Topics in Stroke Rehabilitation
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Is the Epworth sleepiness scale suitable for use in stroke?
The Epworth Sleepiness Scale (ESS-8) is frequently used in stroke but has never been validated for this condition. There is concern regarding the suitability of the driving item (item 8). A summed raw score of 10 or more (from a maximum of 24) signifies pathological sleepiness. To determine the cons...
Transcranial magnetic stimulation combined with speech and language training in early aphasia rehabilitation: a randomized double-blind cont...
Inhibitory rTMS applied to the right frontal language homologue is not effective for all poststroke aphasia patients, although it might benefit selected patients....
Central poststroke pain: current diagnosis and treatment.
Central post-stroke pain syndrome (CPSP) is a debilitating sequel that can follow thalamic sensory stroke. Less well recognized, CPSP follows lateral medullary stroke and parietal cortical stroke and may develop anywhere along the spinothalamic or trigemino-thalamic pathways. Patients describe sharp...
Adherence to Canadian best practice recommendations for stroke care: assessment and management of poststroke depression in an Ontario rehabi...
Although Canadian best practice recommendations regarding assessment and management of poststroke depression (PSD) have been established, the degree to which these evidence-based guidelines have been translated into practice is not known. The objectives of the present study are to compare current and...
Hand splinting for poststroke spasticity: a randomized controlled trial.
This study failed to demonstrate any statistically significant difference in spasticity or in wrist PROM of both the volar and dorsal splint groups. These splints could be recommended as part of an integrative approach without expecting a major clinical effect rather than as an alternative to other...
A pilot study of rhythm and timing training as a supplement to occupational therapy in stroke rehabilitation.
Stroke is the leading cause of disability. A need exists for an effective intervention to enhance upper extremity (UE) motor abilities and activities of daily living (ADL) performance.
"Holistic" care for stroke in the context of the current health care bureaucracy and economic reality.
We give them credit for, and physicians are less mechanical than such a dichotomy would suggest. In fact, more often than not, patients and their health care providers combine to engender unrealistic expectations about what modern medicine is actually able to accomplish. When the system breaks down,...
Expanding poststroke depression research: movement toward a dyadic perspective.
Research on depression following stroke has traditionally been oriented toward understanding the experiences of individual survivors or their spousal caregivers outside of the context of their committed relationship. Moving toward a dyadic orientation to the problem of poststroke dep...
Increased residual disability among poststroke survivors and the repercussions for the lives of informal caregivers.
To analyze the associations between increased residual disability among poststroke survivors and the repercussions for their informal caregivers' lives, taking into account the latter's gender and education level.
Stroke evaluation and treatment.
Cerebrovascular accidents remain the third leading cause of death in the United States, with many left with life-long disabilities. The causes and contributing factors of stroke are beginning to be well defined, but what is not appreciated are the various techniques for assisting recovery. Understan...