VII. Rehabilitation

Shinohara, Yukito; Yanagihara, Takehiko; Abe, Kōji; Yoshimine, Toshiki; Fujinaka, Toshiyuki; Chuma, Takayo; Ochi, Fumio; Nagayama, Masao; Suzuki, Noriyuki; Katayama, Yasuo; Kimura, Akio; Liu, Meigen; Eto, Fumio

doi:10.1016/j.jstrokecerebrovasdis.2011.05.014

Cited by 41 publications

(29 citation statements)

References 158 publications

(183 reference statements)

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“…5) The rehabilitation program consisted of conventional physical therapy, occupational therapy, and speech therapy for a combined daily total of up to 180 minutes every day, in accordance with Japanese guidelines for the management of stroke. 6) During treatment in the long-term rehabilitation facility, the patient's hearing did not recover. Speech-languagehearing therapists examined the patient's language ability.…”

Section: Case Reportmentioning

confidence: 98%

A Case of Hearing Loss after Bilateral Putaminal Hemorrhage: A Diffusion-tensor Imaging Study

Koyama

Domen

2016

PRM

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Section: Case Reportmentioning

confidence: 98%

A Case of Hearing Loss after Bilateral Putaminal Hemorrhage: A Diffusion-tensor Imaging Study

Koyama

Domen

2016

PRM

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“…We considered it better to exclude these patients, because we cannot evaluate the effect of rehabilitation. Regarding the rehabilitation program, participants underwent physiotherapy, occupational therapy, speech-languagehearing therapy and functional feeding practice in accordance with the 2009 stroke guidelines for Japan [1] daily, of achieving 9 units per day (this is the daily maximum limit according to the national system for diagnosis and treatment, in which a 20-minute session is considered as 1 unit). In physiotherapy, standing up, sitting and standing motions in daily life, transfer motions, wheelchair driving, walking, as well as stair climbing and descending practice, were performed in a stepwise manner [10].…”

Section: Design Of the Studymentioning

confidence: 99%

“…For the selection of evaluation items, those recommended for the 2009 stroke guidelines for Japan [1] and Japanese Guidelines for the Physical Therapy (2011) [12] were used. Five evaluation items were used for classifying the types of participants: age as an indicator of patient attributes, mini-mental state examination (MMSE) as an indicator of cognitive function, the modified NIH Stroke Scale (m-NIHSS) [13] as an indicator of neurological symptoms, the trunk control test [14] as an indicator of motor function, and the "knee extensor strength on the non-paralyzed side / body weight" ratio (KES/ BW-US) [15].…”

Section: Classification Of the Patients And Characteristics Of Groupsmentioning

confidence: 99%

“…Rehabilitation programs for hemiplegic stroke patients often consist of training aimed at improving the patient's activities of daily living (ADL) and their ability to walk, which affect the patient's daily life, including the outcomes after hospital discharge [1][2][3]. In particular, the outcome of treatment at a rehabilitation hospital is directly linked to the prognosis, and therefore, methods for need to be established in order to design suitable training programs.…”

Section: Introductionmentioning

confidence: 99%

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Prognosis and Classification of Severely Hemiplegic Stroke Patients in a Rehabilitation Hospital

Hirano¹,

Nitta²,

Hayashi³

et al. 2017

Int J Phys Med Rehabil

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“…18) During hospitalization, patients underwent conservative treatments such as medication (e.g., anticoagulant or antiplatelet agents) and rehabilitation consisting of physical therapy, occupational therapy, and speech therapy for a combined daily total of up to 180 min. 19) The diagnosis of aphasia was based on clinical observation in consultation with board-certificated neurologists, neurosurgeons, speech-language-hearing pathologists, and a physiatrist. Subtypes of aphasia (e.g., total, motor, sensory, conduction, and transcortical) were further diagnosed in reference to the patients' abilities with respect to spontaneous speech, hearing/comprehension, naming, and repetition.…”

mentioning

confidence: 99%

Reduced Diffusion Tensor Fractional Anisotropy in the Left Arcuate Fasciculus of Patients with Aphasia Caused by Acute Cerebral Infarct

Koyama

Domen

2016

PRM

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INTRODUCTIONAphasia is a common symptom in the acute stage following cerebral infarct. 1) Recent neuroimaging studies have revealed many aspects of the neuropathology of aphasia. 2,3) Aphasia is often associated with lesions within language-related cortical regions such as Wernicke's and Broca's areas or within the neural fiber networks connecting these regions. 4,5) However, the contributions of specific tracts remain unclear, in part because white matter tract disruption cannot be detected by classical neuroimaging modalities. In contrast to classical neuroimaging techniques, magnetic resonance diffusion tensor imaging (DTI) enables the assessment of neural fiber integrity in vivo. 6) Consequently, DTI may be a useful tool for identifying the subcortical white matter structures responsible for aphasia.Most recent DTI studies of aphasia caused by cerebral infarct have investigated patients in the chronic stage. [7][8][9][10] However, patients with aphasia show various patterns of recovery during the months and years after stroke, 11,12) partially resulting from compensation and/or neural plasticity among language-related and other brain areas. 13-15) Accordingly, DTI studies of patients in the chronic phase may not be sufficient to fully describe the neuropathology of aphasia. In this study, we examined patients with aphasia caused by cerebral infarct in the acute stage by using DTI. 16) To determine the Background: Magnetic resonance diffusion tensor imaging (DTI) is a new technique that evaluates neural fiber integrity within the brain. We conducted DTI in patients exhibiting aphasia during the acute stage post-infarct and investigated the neural tracts responsible by comparison with DTI data from age-matched controls. Methods: Fractional anisotropy (FA) maps were generated from diffusion tensor brain images obtained from aphasic patients 14−21 days following their first infarct. Tract-based spatial statistics (TBSS) analysis was then applied. In addition, regions of interest (ROIs) were set within the right and left arcuate fasciculus, and mean FA values were extracted from individual TBSS data. The ratios between FA values in the left and right hemispheres were compared with those of the control group. Results: The study examined 10 aphasic patients and 21 age-matched controls. Brain maps from TBSS analysis revealed significantly reduced FA in the left arcuate fasciculus of the patient group compared with that in the control group. Copyright © 2016 The Japanese Association of Rehabilitation Medicine lesions responsible, we applied tract-based spatial statistics (TBSS) 17) in reference to age-matched control subjects.

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VII. Rehabilitation

Cited by 41 publications

References 158 publications

A Case of Hearing Loss after Bilateral Putaminal Hemorrhage: A Diffusion-tensor Imaging Study

A Case of Hearing Loss after Bilateral Putaminal Hemorrhage: A Diffusion-tensor Imaging Study

Prognosis and Classification of Severely Hemiplegic Stroke Patients in a Rehabilitation Hospital

Reduced Diffusion Tensor Fractional Anisotropy in the Left Arcuate Fasciculus of Patients with Aphasia Caused by Acute Cerebral Infarct

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