Database : MEDLINE
Search on : Hemiplegia [Words]
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[PMID]: 25480803
[Au] Autor:Hyde C; Fuelscher I; Enticott PG; Reid SM; Williams J
[Ad] Address:Cognitive Neuroscience Unit, School of Psychology, Deakin University, Melbourne, Victoria, Australia c.hyde@deakin.edu.au....
[Ti] Title:Rapid On-Line Control to Reaching Is Preserved in Children With Congenital Spastic Hemiplegia: Evidence From Double-Step Reaching Performance.
[So] Source:J Child Neurol;30(9):1186-91, 2015 Aug.
[Is] ISSN:1708-8283
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This study aimed to investigate the integrity of on-line control of reaching in congenital spastic hemiplegia in light of disparate evidence. Twelve children with and without spastic hemiplegia (11-17 years old) completed a double-step reaching task requiring them to reach and touch a target that remained stationary for most trials (viz nonjump trial) but unexpectedly displaced laterally at movement onset for a minority of trials (20%: known as jump trials). Although children with spastic hemiplegia were generally slower than age-matched controls, they could account for target perturbation at age-appropriate levels shown by a lack of interaction effect on movement time and nonsignificant group difference for time to reach trajectory correction on jump trials. Our data suggest that at a group level, on-line control of reaching may be age-appropriate in spastic hemiplegia. However, our data also highlight the need to experimentally acknowledge the considerable heterogeneity of the spastic hemiplegia population when investigating motor cognition.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1177/0883073814556310

  2 / 12021 MEDLINE  
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[PMID]: 25784506
[Au] Autor:Chen B; Yu HX; Zhang J; Li XX; Wu XG; Yang SJ; Qi YX; Yan C; Wang ZG
[Ad] Address:Department of Vascular Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; Department of Vascular Surgery, Xuan Wu Hospital, Capital Medical University, Beijing, China. Electronic address: Chenbing@chinamedicalnews.net....
[Ti] Title:Endovascular revascularization for carotid artery occlusion in patients with Takayasu arteritis.
[So] Source:Eur J Vasc Endovasc Surg;49(5):498-505, 2015 May.
[Is] ISSN:1532-2165
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVES: Type I Takayasu arteritis is a progressive inflammatory disease involving the aortic arch and its main branches. If untreated, patients may develop a variety of serious conditions ranging from hemiplegia to death. Whilst there is a relatively strong evidence base for the outcome of surgical techniques, few reports have focused on revascularization using an endovascular technique in patients with Takayasu arteritis. METHODS: From May 2007 to March 2013, 11 consecutive patients with Takayasu arteritis presenting with severe cerebral ischemia symptoms caused by occlusive lesion in carotid artery underwent elective revascularization, 10 on the left carotid artery and 1 on the right. All patients received immunosuppressive treatment pre-and post-operation. Contraindications to open surgery included: ESR >40 mm/h; ipsilateral cerebral infarction of <2 weeks duration and sufficient poor health whereby the patient cannot tolerate general anesthesia. Quality of life was analyzed using the EQ-5D questionnaire before and after surgery. RESULTS: Patients were followed for a mean of 31.6±27.4 months. Seven cases of total occlusion and 2 cases of severe stenosis were recanalized successfully and experienced clinical remission. Recanalization failed in 2 patients, both of whom had occlusion of a long segment of the artery. Initial endovascularization comprised small diameter, low pressure dilatation only to allow time for the reopened arteries to respond. If clinically indicated, repeat angioplasty with a larger diameter balloon was performed 1-3 months later. Major complications occurred in 2 patients. Eight of the recanalized carotid arteries were patent at the end of follow-up and patients had satisfactory quality of life CONCLUSIONS: In patients with Takayasu arteritis, carotid artery recanalization via endovascular surgery combined with immunosuppressive therapy is effective and can be performed safely and repeatedly. The improvement in carotid artery blood flow supplying the central nervous system relieves symptoms of cerebral ischemia and is associated with an improved quality of life.
[Mh] MeSH terms primary: Arterial Occlusive Diseases/surgery
Brain Ischemia/surgery
Carotid Artery, Common/surgery
Takayasu Arteritis/surgery
[Mh] MeSH terms secundary: Adolescent
Adult
Arterial Occlusive Diseases/complications
Child
Endovascular Procedures/methods
Female
Humans
Male
Middle Aged
Quality of Life
Takayasu Arteritis/complications
Treatment Outcome
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Js] Journal subset:IM
[Da] Date of entry for processing:150430
[St] Status:MEDLINE

  3 / 12021 MEDLINE  
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[PMID]: 24990007
[Au] Autor:Amichai T; Katz-Leurer M
[Ad] Address:Sackler Faculty of Medicine, School of Health Professions, Physical Therapy Department, Tel-Aviv University, Tel-Aviv, Israel.
[Ti] Title:Heart rate variability in children with cerebral palsy: review of the literature and meta-analysis.
[So] Source:NeuroRehabilitation;35(1):113-22, 2014.
[Is] ISSN:1878-6448
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:OBJECTIVE: A systematic review which aims to assess the evidence regarding the function of the autonomic heart rate regulation system among children with cerebral palsy (CP). METHODS: The target population included children with CP of diverse severity, aged 1.5 to 18 years. Databases searched for English language studies from 1960 to 2013: PubMed, EMBASE, CINAHL, Cochrane Library, The Physiotherapy Evidence Database (PEDro), and ClinicalTrials.gov site. Search terms included 'cerebral palsy' or 'spastic diplegia' or 'hemiplegia' or 'quadriplegia' and 'autonomic nervous system' or 'heart rate variability' or 'sympathetic' or 'para sympathetic'. Twenty five articles were identified and included if (1) participants were less than 18 years of age, (2) diagnosis of CP was made after the age of 18 months (3) more than 80% of cases had a diagnosis of CP and (4) autonomic cardiac heart rate regulation system state or response to a stimuli was described for all the participants. Six articles met the criteria for inclusion. RESULTS: Evidence suggests that reduced Heart Rate Variability (HRV) time domain parameters close to birth are associated with a CP diagnosis at the age of three years. In addition, HRV parameters' mean values, are significantly lower among children with CP compared to typically developed (TD) control. While performing head up, tilt or standing position, HRV was significantly reduced only among TD control, but no effect was seen in those variables among children with CP. CONCLUSION: Further studies are needed to assess the potential to predict CP by assessing HRV parameters among newborn children. In addition, assessing HRV among children with CP may improve our understanding of the heart rate autonomic system and its response to different stimulus such as muscle contraction, paced breathing and aerobic training.
[Mh] MeSH terms primary: Cerebral Palsy/diagnosis
Cerebral Palsy/physiopathology
Heart Rate/physiology
[Mh] MeSH terms secundary: Adolescent
Cerebral Palsy/epidemiology
Child
Child, Preschool
Female
Hemiplegia/diagnosis
Hemiplegia/epidemiology
Hemiplegia/physiopathology
Humans
Infant
Male
Physical Therapy Modalities/trends
Posture/physiology
[Pt] Publication type:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Entry month:1507
[Js] Journal subset:IM
[Da] Date of entry for processing:140905
[St] Status:MEDLINE
[do] DOI:10.3233/NRE-141097

  4 / 12021 MEDLINE  
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[PMID]: 24990003
[Au] Autor:Rousseaux M; Daveluy W; Kozlowski O; Allart E
[Ad] Address:Neurological Rehabilitation Unit, Hôpital Swynghedauw, CHRU of Lille, Lille, France....
[Ti] Title:Onabotulinumtoxin-A injection for disabling lower limb flexion in hemiplegic patients.
[So] Source:NeuroRehabilitation;35(1):25-30, 2014.
[Is] ISSN:1878-6448
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:BACKGROUND: Hemiplegic patients with supraspinal spasticity can present with a flexor pattern at the hip and knee that hampers both passive and active functions. OBJECTIVE: To investigate the efficacy of OnabotulinumtoxinA injections on this flexor scheme. METHODS: This open-label observational study included eleven patients who had suffered a unilateral stroke or traumatic brain injury. All had impairment in the activities of daily living caused by severe hip and knee flexion. OnabotulinumtoxinA injections of 300-400U (total dose) were administered to the iliopsoas (iliacus) and knee flexors and, when necessary, to other muscles of the hip and knee. Evaluations were performed pre-treatment (weeks -4 to -8, and day 1) and post-treatment (week 10 and week 21): spasticity, range of motion, limb positioning, passive functions and pain. RESULTS: A modest improvement in hip and knee extension was observed, as evidenced by the Modified Ashworth Score and range of passive extension movements. Limb positioning was also improved. Clear benefits were found on passive functioning, including toileting, dressing and bed facilities, as well as pain levels. Active functions remained unchanged. More definite improvement was found in patients with severe difficulties. CONCLUSIONS: OnabotulinumtoxinA injection can contribute to reducing the consequences of disabling lower limb flexion.
[Mh] MeSH terms primary: Acetylcholine Release Inhibitors/administration & dosage
Botulinum Toxins, Type A/administration & dosage
Hemiplegia/drug therapy
Lower Extremity/pathology
Muscle Spasticity/drug therapy
[Mh] MeSH terms secundary: Activities of Daily Living
Adult
Aged
Female
Hemiplegia/diagnosis
Humans
Injections, Intramuscular
Male
Middle Aged
Muscle Spasticity/diagnosis
Muscle Spasticity/etiology
Stroke/complications
Stroke/diagnosis
Stroke/drug therapy
Treatment Outcome
[Pt] Publication type:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Name of substance:0 (Acetylcholine Release Inhibitors); 0 (onabotulinumtoxinA); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Entry month:1507
[Js] Journal subset:IM
[Da] Date of entry for processing:140905
[St] Status:MEDLINE
[do] DOI:10.3233/NRE-141093

  5 / 12021 MEDLINE  
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[PMID]: 26180326
[Au] Autor:Kim E; Kim K
[Ad] Address:Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.
[Ti] Title:Effects of purposeful action observation on kinematic patterns of upper extremity in individuals with hemiplegia.
[So] Source:J Phys Ther Sci;27(6):1809-11, 2015 Jun.
[Is] ISSN:0915-5287
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:[Purpose] This study investigated the effects of purposeful action observation on upper extremity kinematic patterns in individuals with hemiplegia. [Subjects and Methods] Twelve patients were recruited in accordance with the inclusion criteria. The experimental group (n=6) was trained with a purposeful action observation program. The control group (n=6) was trained with only purposeful action without action observation. The programs were performed 30 min/session, 5 times per week for 30 sessions in 6 weeks of training. Upper extremity kinematic patterns were measured by a 3-dimensional motion analysis system before and after training, and the results were analyzed. [Results] The experimental group and the control group showed improvements in average velocity, trajectory ratio, and movement degree, but no statistically significant differences were observed between the groups. The experimental group showed statistically significant improvements in average velocity, trajectory ratio after the intervention. The experimental group also showed an improvement in movement degree, but the post-intervention difference was not significant. [Conclusion] The results of this study show that purposeful action observation training program improved the average velocity and trajectory ratio of stroke patients. Further research should enroll more subjects divided into more specific groups for treatment.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Da] Date of entry for processing:150716
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1589/jpts.27.1809

  6 / 12021 MEDLINE  
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[PMID]: 26180304
[Au] Autor:Miura N; Katsuhira J; Kurosawa K
[Ad] Address:Department of Physical Therapy, School of Nursing and Rehabilitation Sciences at Odawara, International University of Health and Welfare: 1-2-25 Shiroyama, Odawara City, Kanagawa 250-8588, Japan.
[Ti] Title:Effect of paralyzed side soleus muscle pressure on the gait of stroke patients as measured by a three-dimensional motion analysis system.
[So] Source:J Phys Ther Sci;27(6):1713-7, 2015 Jun.
[Is] ISSN:0915-5287
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:[Purpose] The purpose of this study was to examine the effects of muscle belly compression by a supporter on the paralyzed side soleus muscle of patients with cerebrovascular disability, and to determine the intensity of compression that is effective for improving gait. [Subjects] Eleven patients with chronic cerebral vascular disorder. [Methods] Before setting the supporter, standing posture and 6 m free walking were measured 3 times with the three-dimensional motion analysis system, VICON. Then, supporters were placed on the center of the lower leg of the hemiplegic side of the subjects and inflated to 30 or 50 mmHg. Three minutes after wearing the supporters, the subjects walked again for 3 times. The data measured with VICON were processed using Visial3D.V4, and the angles of the ankle, steps of the hemiplegic and non-hemiplegic sides, walking speed, walk rate and cadence were calculated. [Results] Compared to without a supporter, a supporter with 30 mmHg pressure showed a significant reduction in the angle of the knee at Initial Contact (IC), and a significant increase in the power of the knee extension at Loading Response (LR). [Conclusion] The results reveal a supporter with that of the subjects during pressure over 30 mmHg applied for 3 minutes improved the knee angle power and hemiplegia walking.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Da] Date of entry for processing:150716
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1589/jpts.27.1713

  7 / 12021 MEDLINE  
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[PMID]: 25425499
[Au] Autor:Abe K; Miki A; Okamura T; Shimada K; Yamamoto T; Aiso M; Tanaka A; Kita H; Kuyama Y; Takikawa H
[Ad] Address:Department of Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8606, Japan, abe@med.teikyo-u.ac.jp.
[Ti] Title:Endoscopic removal of a denture with clasps impacted in the ileocecum.
[So] Source:Clin J Gastroenterol;7(6):506-9, 2014 Dec.
[Is] ISSN:1865-7265
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:We report a case of endoscopic removal of a denture with clasps impacted in the ileocecum. The patient was a 63-year-old man hospitalized at another center with aspiration pneumonia. He had a history of cerebral bleeding, inflicted permanent damage with left hemiplegia, and dysphagia. Abdominal radiography for localization of a catheter in the femoral vein revealed a denture in the right lower quadrant of the abdomen. He was subclinical and could not recall when he might have swallowed the denture. The patient was brought by ambulance to our institution. Computed tomography showed a foreign body with the density of metal in the ileocecum without any severe complications such as obstruction or perforation. Following intestinal lavage from a nasogastric tube, we performed colonoscopy and successfully retrieved the denture. The patient showed no complications associated with endoscopic therapy and returned to the previous hospital 3 days after endoscopic removal of the denture.
[Mh] MeSH terms primary: Cecum/surgery
Dentures
Endoscopy, Gastrointestinal/methods
Foreign Bodies/surgery
Ileum/surgery
[Mh] MeSH terms secundary: Cecum/radiography
Foreign Bodies/radiography
Humans
Ileum/radiography
Male
Middle Aged
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1507
[Js] Journal subset:IM
[Da] Date of entry for processing:141210
[St] Status:MEDLINE
[do] DOI:10.1007/s12328-014-0539-6

  8 / 12021 MEDLINE  
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[PMID]: 26170825
[Au] Autor:Kim JH; Kwon YM; Son SM
[Ad] Address:Department of Physical Medicine and Rehabilitation, School of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea.
[Ti] Title:Motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment: a diffusion tensor imaging study.
[So] Source:Neural Regen Res;10(4):624-30, 2015 Apr.
[Is] ISSN:1673-5374
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:Previous diffusion tensor imaging (DTI) studies regarding pediatric patients with motor dysfunction have confirmed the correlation between DTI parameters of the injured corticospinal tract and the severity of motor dysfunction. There is also evidence that DTI parameters can help predict the prognosis of motor function of patients with cerebral palsy. But few studies are reported on the DTI parameters that can reflect the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment. In the present study, 36 pediatric patients with hemiplegic cerebral palsy were included. Before and after rehabilitation treatment, DTI was used to measure the fiber number (FN), fractional anisotropy (FA) and apparent diffusion coefficient (ADC) of bilateral corticospinal tracts. Functional Level of Hemiplegia scale (FxL) was used to assess the therapeutic effect of rehabilitative therapy on clinical hemiplegia. Correlation analysis was performed to assess the statistical interrelationship between the change amount of DTI parameters and FxL. DTI findings obtained at the initial and follow-up evaluations demonstrated that more affected corticospinal tract yielded significantly decreased FN and FA values and significantly increased ADC value compared to the less affected corticospinal tract. Correlation analysis results showed that the change amount of FxL was positively correlated to FN and FA values, and the correlation to FN was stronger than the correlation to FA. The results suggest that FN and FA values can be used to evaluate the motor function outcomes of pediatric patients with hemiplegic cerebral palsy after rehabilitation treatment and FN is of more significance for evaluation.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Da] Date of entry for processing:150714
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.4103/1673-5374.155438

  9 / 12021 MEDLINE  
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[PMID]: 25117620
[Au] Autor:Köklü E; Arslan S; Yüksel IÖ; Bayar N; Koç P
[Ad] Address:Clinic of Cardiology, Antalya Education and Research Hospital, Yenigün Mahallesi 1067 Sokak no: 6B/13, Antalya, Turkey, drerkankoklu@gmail.com.
[Ti] Title:Acute Carotid Artery Stent Thrombosis Due to Dual Antiplatelet Resistance.
[So] Source:Cardiovasc Intervent Radiol;38(4):1011-4, 2015 Aug.
[Is] ISSN:1432-086X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Carotid artery stenting (CAS) is a revascularization modality that is an alternative to carotid endarterectomy. The efficacy of CAS in primary and secondary prevention from ischemic stroke has been demonstrated in various trials. Acute thrombosis of CAS is a rare complication that can lead to dramatic and catastrophic consequences. We discuss a case of acute CAS thrombosis in a patient who had previously undergone successful CAS. CAS was performed in a 73-year-old man who had had dysarthria lasting 2 weeks with 95 % stenosis in his left internal carotid artery. An acute cerebrovascular event resulting in right-sided hemiplegia developed 24 h after the procedure. Computed tomographic carotid angiography revealed complete occlusion of the stent with thrombus. The cause of stent thrombosis was thought to be antiaggregant resistance to both acetylsalicylic acid and clopidogrel. The most important cause of acute CAS thrombosis is inadequate or ineffective antiaggregant therapy. Evaluating patients who are candidates for CAS for acetylsalicylic acid and clopidogrel resistance may preclude this complication.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1507
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1007/s00270-014-0959-1

  10 / 12021 MEDLINE  
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[PMID]: 24757096
[Au] Autor:Nandhagopal R; Al-Muharrmi Z; Balkhair A
[Ad] Address:Department of Medicine-Neurology Unit (RN), Infectious Diseases (AB) and Department of Microbiology and Immunology (ZAM), College of Medicine and Health Sciences, P.O. Box. 35, SQU, Al-Khod Zip 123, Muscat, Oman. drrnandagopal@gmail.com.
[Ti] Title:Nocardia brain abscess.
[So] Source:QJM;107(12):1041-2, 2014 Dec.
[Is] ISSN:1460-2393
[Cp] Country of publication:England
[La] Language:eng
[Mh] MeSH terms primary: Brain Abscess/diagnosis
Nocardia Infections/diagnosis
[Mh] MeSH terms secundary: Diagnosis, Differential
Fatal Outcome
Hemiplegia/microbiology
Humans
Magnetic Resonance Imaging
Male
Middle Aged
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1507
[Js] Journal subset:IM
[Da] Date of entry for processing:141125
[St] Status:MEDLINE
[do] DOI:10.1093/qjmed/hcu088


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