive Analysis of Retinal Changes.

    abstract::Impaired cerebral autoregulation and neurovascular coupling (NVC) contribute to delayed cerebral ischemia after subarachnoid hemorrhage (SAH). Retinal vessel analysis (RVA) allows non-invasive assessment of vessel dimension and NVC hereby demonstrating a predictive value in the context of various neurovascular disease...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0585-8

    authors: Conzen C,Albanna W,Weiss M,Kürten D,Vilser W,Kotliar K,Zäske C,Clusmann H,Schubert GA

    更新日期:2018-06-01 00:00:00

  • Voltage-gated potassium channels at the crossroads of neuronal function, ischemic tolerance, and neurodegeneration.

    abstract::Voltage-gated potassium (Kv) channels are widely expressed in the central and peripheral nervous system and are crucial mediators of neuronal excitability. Importantly, these channels also actively participate in cellular and molecular signaling pathways that regulate the life and death of neurons. Injury-mediated inc...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-013-0297-7

    authors: Shah NH,Aizenman E

    更新日期:2014-02-01 00:00:00

  • Effect of TTC Treatment on Immunohistochemical Quantification of Collagen IV in Rat Brains after Stroke.

    abstract::Although used extensively in stroke research, there is limited knowledge of how 2, 3, 5-triphenyltetrazolium chloride (TTC)-treated rat brain sections are altered and if they can be used for immunohistochemical quantification after staining with TTC. In the present study, we hypothesized that TTC treatment (TTC+) woul...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0604-9

    authors: Li Z,Bishop N,Chan SL,Cipolla MJ

    更新日期:2018-10-01 00:00:00

  • Intracerebral hemorrhage: clinical overview and pathophysiologic concepts.

    abstract::Intracerebral hemorrhage is by far the most destructive form of stroke. Apart from the management in a specialized stroke or neurological intensive care unit (NICU), no specific therapies have been shown to consistently improve outcomes after ICH. Current guidelines endorse early aggressive optimization of physiologic...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0175-8

    authors: Rincon F,Mayer SA

    更新日期:2012-07-01 00:00:00

  • Sport-related concussion: "how many is too many?".

    abstract::The long-term effects of multiple sport-related concussions are currently at the center of debate in the popular press and scientific community. The question, "How many concussions are too many," is frequently asked in the competitive sport environment by parents, athletes, and coaches. While research suggests that a ...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-012-0237-y

    authors: Elbin RJ,Covassin T,Henry L,Whalen DJ,Wedge J,Kontos AP

    更新日期:2013-08-01 00:00:00

  • P2X7 receptor inhibition increases CNTF in the subventricular zone, but not neurogenesis or neuroprotection after stroke in adult mice.

    abstract::Increasing endogenous ciliary neurotrophic factor (CNTF) expression with a pharmacological agent might be beneficial after stroke as CNTF both promotes neurogenesis and, separately, is neuroprotective. P2X7 purinergic receptor inhibition is neuroprotective in rats and increases CNTF release in rat CMT1A Schwann cells....

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-013-0265-2

    authors: Kang SS,Keasey MP,Hagg T

    更新日期:2013-10-01 00:00:00

  • FasL-PDPK1 Pathway Promotes the Cytotoxicity of CD8+ T Cells During Ischemic Stroke.

    abstract::CD8+ T cells are recognized as key players in exacerbation of ischemic stroke; however, the underlying mechanism in modulating the function of CD8+ T cells has not been completely elucidated. Here, we uncovered that FasL enhanced the cytotoxicity of CD8+ T cells to neurons after ischemic stroke. Inactivation of FasL s...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00749-0

    authors: Fan L,Zhang CJ,Zhu L,Chen J,Zhang Z,Liu P,Cao X,Meng H,Xu Y

    更新日期:2020-08-01 00:00:00

  • Precision Stroke Animal Models: the Permanent MCAO Model Should Be the Primary Model, Not Transient MCAO.

    abstract::An argument for preclinical stroke research to make more use of the permanent middle cerebral artery occlusion (MCAO) model, rather than transient MCAO, is presented. Despite STAIR recommending permanent MCAO as the primary model, preclinical stroke research has not been listened. In 2012, Hossmann reported that 64% o...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0554-2

    authors: McBride DW,Zhang JH

    更新日期:2017-07-17 00:00:00

  • Correction to: Safety of Early Administration of Apixaban on Clinical Outcomes in Patients with Acute Large Vessel Occlusion.

    abstract::There was an error in Fig. 2d. The correct Fig. 2d is shown below. ...

    journal_title:Translational stroke research

    pub_type: 已发布勘误

    doi:10.1007/s12975-020-00871-4

    authors: Yoshimura S,Uchida K,Sakai N,Imamura H,Yamagami H,Tanaka K,Ezura M,Nonaka T,Matsumoto Y,Shibata M,Ohta H,Morimoto M,Fukawa N,Hatano T,Enomoto Y,Takeuchi M,Ota T,Shimizu F,Kimura N,Kamiya Y,Shimamura N,Morimoto T

    更新日期:2020-10-22 00:00:00

  • Distal occlusion of the middle cerebral artery in mice: are we ready to assess long-term functional outcome?

    abstract::Rodent animal models of stroke are widely used with brain ischemia inducible by various occlusion methods. Permanent or transient occlusion of the distal portion of the middle cerebral artery (MCAO) offers a reproducible model with low mortality rates, and it is the most likely model of choice for mid- and long-term s...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-012-0234-1

    authors: Rosell A,Agin V,Rahman M,Morancho A,Ali C,Koistinaho J,Wang X,Vivien D,Schwaninger M,Montaner J

    更新日期:2013-06-01 00:00:00

  • Intra-operative Video Characterization of Carotid Artery Pulsation Patterns in Case Series with Post-endarterectomy Hypertension and Hyperperfusion Syndrome.

    abstract::Cerebral hyperperfusion syndrome (CHS) is a complication that can occur after carotid endarterectomy (CEA), the treatment of choice to decrease the subsequent risk of fatal or disabling stroke for patients with symptomatic severe stenosis of the carotid artery. Because of its rarity and complexity, the mechanism of th...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0605-8

    authors: Xiao Y,Rivaz H,Kasuya H,Yokosako S,Mindru C,Teitelbaum J,Sirhan D,Sinclair D,Angle M,Lo BWY

    更新日期:2018-10-01 00:00:00

  • Shifts in Leukocyte Counts Drive the Differential Expression of Transcriptional Stroke Biomarkers in Whole Blood.

    abstract::Our group recently identified a panel of ten genes whose RNA expression levels in whole blood have utility for detection of stroke. The purpose of this study was to determine the mechanisms by which these genes become differentially expressed during stroke pathology. First, we assessed the transcriptional distribution...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-018-0623-1

    authors: O'Connell GC,Treadway MB,Tennant CS,Lucke-Wold N,Chantler PD,Barr TL

    更新日期:2019-02-01 00:00:00

  • Tumor necrosis factor-α modulates cerebral aneurysm formation and rupture.

    abstract::Inflammation is a critical process behind cerebral aneurysm formation and rupture. Tumor necrosis factor alpha (TNF-α) is a key immune modulator that has been implicated in cerebral aneurysm pathophysiology. This may occur through TNF-α-mediated endothelial injury, smooth muscle cell phenotypic modulation, recruitment...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-013-0287-9

    authors: Starke RM,Raper DM,Ding D,Chalouhi N,Owens GK,Hasan DM,Medel R,Dumont AS

    更新日期:2014-04-01 00:00:00

  • Clinical trials for neuroprotective therapies in intracerebral hemorrhage: a new roadmap from bench to bedside.

    abstract::The most deadly form of stroke, intracerebral hemorrhage (ICH) continues to puzzle researchers and produce substantial decrements in the quality of patients' lives. Intensive basic research has devised many agents with putative benefit in mitigating the devastating effects of ICH, but these therapies have been largely...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0207-4

    authors: Ayer A,Hwang BY,Appelboom G,Connolly ES Jr

    更新日期:2012-12-01 00:00:00

  • A Brain-Targeted Orally Available ROCK2 Inhibitor Benefits Mild and Aggressive Cavernous Angioma Disease.

    abstract::Cavernous angioma (CA) is a vascular pathology caused by loss of function in one of the 3 CA genes (CCM1, CCM2, and CCM3) that result in rho kinase (ROCK) activation. We investigated a novel ROCK2 selective inhibitor for the ability to reduce brain lesion formation, growth, and maturation. We used genetic methods to e...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00725-8

    authors: McKerracher L,Shenkar R,Abbinanti M,Cao Y,Peiper A,Liao JK,Lightle R,Moore T,Hobson N,Gallione C,Ruschel J,Koskimäki J,Girard R,Rosen K,Marchuk DA,Awad IA

    更新日期:2020-06-01 00:00:00

  • Stroke Severity, and Not Cerebral Infarct Location, Increases the Risk of Infection.

    abstract::Infection is a leading cause of death in patients with stroke; however, the impact of cerebral infarct size or location on infectious outcome is unclear. To examine the effect of infarct size on post-stroke infection, we utilised the intraluminal middle-cerebral artery occlusion (MCAO) mouse model of ischemic stroke a...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00738-3

    authors: Shim R,Wen SW,Wanrooy BJ,Rank M,Thirugnanachandran T,Ho L,Sepehrizadeh T,de Veer M,Srikanth VK,Ma H,Phan TG,Sobey CG,Wong CHY

    更新日期:2020-06-01 00:00:00

  • Irreversible Neuronal Damage Begins Just After Aneurysm Rupture in Poor-Grade Subarachnoid Hemorrhage Patients.

    abstract::Pathophysiological findings of early brain injury in humans have not permitted conclusive determinations. We explored the essence of this phenomenon by taking intraoperative cortical specimens of Hunt-Kosnik grades IV~V (poor-grade) subarachnoid hemorrhages (SAH). From 2013 to 2017, we treated 39 consecutive poor-grad...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-020-00875-0

    authors: Shimamura N,Fumoto T,Naraoka M,Katagai T,Fujiwara N,Katayama K,Kinoshita S,Yanagiya K,Sasaki T,Kurose A,Ohkuma H

    更新日期:2020-11-27 00:00:00

  • Subarachnoid hemorrhage: a review of experimental studies on the microcirculation and the neurovascular unit.

    abstract::Increasingly, experimental research in subarachnoid hemorrhage (SAH) has investigated early brain injury and the microcirculation. A number of pathophysiological changes occur in the cerebral microvessels after SAH including altered vasoreactivity, vasoconstriction, inflammation, blood-brain barrier impairment, increa...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-014-0323-4

    authors: Tso MK,Macdonald RL

    更新日期:2014-04-01 00:00:00

  • Experimental subarachnoid hemorrhage: double cisterna magna injection rat model--assessment of delayed pathological effects of cerebral vasospasm.

    abstract::Aneurysmal subarachnoid hemorrhage comprises of an early phase after the bleeding and a late phase of delayed consequences of the bleeding. The development of delayed injury mechanisms, like the reduction of cerebral blood flow (CBF) due to cerebral vasospasm (CVS), seems mainly to depend on the amount and the duratio...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-015-0392-z

    authors: Güresir E,Schuss P,Borger V,Vatter H

    更新日期:2015-06-01 00:00:00

  • Lactate Dehydrogenase Predicts Early Hematoma Expansion and Poor Outcomes in Intracerebral Hemorrhage Patients.

    abstract::This study aimed to investigate whether serum lactate dehydrogenase (LDH) levels predicted hematoma expansion and poor outcomes in intracerebral hemorrhage (ICH) patients. The differentially expressed proteins between patients with and without hematoma expansion were screened using proteomic analysis. Then the critica...

    journal_title:Translational stroke research

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s12975-019-0686-7

    authors: Chu H,Huang C,Dong J,Yang X,Xiang J,Dong Q,Tang Y

    更新日期:2019-12-01 00:00:00

  • Complement C5 Contributes to Brain Injury After Subarachnoid Hemorrhage.

    abstract::Previous studies showed that complement activation is associated with poor functional outcome after aneurysmal subarachnoid hemorrhage (SAH). We investigated whether complement activation is underlying brain injury after aneurysmal SAH (n = 7) and if it is an appropriate treatment target. We investigated complement ex...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00757-0

    authors: van Dijk BJ,Meijers JCM,Kloek AT,Knaup VL,Rinkel GJE,Morgan BP,van der Kamp MJ,Osuka K,Aronica E,Ruigrok YM,van de Beek D,Brouwer M,Pekna M,Hol EM,Vergouwen MDI

    更新日期:2020-08-01 00:00:00

  • Epigenetics and the environment: in search of the "toleroasome" vital to execution of ischemic preconditioning.

    abstract::Activation and repression of gene expression are key features of ischemic tolerance. Converging lines of inquiry from several groups suggests that epigenetic proteins may transduce sublethal stresses, including bioenergetic or oxidative stress into durable (2-3 days) changes in gene expression that mediate ischemic to...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-012-0235-0

    authors: Brand D,Ratan RR

    更新日期:2013-02-01 00:00:00

  • Healthcare Economics of Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage in the United States.

    abstract::Hydrocephalus is one of the most common sequelae after aneurysmal subarachnoid hemorrhage (aSAH), and it is a large contributor to the condition's high rates of readmission and mortality. Our objective was to quantify the healthcare resource utilization (HCRU) and health economic burden incurred by the US health syste...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00697-9

    authors: Adil SM,Liu B,Charalambous LT,Kiyani M,Gramer R,Swisher CB,Verbick LZ,McCabe A,Parente BA,Pagadala P,Lad SP

    更新日期:2019-12-01 00:00:00

  • Longitudinal assessment of imatinib's effect on the blood-brain barrier after ischemia/reperfusion injury with permeability MRI.

    abstract::Acute ischemic stroke (AIS) often results in degeneration of the blood-brain barrier (BBB), which can lead to vasogenic edema and an increased risk of intracerebral hemorrhage. Imatinib is an agent that may be able to protect the BBB and reduce the risk of the harmful consequences of BBB degeneration. We sought to mea...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-014-0358-6

    authors: Merali Z,Leung J,Mikulis D,Silver F,Kassner A

    更新日期:2015-02-01 00:00:00

  • Reparative System Arising from CCR2(+) Monocyte Conversion Attenuates Neuroinflammation Following Ischemic Stroke.

    abstract::Monocytes recruitment from the blood to inflamed tissues following ischemic stroke is an important immune response to wound healing and tissue repair. Mouse monocytes can be endogenously divided into two distinct populations: pro-inflammatory or classical monocytes that express CCR2highCX3CR1low and circulate in blood...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-020-00878-x

    authors: Park J,Kim JY,Kim YR,Huang M,Chang JY,Sim AY,Jung H,Lee WT,Hyun YM,Lee JE

    更新日期:2021-01-06 00:00:00

  • Translational strategies for neuroprotection in ischemic stroke--focusing on acid-sensing ion channel 1a.

    abstract::Ischemic stroke contributes to the majority of brain injuries and remains to be a leading cause of death and long-term disability. Despite the devastating pathology and high incidence of disease, there remain only few treatment options (TPA and endovascular procedures), which may be hampered by time-dependent administ...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-013-0319-5

    authors: O'Bryant Z,Vann KT,Xiong ZG

    更新日期:2014-02-01 00:00:00

  • Biomarkers Related to Carotid Intima-Media Thickness and Plaques in Long-Term Survivors of Ischemic Stroke.

    abstract::Lifestyle risk factors, inflammation and genetics play a role in the development of atherosclerosis. We therefore studied Fc gamma receptor (FcγR) polymorphisms, interleukin (IL)-10 polymorphisms and other biomarkers related to carotid intima-media thickness (cIMT) in patients with ischemic stroke at a young age. Pati...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-015-0403-0

    authors: Waje-Andreassen U,Naess H,Thomassen L,Maroy TH,Mazengia KY,Eide GE,Vedeler CA

    更新日期:2015-08-01 00:00:00

  • Granulocyte-colony stimulating factor in combination with stem cell factor confers greater neuroprotection after hypoxic-ischemic brain damage in the neonatal rats than a solitary treatment.

    abstract::Neonatal hypoxia-ischemia (HI) is a devastating condition resulting in neuronal cell death and often culminates in neurological deficits. Granulocyte-colony stimulating factor (G-CSF) has been shown to have neuroprotective activity via inhibition of apoptosis and inflammation in various stroke models. Stem cell factor...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0225-2

    authors: Doycheva D,Shih G,Chen H,Applegate R,Zhang JH,Tang J

    更新日期:2013-04-01 00:00:00

  • Activation of Sigma-1 Receptor Enhanced Pericyte Survival via the Interplay Between Apoptosis and Autophagy: Implications for Blood-Brain Barrier Integrity in Stroke.

    abstract::Stroke is a cerebrovascular disorder that affects many people worldwide. Pericytes play an important role in stroke progression and recovery. The sigma-1 receptor (σ-1R) signaling pathway has been suggested as having promising neuroprotective potential in treating stroke; however, whether σ-1R activation regulates per...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00711-0

    authors: Zhang Y,Zhang X,Wei Q,Leng S,Li C,Han B,Bai Y,Zhang H,Yao H

    更新日期:2020-04-01 00:00:00

  • Acute and chronic vascular responses to experimental focal arterial stroke in the neonate rat.

    abstract::The presence of active developmental angiogenesis and vascular outgrowth in the postnatal brain may differentially affect vascular responses to stroke in newborns and adults, but very little is known about the dynamics of vascular injury and re-growth after stroke during the neonatal period. In this study we used a cl...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0214-5

    authors: Fernández-López D,Faustino J,Derugin N,Vexler ZS

    更新日期:2013-04-01 00:00:00