Neurorehabilitation and neural repair, Journal Year: 2023, Volume and Issue: 38(1), P. 3 - 6
Published: Dec. 29, 2023
Language: Английский
PLoS ONE, Journal Year: 2024, Volume and Issue: 19(5), P. e0302574 - e0302574
Published: May 31, 2024
Background Post-stroke fatigue is a typical complication following stroke. However, existing research primarily focused on its underlying mechanisms, and impact rehabilitation outcomes has yet to be uncovered. Objective This study aims explore the of post-stroke during hospitalization. Method was prospective multicenter observational including 46 stroke patients receiving comprehensive treatment. Patients’ basic information recorded upon admission patients’ functional independence assessed with Functional Independence Measure (FIM) both discharge. One week after treatment, fatigue, positivity in daily activity, attention, memory were assessed. Serum biochemical indicators levels C-reactive protein (CRP) weekly admission. The pain scores first hospitalization calculate average. Correlation analysis, linear regression propensity score matching (PSM) used analyze FIM at discharge length hospital stay. Result proportion low 39.13% significant improvement revealed admissions [(50.67±18.61) vs. (75.13±21.04), P<0.05]. Positivity age are factors that influence fatigue. After PSM, low-fatigue group (Fatigue score< 3) showed higher motor function [(54.39 ± 15.42) (41.89 14.90), P<0.05] shorter stay [(28.54±9.13)d (37.32 9.81)d, than high-fatigue group. There difference (P<0.05) level CRP between inpatient third week, declining trend. Conclusion can affect regarding
Language: Английский
Citations
6
Disability and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 10
Published: Jan. 29, 2025
Purpose To explore associations of environmental and personal factors, participation, health-related quality life (HR-QoL) with physical behavior (PB) after subarachnoid hemorrhage (SAH).
Language: Английский
Citations
0
Advances in Clinical Medicine, Journal Year: 2025, Volume and Issue: 15(04), P. 1102 - 1110
Published: Jan. 1, 2025
Language: Английский
Citations
0
Journal of Stroke and Cerebrovascular Diseases, Journal Year: 2025, Volume and Issue: unknown, P. 108345 - 108345
Published: May 1, 2025
Obstructive sleep apnea (OSA) impacts approximately 70% of stroke patients, often causing fatigue and sleepiness. Although continuous positive airway pressure (CPAP) reduces sleepiness, systematic OSA screening is not standard in post-stroke care, the effect untreated on unclear. This study investigated changes sleepiness among patients following ischemic or transient attack (TIA) who underwent CPAP treatment. prospective multi-center cohort study, TIA were screened for using respiratory polygraphy. CPAP-eligible (Apnea-Hypopnea Index ≥15) assessed with Epworth Sleepiness Scale (ESS) Visual Analogue Scale-Fatigue (VAS-F) at baseline seven to eight months post-stroke. compliance was classified into high (≥70%), moderate (50-69%), low (<50%) based nights more than four hours per night. Poisson regression models analyzed differences ESS VAS-F between groups, low-compliance as reference. Of 2605 1518 (mean age: 70 ± 12 years; 61% male) screened, 648 CPAP-eligible. At follow-up, 333 (49% lost follow-up). significantly decreased high-compliance group compared (p<0.001). Fatigue levels across all b no observed groups. High associated a reduction but fatigue. These findings support recommendation systematically screen encourage mitigate
Language: Английский
Citations
0
Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15
Published: June 11, 2024
Background Poststroke fatigue is a prevalent issue among stroke survivors, significantly impeding functional recovery and diminishing their quality of life. Aim This prospective cohort study aims to investigate the association between poststroke extent in survivors ischemic hemorrhagic strokes. Additionally, it seeks delineate temporal progression these two subtypes. Methods We assessed 79 patients recovering from acute or was quantified using Fatigue Severity Scale (FSS) Numeric Rating (NRS ). Patients’ condition evaluated National Institute Health Stroke (NIHSS), independence levels were determined Barthel Index for Activities Daily Living (BIADL) Modified Rankin (MRS). Depressive mood pain measured Beck Depression Inventory (BDI) (NRSpain), respectively. Results Our primary findings indicate that early manifestation clinically significant (CSF) predictive poorer trajectory during recovery. Furthermore, we observed differing patterns tends ameliorate over time cases, paralleling recovery, while remains stable cases. Conclusion results underscore detrimental impact on long-term outcomes. they highlight imperative managing fatigue, particularly subacute phase
Language: Английский
Citations
3
S S Korsakov Journal of Neurology and Psychiatry, Journal Year: 2025, Volume and Issue: 125(3), P. 5 - 5
Published: March 21, 2025
Objective. To analyze the clinical and pathogenetic correlates of post-stroke asthenia (PSA) subtypes. Material methods. The study included 103 patients with ischemic stroke. PSA was assessed using Multidimensional Fatigue Inventory-20 (MFI-20). A standard set laboratory instrumental tests, as well examinations for neurological deficits, cognitive functions, symptoms apathy, depression, anxiety, daytime sleepiness, were conducted. Linear regression analysis performed to identify predictors severity different Results. Asthenia reported in 79 (76.7%) examined patients. frequency general asthenia, physical decreased activity ranged from 60—73%. Mental motivation about 31—37% decrease fibrinogen/albumin ratio impairment asthenia. associated deficit blood levels hemoglobin potassium. level depressive determined activity. mental various apathy depression. Conclusion. subtypes made it possible distinguish two main phenotypes: «physical» deficit, somatogenic factors, «mental» affective-behavioral disorders. data obtained confirm heterogeneity phenomenon, which must be considered when developing methods its treatment prevention.
Language: Английский
Citations
0
The Journal of Physiology, Journal Year: 2024, Volume and Issue: 603(3), P. 759 - 772
Published: Nov. 2, 2024
Post-stroke fatigue is a chronic problem with significant impact on morbidity and mortality, which urgently needs effective treatments. The last decade has seen considerable increase in interest understanding the pathophysiology of developing In this review, following summary theoretical frameworks to understand fatigue, I make case for why phenotyping necessary step fully pathophysiology, turn essential development robust then appraise current post-stroke literature view identifying phenotypes.
Language: Английский
Citations
1
Stroke, Journal Year: 2024, Volume and Issue: 56(1), P. 148 - 157
Published: Dec. 20, 2024
BACKGROUND: Poststroke fatigue affects half of global patients with stroke, causing early exhaustion, weariness, and dependence. Physiotherapy interventions like exercise aerobic training are recommended to alleviate symptoms, but their effectiveness is not well supported. This review evaluates physiotherapy’s in treating poststroke adults. METHODS: We conducted a systematic using comprehensive search across multiple databases, including ClinicalTrials.gov, PubMed, PEDro, CINAHL, Embase, Cochrane Library, MEDLINE, WHO ICTRP. searched for English-language articles various keywords, without any restrictions on date, document type, or publication status, included only randomized controlled trials. After removing duplicates through EndNote X7, 2 independent reviewers screened reviewed the remaining articles. The Risk Bias Tool was applied assess quality studies. RESULTS: A total 712 were reviewed, after duplicates, 450 left, then 34 passed title screening 29 excluded due reasons. Therefore, 4 trials found relevant out 416 irrelevant ones. average percentage participants all 44.65% men 55.35% women, an age 59.1 years. assessed range physiotherapy treatments, such as caregiver-mediated e-health support, graded activity cognitive therapy, circuit exercises. Graded therapy approach has effectively reduced ( P <0.001) improved endurance levels (η p =0.20; <0.001). On contrary, effective. Caregiver-mediated exercises supported have been shown impact functional recovery positively. CONCLUSIONS: Among studies evaluated, 1 intervention, significantly stroke. However, more research needed study effect interventions. REGISTRATION: URL: https://www.crd.york.ac.uk/PROSPERO/ ; Unique identifier: CRD42017075196.
Language: Английский
Citations
0
Neurorehabilitation and neural repair, Journal Year: 2023, Volume and Issue: 38(1), P. 3 - 6
Published: Dec. 29, 2023
Language: Английский
Citations
0