Base de dados : MEDLINE
Pesquisa : C10.597.636 [Categoria DeCS]
Referências encontradas : 5649 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 565 ir para página                         

  1 / 5649 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29301740
[Au] Autor:Hunt BJ; Levi M
[Ad] Endereço:King's College, London, UK Beverley.hunt@gstt.nhs.uk.
[Ti] Título:Urgent reversal of vitamin K antagonists.
[So] Source:BMJ;360:j5424, 2018 01 04.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Fibrilação Atrial/complicações
Encéfalo/diagnóstico por imagem
Hemorragias Intracranianas/induzido quimicamente
Paresia/diagnóstico
Vitamina K/antagonistas & inibidores
Varfarina/efeitos adversos
[Mh] Termos MeSH secundário: Administração Intravenosa
Idoso
Anticoagulantes/uso terapêutico
Fibrilação Atrial/tratamento farmacológico
Encéfalo/patologia
Serviço Hospitalar de Emergência
Fator V/administração & dosagem
Fator V/economia
Fator V/uso terapêutico
Fator Xa/administração & dosagem
Fator Xa/economia
Fator Xa/uso terapêutico
Seres Humanos
Coeficiente Internacional Normatizado/normas
Hemorragias Intracranianas/diagnóstico por imagem
Hemorragias Intracranianas/mortalidade
Masculino
Paresia/etiologia
Plasma
Tomografia Computadorizada por Raios X/métodos
Vitamina K/administração & dosagem
Vitamina K/uso terapêutico
Varfarina/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (prothrombinase complex); 12001-79-5 (Vitamin K); 5Q7ZVV76EI (Warfarin); 9001-24-5 (Factor V); EC 3.4.21.6 (Factor Xa)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5424


  2 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29369170
[Au] Autor:Park JS; Park D
[Ad] Endereço:Department of Neurology, Kyungpook National University, School of Medicine.
[Ti] Título:Five-year serial follow-up of muscle MRI in adult onset myotonic dystrophy type 1: A case report.
[So] Source:Medicine (Baltimore);97(4):e9379, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Although several studies have described the involvement pattern of myotonic dystrophy type 1 (DM1) using muscle MRI, most of these studies have limitations as cross-sectional studies. To the best of our knowledge, there have been no reports of longitudinal studies describing muscle involvement patterns in patients with DM1 via serial MRI. PATIENT CONCERNS: Progressive weakness of both lower extremities. DIAGNOSIS: Two patients with DM1. INTERVENTION: The serial muscle MRI performed in the 2 patients with DM1. OUTCOMES: The serial muscle MRI showed early involvement of proximal (tensor fascia latae) and truncal muscles (spine extensor muscles), and these longitudinal imaging may be helpful to reveal the pattern of muscle involvement in patients with DM1. LESSONS: Since most previous studies on muscle involvement patterns in DM1 patients were cross-sectional studies, this case series of studying muscle involvement patterns through serial MRI in patients with DM1 may have significant clinical significance.
[Mh] Termos MeSH primário: Imagem por Ressonância Magnética/métodos
Distrofia Miotônica/diagnóstico por imagem
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Seres Humanos
Estudos Longitudinais
Extremidade Inferior/diagnóstico por imagem
Meia-Idade
Músculo Esquelético/diagnóstico por imagem
Distrofia Miotônica/complicações
Paresia/diagnóstico por imagem
Paresia/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009379


  3 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28744066
[Au] Autor:Picelli A; La Marchina E; Vangelista A; Chemello E; Modenese A; Gandolfi M; Ciceri EFM; Bucci A; Zoccatelli G; Saltuari L; Waldner A; Baricich A; Santamato A; Smania N
[Ad] Endereço:Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
[Ti] Título:Effects of Robot-Assisted Training for the Unaffected Arm in Patients with Hemiparetic Cerebral Palsy: A Proof-of-Concept Pilot Study.
[So] Source:Behav Neurol;2017:8349242, 2017.
[Is] ISSN:1875-8584
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:On a voluntary basis, 10 adolescents with hemiparesis due to cerebral palsy and 11 neurologically healthy control subjects participated in this proof-of-concept pilot study. The aim was to examine the effects of robot-assisted training for the unaffected arm in patients with hemiparetic cerebral palsy. Baseline comparison between the unaffected arm of the hemiparetic patients with cerebral palsy and the dominant arm of healthy control subjects showed significant differences on the Jebsen-Taylor Hand Function test and action planning ability tests. Within-group comparison after ten 30-minute sessions (five days a week for two consecutive weeks) of robot-assisted training for the unaffected arm showed significant improvements in patients with cerebral palsy on the Jebsen-Taylor Hand Function test (performed at both hands) and action planning ability test (evaluated at the unaffected arm). Our findings are in line with previous evidences of action planning deficits at the unaffected arm in patients with hemiparetic cerebral palsy and support the hypothesis that robot-assisted training for the unaffected arm may be useful to improve manual dexterity and action planning in patients with hemiparesis due to cerebral palsy.
[Mh] Termos MeSH primário: Paralisia Cerebral/reabilitação
Paresia/reabilitação
Robótica
[Mh] Termos MeSH secundário: Adolescente
Paralisia Cerebral/fisiopatologia
Criança
Feminino
Seres Humanos
Masculino
Paresia/fisiopatologia
Projetos Piloto
Desempenho Psicomotor
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1155/2017/8349242


  4 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29205208
[Au] Autor:Guzik A; Druzbicki M; Przysada G; Kwolek A; Brzozowska-Magon A; Sobolewski M
[Ad] Endereço:Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland.
[Ti] Título:Relationships between walking velocity and distance and the symmetry of temporospatial parameters in chronic post-stroke subjects.
[So] Source:Acta Bioeng Biomech;19(3):147-154, 2017.
[Is] ISSN:1509-409X
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Subjects with post-stroke hemiparesis frequently present with asymmetric gait patterns. Symmetry, reflecting similarities in temporospatial, kinematic parameters, is an important measure of gait assessment. The study was designed to examine the relationships between asymmetry of temporal, spatial and kinematic gait parameters and walking velocity and distance. METHODS: Temporospatial and kinematic gait parameters were examined in a group of 50 chronic post-stroke subjects and in a group of 25 healthy controls. Symmetry ratio was calculated for all the parameters. Gait velocity was measured during 10-metre test, the walking distance during 2-Minute Walk Test, and balance during Up and Go Test. RESULTS: The relationship between stance phase duration symmetry and gait speed was at a moderate level (r = -0.43, p = 0.0173). There was a moderate relationship between swing phase symmetry and walking velocity and distance. The findings did not show a significant correlation between step length symmetry versus gait speed and distance. CONCLUSIONS: There is a mild relationship between self-selected gait velocity and walking distance versus temporal parameters symmetry. The findings do not confirm a relationship between self-selected gait velocity and walking distance versus spatial and kinematic parameters as well as balance. Likewise, no evidence confirms that asymmetry of temporal, spatial, kinematic gait parameters changes with the age of post-stroke subjects or is related to the length of time from stroke onset. Given the above, gait symmetry may be recognized as an important indicator of the level of gait control in post-stroke patients because it enables unique gait assessment, independent from other parameters.
[Mh] Termos MeSH primário: Lateralidade Funcional
Transtornos Neurológicos da Marcha/fisiopatologia
Paresia/fisiopatologia
Esforço Físico
Acidente Vascular Cerebral/fisiopatologia
Velocidade de Caminhada
[Mh] Termos MeSH secundário: Doença Crônica
Simulação por Computador
Feminino
Transtornos Neurológicos da Marcha/etiologia
Seres Humanos
Perna (Membro)/fisiopatologia
Masculino
Meia-Idade
Modelos Biológicos
Paresia/etiologia
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Análise Espaço-Temporal
Acidente Vascular Cerebral/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  5 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29200424
[Au] Autor:Jonsdottir J; Thorsen R; Aprile I; Galeri S; Spannocchi G; Beghi E; Bianchi E; Montesano A; Ferrarin M
[Ad] Endereço:IRCCS Don Gnocchi Foundation Onlus, Milan, Italy.
[Ti] Título:Arm rehabilitation in post stroke subjects: A randomized controlled trial on the efficacy of myoelectrically driven FES applied in a task-oriented approach.
[So] Source:PLoS One;12(12):e0188642, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Motor recovery of persons after stroke may be enhanced by a novel approach where residual muscle activity is facilitated by patient-controlled electrical muscle activation. Myoelectric activity from hemiparetic muscles is then used for continuous control of functional electrical stimulation (MeCFES) of same or synergic muscles to promote restoration of movements during task-oriented therapy (TOT). Use of MeCFES during TOT may help to obtain a larger functional and neurological recovery than otherwise possible. STUDY DESIGN: Multicenter randomized controlled trial. METHODS: Eighty two acute and chronic stroke victims were recruited through the collaborating facilities and after signing an informed consent were randomized to receive either the experimental (MeCFES assisted TOT (M-TOT) or conventional rehabilitation care including TOT (C-TOT). Both groups received 45 minutes of rehabilitation over 25 sessions. Outcomes were Action Research Arm Test (ARAT), Upper Extremity Fugl-Meyer Assessment (FMA-UE) scores and Disability of the Arm Shoulder and Hand questionnaire. RESULTS: Sixty eight subjects completed the protocol (Mean age 66.2, range 36.5-88.7, onset months 12.7, range 0.8-19.1) of which 45 were seen at follow up 5 weeks later. There were significant improvements in both groups on ARAT (median improvement: MeCFES TOT group 3.0; C-TOT group 2.0) and FMA-UE (median improvement: M-TOT 4.5; C-TOT 3.5). Considering subacute subjects (time since stroke < 6 months), there was a trend for a larger proportion of improved patients in the M-TOT group following rehabilitation (57.9%) than in the C-TOT group (33.2%) (difference in proportion improved 24.7%; 95% CI -4.0; 48.6), though the study did not meet the planned sample size. CONCLUSION: This is the first large multicentre RCT to compare MeCFES assisted TOT with conventional care TOT for the upper extremity. No adverse events or negative outcomes were encountered, thus we conclude that MeCFES can be a safe adjunct to rehabilitation that could promote recovery of upper limb function in persons after stroke, particularly when applied in the subacute phase.
[Mh] Termos MeSH primário: Terapia por Estimulação Elétrica/métodos
Terapia por Exercício/métodos
Paresia/reabilitação
Reabilitação do Acidente Vascular Cerebral/métodos
Acidente Vascular Cerebral/complicações
Extremidade Superior/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Avaliação da Deficiência
Terapia por Estimulação Elétrica/efeitos adversos
Terapia por Exercício/efeitos adversos
Feminino
Seres Humanos
Masculino
Meia-Idade
Recuperação de Função Fisiológica
Método Simples-Cego
Reabilitação do Acidente Vascular Cerebral/efeitos adversos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188642


  6 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29095319
[Au] Autor:Liu S; Song A; Zhou X; Kong X; Li WA; Wang Y; Liu Y
[Ad] Endereço:aDepartment of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences bDepartment of Endocrinology, Key Laboratory of Endocrinology, National Health and Family Planning Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College cDepartment of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China dDepartment of Neurosurgery, Wayne State University School of Medicine, Detroit, MI.
[Ti] Título:Malignant pheochromocytoma with multiple vertebral metastases causing acute incomplete paralysis during pregnancy: Literature review with one case report.
[So] Source:Medicine (Baltimore);96(44):e8535, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: We present a rare case of malignant pheochromocytoma with thoracic metastases during pregnancy that presented with symptoms of myelopathy and was treated with circumferential decompression, stabilization, and radiation. The management of this unique case is not well documented. The clinical manifestations, imaging results, pathological characteristics, treatment and prognosis of the case were analyzed. PATIENT CONCERNS: A 26-year-old pregnant woman with a history of paroxysmal hypertension during the second trimester presented with lower extremity weakness, numbness, urinary incontinence, and back pain. Imaging studies revealed a right adrenal pheochromocytoma, multiple metastases at T8, T11, T12, and the pelvis girdle causing significant multilevel cord compression and significant osteolytic lesions at T11 and T12. DIAGNOSES: We believe this is the first reported case of metastatic pheochromocytoma of the thoracic spine presenting with symptoms of myelopathy during pregnancy. INTERVENTIONS: A healthy neonate was delivered by emergency caesarean section at 34 weeks. Subsequently, the patient underwent a circumferential spinal cord decompression and a stabilization procedure. OUTCOMES: The patient's neurological deficits improved significantly after the surgery, and the postoperative period was uneventful at the 6-month follow-up visit. LESSONS: This article emphasizes that metastatic pheochromocytoma of the spine, although rare, should be part of the differential when a patient presents with elevated blood pressure, weakness, and urinary incontinence.
[Mh] Termos MeSH primário: Neoplasias das Glândulas Suprarrenais/patologia
Feocromocitoma/secundário
Complicações Neoplásicas na Gravidez/patologia
Neoplasias da Coluna Vertebral/secundário
Vértebras Torácicas
[Mh] Termos MeSH secundário: Neoplasias das Glândulas Suprarrenais/complicações
Neoplasias das Glândulas Suprarrenais/cirurgia
Adulto
Cesárea/métodos
Descompressão Cirúrgica/métodos
Feminino
Seres Humanos
Nascimento Vivo
Paresia/etiologia
Paresia/cirurgia
Feocromocitoma/complicações
Feocromocitoma/cirurgia
Gravidez
Complicações Neoplásicas na Gravidez/cirurgia
Compressão da Medula Espinal/etiologia
Compressão da Medula Espinal/cirurgia
Neoplasias da Coluna Vertebral/complicações
Neoplasias da Coluna Vertebral/cirurgia
Vértebras Torácicas/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008535


  7 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29095302
[Au] Autor:Xian H; Xu LW; Li CH; Hao JM; Wan WX; Feng GD; Lian KJ; Li L
[Ad] Endereço:aOrthopedics Department, The 175th Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Zhangzhou, Fujian Province bHand and Foot Surgery Department, The 11th Hospital of PLA, Yining, Xinjiang Province cRehabilitation Medicine Department, The 175th Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Zhangzhou, Fujian Province, P.R. China.
[Ti] Título:Spontaneous spinal epidural hematomas: One case report and rehabilitation outcome.
[So] Source:Medicine (Baltimore);96(44):e8473, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Spontaneous spinal epidural hematoma (SSEH) is a relatively rare but potentially disabling disease, and the classical presentation of it includes an acute onset of severe, sometimes radiating back or neck pain, followed by signs and symptoms of rapidly evolving nerve root or spinal cord compression. PATIENT CONCERNS: Here, we report a 26-year-old female patient presented with weakness in bilateral lower extremities, progressing to intense paraplegia and anesthesia without recent medical history of trauma, infection, surgery, or drug use. DIAGNOSIS: A magnetic resonance imaging (MRI) scan of spinal cord was planned and a posterior epidural hematoma of the thoracic spine was observed. INTERVENTIONS: A posterior decompression and hematoma evacuation was performed after diagnosis immediately. Early rehabilitation program of the specific kind spinal cord injury was formulated and implemented. OUTCOMES: The patient finally can handle basic living activities, such as completing wheelchair locomotion, transferring from bed to wheelchair independently after 3 months of rehabilitation. LESSONS: SSEH is a rarely occurring case in emergency. Acute chest pain and paraplegia could be the initial presentation of acute spinal epidural hemorrhage, but the diagnosis of patient without classical manifestations is still a challenge for doctors. Early diagnosis, prompt decompression, and individualized rehabilitation program can improve the prognosis and outcome.
[Mh] Termos MeSH primário: Descompressão Cirúrgica/reabilitação
Hematoma Epidural Espinal/reabilitação
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adulto
Descompressão Cirúrgica/métodos
Feminino
Hematoma Epidural Espinal/complicações
Hematoma Epidural Espinal/cirurgia
Seres Humanos
Paraplegia/etiologia
Paraplegia/reabilitação
Paresia/etiologia
Paresia/reabilitação
Vértebras Torácicas/diagnóstico por imagem
Vértebras Torácicas/cirurgia
Resultado do Tratamento
Cadeiras de Rodas
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008473


  8 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29069568
[Au] Autor:Dwivedi R; Ramanujam B; Chandra PS; Sapra S; Gulati S; Kalaivani M; Garg A; Bal CS; Tripathi M; Dwivedi SN; Sagar R; Sarkar C; Tripathi M
[Ad] Endereço:From the Departments of Neurology (R.D., B.R., Manjari Tripathi), Neurosurgery (P.S.C.), Pediatrics (S.S., S.G.), Biostatistics (M.K., S.N.D.), Neuro-Radiology (A.G.), Nuclear Medicine (C.S.B., Madhavi Tripathi), Psychiatry (R.S.), and Pathology (C.S.), All India Institute of Medical Sciences, New D
[Ti] Título:Surgery for Drug-Resistant Epilepsy in Children.
[So] Source:N Engl J Med;377(17):1639-1647, 2017 10 26.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Neurosurgical treatment may improve seizures in children and adolescents with drug-resistant epilepsy, but additional data are needed from randomized trials. METHODS: In this single-center trial, we randomly assigned 116 patients who were 18 years of age or younger with drug-resistant epilepsy to undergo brain surgery appropriate to the underlying cause of epilepsy along with appropriate medical therapy (surgery group, 57 patients) or to receive medical therapy alone (medical-therapy group, 59 patients). The patients in the medical-therapy group were assigned to a waiting list for surgery. The primary outcome was freedom from seizures at 12 months. Secondary outcomes were the score on the Hague Seizure Severity scale, the Binet-Kamat intelligence quotient, the social quotient on the Vineland Social Maturity Scale, and scores on the Child Behavior Checklist and the Pediatric Quality of Life Inventory. RESULTS: At 12 months, freedom from seizures occurred in 44 patients (77%) in the surgery group and in 4 (7%) in the medical-therapy group (P<0.001). Between-group differences in the change from baseline to 12 months significantly favored surgery with respect to the score on the Hague Seizure Severity scale (difference, 19.4; 95% confidence interval [CI], 15.8 to 23.1; P<0.001), on the Child Behavior Checklist (difference, 13.1; 95% CI, 10.7 to 15.6; P<0.001), on the Pediatric Quality of Life Inventory (difference, 21.9; 95% CI, 16.4 to 27.6; P<0.001), and on the Vineland Social Maturity Scale (difference, 4.7; 95% CI, 0.4 to 9.1; P=0.03), but not on the Binet-Kamat intelligence quotient (difference, 2.5; 95% CI, -0.1 to 5.1; P=0.06). Serious adverse events occurred in 19 patients (33%) in the surgery group, including hemiparesis in 15 (26%). CONCLUSIONS: In this single-center trial, children and adolescents with drug-resistant epilepsy who had undergone epilepsy surgery had a significantly higher rate of freedom from seizures and better scores with respect to behavior and quality of life than did those who continued medical therapy alone at 12 months. Surgery resulted in anticipated neurologic deficits related to the region of brain resection. (Funded by the Indian Council of Medical Research and others; Clinical Trial Registry-India number, CTRI/2010/091/000525 .).
[Mh] Termos MeSH primário: Lobectomia Temporal Anterior
Anticonvulsivantes/uso terapêutico
Epilepsia/tratamento farmacológico
Epilepsia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Lobectomia Temporal Anterior/efeitos adversos
Criança
Comportamento Infantil
Pré-Escolar
Disfunção Cognitiva/etiologia
Resistência a Medicamentos
Feminino
Seres Humanos
Lactente
Estimativa de Kaplan-Meier
Masculino
Transtornos dos Movimentos/etiologia
Paresia/etiologia
Complicações Pós-Operatórias
Qualidade de Vida
Convulsões/prevenção & controle
Inquéritos e Questionários
Lobo Temporal/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anticonvulsants)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMoa1615335


  9 / 5649 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28826022
[Au] Autor:Hsu CJ; Kim J; Tang R; Roth EJ; Rymer WZ; Wu M
[Ad] Endereço:Legs and Walking Lab, Shirley Ryan Abilitylab, Chicago, IL, USA.
[Ti] Título:Applying a pelvic corrective force induces forced use of the paretic leg and improves paretic leg EMG activities of individuals post-stroke during treadmill walking.
[So] Source:Clin Neurophysiol;128(10):1915-1922, 2017 Oct.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether applying a mediolateral corrective force to the pelvis during treadmill walking would enhance muscle activity of the paretic leg and improve gait symmetry in individuals with post-stroke hemiparesis. METHODS: Fifteen subjects with post-stroke hemiparesis participated in this study. A customized cable-driven robotic system based over a treadmill generated a mediolateral corrective force to the pelvis toward the paretic side during early stance phase. Three different amounts of corrective force were applied. Electromyographic (EMG) activity of the paretic leg, spatiotemporal gait parameters and pelvis lateral displacement were collected. RESULTS: Significant increases in integrated EMG of hip abductor, medial hamstrings, soleus, rectus femoris, vastus medialis and tibialis anterior were observed when pelvic corrective force was applied, with pelvic corrective force at 9% of body weight inducing greater muscle activity than 3% or 6% of body weight. Pelvis lateral displacement was more symmetric with pelvic corrective force at 9% of body weight. CONCLUSIONS: Applying a mediolateral pelvic corrective force toward the paretic side may enhance muscle activity of the paretic leg and improve pelvis displacement symmetry in individuals post-stroke. SIGNIFICANCE: Forceful weight shift to the paretic side could potentially force additional use of the paretic leg and improve the walking pattern.
[Mh] Termos MeSH primário: Eletromiografia/métodos
Teste de Esforço/métodos
Perna (Membro)/fisiopatologia
Paresia/fisiopatologia
Acidente Vascular Cerebral/fisiopatologia
Suporte de Carga/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Paresia/diagnóstico
Paresia/reabilitação
Pelve/fisiopatologia
Acidente Vascular Cerebral/diagnóstico
Reabilitação do Acidente Vascular Cerebral/métodos
Caminhada/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170822
[St] Status:MEDLINE


  10 / 5649 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28789469
[Au] Autor:Hurd C; Livingstone D; Brunton K; Teves M; Zewdie E; Smith A; Ciechanski P; Gorassini MA; Kirton A; Watt MJ; Andersen J; Yager J; Yang JF
[Ad] Endereço:Department of Physical Therapy, University of Alberta.
[Ti] Título:Early Intensive Leg Training to Enhance Walking in Children With Perinatal Stroke: Protocol for a Randomized Controlled Trial.
[So] Source:Phys Ther;97(8):818-825, 2017 Aug 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Development of motor pathways is modulated by activity in these pathways, when they are maturing (ie, critical period). Perinatal stroke injures motor pathways, including the corticospinal tracts, reducing their activity and impairing motor function. Current intervention for the lower limb emphasizes passive approaches (stretching, braces, botulinum toxin injections). The study hypothesis was that intensive, early, child-initiated activity during the critical period will enhance connectivity of motor pathways to the legs and improve motor function. Objective: The study objective was to determine whether early intervention with intensive activity is better than standard care, intervention delivered during the proposed critical period is better than after, and the outcomes are different when the intervention is delivered by a physical therapist in an institution vs. a parent at home. Design: A prospective, delay-group, single-blind, randomized controlled trial (RCT) and a parallel, cohort study of children living beyond commuting distance and receiving an intervention delivered by their parent. Setting: The RCT intervention was provided in university laboratories, and parent training was provided in the childs home. Participants: Children 8 months to 3 years old with MRI-confirmed perinatal ischemic stroke and early signs of hemiparesis. Intervention: Intensive, play-based leg activity with weights for the affected leg and foot, 1 hour/day, 4 days/week for 12 weeks. Measurements: The primary outcome was the Gross Motor Function Measure-66 score. Secondary outcomes were motion analysis of walking, full-day step counts, motor evoked potentials from transcranial magnetic stimulation, and patellar tendon reflexes. Limitations: Inter-individual heterogeneity in the severity of the stroke and behavioral differences are substantial but measurable. Differences in intervention delivery and assessment scoring are minimized by standardization and training. Conclusions: The intervention, contrary to current practice, could change physical therapy interventions for children with perinatal stroke.
[Mh] Termos MeSH primário: Doenças do Recém-Nascido/reabilitação
Extremidade Inferior
Paresia/reabilitação
Reabilitação do Acidente Vascular Cerebral
Acidente Vascular Cerebral/fisiopatologia
Caminhada/fisiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Protocolos Clínicos
Potencial Evocado Motor/fisiologia
Seres Humanos
Lactente
Recém-Nascido
Doenças do Recém-Nascido/fisiopatologia
Paresia/etiologia
Paresia/fisiopatologia
Estudos Prospectivos
Método Simples-Cego
Acidente Vascular Cerebral/complicações
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx045



página 1 de 565 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde