http://www.spread.it/taxonomy/term/4703 The taxonomy view with a depth of 0. en http://www.spread.it/node/6966 <p>PURPOSE: The purpose of this study was to investigate the response of muscles with prolonged flaccid paralysis (a year after stroke) to two types of treatment: (1) functional neuromuscular stimulation (FNS) with surface electrodes; and (2) FNS with intramuscular (IM) electrodes (FNS-IM). A second purpose was to compare FNS-gait versus volitional gait (no FNS activation). METHOD: We used a single case study design; our patient was age 72, with flaccid paralysis of knee flexors and ankle dorsiflexors.<p><a href="http://www.spread.it/node/6966">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 13:08:13 +0100 admin 6966 at http://www.spread.it http://www.spread.it/node/5631 Emerging evidence from animal models of neuropathic pain suggests that many pathophysiologic and biochemical changes occur in the peripheral and central nervous system. Similarities between the pathophysiologic phenomena observed in some epilepsy models and in neuropathic pain models justify the use of anticonvulsants in the symptomatic management of neuropathic pain. Positive results from laboratory and clinical trials further support such use. Carbamazepine was the first of this class of drugs to be studied in clinical trials and has been longest in use for treatment of neuropathic pain.<p><a href="http://www.spread.it/node/5631">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5631 at http://www.spread.it http://www.spread.it/node/5632 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5632 at http://www.spread.it http://www.spread.it/node/5633 The purpose of this study is to investigate the Fugl-Meyer Motor Impairment Scale and physical disability as measured by the Functional Independence Measure (FIM) as predictors of physical independence after stroke inpatient rehabilitation. Forty-eight patients admitted to a rehabilitation hospital within 6 wk of their first unifocal stroke were prospectively studied. Upper and lower extremity Fugl-Meyer scores were obtained near rehabilitation admission. FIMs were obtained on admission and discharge.<p><a href="http://www.spread.it/node/5633">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5633 at http://www.spread.it http://www.spread.it/node/5634 OBJECTIVE: This study tests three hypotheses relevant for the efficient use of rehabilitation services after stroke: (a) the severity of initial motor impairment after stroke predicts discharge motor impairment and self-care mobility scores; (b) identification of those unlikely to show improvement in motor impairment can focus rehabilitzation efforts on use of compensatory techniques and assist devices; and (c) improvement in self-care mobility scores without change in motor impairment, balance, or cognition is a quantitative estimate of the value of teaching compensatory techniques and use of<p><a href="http://www.spread.it/node/5634">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5634 at http://www.spread.it http://www.spread.it/node/5635 OBJECTIVE: To collect and integrate existing data concerning the occurrence, extent, time course, and prognostic determinants of motor recovery after stroke using a systematic methodologic approach. DATA SOURCES: A computer-aided search in bibliographic databases was done of longitudinal cohort studies, original prognostic studies, and randomized controlled trials published in the period 1966 to November 2001, which was expanded by references from retrieved articles and narrative reviews.<p><a href="http://www.spread.it/node/5635">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5635 at http://www.spread.it http://www.spread.it/node/5636 The aim of this study was to describe the types and extent of eating difficulties, the need for assistance when eating, the nutritional status and pressure ulcers in consecutive patients (n = 162) admitted for stroke rehabilitation over a period of 1 year. Structured observations and assessments of eating, nutritional status (subjective global assessment of nutritional status), pressure ulcers and activities in daily living (Katz ADL-index) were performed by a nurse who also trained the staff to perform these assessments.<p><a href="http://www.spread.it/node/5636">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5636 at http://www.spread.it http://www.spread.it/node/5637 OBJECTIVE: To determine the prevalence of sleep apnea (SA) during the first night after hemispheric ischemic stroke and its influence on clinical presentation, course, and functional outcome at 6 months. METHODS: The first night after cerebral infarction onset, 50 patients underwent polysomnography (PSG) followed by oximetry during the next 24 hours. Neurologic severity and early worsening were assessed by the Scandinavian Stroke Scale and outcome by the Barthel Index. Patients were evaluated on admission, on the third day, at discharge, and at 1, 3, and 6 months.<p><a href="http://www.spread.it/node/5637">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5637 at http://www.spread.it http://www.spread.it/node/5638 Obstructive sleep apnea can be diagnosed in approximately 60% of stroke survivors in the postacute period and has been found to be associated with increased mortality and a worse functional outcome at 3 and 12 mo after discharge. In this study, 38 patients undergoing rehabilitation after stroke underwent sleep studies by using the AutoSet Portable II Plus device; obstructive sleep apnea was found in 18 of the patients, and five consecutively diagnosed patients were treated on the ward with nasal continuous positive airway pressure.<p><a href="http://www.spread.it/node/5638">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5638 at http://www.spread.it http://www.spread.it/node/5639 OBJECTIVES: The incidence of sleep apnea and stroke increases with age. The aim of this study was to investigate the presence of sleep apnea after stroke and its relationship to delirium, depressed mood, cognitive functioning, ability to perform activities of daily living (ADLs), and psychiatric and behavior symptoms. DESIGN: Cross-sectional study. SETTING: Geriatric stroke rehabilitation unit. PARTICIPANTS: 133 patients (78 women and 55 men, mean age 77.1 +/- 7.7 years) consecutively admitted to a geriatric stroke rehabilitation unit.<p><a href="http://www.spread.it/node/5639">read more</a></p> 15 Riabilitazione Mon, 01 Dec 2008 12:03:09 +0100 admin 5639 at http://www.spread.it