Stroke Rehabilitation

Publication Title: 
Topics in Stroke Rehabilitation

PURPOSE: This article presents a systematic review of the literature pertaining to the use of yoga in stroke rehabilitation. In addition, we present the results of a small pilot study designed to explore the hypothesis that a Kundalini yoga practice of 12 weeks would lead to an improvement in aphasia as well as in fine motor coordination in stroke patients.

Author(s): 
Lynton, Holly
Kligler, Benjamin
Shiflett, Samuel
Publication Title: 
NeuroRehabilitation

BACKGROUND: Cognitive impairment is a well-established sequela of people suffering from neurological pathologies. OBJECTIVE: To examine the effects of exercise intervention programs on cognitive performance in participants suffering from stroke, multiple sclerosis and Parkinson's disease. METHODS: Four online databases (CINAHL, Cochrane Library, MEDLINE, PEDro) were comprehensively searched from their inception through December 2014.

Author(s): 
Kalron, Alon
Zeilig, Gabi
Publication Title: 
Medical Care

BACKGROUND: Heart disease, stroke, and chronic obstructive pulmonary disease (COPD) are the leading causes of death and disability worldwide. Although individuals with these conditions have been reported to benefit from yoga, its effectiveness remains unclear. OBJECTIVE: To perform a systematic review of the effectiveness of yoga on exercise capacity, health related quality of life (HRQL), and psychological well-being for individuals with chronic disease and describe the structure and delivery of programs.

Author(s): 
Desveaux, Laura
Lee, Annemarie
Goldstein, Roger
Brooks, Dina
Publication Title: 
Journal of Neurology

BACKGROUND: Acupuncture has been suggested as a treatment for stroke rehabilitation, but the question whether it is effective has not been answered satisfactorily. PURPOSE: To summarise and critically review all randomised controlled trials of the effectiveness of acupuncture as a treatment for stroke. METHODS: Four independent computerised literature searches (in MEDLINE, Cochrane Controlled Trials Register, Embase, and CISCOM data bases) were conducted in June 1999.

Author(s): 
Park, J.
Hopwood, V.
White, A. R.
Ernst, E.
Publication Title: 
Stroke

BACKGROUND AND PURPOSE: Acupuncture may be a promising treatment for poststroke paralysis. We conducted a meta-analysis, assessing the efficacy of acupuncture with and without stroke rehabilitation. METHODS: We identified randomized trials comparing acupuncture with no acupuncture within 6 months of stroke by searching MEDLINE, CINAHL, EMBASE, Cochrane Library, and Chinese medical literature databases. Two reviewers independently extracted data on study characteristics, patient characteristics, and impairment and disability outcomes.

Author(s): 
Sze, Frank Kai-hoi
Wong, Eric
Or, Kevin K. H.
Lau, Joseph
Woo, Jean
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

This short speculative report describes the outcome of three studies looking at the effect of acupuncture on stroke recovery and the subsequent place of residence of the subjects entered. It is not a systematic review and does not endeavor to provide comprehensive data on the effect of acupuncture on post-stroke recovery. Our observations demonstrate that patients may be more likely to remain independent and in their own homes one year post stroke if they receive acupuncture. This conclusion is supported by our study and two previous trials.

Author(s): 
Hopwood, Val
Lewith, George T.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Urinary incontinence can affect 40-60% of people admitted to hospital after a stroke, with 25% still having problems on hospital discharge and around 15% remaining incontinent at one year. OBJECTIVES: To determine the optimal methods for prevention and treatment of urinary incontinence after stroke in adults.

Author(s): 
Thomas, L. H.
Barrett, J.
Cross, S.
French, B.
Leathley, M.
Sutton, C.
Watkins, C.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Stroke is the third leading cause of death in Western society; in China it is the second most common cause of death in cities and the third in rural areas. It is also a main cause of adult disability and dependency. Acupuncture for stroke has been used in China for hundreds of years and is increasingly practiced in some Western countries. OBJECTIVES: To assess the efficacy and safety of acupuncture for patients with stroke in the subacute or chronic stage.

Author(s): 
Wu, H. M.
Tang, J. L.
Lin, X. P.
Lau, J.
Leung, P. C.
Woo, J.
Li, Y. P.
Publication Title: 
Topics in Stroke Rehabilitation

BACKGROUND AND PURPOSE: The purpose of this project was to create guidelines for 13 types of physical rehabilitation interventions used in the management of adult patients (>18 years of age) presenting with hemiplegia or hemiparesis following a single clinically identifiable ischemic or hemorrhagic cerebrovascular accident (CVA). METHOD: Using Cochrane Collaboration methods, the Ottawa Methods Group identified and synthesized evidence from comparative controlled trials.

Author(s): 
Ottawa Panel
Khadilkar, Amole
Phillips, Karin
Jean, Nathalie
Lamothe, Catherine
Milne, Sarah
Sarnecka, Joanna
Publication Title: 
Topics in Stroke Rehabilitation

A number of randomized controlled trials of acupuncture for stroke recovery were critically reviewed, beginning with an existing systematic review and meta-analysis. A number of these clinical studies suffered from methodological flaws that tended to obscure and reduce the reported effect size. These flaws included inadequate statistical analysis, failure to adequately account for differences in baseline stroke severity, and the use of an inadequate posttreatment assessment period.

Author(s): 
Shiflett, Samuel C.

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