Poststroke Fatigue and Motor Recovery After Ischemic Stroke

Abstract

The aim: To determine the effect of post-stroke fatigue on the motor recovery after ischemic stroke. Materials and methods: The study was conducted on the basis of the department of vascular neurology of the Uzhhorod Central City Clinical Hospital during the six months of 2020. We examined 92 patients who suffered a hemispheric ischemic stroke in the early recovery period. Results: At the end of therapy, improvement of motor function was observed in patients in both groups. We received a significant improvement(p<0,05) in the patients of the main group on the SSS and 6-point scale of muscle strength. We found that a high score on the FAS showed a significant correlation with the worst dynamics of recovery on the NIHSS, Scandinavian scale of stroke and 6-point scale of muscle strength (p <0,05). Conclusions: According to the results of the study, it was found that the presence of post-stroke fatigue significantly impairs the improvement of motor functions in patients with hemispheric ischemic stroke, patients who had more severe fatigue had worse recovery rates after stroke.

Non-invasive Brain Stimulation and Prism Adaptation in Art Constructive Errors in Painting

“…Another explanation is the fact that all patients with neglect received a modification of prism adaption by mirror therapy at baseline. In contrast to prism adaption, mirror therapy showed improvement in visuospatial unilateral neglect with success ( Pulyk & Hyryavets, 2018 ). It was previously shown that mirror therapy three times a week for 20 minutes for three months performed better at the neglect test after the intervention compared to the control group.…”

“…It was previously shown that mirror therapy three times a week for 20 minutes for three months performed better at the neglect test after the intervention compared to the control group. Mirror training acts by activating the mirror neuron system ( Pulyk & Hyryavets, 2018 ; Zhang et al, 2018 ).…”

Improving physical movement during stroke rehabilitation: investigating associations between sleep measured by wearable actigraphy technology, fatigue, and key biomarkers

“…Following stroke, neuroscience research has demonstrated that the severity of cortical damage [ 1 , 2 ], inflammatory response to stroke [ 3 ], genetic factors [ 4 ], circadian disruption [ 5 ], and depression and anxiety [ 6 , 7 ] may affect movement outcomes. While the field of physical rehabilitation has also shown that, in the clinic, the severity of stroke [ 8 ], sleep disruption [ 9 – 15 ], fatigue [ 16 – 21 ], inflammation [ 22 – 24 ], depression and anxiety [ 25 , 26 ], and the presence of comorbidities [ 27 – 29 ], all coalesce to affect both engagement in rehabilitation and motor recovery. To date, however, there has been little acknowledgement that many of these factors may be influenced by the rehabilitation hospital environment.…”