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Saturday, May 9, 2020 | History

2 edition of Combining physical rehabilitation and pharmacotherapy for the treatment of hemiparetic stroke. found in the catalog.

Combining physical rehabilitation and pharmacotherapy for the treatment of hemiparetic stroke.

David Jay Gladstone

Combining physical rehabilitation and pharmacotherapy for the treatment of hemiparetic stroke.

by David Jay Gladstone

  • 103 Want to read
  • 21 Currently reading

Published .
Written in English


About the Edition

Results. Baseline hemiparesis was severe overall (mean FM score: 27.7 +/- 20.0). Motor scores improved during treatment in both groups (mean change, baseline to 3 months: 29.5 +/- 16.6). Repeated measures analysis of variance revealed no significant differences in recovery between the treatment groups for the entire cohort (n=67), or for subgroups with a severe hemiparesis (n=43), moderate hemiparesis (n=24), or cortically-based stroke (n=26). In the moderate subgroup, there was a significant drug x time interaction for upper extremity motor recovery (F=5.14, p<0.001), although there was a significant baseline imbalance in motor scores in this subgroup.Background. Improved neurorehabilitation interventions to promote stroke recovery are urgently needed. Hemiparesis affects about 80% of stroke survivors and is a leading cause of chronic disability and poor quality of life. In animals, dextroamphetamine (AMPH) paired with training enhances motor recovery, but its clinical efficacy is uncertain.Conclusions. In stroke patients with a severe motor deficit, AMPH 10 mg coupled with physiotherapy twice/week for 5 weeks in the early poststroke period provided no additional benefit in motor or functional recovery compared to physiotherapy alone. Patients with moderate severity hemiparesis deserve further investigation. Increased intensity and longer duration drug/therapy dosing regimens should be explored targeting the upper and lower limbs separately.Methods. In a randomized, double-blind, placebo-controlled trial, 71 stroke patients were stratified by hemiparesis severity and randomly assigned to 10 sessions of physiotherapy coupled with either AMPH 10 mg or placebo. Study treatments were administered by one physiotherapist, beginning 5-10 days poststroke and continuing twice/week for 5 weeks. Outcomes were assessed by one physiotherapist at baseline, after each treatment session, at 6 weeks, and at 3 months. The primary outcome was motor recovery (impairment level) on the Fugl-Meyer (FM) scale. Secondary outcomes assessed mobility/ambulation, arm/hand function, and independence in activities of daily living.

The Physical Object
Pagination158 leaves.
Number of Pages158
ID Numbers
Open LibraryOL21549513M
ISBN 109780494219744


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Combining physical rehabilitation and pharmacotherapy for the treatment of hemiparetic stroke by David Jay Gladstone Download PDF EPUB FB2

Pharmacotherapy is commonly given to patients recovering from a stroke to prevent further complications (e.g. recurrent stroke, seizures) or enhance recovery. However, some drugs may have a. Hemiparetic Gait in Stroke Neurorehabilitation group that received only standard acute rehabilitation treatment.

This paper will review results of a three-year follow-up of the 20 patients Author: Ekaterina Titianova. hemiparetic: [ hem″e-pah-ret´ik ] 1. pertaining to hemiparesis. one affected with hemiparesis. Hemiplegia Treatment Bobath PNF Stroke Therapy and Physiotherapy Motor relearning.

Video of different patients educate proper rehabilitation exercises for people with stroke. MuscleWeaknessAfterStroke: Hemiparesis Everyyear,morethan,peoplesuffera stroke,a“brainattack”thatoccurswhenblood ult,File Size: KB.

Physical Medicine and Rehabilitation articles covering symptoms, causes, diagnosis, treatment, rehabilitation, prognosis, and follow-up. Peer-reviewed and up.

In persons with hemiparetic stroke, assessment and promotion of fitness have so far received limited attention, partly because of the lack of appropriate measures applicable to thCited by:   A combination of mental practice and physical therapy is an effective treatment for people recovering from a stroke, according to researchers.

Mental practice and physical therapy are.