Long-Term Effect of Participation in an Early Exercise and Education Program on Clinical Outcomes and Cost Implications, in Patients with TIA and Minor, Non-Disabling Stroke

Faulkner, J.; Stoner, Lee; Lanford, Jeremy; Jolliffe, Evan; Mitchelmore, Andrew; Lambrick, Danielle

doi:10.1007/s12975-016-0510-6

Cited by 15 publications

(14 citation statements)

References 26 publications

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“…Physical activity (PA) plays a central role in reducing these risks and improving cardiovascular performance 33 . PA also has benefits for bone structure, fatigue, cognition, mood, wellness, sensation, gait speed, social isolation, and has the potential to reduce treatment costs 34 .…”

Section: Physical Deconditioningmentioning

confidence: 99%

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Minelli

Bazan

Pedatella

et al. 2022

Arq. Neuro-Psiquiatr.

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The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.

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Section: Physical Deconditioningmentioning

confidence: 99%

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Minelli

Bazan

Pedatella

et al. 2022

Arq. Neuro-Psiquiatr.

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“…Therapeutic measures for ischemic stroke include medical treatment, interventional therapy, ischemic preconditioning, and surgical strategy 11,12 . As an important treatment for symptomatic severe stenosis of ICA 13–15 , the benefit of CEA has been limited by the perioperative complications.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Near-Infrared Spectroscopy Monitoring in Carotid Endarterectomy: A Prospective, Single-Center, Observational Study

Wang

et al. 2018

Cell Transplant

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There has been no gold standard for intraoperative monitoring in carotid endarterectomy (CEA) till now. The purpose of the current study was to investigate the value of near-infrared spectroscopy (NIRS) monitoring in CEA and explore the thresholds for intraoperative cerebral hypoperfusion. Eighty-four consecutive patients who underwent CEA surgery in Xuan Wu Hospital of Capital Medical University from August 2015 to June 2016 were enrolled in this study. All patients were intraoperatively monitored by transcranial Doppler ultrasonography (TCD) and NIRS. Regional oxygen saturation (rSO2) monitored by NIRS and blood flow velocity of the middle cerebral artery (V-MCA) monitored by TCD were continuously recorded. Correlation analysis was conducted for NIRS and TCD monitoring values. Intraoperative shunting was performed in five patients according to the TCD monitoring results and surgeon preference. During clamping of the carotid artery, the Pearson correlation index between rSO2 and V-MCA was 0.581 (P<0.001). A cut-off of 12.3% decrease of rSO2 was identified as the optimal threshold for intraoperative hypoperfusion indicated by TCD monitoring, when the sensitivity and specificity were 74.6% and 91.7%, respectively, with a 0.609 Kappa value. Physical examination immediately after operation showed no ischemic injury occurred, and no death and stroke occurred during the postoperative hospitalization. Our study demonstrated that NIRS could serve as a favorable monitoring tool during CEA. A 12.3% decrease of rSO2 could be adopted as a reliable threshold for intraoperative cerebral hypoperfusion.

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“… 3 Although some studies have attempted to demonstrate the impact of exercise habits on death in patients with CVD, the results were inconsistent. 4 5 In addition, most studies were based on a single baseline assessment of exercise with subsequent follow-up for mortality. Several studies have shown that such an assessment has time-limited predictive power and may be unable to accurately differentiate the effect of exercise per se from the influences of confounding factors such as genetic background, undetected comorbidities and changes in the variable of interest during follow-up.…”

Section: Introductionmentioning

confidence: 99%

Association between exercise habit changes and mortality following a cardiovascular event

Kang

Sung

Kim

et al. 2022

Heart

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ObjectiveTo investigate the associations between exercise habit changes following an incident cardiovascular event and mortality in older adults.MethodsWe analysed the relationship between exercise habit change and all-cause, cardiovascular and non-cardiovascular deaths in adults aged ≥60 years between 2003 and 2012 who underwent two consecutive health examinations within 2 years before and after diagnosis of cardiovascular disease (CVD). They were categorised into four groups according to exercise habit changes: persistent non-exercisers, exercise dropouts, new exercisers and exercise maintainers. Differences in baseline characteristics were adjusted using inverse probability of treatment weighting.ResultsOf 6076 participants, the median age was 72 (IQR 69–76) years and men accounted for 50.6%. Compared with persistent non-exercisers (incidence rate (IR) 4.8 per 100 person-years), new exercisers (IR 3.5, HR 0.73, 95% CI 0.58 to 0.91) and exercise maintainers (IR 2.9, HR 0.53, 95% CI 0.38 to 0.73) were associated with reduced risk of all-cause death. The rate of non-cardiovascular death was significantly lower in new exercisers (IR 2.3, HR 0.73, 95% CI 0.56 to 0.95) and exercise maintainers (IR 2.3, HR 0.61, 95% CI 0.42 to 0.90) than in persistent non-exercisers (IR 3.2). Also, trends towards reduced cardiovascular death in new exercisers and exercise maintainers were observed (p value for trend <0.001).ConclusionsMore virtuous exercise trajectories in older adults with CVD are associated with lower mortality rates. Our results support public health recommendations for older adults with CVD to perform physical activity.

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Long-Term Effect of Participation in an Early Exercise and Education Program on Clinical Outcomes and Cost Implications, in Patients with TIA and Minor, Non-Disabling Stroke

Abstract: Background: Participation in exercise and education programs following transient ischemic attack (TIA) or

Cited by 15 publications

References 26 publications

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

The Efficacy of Near-Infrared Spectroscopy Monitoring in Carotid Endarterectomy: A Prospective, Single-Center, Observational Study

Association between exercise habit changes and mortality following a cardiovascular event

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