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Titolo:
Recovery of stroke hemiplegia through neurosurgical intervention in the chronic stage
Autore:
Muramatsu, H; Nathan, RD; Shimura, T; Teramoto, A;
Indirizzi:
Kasugai Rehabil Hosp, Dept Internal Med, Yamanashi, Japan Kasugai Rehabil Hosp Yamanashi Japan ept Internal Med, Yamanashi, Japan Texas Tech Univ, Dept Physiol, Hlth Sci Ctr, Lubbock, TX 79409 USA Texas Tech Univ Lubbock TX USA 79409 Hlth Sci Ctr, Lubbock, TX 79409 USA Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan Nippon Med Sch Tokyo Japan 113 Med Sch, Dept Neurosurg, Tokyo 113, Japan
Titolo Testata:
NEUROREHABILITATION
fascicolo: 3, volume: 15, anno: 2000,
pagine: 157 - 166
SICI:
1053-8135(2000)15:3<157:ROSHTN>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
NORMAL-PRESSURE HYDROCEPHALUS; CEREBRAL BLOOD-FLOW; COPENHAGEN STROKE; REHABILITATION; CRANIOPLASTY; DISABILITY;
Keywords:
stroke; hemiplegia; activities of daily living; cranioplasty; ventriculoperitoneal shunt;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Muramatsu, H Kasugai Rehabil Hosp, Dept Internal Med, 436 Kokufu, Yamanashi, Japan Kasugai Rehabil Hosp 436 Kokufu Yamanashi Japan ashi, Japan
Citazione:
H. Muramatsu et al., "Recovery of stroke hemiplegia through neurosurgical intervention in the chronic stage", NEUROREHAB, 15(3), 2000, pp. 157-166

Abstract

Objective: We evaluated quantitatively the further recovery from impairment and disability in the hemiplegic stroke survivors who required neurosurgical intervention, i.e. cranioplasty or ventriculoperitoneal (V-P) shunt, inchronic stage. Setting: Rehabilitation (RH) ward affiliated with university hospitals. Patients: Eleven first-ever stroke patients with hemiplegia (mean age. 56.3 +/- 2.5 years) out of 498 survivors required delayed (between 4 and 10 months after the onset) neurosurgical intervention during continuous RH therapy. Six patients received cranioplasty For preexisting hemicraniectomy, andfive required V-P shunt for normal pressure hydrocephalus with later complications. Main outcome measures: Recovery grade (1-12) of hemiplegia and Barthel index were assessed monthly before (the Ist RH) and after the intervention (the 2nd RH). Results: The recovery grade of upper and lower extremity movements significantly increased both in the Ist and 2nd RH. Changes in the upper and lowerextremity grades were significantly larger in the 2nd RH (0.5 +/- 0.3 in the Ist vs. 2.5 +/- 0.6 in the 2nd RH for upper extremity, p < 0.005; 0.9 <plus/minus> 0.3 in the 1st vs. 3.4 +/- 0.5 in the 2nd RH for lower extremity, p < 0.001). Barthel index increased significantly only in the 2nd RH (from 48 <plus/minus> 7 to 90 +/- 3, p < 0.001); all patients regained the ability to walk independently. Conclusions: Significant recovery of functional grade and recovery from disability occurred after the neurosurgical intervention in the chronic stage(<greater than or equal to> 4 months) of stroke.

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Documento generato il 26/05/20 alle ore 06:12:03