Introducing stroke aetiology, signs, symptoms, stroke care pathway .
This article discusses the use of enteral nutrition in the management of stroke. Stroke is a major source of disability, including dyspha…nical manifestation of swallowing difficulties in stroke patients may lead to malnutrition which has impli…The prevalence of malnutrition following an acute stroke could range from 8% to 34%. Therefore, the need t…implement the use of enteral nutrition support in stroke patients becomes pertinent. A range of enteral fe… tubes and feeding methods may be used to support stroke patients who are unable to meet their nutritional…nutrition for patients with dysphagia following a stroke in order to enhance their nutritional status and promote their health. However, there are challenges in the use of enteral tube feeding in these patients.
… Occlusions of these arteries cause a small stroke but have a devastating effect on patients’ functi…al cortex thickness and also its association with stroke volume and different functional tests. We hypothe…d MRI was obtained from 21 patients with ischemic stroke in the striatum/posterior limb of the internal ca…bjects were carefully selected from a pool of 140 stroke cases recruited for the Northstar Stroke Project. 63 healthy volunteers (30 male), matched…e right handed except for 3 patients who have the stroke in the left side of the brain. Patients were defined as left-sided stroke and right-sided stroke depending on the side of the stroke in brain. MRI scans were done 6 months to 2 years after the stroke. To measure cortical thickness, we used Freesurfe…ignificance level set at 0.05. Population maps of stroke lesions showed that the majority of strokes were located in the striatum and posterior inter…e. Vertex-wise group comparison between leftsided stroke patients and controls group showed significan…
Large amounts of quantitative data about stroke care are being collected in National Stroke Audits, but at present there is little informatio…es. This study aimed to explore weekend days on a stroke unit from the patients’ perspective. In-depth interviews were conducted with four stroke inpatients, and the interview data was transcribed and analysed using a descriptive phenomenological approach. Although each patient’s experience was individual, some common themes occured. The main theme was the perception of inactivity, with various subcategories within this, namely boredom, influence of other people, visitors and needing time to rest. Three other smaller themes were also identified: frustration, a reluctance to criticise ward staff, and changing perceptions of weekend days as patients progressed through their rehabilitation. These results are discussed and implications for practice are suggested.
Mental fatigue is a highly distressing symptom after stroke, and motor factors alone cannot explain the persi…ence of severe fatigue even many months after the stroke. Evolving theories suggest that mental fatigue i…onship between attention and mental fatigue after stroke has rarely been examined and given the negative i…ny intervention strategy to treat or prevent post-stroke fatigue (PSF) that considers real world context a…n Injury (ABI) fatigue literature, which included stroke populations. Analysis found sustained attentional…g 32 patients at the early phase (>2 months) post-stroke experiencing PSF, confirmed a relationship betwee…F was developed to investigate, in a sample of 29 stroke survivors at the early phase of stroke (> 2months), the extent of the impact of altering…lopment of mental fatigue at the early phase post-stroke. The initial findings are promising for both research and clinical practice with potential implications for furthering knowledge of who is at risk of developing symptoms of men…
David Festenstein who is a Communication Specialist, Coach and Professional Speaker talks about the insights he gained from his Patient Experience as he made a remarkable recovery from a stroke
…with participation outcomes for adults with stroke and to investigate factors associated with participation at different time points post stroke. Data sources: Medline, CINAHL, AMED, PyschINFO a…nce were systematically searched using key words “stroke”, “participation” and “outcomes” and their synony…ation outcomes for community dwelling adults with stroke were selected. Studies were eligible for inclusio… long term participation in life situations after stroke.
…lated to upper limb function after ischemic stroke is growing, similar data for lower limb movements…t impairment due to a single subcortical ischemic stroke. Functional MRI scans were obtained at 3.0 T duri…ated with foot movement both in the patients with stroke and in the healthy control subjects. Our primary finding was increased cortical activation with increasing functional impairment. The extent of activation (particularly in the primary sensorimotor cortex and the supplementary motor area of the unlesioned hemisphere) increased with disability. The changes were most prominent with the active movement task. Conclusions-Using ankle movement, we observed increased activation in the unlesioned hemisphere associated with worse function of the paretic leg, consistent with studies on movement of paretic upper limbs. We interpret this finding as potentially adaptive recruitment of undamaged ipsilateral motor control pathways from the supplementary motor area and (possibly maladaptive) disinhibition of the…
It is well known that improving community walking ability is one of the major goals in stroke rehabilitation. Even if motor recovery of the low…thesis set out to explore dual task ability after stroke in relation to community walking and explored dual task treadmill training in stroke survivors. In addition, functional magnetic reson… functional near-infrared spectroscopy (fNIRS) in stroke survivors during single and dual gait movements w…ized controlled trial was performed in 50 chronic stroke survivors to explore to what extent 10 weeks of t…straction would change community walking ability. Stroke survivors who received dual task treadmill traini…udy of Aging Life Space Assessment questionnaire, stroke survivors in the dual task training group scored …mpared to pedal movement alone. Dual task trained stroke survivors showed a reduction in right occipital c…w-up compared to baseline whereas control trained stroke survivors showed increases in this area from base…n change between groups (p < 0.001). In additi…