Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) applied to the non-lesional hemisphere is reported to significantly improve motor function of the affected upper limb in adult stroke patients with hemiparesis. For pediatric stroke patients, the beneficial effects of LF-rTMS have been already confirmed in a randomized controlled study. However, there is no report of therapeut...

BACKGROUND AND PURPOSE Surface neuromuscular electrical stimulation (sNMES) after stroke aims to improve upper limb function and reduce shoulder pain, but current evidence of effectiveness is inconclusive. We have undertaken a randomized controlled trial to evaluate sNMES to the shoulder after acute stroke. METHODS One hundred seventy-six patients, within 10 days of stroke onset, were randomi...

crush injury of an extremity occurs when a limb is compressed between two hard surfaces, to the point where vascular supply is impaired and vulnerable tissues undergo necrosis. most commonly, limbs are crushed during auto versus pedestrian accidents, motor vehicle crashes, and industrial accidents. however, during natural disasters such as earthquakes, buildings collapse, landslides, mine cave-...

OBJECTIVE Neurological dysfunction commonly occurs in the upper limb contralateral to the hemisphere of the brain in which stroke occurs; however, the impact of stroke on function of the ipsilesional upper limb is not well understood. This study aims to systematically review the literature relating to the function of the ipsilesional upper limb following stroke and answer the following research...

Epithelioid hemangioendothelioma is a rare vascular tumor with cytologic behavior between angiosarcoma and hemangioma. We present the case of a 58-year-old male with primary epithelioid hemangioendothelioma of the distal radius measuring 6.2 × 5 cm with extension into the pronator quadratus and brachioradialis muscles. We discuss our approach to performing a limb-sparing resection combined with...

After Cerebro-Vascular Accident (CVA), restoration of normal function, such as locomotion, depends on reorganization of existing central nervous system (CNS) circuitry. This capacity for reorganization, generally referred to as plasticity, is thought to underlie many instances of functional recovery after injury as well as learning and memory in the undamaged CNS. Both the reorganization of the...

Three cases are described in which extensive livedo reticularis was associated with premature cerebrovascular disease. The patients presented with transient cerebral ischaemic attacks and gradually developed permanent neurological damage with intellectual impairment. The value of detailed neuropsychological testing to identify bilateral cortical abnormalities is demonstrated. CAT scanning may r...

To investigate local blood-flow regulation during orthostatic maneuvers, 10 healthy subjects were exposed to -20 and -40 mmHg lower body negative pressure (LBNP; each for 3 min) and to 60 degrees head-up tilt (HUT; for 5 min). Measurements were made of blood flow in the brachial (BF(brachial)) and femoral arteries (BF(femoral)) (both by the ultrasound Doppler method), heart rate (HR), mean arte...

SYNTAX stands for SYNergy between percutaneous coronary intervention (PCI) with TAXus and cardiac surgery. The trial compared the outcome of surgical and catheter-based revascularization in 3075 patients with multivessel and/or left main CAD. At each of the 85 participating sites (62 in Europe, 23 in USA), a team involving cardiac surgeon(s) and interventional cardiologist(s) evaluated both the...

The purpose of the article is to analyze recommendations for physical therapy methods after acute cerebrovascular accident. Most often, complications function upper limb occur, this causes difficulties in everyday and professional life. In most cases, arm restored worse than leg. case insufficient restoration hand function, an occupational therapist teaches patient basic skills self-care: eatin...