Shoulder pain affects from 16% to 72% of patients after a cerebrovascular accident. Hemiplegic shoulder pain causes considerable distress and reduced activity and can markedly hinder rehabilitation. The aetiology of hemiplegic shoulder pain is probably multifactorial. The ideal management of hemiplegic stroke pain is prevention. For prophylaxis to be effective, it must begin immediately after t...

Stroke is a devastating event that carries a potential for long-term disability. Malnutrition is frequently observed in patients with stroke, and dysphagia contributes to malnutrition risk. During both the acute phase of stroke and rehabilitation, specific nutritional interventions in the context of a multidisciplinary team effort can enhance the recovery of neurocognitive function. Early ident...

BACKGROUND Previous studies have demonstrated that organized, multidisciplinary care is the cornerstone of current strategies to reduce the death and disability caused by stroke. Identification of stroke units and an understanding of their composition and operation would provide insight for the further actions required to improve stroke care. The objective of this study was to identify and surv...

BACKGROUND AND PURPOSE The sensitivity of the brain to brief periods of profound ischemia or prolonged periods of modest ischemia mandates an aggressive approach to acute stroke care. Past studies have shown that many stroke patients do not receive acute care in an urgent and timely fashion. The formation of acute stroke teams (AST) is one approach that can be used to accelerate the delivery of...

background: stroke is a heterogeneous disease with several risk factors. high sensitivity c-reactive protein (hscrp) is a marker for cardiovascular and cerebrovascular diseases. recent studies have shown that high hscrp level is a risk factor for ischemic stroke. the objective of our study was to investigate the association of high hscrp (> 3 mg/l) levels with ischemic stroke and its subtypes i...

BACKGROUND AND PURPOSE Information technology and mobile devices may be beneficial and useful in many aspects of stroke management, including recognition of stroke, transport and triage of patients, emergent stroke evaluation at the hospital, and rehabilitation. In this review, we address the contributions of information technology and mobile health to stroke management. SUMMARY OF ISSUES Rap...

BACKGROUND AND PURPOSE Black Americans and residents of the Southeastern United States are at increased risk of stroke. Diet is one of many potential factors proposed that might explain these racial and regional disparities. METHODS Between 2003 and 2007, the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study enrolled 30 239 black and white Americans aged≥45 years....

STUDY OBJECTIVE Administration of tissue plasminogen activator (tPA) for acute ischemic stroke remains controversial in community practice. Well-organized hierarchic systems of acute stroke care have been proposed to link community hospitals to comprehensive stroke centers. We report safety and functional outcomes in patients treated with tPA in our regional emergency stroke network and compare...

One of the most important causes of long-term disability in both Japan and other Western countries is stroke. Although intravenous thrombolysis using recombinant tissue plasminogen activator (IV rt-PA) was approved in United States and Japan, few patients have been treated by IV rt-PA. The low utilization of IV rt-PA at present is quite similar to the Japanese national estimate. One of the most...

Background: The prognosis of stroke after an attack is very diverse. Some can recover, as usual, and some live with residual symptoms such mild to severe disability. However, a for the first time has significant risk repeat attack. So it necessary make lifestyle modifications factors they have, one which through community movement (GERMAS) in form education about CERDIK PATUH Healthy Lifestyle,...