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The incidence of post-stroke depression peaks at 3–6 months and usually resolves within 1–2 years after the stroke, although a minority of patients can go on to develop chronic depression. The diagnosis of post-stroke depression is complicated by other consequences of stroke such as fatigue and psychomotor retardation – which do not ...
The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke [1] or children with cerebral palsy [2]). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation ...
Broader aspects of care must address the emotional impact speech impairment has on those who experience difficulties with speech after stroke. [204] Those who experience a stroke are at risk of paralysis , which could result in a self-disturbed body image, which may also lead to other social issues.
The Ontario Stroke Registry (formerly the Registry of the Canadian Stroke Network (RCSN)) was established in 2001 to allow for the measurement and monitoring of stroke care delivery and outcomes in Canadian patients at participating institutions, and to serve as a rich clinical database for investigator-initiated research projects.
In increasing numbers of primary stroke centers, pharmacologic thrombolysis with the drug tissue plasminogen activator (tPA), is used to dissolve the clot and unblock the artery. Giving rTPA lessens the chance of disability after 3 months by 30%. [29] Another intervention for acute cerebral ischemia is removal of the offending thrombus directly.
These results and the first mentioning of the term ischemic penumbra were published in 1977 in Stroke (1), and further substantiated by an editorial in 1981 (2). The first decade of research focused on physiologic profile of the penumbra tissue after stroke , mapping the cerebral blood flow, and quantifying oxygen and glucose consumption to ...