| 1. |
- Algurén, Beatrix, 1977, et al.
(författare)
-
Functioning of stroke survivors--A validation of the ICF core set for stroke in Sweden.
- 2010
-
Ingår i: Disability and rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 32:7, s. 551-9
-
Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To validate the body functions and activities and participation part of the extended International Classification of Functioning, Disability, and Health (ICF) core set for stroke with a Swedish population in the first 3 months post-stroke. METHOD: At 6 weeks and at 3 months post-stroke, stroke survivors were evaluated by 59 ICF categories of body functions, 59 categories of activities and participation from the stroke ICF core set (extended version). RESULTS: The study sample included 99 stroke survivors (54% women) with an average age of 72 years. Statistical significant problems were identified in 28 ICF categories of body functions and in 41 ICF categories of activities and participation at both time points, at 6 weeks and at 3 months. About 17 ICF categories were reported as problems in independent (i.e. modified Rankin Scale (mRS) < or =2) and about 34 categories in dependent (i.e. mRS > 2) stroke survivors. CONCLUSIONS: The results suggest a possible reduction of the stroke ICF core set from 59 to 28 categories of body functions and from 59 to 41 categories of activities and participation. Hence, feasibility of the core set for multiprofessional assessment increases and the core set might find more integration in clinical practice. The number of problems in mobility and self-care mainly distinguished between independent and dependent stroke survivors.
|
|
| 2. |
- Ali, Myzoon, et al.
(författare)
-
VISTA-Rehab: a resource for stroke rehabilitation trials.
- 2010
-
Ingår i: International journal of stroke : official journal of the International Stroke Society. - : SAGE Publications. - 1747-4949. ; 5:6, s. 447-52
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Stroke rehabilitation is a complex intervention. Many factors influence the interaction between the patient and the elements of the intervention. Rehabilitation interventions are aimed at altering different domains of patient outcome including body functions, activity and participation. As a consequence, randomised clinical trials in this area are difficult to design. We developed an archive of stroke rehabilitation trials (VISTA-Rehab) to act as a resource to help trialists model and design future rehabilitation studies. METHODS: We developed specific eligibility criteria for the entry of stroke rehabilitation trials into the archive. We established a Steering Committee to oversee projects and publications and commenced the recruitment of rehabilitation trials into this resource. RESULTS: As of August 2009, VISTA-Rehab contains data from 23 stroke rehabilitation trials (>3400 patients). Demographic data, including age [median=73, interquartile range (63,79)], gender (male=53%) and initial dependency [median baseline Barthel index score=6, interquartile range (9,19)], are available for all patients. Outcome measures include the modified Rankin Scale, Barthel Index, Rivermead Motor Assessment, Fugl-Meyer Assessment, General Health Questionnaire and Nottingham Extended Activities of Daily Living Scale. CONCLUSION: VISTA-Rehab expands the Virtual International Stroke Trials Archive to include rehabilitation trials. Anonymised data can be used to examine questions specific to stroke rehabilitation and to generate novel hypotheses.
|
|
| 3. |
- Bergersen, Hilde, et al.
(författare)
-
Anxiety, depression, and psychological well-being 2 to 5 years poststroke.
- 2010
-
Ingår i: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. - : Elsevier BV. - 1532-8511. ; 19:5, s. 364-9
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: We sought to explore psychological well-being and the psychosocial situation in persons with stroke, 2 to 5 years after discharge from a specialized rehabilitation hospital. METHODS: The Hospital Anxiety and Depression Scale; the 30-item General Health Questionnaire; and a questionnaire were mailed to 255 former patients. RESULTS: A total of 64% answered (36% women), and the average age was 58 years. The Hospital Anxiety and Depression Scale identified problems in 47% (anxiety in 36% and depression in 28%) and 30-item General Health Questionnaire in 54%. About half had experienced periods of anxiety, depression, or both since discharge. Most were satisfied with support by family/friends (88%), home ward (68%), and community therapy services (57%). Marital status was as in the general population. CONCLUSIONS: Long after stroke, almost half of the investigated patients with stroke had psychiatric problems according to the questionnaires. This is higher than in the general population but is comparable with some other chronic, somatic populations in Norway.
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
- Carvalho, Christiane, et al.
(författare)
-
Walking speed and distance in different environments of subjects in the later stage post-stroke.
- 2010
-
Ingår i: Physiotherapy theory and practice. - : Informa UK Limited. - 1532-5040 .- 0959-3985. ; 26:8, s. 519-27
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study is to assess short- and long-distance walking performance in indoor and outdoor environments of slow and fast walkers' subjects living in the community in the later stage post-stroke. Thirty-six subjects with at least 6 months post-stroke were included and divided into two groups based on their walking speed in the clinical setting. Thirty-meter walk tests (30 mWT) at self-selected and maximum speeds were assessed in three environments: (1) clinical setting; (2) basement setting; and (3) outdoor setting. Six-minute walk test (6 MWT) distance was assessed in the clinical and outdoor settings. The differences between the 30 mWT and the 6 MWT, as measured by the actual distance obtained in the 6 MWT and the predicted distance calculated for the 30 mWT, were also investigated. There was no difference in walking speed when subjects performed short-distance walking in different environments. However, a difference was found in performance of long-distance walking. Subjects who walked 0.8 m/s or faster also walked further in the outdoor setting. The findings of our study demonstrate that in those who scored below 0.8 m/s, performance of short- and long-distance walking evaluated in an indoor environment reflects the results obtained in an outdoor environment. However, for subjects post-stroke who score 0.8 m/s or faster, distance was increased in the outdoor environments during long-distance walking. Walking speed obtained over a short distance seemed to overestimate long-distance walking capacity for the slow walkers, despite the environment.
|
|
| 7. |
- Danielsson, Anna, 1957, et al.
(författare)
-
Comparison of energy cost of walking with and without a carbon composite ankle foot orthosis in stroke subjects
- 2010
-
Ingår i: 13th ISPO World Congress, 10-15 May 2010, Leipzig, Germany.
-
Konferensbidrag (refereegranskat)abstract
- 13th ISPO World Congress Poster [3009] Abstract [207] | Topic: Orthotics Author: Danielsson, Anna (Göteborg SE) Dr. University of Gothenburg, Institute of Neuroscience and Physiology - Clinical Neuroscience and Rehabilitation Title: Comparison of Energy Cost of Walking with and without a Carbon Composite Ankle Foot Orthosis in Stroke Subjects Coauthors: Sunnerhagen KS, Willén C Summary: Oxygen cost, gait speed and perceived exertion was measured in 10 subjects with stroke walking with and without a carbon composite ankle foot orthosis. Walking with ankle foot orthosis was statistically less energy demanding and the speed somewhat higher compared to unbraced walking. Introduction: The opinions on effects of AFOs on functional outcome after stroke are inconsistent and the clinical significance of changes reported has been questioned. The improved walking velocity with an AFO as compared to unbraced walking seen in some studies may involve a reduction in energy cost. To our knowledge, only two studies report reduced energy cost with the use of an AFO. The aim was to measure and compare the energy expenditure and walking speed with and without a carbon composite AFO in stroke subjects. Methods: Ten persons with prior stroke, habituated to a carbon composite AFO were included. First the self-selected speeds on a tredmill without (speed I) and with (speed II) the AFO were determined in randomised order. The energy expenditure and heart rate were estimated with a stationary, computerized system for breath-by-breath analysis. Two measurements of energy expenditure were carried out with and without the AFO in randomized order at speed I. A third measurement was made with the AFO at speed II. Each trial lasted for five minutes. The measurements were repeated in reversed order once within one week. The energy cost per minute was divided by walking speed for estimation of energy cost per distance. Data was analysed with Wilcoxons sign rank test. Results: The mean self-selected walking speed was 20% higher (p = 0.027) with the ankle foot orthosis than without. Walking at speed I with an AFO was 4% less energy demanding (VO2 mL•kg-1•min-1) (p=0.028) than walking without AFO at the same speed. The energy cost (VO2 mL•kg-1•m-1) at speed I was also significantly lower with the AFO (p = 0.037) than without. Heart rate or perceived exertion did not differ between the two conditions. There was no significant difference in energy expenditure (VO2 mL•kg-1•min-1) between walking at speed I without AFO and speed II with AFO. However, the energy cost (VO2 mL•kg-1•m-1), was 12% lower (p=0.024) with the AFO. Heart rate and perceived exertion showed no difference between the two conditions. Conclusion: A carbon composite ankle foot orthosis may decrease energy demands and increase walking speed after stroke. The differences in energy cost seen in this study were small and not clinically significant whereas an increase in walking speed might have some impact on walking capacity. Further studies on the effects of an AFO on walking ability after stroke are wanted. References: Franceschini M, Massucci M, Ferrari L, Agosti M, Paroli C. Effects of an ankle-foot orthosis on spatiotemporal parameters and energy cost of hemiparetic gait. Clin Rehabil 2003;17(4):368-72. Corcoran PJ, Jebsen RH, Brengelmann GL, Simons BC. Effects of plastic and metal leg braces on speed and energy cost of hemiparetic ambulation. Arch Phys Med Rehabil 1970;51(2):69-77. de Wit DC, Buurke JH, Nijlant JM, Ijzerman MJ, Hermens HJ. The effect of an ankle-foot orthosis on walking ability in chronic stroke patients: a randomized controlled trial. Clin Rehabil 2004;18(5):550-7 Leung J, Moseley A. Impact of ankle-foot orthoses on gait and leg muscle activity in adults with hemiplegia: systematic literature review. Physiotherapy 2003;89(1):39-55. Danielsson A, Sunnerhagen KS. Energy expenditure in stroke subjects walking with a carbon composite ankle foot orthosis. J Rehabil Med 2004;36:165-8.
|
|
| 8. |
|
|
| 9. |
- Götherström, Galina, 1962, et al.
(författare)
-
Muscle strength in elderly adults with GH deficiency after 10 years of GH replacement.
- 2010
-
Ingår i: European journal of endocrinology / European Federation of Endocrine Societies. - 1479-683X. ; 163:2, s. 207-15
-
Tidskriftsartikel (refereegranskat)abstract
- CONTEXT: Only few studies have investigated the effects of GH replacement on muscle strength in elderly patients with GH deficiency (GHD). OBJECTIVE, DESIGN, AND PATIENTS: In this prospective open-labeled study, the effects of 10 years of GH replacement on muscle strength and neuromuscular function were followed in 24 elderly GHD adults (mean age of 65.2 years; range 61-74 years). Muscle strength was compared with reference values obtained from the background population. RESULTS: The mean initial GH dose of 0.72 mg/day was lowered to 0.37 mg/day. The mean IGF1 SDS increased from -1.10 at baseline to 1.17 at study end. GH replacement induced a sustained increase in lean body mass and a transient increase in isometric knee flexor strength. Isometric knee extensor strength was reduced after 10 years. However, after correction for age and gender, using observed/predicted value ratios, there was sustained and even progressive increase in most variables reflecting muscle strength. Measurements of neuromuscular function showed unchanged voluntary motor unit activation after 10 years. CONCLUSIONS: Ten years of GH replacement therapy in elderly GHD adults resulted in a transient increase in isometric knee flexor strength, and provided protection from most of the normal age-related decline in muscle performance and neuromuscular function.
|
|
| 10. |
- Hofgren, Caisa, 1952, et al.
(författare)
-
Return to work after acquired brain injury:facilitators and hindrances observed in a sub-acute rehabilitation setting
- 2010
-
Ingår i: Work. - 1051-9815. ; 36:4, s. 431-439
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: There is great variability in the rate of return to work for persons who have suffered from brain injury. The aims of this study was: 1) to describe employment status of persons with stroke or traumatic brain injury, one year after the incident and 2) to investigate the impact of injury/stroke severity, length of stay, the ability to perform activities of daily living and cognitive function on return to work. Participants and Methods: Information was collected from 72 persons; 48 with a diagnosis of stroke and 24 with a traumatic brain injury. All patients had attended to a Rehabilitation Centre with inpatient and outpatient facilities. Data of the above mentioned variables was gathered retrospectively and information about employment status was retrieved from the medical records. Results: After one year, 13 persons (≈ 18%), 5 with a stroke and 8 with a traumatic brain injury (one with mild brain injury, 9 with moderate and 3 persons with severe injuries) had returned to work. They had significantly shorter length of stay at the rehabilitation hospital and were younger than those that did not return to work. Somewhat better results at the neuropsychological screening were seen among those that returned to work, although with a significant difference only in the subscale assessing affect. Some persons with severe injury returned to work, while a majority of those with mild brain injury did not. Conclusion: Traumatic brain injury, younger age and less need of rehabilitation were associated with a higher rate of returning to work. Patients with stroke were older and seem to need more support in order to be successful in work return. It is of importance to reach primary rehabilitation goals, such as being ADL independent, as this was also favourable for work return. The impact of injury severity seemed complex and should to be further explored. Persons with mild brain injury should be followed-up with respect to work return. An important cognitive factor was ability to perceive and express affective responses, reflecting the need of social skills in today's work-life.
|
|
