Stroke outcome research.

Gresham, Glen E.

doi:10.1161/01.str.17.3.358

Cited by 92 publications

(39 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This finding is in agreement with the general assumption about the speed of neurological (and with that, functional) recovery after stroke (ie, the largest improvements are observed early after stroke onset and these changes subsequently gradually level off). 3,6,22 However, in part, gradual smaller change scores over time may have been the result of the availability of a reduced range for changes (ceiling effect).…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] According to Gresham, time itself appears to be one of the most important, although neglected, factors in our understanding of functional recovery after stroke. 6 To date, no study has been published that investigated the longitudinal time-dependent relationship between recovery of impairments, such as strength, synergism, visuospatial inattention, and recovery of disabilities such as gait after stroke. As a consequence, the impact of these changes as a function of time on regaining independent gait after stroke is not well understood.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Predicting Improvement in Gait After Stroke

Kollen

Port

Lindeman

et al. 2005

Stroke

235

179

View full text Add to dashboard Cite

Background and Purpose-To study the longitudinal relationship of functional change in walking ability and change in time-dependent covariates and to develop a multivariate regression model to predict longitudinal change of walking ability. Methods-A total of 101 acute stroke patients with first-ever ischemic middle cerebral artery strokes was used as the population. Prospective cohort study based on 18 repeated measurements over time during the first poststroke year. Baseline characteristics as well as longitudinal information from functional ambulation categories (FAC), Fugl-Meyer leg score (FM-leg), Motricity index leg score (MI-leg), letter cancellation task (LCT), Fugl-Meyer balance (FMbalance), and timed balance test (TBT) were obtained. Intervention consisted of a basic rehabilitation program with additional arm, leg, or air splint therapy. Main outcome measure constituted change scores on FAC over time. Results-In total, 1532 of the 1717 change scores were available for regression analysis. The regression model showed that TBT change scores were the most important factor in predicting improvement on FAC (␤ϭ0.094; PϽ0.001) followed by changes scores on FM-leg (␤ϭ0.014; PϽ0.001) and reduction in LCT omissions (␤ϭϪ0.010; PϽ0.001) and MI leg test (␤ϭ0.001; PϽ0.001). In addition, time itself was significantly negatively associated with improvement (␤ϭϪ0.002; PϽ0.001). Conclusion-Improvement in standing balance control is more important than improvement in leg strength or synergism to achieve improvement in walking ability, whereas reduction in visuospatial inattention is independently related to improvement of gait. Finally, time itself is an independent covariate that is negatively associated with change on FAC, suggesting that most pronounced improvements occur earlier after stroke.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Predicting Improvement in Gait After Stroke

Kollen

Port

Lindeman

et al. 2005

Stroke

235

179

View full text Add to dashboard Cite

show abstract

“…Gresham (1986) described spontaneous recovery as being "spontaneous return of some degree of neurological function" which is thought to be completed by six months post stroke. Gresham explained that this "recovery" may be marginal or dramatic.…”

Section: Spontaneous Recoverymentioning

confidence: 99%

A comparison of two approaches in the treatment of perceptual problems after stroke

Edmans¹,

Webster

Lincoln

2000

Clin Rehabil

View full text Add to dashboard Cite

“…41 The pattern of motor function recovery: till date, neurological recovery after stroke is not fully understood. 42,43 Although, various mechanisms have been propounded like vicariation of function theory suggesting that the lesion area retrieves by tissue repair and its function is taken over by other cortical and subcortical structures, either adjacent to or remote from the discredited area, and this process is known as resolution of diaschisis. 44,45 Thus, it may be inferred that diaschisis and vicariation of function was initiated due to the inherent actions of the trial drugs such as resolvent, morcellator, attenuant, brain and nerve tonic and stimulant, and as a result, the improvement in ADL of participants with post stroke disability was observed.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Mā-Ul-Ūsool, Mus'hil-E-Balgham and Inkibāb With Marzanjosh in Management of Post- Stroke Disability With Respect to Adl: A Black Box Study

Alam¹,

Khalid²,

Ansari³

2017

J Biol Sci Opin

View full text Add to dashboard Cite

Falij-e-Nisfi (hemiplegia) is a disease characterized by loss of motor and sensory functions in longitudinal half of the body. The present study was conducted to evaluate the efficacy of Ma-ul-Usool (root extracts), Mus'hil-e-Balgham (phlegm purgative) and Inkibab (steam inhalation) with Marzanjosh in management of post-stroke disability with respect to Activities of Daily Living (ADL) on scientific parameters. It was an open label, pre and post without control clinical trial for the period of 30 days conducted on 29 eligible cases of hemiplegia due to stroke. Nuskha Ma-ul-Usool was administered in form of decoction once in morning on an empty stomach for 15 days; then Nuskha Mus'hil-e-Balgham was added with Ma-ulUsool and given on 13 th and 15 th day of treatment in order to induce purgation. From 16 th day onwards, Inkibab (steam inhalation) was started with 20 gm of Marzanjosh once a day daily till the end of the study. The pre and post treatment values of Barthel Index Scale were analyzed by paired t test to assess ADL in the participants. Significant improvement (P<0.05) was observed in ADL of participants at the end of treatment. No side effect was observed during and after the study; overall compliance to the treatment was satisfactory. The study concluded that trial formulations have statistically significant effect in improving the ADL of post stroke disability cases.

show abstract

Stroke outcome research.

Cited by 92 publications

References 19 publications

Predicting Improvement in Gait After Stroke

Predicting Improvement in Gait After Stroke

A comparison of two approaches in the treatment of perceptual problems after stroke

Efficacy of Mā-Ul-Ūsool, Mus'hil-E-Balgham and Inkibāb With Marzanjosh in Management of Post- Stroke Disability With Respect to Adl: A Black Box Study

Contact Info

Product

Resources

About