Location of the ischemic focus in rehabilitated stroke patients with impairment of executive functions

Jankowska, Agnieszka; Klimkiewicz, Robert; Kubsik, Anna; Klimkiewicz, Paulina; Śmigielski, Janusz; Woldańska-Okońska, Marta

doi:10.17219/acem/63138

Cited by 10 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…ED is the reduced ability to do something, and the decline or loss of problem-solving ability is the main feature. ED can be divided into the following three aspects: initiation, termination, and self-regulation disorder [16].…”

Section: Discussionmentioning

confidence: 99%

Effect of Executive Dysfunction on Posture Control and Gait after Stroke

Zhang

Liu

et al. 2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objective. The purpose of the study was to observe the effects of executive dysfunction (ED) on gait and postural control during walking after stroke. Methods. In this study, 34 subjects with stroke and ED (8 women and 26 men; age, 55.41 ± 7.89 years; time since stroke onset, 1.3 ± 0.12 months) were recruited. Stroop color-word test (SCWT), 10-meter walk test (10MWT), timed-up-and-go test (TUGT), and gait analysis were evaluated. The correlation among the correct number of Stroop tasks (SCWT-C), the number of time-consuming tasks (SCWT-T), the amount of interference (SIE-M and SIE-T) and posture control, and gait-related parameters was analyzed. Results. The results indicated that SCWT-C was negatively correlated with 10MWT, TUGT, and bilateral symmetry ( P < 0.05). However, there was no significant correlation between SCWT-C and stride ( P > 0.05). A significant negative correlation was seen between SCWT-C and bilateral symmetry ( P < 0.05). There was no significant correlation between SCWT-T and stride ( P > 0.05). SCWT-T was positively correlated with TUGT, 10MWT, and bilateral symmetry ( P < 0.05). SIE-T was positively correlated with TUGT and bilateral symmetry ( P < 0.05). There was no significant correlation between SIE-T and 10MWT or stride ( P > 0.05). SIE-M was positively correlated with TUGT and bilateral symmetry ( P < 0.05). There was no significant correlation between SIE-T and 10MWT or stride ( P > 0.05). Conclusions. ED is closely related to the decline in postural control and the occurrence of falls. In the early phases of stroke rehabilitation, physiotherapists should focus on the patients’ executive function to accelerate the recovery of postural control.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Executive Dysfunction on Posture Control and Gait after Stroke

Zhang

Liu

et al. 2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

show abstract

“…Some studies demonstrate larger executive dysfunction, involving impairment in critical thinking and planning [26,27], verbal working memory and verbal mental flexibility [27,30], cognitive and motor inhibition [28,30] and non-verbal mental flexibility [30], in patients with stroke located in the frontal rather than the rear areas of the brain. Other reports, however, do not confirm such findings, indicating no difference between the groups in terms of cognitive inhibition, verbal and non-verbal mental flexibility, critical thinking, verbal working memory and planning [27,29,31,32,34]. In addition, Pohjasvaara et al [35] and Zinn et al [36] reported greater executive dysfunction, manifested in basic and complex activities of daily living, in patients with stroke located in the frontal areas of the brain.…”

Section: Executive Dysfunction and Location Of Strokementioning

confidence: 93%

“…Research analyses also indicate that patients with lesions located in the frontal lobes compared to those with pathology in the subcortical structures struggle with similar executive difficulties within e.g. cognitive and motor inhibition [28], critical thinking, verbal and non-verbal mental flexibility [30,34].…”

Section: Executive Dysfunction and Location Of Strokementioning

confidence: 99%

Zaburzenia funkcji wykonawczych po udarze mózgu – możliwości i ograniczenia diagnozy

Tyburski¹,

Mak²,

Kurpisz³

et al. 2018

ppn

View full text Add to dashboard Cite

Purpose: A variety of neuropsychological symptoms, including executive dysfunction, are common consequences of a stroke. However, as demonstrated in literature reviews, there are still several unclear issues in this area. This article, therefore, provides description of specific components of executive dysfunction in stroke patients together with principles of their diagnosis. Views: Cerebral stroke is one of the most common causes of disability, with a devastating impact on the daily functioning of patients. Some of its common consequences are cognitive and behavioural disorders. Comorbid symptoms include premorbid personality changes and emotional disorders. A relatively new diagnostic category of post-stroke symptoms is the dysexecutive syndrome. It involves a variety of symptoms, such as ineffective performance, perseveration, rigidity of thought or impaired planning and predicting the consequences of one's actions. The dysexecutive syndrome is not a homogenous syndrome, and many researchers postulate its division into subunits, depending on the predominant symptoms. Conclusions: Executive dysfunction after stroke is an important clinical and social problem. Impaired performance of complex tasks or deficits within planning or reasoning have a marked effect on patients' social and professional functioning. The theoretical notion of dysexecutive syndrome may allow to better understand the scope and nature of patients' problems and implementation of more effective forms of neuropsychological rehabilitation.

show abstract

“…Zmiany w zakresie funkcjonowania tkanki nerwowej mózgu mają przełożenie na zwiększony wysiłek poznawczy [12,13,14]. Badania kliniczne dowodzą, że behawioralne zaburzenia poudarowe stabilizują się powoli, a niekiedy nigdy nie zostają ustabilizowane [7,[14][15][16][17][18].…”

Section: Udar Mózgu I Jego Skutki W Funkcjonowaniu Choregounclassified

Transcranial direct current stimulation (tDCS) in patients with aphasia after cerebral stroke

Kukuła¹,

Wiłkość-Dębczyńska²,

Michalska³

et al. 2020

Med Og Nauk Zdr.

View full text Add to dashboard Cite

Wprowadzenie i cel pracy. Udar mózgu oraz jego konsekwencje stanowią istotny problem medyczny, społeczny i ekonomiczny. Każda zmiana w obszarze mózgowym pociąga za sobą konsekwencje związane z funkcjonowaniem osoby w wielu istotnych dla życia obszarach: sferze fizycznej, poznawczej i emocjonalnej. Wśród obiecujących, choć nadal eksperymentalnych, metod rehabilitacji osób po udarach jest przezczaszkowa stymulacja prądem stałym (tDCS). Dotychczasowe badania wskazują na skuteczność tej metody w rehabilitacji afazji oraz funkcji poznawczych. Celem niniejszego artykułu jest przegląd dotychczasowych badań nad skutecznością tDCS u pacjentów z afazją po udarze mózgu w zakresie funkcjonowania poznawczego. Skrócony opis stanu wiedzy. Przezczaszkowa stymulacja prądem stałym jest eksperymentalną metodą wspomagania terapii dysfunkcji poznawczych u chorych z uszkodzeniem mózgu. Wykazano korzystny wpływ stymulacji tDCS na poprawę funkcjonowania pacjentów z afazją po udarach mózgu, nawet przy jednorazowych zabiegach. Doniesienia naukowe w tym obszarze głównie skupiają się na funkcjach językowych. Zdecydowanie mniej jest doniesień na temat usprawniania innych funkcji poznawczych, takich jak: uwaga, pamięć czy zdolność uczenia się u pacjentów afatycznych. Podsumowanie. Obecnie w metodzie tDCS można upatrywać duży potencjał, w szczególności w obszarze psychologii, neurologii i geriatrii. Biorąc pod uwagę dane statystyczne oraz prognozy demograficzne stale zwiększa się liczba udarów mózgu. Metoda tDCS może być wykorzystywana m. in. jako pozafarmakologiczne wspomaganie leczenia w udarach mózgu. Jednocześnie, mimo obiecujących doniesień w zakresie neurorehabilitacji z wykorzystaniem stymulacji stałoprądowej, metoda ta wciąż budzi wiele wątpliwości i ma status działań eksperymentalnych.

show abstract

Location of the ischemic focus in rehabilitated stroke patients with impairment of executive functions

Abstract: Background. Executive dysfunctions are part of the clinical symptoms of a stroke and can inhibit the process of rehabilitation. Patients with impaired executive functions may manifest aggression, impulsiveness, impaired thinking and planning.

Cited by 10 publications

References 8 publications

Effect of Executive Dysfunction on Posture Control and Gait after Stroke

Effect of Executive Dysfunction on Posture Control and Gait after Stroke

Zaburzenia funkcji wykonawczych po udarze mózgu – możliwości i ograniczenia diagnozy

Transcranial direct current stimulation (tDCS) in patients with aphasia after cerebral stroke

Contact Info

Product

Resources

About