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HE Vinci > Accident vasculaire cérébral (AVC)
Accident vasculaire cérébral (AVC)Synonyme(s)A.v.c. ;Apoplexie cérébrale Ictus cérébralVoir aussi |
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Emily J. Dalton ; Leonid Churilov ; Natasha A. Lannin ; Dale Corbett ; Bruce C.V. Campbell ; Kathryn S. Hayward |Background To enable development of effective interventions, there is a need to complete systematic early-phase dose articulation research. This scoping review aimed to synthesize dose articulation research of behavioral motor interventions for [...]Travail de fin d'études
Quand subitement le corps nous lâche. Quand, de lintérieur, le cerveau se met à saigner créant le chaos sur son chemin, le sujet se trouve prisonnier de son enveloppe corporelle. Voilà le sort réservé aux personnes victimes dAVC. Le résultat ?[...]Article
Quoc Bui ; Katherine J. Kaufman ; Vy Pham ; Eric J. Lenze ; Jin-Moo Lee ; David C. Mohr ; Mandy W.M. Fong ; Christopher L. Metts ; Stephanie E. Tomazin |Objective To validate and characterize real-world functional behaviors in individuals after stroke. Design Longitudinal observational study using ecological momentary assessment (EMA) as a real-time assessment of functional behaviors in nat[...]Article
Objectives To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants daily environments. Design Prospective observational study using smartphone-based ecological momentary ass[...]Article
Importance: Research supports the clinical effectiveness of hospital-based occupational therapy to improve functional outcomes, but no synthesis of economic evaluations of occupational therapy services provided in these settings has been publish[...]Article
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Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidenc[...]Article
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Cote Support Localisation Section Disponibilité Kinesithérapie scientifique. 526 (2011) Périodique papier Woluwe Espace revues Consultation sur place uniquement
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Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidenc[...]Article
Objectives To explore the effect of an evidence-based mobility intervention on the level of function (LOF) achieved by patients with intracerebral hemorrhage (ICH) stroke and subarachnoid hemorrhage (SAH) stroke and to identify clinical charact[...]Article
Aardhra M. Venkatachalam ; Audra Rabroker ; Suzanne Stone ; Maunica R. Manchi ; Samarpita Sengupta ; Nneka L. Ifejika |Objective To evaluate the effect of a physiatry-led stroke consult service on access and time to intensive postacute rehabilitation. Design Prospective observational study. Setting Urban Joint Commission Comprehensive Stroke Center. [...]Article
Objective To examine the effects of an anterior ankle-foot orthosis (AAFO) on the speed and accuracy of weight shift in persons with stroke. Design Cross sectional, repeated measures. Setting Neurologic rehabilitation department. Participants[...]Article
Objective To investigate whether the concomitant presence of anterior cervical osteophytes can influence the severity and outcome of patients with poststroke dysphagia. Design Retrospective case-control study. Setting Hospital. Participants [...]Article
Background The evidence on aquatic therapy (AT) for improving balance and gait deficits post-stroke is unclear. Therefore, this study aimed to determine the effect of AT on balance and gait in stroke survivors. Methods We searched CINAH[...]DisponibilitéExemplaires (1)
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Objective To examine the influence of balance support on the energy cost of treadmill and overground walking in ambulatory patients with stroke. Design Cross-sectional. Setting Research laboratory at a rehabilitation center. Participants Pat[...]Article
Objective To investigate the association between body mass index (BMI) and the functional progress of patients with stroke, admitted to a rehabilitation hospital. Design A retrospective cohort study. Setting A freestanding university rehabili[...]Article
Objective To determine the effect of motor branch block (MBB) or neuromuscular block (NMB) of the rectus femoris on knee kinematics during swing, functional outcome, and energy cost in adults with spastic paresis presenting a stiff knee gait. D[...]Article
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Kim Bo ryun ; Ho Chun Min ; Kim Dae-yul ; et al. |Objective To compare the therapeutic effect of low- and high-frequency repetitive transcranial magnetic stimulation (rTMS) of the posterior parietal cortex (PPC) in patients with acute stroke with visuospatial neglect. Design This study was a [...]Article
Objective To study the immediate effects of interferential current stimulation (IFC) on shoulder pain and pain-free passive range of motion (PROM) of the shoulder in people with hemiplegic shoulder pain (HSP). Design Double-blind, placebo-cont[...]Article
Objective To examine whether selection of the nonparetic or paretic leg as the weight-bearing leg in item 13 (standing unsupported one foot in front) and item 14 (standing on one leg) of the Berg Balance Scale (BBS) influences the item scores, [...]Article
Tales Andrade Pereira ; Marcos Paulo Braz de Oliveira ; Paula Regina Mendes da Silva Serráo ; Carolina Tsen ; Rubens Vinícius Letieri ; Luciana Maria dos Reis |Background Resistance training (RT) effectively promotes functional independence after stroke. Objectives To investigate the effect of lower limb RT on body structure and function (muscle strength, postural balance), activity (mobility, gai[...]Article
Objective To determine the maximum permissible number of missed items on the 10-item Catherine Bergego Scale administered after the Kessler Foundation Neglect Assessment Process (KF-NAP). Secondary objectives were to determine the frequency, ch[...]Article
Félix Nindorera ; Ildephonse Nduwimana ; Alexis Sinzakaraye ; Eric Havyarimana ; Yannick Bleyenheuft ; Jean-Louis Thonnard ; Oyéné Kossi |Background The prevalence of physical inactivity after stroke is high and exercise training improves many outcomes. However, access to community training protocols is limited, especially in low-income settings. Objective To investigate the feasi[...]Article
Hsiu-Yun Hsu ; Ta-Shen Kuan ; Ching-Liang Tsai ; Po-Ting Wu ; Yao-Lung Kuo ; Fong-Chin Su ; Li-Chieh Kuo |Objective To investigate the effects of perturbation-based pinch task training on the sensorimotor performance of the upper extremities of patients with chronic stroke via a novel vibrotactile therapy system. Design A single-blinded randomi[...]Article
Objective : To investigate the effects of local vibration applied to the plantar region of the foot on static and dynamic balance in stroke patients. Design : Randomised, controlled trial. Setting : Inpatient. Participants : Thirty patients w[...]Article
Objective To determine the relation between rehabilitation intensity and poststroke mortality. Design Retrospective cohort study. Setting Nationwide claims data. Participants From Taiwan's National Health Insurance claims databases, patients[...]Article
Objective To examine the effect of a 12-week Tai Chi (TC) intervention on physical function and quality of life. Design Single-blind, randomized controlled trial. Setting General community. Participants Community-dwelling survivors of stroke[...]Article
Yi Li ; Jiashang Huang ; Xiaohong Li ; Jia Qiao ; Xin Huang ; Lining Yang ; Heping Yu |Objective To investigate the efficacy and acceptability of virtual reality (VR) with time-dose-matched conventional therapy (CT) in patients poststroke with upper limb dysfunction. Data Sources Cochrane, PubMed, Web of Science, Embase, and [...]Article
Objectives (1) To determine the effect of transcutaneous electrical nerve stimulation (TENS) on poststroke spasticity. (2) To determine the effect of different parameters (intensity, frequency, duration) of TENS on spasticity reduction in adu[...]Article
Background Wearable exoskeletons are a recently developed technology. Objectives The present systematic review aimed to investigate the effect of a wearable exoskeleton on post-stroke walking by considering its use in a gait training system and [...]Article
Hafiz Syed Ijaz Ahmed Burq ; Hafiz Syed Ijaz Ahmed Burq ; Hossein Karimi ; Ashfaq Ahmad ; Syed Amir Gilani ; Asif Hanif |Objective To assess the effect of Whole-Body Vibration (WBV) and Routine Physiotherapy (RP) on obstacle crossing and stair negotiation time in chronic stroke patients. Methods The current study was randomized, parallel-group, assessor-blinded, c[...]Article
Objective To examine the effects of 3 months of aerobic training (AT) followed by coaching on aerobic capacity, strength, and gait speed after subacute stroke. Design Randomized controlled trial. Setting Inpatient rehabilitation center. Parti[...]Article
Hui-Min Xie ; Ting-Ting Guo ; Xuan Sun ; Han-Xiao Ge ; Xue-Dan Chen ; Ke-Jia Zhao ; Li-Ning Zhang |Objective To evaluate the effectiveness of botulinum toxin A (BTX-A) in the treatment of hemiplegic shoulder pain. Data Sources PubMed, EMBASE, Elsevier, Springer, Cochrane Library, Physiotherapy Evidence Database, CNKI, and VIP were rese[...]Article
Objective To provide a comprehensive overview of reported effects and scientific robustness of botulinum toxin (BoNT) treatment regarding the main clinical goals related to poststroke upper limb spasticity, using the International Classificat[...]Article
María Encarnación Aguilar-Ferrándiz ; Sonia Toledano-Moreno ; María Carmen García-Ríos ; Rosa María Tapia-Haro ; Francisco Javier Barrero-Hernández ; Antonio Casas-Barragán |Objective To analyze the effectiveness of a home-based restorative and compensatory upper limb apraxia (ULA) rehabilitation program. Design Randomized controlled trial. Setting Neurology Unit of San Cecilio Hospital and 2 private and [...]Article
Objectives To (1) assess the effectiveness of home- and community-based rehabilitation (HCBR) in a large cohort of individuals with disabilities secondary to cerebrovascular accident (CVA); and (2) evaluate the responsiveness to treatment of th[...]Article
Objective To investigate the effectiveness of neuromuscular electrical stimulation (NMES) with or without other interventions in improving lower limb activity after chronic stroke. Data Sources Electronic databases, including PubMed, EMBase, C[...]Article
Objective To investigate the effects of various rehabilitative interventions aimed at enhancing poststroke motor recovery by assessing their effectiveness when compared with no treatment or placebo and their superiority when compared with conve[...]Article
Objective To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke. Data Sources A systematic literature search was conducted in 6 databases from January 2000 to May 2[...]Article
Kanika, ; Manu Goyal ; Kanu Goyal |Background Complex Regional Pain Syndrome (CRPS) is an umbrella term for a variety of clinical presentations characterized by persistent pain usually in the hands or feet that is disproportionate to any preceding injury and characterized by many[...]Article
Objective To review the current evidence for the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques on gait parameters in patients with stroke. Data Sources The electronic platforms of CINAHL, MEDLINE, PubMed, and[...]Article
"Objective To evaluate the serial changes of long-term effects of thermal stimulation (TS) on acute stroke patients. Design A prospective study with follow-up at 3, 6, and 12 months after TS to assess motor and balance function of the paretic le[...]Article
Objectives First, to evaluate the clinical effectiveness of a virtual reality (VR)based telerehabilitation program in the balance recovery of individuals with hemiparesis after stroke in comparison with an in-clinic program; second, to compare[...]Article
"Objective To evaluate the effectiveness of an intervention using video to deliver therapy at home for patients with stroke. Design Randomized controlled trial. Setting The neurology ward and rehabilitation medicine department of a tertiary hosp[...]Article
Objective To investigate the efficacy of virtual reality (VR)- and gaming-based interventions for improving upper extremity function poststroke, and to examine demographic and treatment-related factors that may moderate treatment response. D[...]Article
Objective To provide a novel overview of the literature and to summarize the evidence for the effects of aerobic exercise (AE) on serum biomarkers neuroplasticity and brain repair in survivors of stroke. Data Sources We conducted a system[...]Article
Objective To determine the effectiveness of an ankle-foot orthosis (AFO) on mobility, walking, and balance in people with stroke. Data Sources The following databases were searched from inception to November 2011: Cochrane Stroke, Movement Dis[...]Article
Objective To examine the effects of an anterior ankle-foot orthosis (AAFO) on walking mobility in stroke patients. Design Cross-sectional and repeated-measures study design. Setting A university's neurologic rehabilitation department. Partici[...]Article
Objective To examine the effects of vibration-induced ankle proprioceptive interference on the locomotion of patients with stroke with intact and impaired ankle joint position sense (JPS). Design Cross-sectional. Setting Rehabilitation depart[...]Article
Ludmila Micheli Rochetti ; Iramaia Salomão Alexandre de Assis ; Tamise Aguiar Caires ; Marina Mendonça Emílio ; Rafael de Almeida Oliveira ; Luciane Aparecida Pascucci Sande de Souza |Background: Problems with balance are common after a stroke, and dancing can be a beneficial adjunctive approach to rehabilitation. Dancing can be seen as a strategy to increase motivation, as it may be able to improve motor patterns of stroke [...]Article
Background General ankle-foot orthosis (AFO) cannot be flexibly adjusted to volumetric change in the lower leg because the molding is custom-fit. Thus, we developed a flexible assistive device called elastic neutral AFO (EN-AFO) to help stroke p[...]Article
Objective To assess the efficacy of electromechanical exoskeleton-assisted gait training on walking ability of stroke patients based on ambulatory function, muscle strength, balance, gait speed, and capacity. Design Randomized controlled trial[...]Article
Objective To examine if 8 weeks of high-intensity interval training (HIIT) in addition to standard care would increase and maintain peak oxygen uptake (Vo2peak) more than standard care alone in patients with stroke. Design This was a single[...]Article
Tor Ivar Gjellesvik ; Frank Becker ; Arnt Erik Tjønna ; Bent Indredavik ; Eivind Lundgaard ; Hedvig Solbakken ; Berit Brurok ; Tom Tørhaug ; Stian Lydersen ; Torunn Askim |Objective To assess the effects of high-intensity interval training (HIIT) on physical, mental, and cognitive functioning after stroke. Design The HIIT Stroke Study was a single-blind, multicenter, parallel-group randomized controlled tri[...]Article
Objective To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after stroke. Data Sources Seven electronic databases (eg, MEDLINE, PubMed, CINAL, EMBASE, th[...]Article
Objective We investigated the treatment effects of a home-based rehabilitation program compared with clinic-based rehabilitation in patients with stroke. Design A single-blinded, 2-sequence, 2-period, crossover-designed study. Setting Rehabil[...]Article
Objectives To test the effects of a new motor imagery practice approach, in which motor and motivational contents were integrated in order to improve gait in subjects with chronic poststroke hemiparesis. Design A half-crossover study composed [...]Article
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Objectives To investigate the effects of a 6-week whole body vibration (WBV) training program in patients with chronic stroke. Design Randomized controlled pilot trial with 6 weeks' follow-up. Setting University hospital. Participants Adults[...]Article
Piedad Rocío Lerma Castaño ; Yasmin Andrea Rodríguez Laiseca ; Diana Paola Montealegre Suárez ; Danna Brigitte Castrillón Papamija ; Gladys Estefany Losada Urriago |Introduction: Kinesio Taping (KT) is being widely used in neurorehabilitation as an adjuvant technique due to its therapeutic effects. The objective of this study was to determine the effects of Kinesio Taping combined with the motor relearning[...]Article
Zaqueline F. Guerra ; Letícia C. Bellose ; Ana Paula Ferreira ; Christina Danielli Coelho de Morais Faria ; Clarissa C.S.C. Paz ; Giancarlo Lucchetti ; Giancarlo Lucchetti |Introduction Only a small number of clinical trials were designed to investigate Mental Practice (MP)'s use for gait rehabilitation in individuals in the early subacute post-stroke phase. This trial aims to investigate the effect of mental pract[...]Article
Ching-Yi Wu ; Pai-Chuan Huang ; Yu-Ting Chen ; et al. |Objective To compare the effects of mirror therapy (MT) versus control treatment (CT) on movement performance, motor control, sensory recovery, and performance of activities of daily living in people with chronic stroke. Design Single-blinded,[...]Article
"Objective To explore the effects of Mobilization and Tactile Stimulation (MTS) and patterns of recovery in chronic stroke (> 12mo) when upper limb (UL) performance has reached a clear plateau. Design Replicated single-system experimental stu[...]Article
Objective This study aimed to evaluate the effects of motor imagery (MI) on walking function and balance in patients after stroke. Methods Related randomized controlled trials (RCTs) were searched in 12 electronic databases (Cochrane Cent[...]DisponibilitéExemplaires (1)
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"Objectives To determine whether a multifactorial falls prevention program reduces falls in people with stroke at risk of recurrent falls and whether this program leads to improvements in gait, balance, strength, and fall-related efficacy. Desig[...]Article
Objective To compare the immediate effects of conventional treadmill gait and guidance tubing gait (GTG) on electromyographic neuromuscular imbalance and knee joint kinematics in hemiparetic gait. Design Case-control study. Setting University[...]Article
Hsin-Wen Hsu ; Chia-Ling Lee ; Miao-Ju Hsu ; et al. |"Objective To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke. Design A double-blinded randomized controlled trial. Setting A university hospital. Participants Patients[...]Article
Dongyu Wu ; Long Qian ; Richard D Zorowitz ; et al. |"Objective To assess the efficacy of transcranial direct current stimulation (tDCS) on decreasing upper-limb (UL) muscle tone after stroke. Design A prospective, sham-controlled, randomized controlled trial with 4-weeks follow-up. Randomization[...]Article
Objectives To estimate the treatment effects of exercise and/or gait training interventions on dualtask walking in people with stroke. The secondary objective was to conduct subgroup analyses to compare the treatment effects of interventions i[...]Article
Objective To investigate short-term and long-term effects of repetitive peripheral magnetic stimulation (rpMS) on spasticity and motor function. Design Monocentric, randomized, double-blind, sham-controlled trial. Setting Neurologic rehabilit[...]Article
Objective To examine the effects of respiratory muscle training on respiratory function, respiratory muscle strength, and exercise tolerance in patients poststroke. Data Sources We searched MEDLINE, Cochrane Library, Embase, SciELO, Physiother[...]Article
Objective To compare the effects of unilateral, proximal arm robot-assisted therapy combined with hand functional electrical stimulation with intensive conventional therapy for restoring arm function in survivors of subacute stroke. Design [...]Article
Importance: The effects of robot-assisted task-oriented training with tangible objects among patients with stroke remain unknown. Objective: To investigate the effects of robot-assisted therapy (RT) with a Gloreha device on sensorimotor and ha[...]Article
Objective To investigate whether self-exercise programs for patients after stroke contribute to improved activities of daily living (ADL) at hospital discharge. Design Retrospective, observational, propensity score (PS)matched case-control st[...]Article
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Leeanne M. Carey, Auteur ; Thomas A. Matyas, Auteur ; Carolyn M. Baum, Auteur |OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N = 268) were assessed at hospital admission for somatosensory and motor impairment using the Nat[...]Article
Natapatchakrid Thimabut ; Pattarapol Yotnuengnit ; Jittima Charoenlimprasert ; Thipwimon Sillapachai ; Satoshi Hirano ; Eiichi Saitoh ; Krisna Piravej |Objective To investigate the effects of the robot-assisted gait training (RAGT) device plus physiotherapy vs physiotherapy alone in improving ambulatory functions in patients with subacute stroke with hemiplegia. Design A prospective, ass[...]Article
Objective This systematic review and meta-analysis aimed to review and quantify the changes in gait parameters after therapeutic intervention in adults with neurologic disorders. Data Sources A keyword search was performed in 4 databases: PubMed[...]Article
Li Ge ; Qing-Xiang Zheng ; Yan-Tan Liao ; et al. |Objective To systematically review literature about the rehabilitative effects of traditional Chinese exercises (TCEs) on limb function among patients with stroke. Methods Systematic review and meta-analysis of randomized controlled trial[...]DisponibilitéExemplaires (1)
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Miran Yoo ; Min Ho Chun ; Ga Ram Hong ; Changmin Lee ; June Kyoung Lee ; Anna Lee |Objectives To investigate the effects of exoskeleton-assisted gait training in stroke patients. Design Prospective randomized controlled trial. Setting Rehabilitation department in a single tertiary hospital. Participants Thirty (N=30) chronic s[...]Article
Objective To test whether a multistrategy intervention enhanced recovery immediately and longitudinally in patients with severe to moderate upper extremity (UE) paresis. Design Double-blind, randomized controlled trial with placebo control. Se[...]Article
Objective To assess the long-term health outcomes of acute stroke survivors transferred to the rehabilitation ward. Design Long-term mortality rates of first-time stroke survivors during hospitalization were compared among the following sets o[...]Article
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Objectives To examine the effects of walking on a treadmill at varying gradients and speeds on ankle muscle activation in stroke survivors, and to compare the effect of increasing speed on plantarflexor muscle activity in participants grouped a[...]Article
Objective To examine the effects of 12 weeks of twice-weekly intensive aerobic exercise on physical function and quality of life after subacute stroke. Design Randomized controlled trial. Setting Ambulatory care. Participants Patients (N=56;[...]Article
Jie Hao ; Haoyu Xie ; Kimberly Harp ; Zhen Chen ; Ka-Chun Siu |Objective To systematically review and examine the current literature regarding the effects of virtual reality (VR)based rehabilitation on neural plasticity changes in survivors of stroke. Data Sources We searched 6 bioscience and engineer[...]Travail de fin d'études
Introduction : Laccident vasculaire cérébral (AVC) chronique est la première cause de handicap fonctionnel. La restauration de la marche est un des principaux buts recherchés par la rééducation post AVC car il permet au patient de retrouver so[...]Article
Nisrine Abdelnour-Lattouf ; Luc Maynard ; Jean-Bernard Dubost ; Ayman Assi ; Roland Tomb ; Serge Mesure |Les troubles moteurs fonctionnels liés à lAVC sont associés à lincoordination segmentaire et à laltération de la proprioception. Lobjectif était dévaluer lefficacité des techniques de facilitation proprioceptive neuromusculaire (PNF) sur l[...]Article
Cette revue systématique avec méta-analyses présentant certaines limites méthodologiques suggère que les interventions de télésanté chez les victimes dAVC ont un effet statistiquement significatif, mais de pertinence clinique incertaine, sur la[...]Article
Objectif Évaluer leffet dun traitement par ondes de choc radiales sur la spasticité et la mobilité articulaire passive du triceps sural de patients hémiplégiques en phase subaiguë. Méthodologie Un essai contrôlé randomisé, uni-centrique avec[...]Article
En 2018, un panel de la European Atherosclerosis Societya publié dans le European Heart Journal un aperçu des effets potentiels des statines sur lhoméostasie glucidique, les fonctions cognitive, rénale et hépatique, et le risque dAVC hémorragi[...]DisponibilitéExemplaires (1)
Cote Support Localisation Section Disponibilité VCP. Vol. 25, n° 1 (20 février 2020 - 20 mars 2020) Périodique papier Woluwe Espace revues Consultation sur place uniquement
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Sophie Kervyn dOud Mooreghem ; Sawane Latour ; Florent Evrard, Promoteur | Woluwe-Saint-Lambert : Haute École Léonard de Vinci | 2022Contexte: Chaque année, 15 millions de personnes font un accident vasculaire cérébral (AVC). LAVC représente à ce jour le problème neurologique le plus fréquent et le plus important au monde. LAVC peut engendrer différentes séquelles en foncti[...]Travail de fin d'études
Pauline Hardy, Auteur ; Florent Evrard, Promoteur | Woluwe-Saint-Lambert : Haute École Léonard de Vinci | 2021Contexte : Les séquelles après un AVC montrent des tableaux cliniques très diversifiés. Toutefois la spasticité est lun des symptômes majeurs et entraine de multiples conséquences, impliquant des désordres moteurs dans la marche et léquilibre [...]Article
Malgré ses limites méthodologiques importantes, cette méta-analyse confirme quune diminution des chiffres tensionnels avec un traitement antihypertenseur chez des patients âgés > 65 ans hypertendus montre une efficacité sur des critères forts [...]Article
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Efficacy of an Electromechanical Gait Trainer Poststroke in Singapore: A Randomized Controlled Trial
Objective To evaluate the longer-term effects of electromechanical gait trainers (GTs) combined with conventional physiotherapy on health status, function, and ambulation in people with subacute stroke in comparison with conventional physiother[...]Article
Xiaoyi Hang ; Jingjing Li ; Yijie Zhang ; Zhenzhen Li ; Yi Zhang ; Xuanhao Ye ; Qisheng Tang ; Wenjun Sun |Background Acupuncture is considered as an effective alternative treatment for post-stroke depression because of its low side effects and easy availability. However, it usually depends on the skills and experience of doctors to choose which acup[...]