Combined pharmacological and motor training interventions for recovery of upper limb function in subacute ischemic stroke

Stănescu, Ioana; Dogaru, Gabriela; Bulboacă, Adriana Elena; Stan, Adina; Stanca, D.; Blesneag, Alina; Kallo, Rita

doi:10.12680/balneo.2017.145

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Motor rehabilitation was accompanied by speech and swallowing therapy. It is known that the duration of rehabilitation therapy is not clearly established: for stroke survivors, rehabilitation should provide as much scheduled therapy (occupational therapy and physiotherapy) as possible, with a minimum of three hours a day (9). After 14 days, the patient was included in a rehabilitation program consisting of daily physical exercises, for 3 hours per day, performed in the Rehabilitation Department of our hospital.…”

Section: Dwi Mri -Pontine Ischemic Strokementioning

confidence: 99%

Neurorehabilitation in basilar artery occlusion in a young patient with thrombophilia and antiphospholipid antibody syndrome – a case report

Catană¹,

Roman-Filip²

2019

Balneo

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Twenty percent of strokes occurring in young patients are represented by posterior ischemic strokes. Acute basilar occlusion is a devastating, life-threatening condition, with the highest mortality in young patients. We present the case of a 33-year-old female patient, without vascular risk factors or oral contraceptive treatment, admitted to our department through the emergency ward for comatose state -Glasgow Coma Scale (GCS) 11 points, headaches, right-sided hemiparesis, dizziness and vomiting, with acute onset. CT angiography was performed, which showed left vertebral artery with no flow in the intradural section and absent flow in the basilar artery. After more than 12 hours from onset, endarterectomy was excluded; initiation of treatment with heparin 1000 IU/hour was decided. MRI performed after 24 hours revealed: subacute median and left paramedian pontine ischemic stroke, subacute stroke in the base of the left midbrain peduncle. The following diagnosis was established: pontine ischemic stroke caused by two autoimmune diseases: thrombophilia and antiphospholipid antibody syndrome. Our patient started rehabilitation very early and was discharged with the following neurological sequelae: tetraparesis with the predominance of left hemiparesis: 4/5 on the Medical Research Council strength scale (MRC) -right limbs, 3/5 on the Medical Research Council strength scale (MRC) -left limbs, and dysphagia for liquids.

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Section: Dwi Mri -Pontine Ischemic Strokementioning

confidence: 99%

Neurorehabilitation in basilar artery occlusion in a young patient with thrombophilia and antiphospholipid antibody syndrome – a case report

Catană¹,

Roman-Filip²

2019

Balneo

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“…The syndromes resulting are various and greatly depending on aetiology, severity, prognosis and recovery possibilities. Over the past 20 years an important changes in the early diagnosis, treatment and rehabilitation techniques were made (1)(2)(3)(4). Stroke is the fourth killer and the first cause of adult long term disability in United States (US) (5).…”

Section: Introductionmentioning

confidence: 99%

The importance of visuo-motor coordination in upper limb rehabilitation after ischemic stroke by robotic therapy

Bulboacă

Stănescu

Dogaru

et al. 2019

BALNEO

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Stroke is an acute hypoperfusion of cerebral parenchyma that most often leads to outstanding motor deficits that can last for the rest of the patient’s life. The purpose of the neurorehabilitation process is to limit, as far is possible for the motor deficits and to bring the patient to an independent life. A modern method consists in robotic neurorehabilitation which is more and more used, associated with functional electrical stimulation (FES). At the lower limb, the use of robotic rehabilitation associated with FES is already considered a success due to relatively stereotypical movements of the lower limb. In opposition, the upper limb is more difficult to rehabilitate due to its more complex movements. Therefore, eye-hand coordination (EHC) constitutes an important factor that is conditioning the rehabilitation progress. The eye-hand coordination can be brutally disturbed by stroke with critical consequences on motor-executive component. The EHC development depends on the interaction between a feedback complex and the prediction of the upper limb motility in the space, and requires the association between visual system, oculomotor system and hand motor system. We analyzed the stroke impact on this sensorial-motor functional integration and looked for a possible solution for the interruption of coordination between eyes and the movements of the superior limb. We consider that our study can contribute to a better understanding and to a faster rehabilitation of the motor deficit in the upper limb after stroke. Key words: stroke, rehabilitation, eye-hand coordination, robotic neurorehabilitation,

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Cerebrolysin for acute ischaemic stroke

Зиганшина

Abakumova

Hoyle

2020

Cochrane Database of Systematic Reviews

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Combined pharmacological and motor training interventions for recovery of upper limb function in subacute ischemic stroke

Cited by 3 publications

References 7 publications

Neurorehabilitation in basilar artery occlusion in a young patient with thrombophilia and antiphospholipid antibody syndrome – a case report

Neurorehabilitation in basilar artery occlusion in a young patient with thrombophilia and antiphospholipid antibody syndrome – a case report

The importance of visuo-motor coordination in upper limb rehabilitation after ischemic stroke by robotic therapy

Cerebrolysin for acute ischaemic stroke

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