Central post-stroke pain syndrome (CPSP) is described by patients as sharp, stabbing, or burning pain and the experience of hyperpathia – an abnormally exaggerated subjective response to painful stimuli and allodynia – where normally non-painful stimuli evoke pain. Pharmacological therapy, magnetic stimulation, and invasive electrical stimulation are reviewed and recommendations made for the treatment of Central post-stroke pain syndrome (CPSP) in Topics in Stroke Rehabilitation, 05/08/2013. The researchers are from the Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, USA.
Posts Tagged ‘stroke’
An estimated 16 million people worldwide experience first-time strokes each yea. Of these two-thirds of stroke patients are younger than 70 years of age. Stroke is therefore a leading cause of disability in adults with functional movement disability being caused by spasticity, cognitive impairment, paresis, and depression. Disabling spasticity is defined as spasticity that is severe enough to require intervention. This post-stroke spasticity occurs in 4% of stroke survivors within 1 year of first-time stroke. Post-stroke spasticity – PSS management and rehabilitation is discussed in Acta Neurologica Scandinavica, 05/07/2013 by Sunnerhagen KS et al. from the Institute of Neuroscience and Physiology – Section for Clinical Neuroscience and Rehabilitation, Gothenburg University, Göteborg, Sweden.
Over 30,000 New Zealanders have a traumatic brain injury (TBI) each year. Added to this only 11 per cent of people with stroke receive any rehabilitation therapy after they leave hospital.
Chronic pain syndromes after ischemic stroke and are associated with increased functional dependence and cognitive decline.
In China rehabilitation post stroke is NOT standard care. Because of this Dr.Julie Bernhardt from the AVERT Early Intervention Research Program, Melbourne and Royal Hobart Hospital, Hobart, Tasmania, Australia has looked at studies post stroke in China to show that Rehabilitation exercise therapy post stroke improves activities of daily living and reduces disability. The report was published in International Journal of Stroke, 04/30/2013
Do improvements in a specific task used in massed practice therapy transfer to untrained tasks. This question was answered by Schaefer SY et al. from Washington University School of Medicine, St Louis, MO, USA in Neurorehabilitation and Neural Repair, 04/24/2013. The team aimed at showing that task-specific training is a viable approach for recovering motor function after stroke and also to help design task–specific training plans to maximize therapy benefits. The group found that for stroke patients with chronic mild to moderate hemiparesis the improvements in impairments achieved during task practice did transfer to untrained upper-extremity motor tasks e.g washing, feeding and dressing.
Active movement training of the ankle improves motor function and mobility post stroke. Waldman G et al. from Feinberg School of Medicine, Northwestern University, IL, USA looked at patients at least 3 months post stroke. Writing in NeuroRehabilitation, 04/19/2013 the group studied Robot-assisted passive stretching and active movement training as a means of intensive stroke rehabilitation for motor impairments post stroke. The outcome measures looked at include reduction in spasticity measured by modified Ashworth scale, mobility by Stroke Rehabilitation Assessment of Movement (STREAM),
Self care is about individuals taking responsibility for their own health and well-being.The experience of a stroke event may result in a disruption to the patients daily life. Stroke patients often report have fears that they will have permanent disability and this leads to major concerns over their ability to recover and be productive and engaged with family, friends and coworkers.