Co-incidence of selected effects of stroke – preliminary findings
DOI:
https://doi.org/10.12775/MBS.2016.023Keywords
stroke, spasticity, contracture, pusher syndrome, unilateral neglect, heterotopic ossificationAbstract
Background. Spasticity, contractures, pusher syndrome, unilateral neglect and heterotopic ossifications are one of the most commonly observed effects in patients after stroke. There is still a need for research on predictors and early identification of such changes in order to minimize their incidence and negative influence to the recovery process.
Objective. To evaluate the incidence and relationship between the selected complications of stroke spasticity, contractures, pusher syndrome, unilateral neglect and heterotopic ossifications.
Results. Among the 141 patients involved in the study, the results were as follows: spasticity was observed in 35.46%, contracture in 42.55%, pusher syndrome in 8.51%, hemispatial neglect in 4.26% and heterotopic ossifications were observed in 5.67%.
Conclusions. Our findings confirm presented relatively new and important basic and clinical information extending existing studies, especially co-occurrence of selected stroke results and factors influencing their incidence.References
Feigin V.L., Norrving B., George M.G., Foltz J.L., Roth G.A., Mensah G.A. Prevention of stroke: a strategic global imperative. Nat Rev Neurol. 201;. doi: 10.1038/nrneurol.2016.107.
Kuklina E.V., Tong X., George M.G., Bansil P. Epidemiology and prevention of stroke: a worldwide perspective. Expert Rev Neurother. 2012;12(2):199-208.
Strong K., Mathers C., Bonita R. Preventing stroke: saving lives around the world. Lancet Neurol. 2007;6(2):182–187.
World Health Organization. The Global Burden of Disease: 2004 Update. Geneva, Switzerland: WHO; 2008.
Grysiewicz R.A., Thomas Thomas., Pandey D.K. Epidemiology of ischemic and hemorrhagic stroke: incidence, prevalence, mortality, and risk factors. Neurol Clin. 2008;26(4):871-95.
Ingall T. Stroke - incidence, mortality, morbidity and risk. J Insur Med. 2004;36(2):143-52.
González-Gómez F.J., Pérez-Torre P., DeFelipe A., et al. Stroke in young adults: Incidence rate, risk factors, treatment and prognosis. Rev Clin Esp. 2016; doi: 10.1016/j.rce.2016.05.008.
Black-Schaffer R.M., Kirsteins A.E., Harvey R.L. Stroke rehabilitation. 2. Co-morbidities and complications. Arch Phys Med Rehabil. 1999;80(5 Suppl 1):S8-16.
Li F., Wu Y., Li X. Test-retest reliability and inter-rater reliability of the Modified Tardieu Scale and the Modified Ashworth Scale in hemiplegic patients with stroke. Eur J Phys Rehabil Med. 2014;50(1):9-15.
Gregson J.M., Leathley M., Moore A.P., Sharma A.K., Smith T.L., Watkins C.L. Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Arch Phys Med Rehabil. 1999;80(9):1013-6.
Hantson L., De Weerdt W., De Keyser J., et al. The European Stroke Scale. Stroke. 1994;25(11):2215-9.
Bergmann J., Krewer C., Rieß K., Müller F., Koenig E., Jahn K. Inconsistent classification of pusher behaviour in stroke patients: a direct comparison of the Scale for Contraversive Pushing and the Burke Lateropulsion Scale. Clin Rehabil. 2014;28(7):696-703.
Baccini M., Paci M., Nannetti L., Biricolti C., Rinaldi L.A. Scale for contraversive pushing: cutoff scores for diagnosing "pusher behavior" and construct validity. Phys Ther. 2008;88(8):947-55.
Karnath H.O., Brötz D. Instructions for the Clinical Scale for Contraversive Pushing (SCP). Neurorehabil Neural Repair. 2007;21(4):370-1; author reply 371.
Baccini M., Paci M., Rinaldi L.A. The scale for contraversive pushing: A reliability and validity study. Neurorehabil Neural Repair. 2006;20(4):468-72.
Gurcay E., Ozturk E.A., Erdem T., Gurcay A.G., Cakci A. Heterotopic ossification as rare complication of hemiplegia following stroke: two cases. Brain Inj. 2013;27(13-14):1727-31.
Lin S.H., Chiu C.C., Wang C.Y., Chen C.H., Chang K.H. Subdural hygroma-related heterotopic ossification in a patient with a stroke: a case report. Brain Inj. 2011;25(6):624-8.
Wissel J., Manack A., Brainin M. Toward an epidemiology of poststroke spasticity. Neurology. 2013;80(3 Suppl 2):S13-9.
Siekierka-Kleiser E.M., Kleiser R., Wohlschläger A.M., Freund H.J., Seitz R.J. Quantitative assessment of recovery from motor hemineglect in acute stroke patients. Cerebrovasc Dis. 2006;21(5-6):307-14.
Abe H., Kondo T., Oouchida Y., Suzukamo Y., Fujiwara S., Izumi S. Prevalence and length of recovery of pusher syndrome based on cerebral hemispheric lesion side in patients with acute stroke. Stroke. 2012;43(6):1654-6.
Karnath H.O., Johannsen L., Broetz D., Küker W. Posterior thalamic hemorrhage induces "pusher syndrome". Neurology. 2005;64(6):1014-9.
Pedersen P.M., Wandel A., Jørgensen H.S., Nakayama H., Raaschou H.O., Olsen T.S. Ipsilateral pushing in stroke: incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1996;77(1):25-8.
Allison R., Shenton L., Bamforth K., Kilbride C., Richards D. Incidence, time course and predictors of impairments relating to caring for the profoundly affected arm after stroke: a systematic review. Physiother Res Int. 2015; doi: 10.1002/pri.1634.
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