Effect of mood symptoms on recovery one year after stroke

Donnellan, Claire; Hickey, Anne; Hevey, David; O’Neill, Desmond

doi:10.1002/gps.2482

Cited by 111 publications

(95 citation statements)

References 41 publications

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“…Finally, one could argue that also depression needs to be assessed because it can affect the impact of training through a modulation of motivation and performance. 33 We have not included such an evaluation because if depression would play such a role, it would bias the outcome of our results toward the null hypothesis.…”

Section: Discussionmentioning

confidence: 99%

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Cameirão

Badia²,

Duarte³

et al. 2012

Stroke

159

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Background and Purpose-Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects. Methods-To specifically address this issue, we developed 3 different configurations of the same VR-based rehabilitation system, the Rehabilitation Gaming System, using 3 different interface technologies: vision-based tracking, haptics, and a passive exoskeleton. Forty-four patients with chronic stroke were randomly allocated to one of the configurations and used the system for 35 minutes a day for 5 days a week during 4 weeks. Results-Our results revealed significant within-subject improvements at most of the standard clinical evaluation scales for all groups. Specifically we observe that the beneficial effects of VR-based training are modulated by the use/nonuse of compensatory movement strategies and the specific sensorimotor contingencies presented to the user, that is, visual feedback versus combined visual haptic feedback. Conclusions-Our findings suggest that the beneficial effects of VR-based neurorehabilitation systems such as the Rehabilitation Gaming System for the treatment of chronic stroke depend on the specific interface systems used. These results have strong implications for the design of future VR rehabilitation strategies that aim at maximizing functional outcomes and their retention. Clinical Trial Registration-This trial was not registered because it is a small clinical study that evaluates the feasibility of prototype devices.

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Section: Discussionmentioning

confidence: 99%

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Cameirão

Badia²,

Duarte³

et al. 2012

Stroke

159

View full text Add to dashboard Cite

show abstract

“…PSD is associated with restriction in social activities and higher dependence in the ADL in the chronic phase of stroke [75]. The most common risk factors associated with PSD are functional impairment, disability, cognitive dysfunction and a past history of depression [76]. The recognition of PSD risk factors may help physicians and rehabilitation teams apply interventions aimed at preventing PSD.…”

Section: Post-stroke Depressionmentioning

confidence: 99%

Determining quality of life in stroke survivors

Carod-Artal¹

2012

Expert Review of Pharmacoeconomics & Outcomes Research

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Post-stroke health-related quality of life (HRQoL) reflects a comprehensive view of subjective health and a measure of a person's perceived physical, mental and social health following stroke. Generic scales may enable comparisons between groups of patients with a diverse range of conditions, although they may underestimate the effect of stroke owing to its limited content validity. Stroke-specific HRQoL measures were designed to assess relevant domains that are important to stroke patients. The Stroke Impact Scale, the Stroke Specific Quality of Life scale and The Burden of Stroke Scale are specific HRQoL instruments developed in the last decade. Demographic factors, comorbidity, stroke severity, disability and psychosocial factors (e.g., post-stroke depression and social support) are significant predictors of HRQoL in stroke survivors. Stroke caregiver burden and HRQoL are inversely correlated. HRQoL measures are increasingly used to evaluate the effect of some therapeutic interventions in stroke survivors.

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“…The effects of adequate treatment of depression on successful therapy for other comorbid conditions has been demonstrated for other medical conditions such as chronic obstructive pulmonary disease 22 and stroke. 23 Perhaps the treatment of dry eye disease, then, would also benefit from treatment of depression and/or anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, we argue that the therapeutic intervention advocated in our study does not depend on causality. Treatment of depression has been shown to improve control of other chronic medical conditions 22,23 . Therefore, from a clinical perspective, dry eye disease, anxiety, and/or depression require treatment.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Dry Eye Disease and Depression and Anxiety in a Large Population-Based Study

Vaart

Weaver

Lefebvre

et al. 2015

American Journal of Ophthalmology

104

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Purpose To investigate the association between dry eye disease and each of depression and anxiety. Design Retrospective, case-control study Methods Setting University of North Carolina outpatient clinics Study Population All patients over the age of 18 years old seen between July of 2008 and June of 2013 were included in the analysis. Observation Procedure Cases were defined according to ICD-9 diagnosis codes for dry eye disease, anxiety, and depression. Outcome Measure Separate odds ratios were calculated for dry eye disease and each of anxiety and depression. Similar odds ratios were also calculated between dry eye disease and rheumatoid arthritis, a systemic disease with a known association with dry eye, as a way of validating our approach. Results A total of 460,611 patients were screened; 7,207 patients with dry eye were included, while 20,004 patients with anxiety and 30,100 patients with depression were included. The adjusted odds ratio for dry eye disease and anxiety was 2.8 (95% CI 2.6–3.0). For dry eye disease and depression, the odds ratio was 2.9 (95% CI 2.7–3.1). Conclusions We identified a statistically significant association between dry eye disease and each of depression and anxiety. Such an association has implications for ophthalmologists in the management and treatment of dry eye disease.

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Effect of mood symptoms on recovery one year after stroke

Cited by 111 publications

References 41 publications

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Determining quality of life in stroke survivors

The Association Between Dry Eye Disease and Depression and Anxiety in a Large Population-Based Study

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