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Journal articles on the topic 'Post CVA'

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Author: Grafiati
Published: 8 June 2024

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1

Sharma, Shweta, and Kamli Prakash. "Effect of Teaching Programme regarding Home Care on Knowledge and Practice of Informal Caregivers of CVA Patients in a Selected Hospital in Dehradun (Uttarakhand)." Nursing Journal of India CVII, no. 03 (2016): 139–43. http://dx.doi.org/10.48029/nji.2016.cvii301.

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Objectives of the study were to determine the effectiveness of a teaching programme regarding home care of CVA patients on knowledge and practice of informal caregivers, to find association between pre-test knowledge and practice scores of informal caregivers with their selected demographic variables, and to find correlation between post-test knowledge score and post-test practice score of informal caregivers of CVA patients. Quantitative research approach and pre-experimental one group pre-test and post-test design was adopted. Total sample were 45 informal caregivers of CVA patients; purposive sampling technique was used. The findings showed the mean of pre-test knowledge score of 13.24 and mean of post-test knowledge score as 25.96 with calculated ‘t’ value 28.96, which was more than tabulated ‘t’ value at p
2

Drexler, MS, LRT/CTRS, Karen. "Case history: Use of the Nintendo Wii to increase fine motor dexterity post cerebral vascular accident." American Journal of Recreation Therapy 8, no. 3 (July 1, 2009): 41–46. http://dx.doi.org/10.5055/ajrt.2009.0020.

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Use of the low cost commercially available gaming console (Nintendo Wii) is a current trend in the rehabilitation environment. Released in 2006 by Nintendo, Veterans Affairs Medical Centers across the country are just setting one, Wii is being used as a physical, social, and cognitive tool. This case report seeks to provide evidence of its use as a rehabilitation tool for individuals who have experienced a recent stroke. By using whole body movements, the Wii sports games help in both gross motor and fine motor skills as well as in hand–eye coordination. This case study involves an older adult who is recovering from a cerebral vascular accident (CVA) and how using the Wii bowling game assisted to increase his fine motor strength and dexterity. CVA or stroke also called a “brain attack” can affect various parts of the brain. There are various signs and symptoms of CVA and these vary in each individual. Some of the signs that an individual having CVA shows are: sudden numbness or weakness of the face, arm or leg (especially on one side of the body), sudden confusion, trouble speaking, or understanding speech, sudden trouble seeing in one or both eyes, sudden trouble walking, dizziness, loss of balance or coordination, sudden severe headache with no known cause. This case study involved an older adult who experienced a CVA involving hemorrhage in the right cerebellum as revealed in a CT scan. This CVA affected the right hand of this individual. Hemorrhagic stroke occurs when a blood vessel in the brain ruptures. This lets blood to spill into nearby brain tissue, which damages the cells. Some brain cells die because their normal blood supply is cut off. Certified Therapeutic Recreation Specialist and Author of this case article utilized the Salisbury Veterans Affairs Medical Center Recreational Therapy initial intake assessment and discovered per patient’s report that he had decreased strength and fine motor dexterity in the fingers of his right hand status post CVA. This patient reported that after his stroke, he was not able to hold a utensil in his right hand. This case study speaks the use of the Nintendo Wii in assisting patient to regain use of the fingers of the hand that was affected by the CVA. This article can provide information for other Certified Therapeutic Recreation Specialists as to the use of the Nintendo Wii™ as a treatment modality. This device can demonstrate outcomes of improving fine motor dexterity for those who are recovering from a CVA.
3

Habot, Beno, H. Rabinovitz, Julie B. Friedman, J. Schwartz, and Theodore H. Tulchinsky. "Sexual Function among Male Hemiparetic Post-CVA Patients." Journal of the American Geriatrics Society 37, no. 10 (October 1989): 1003–4. http://dx.doi.org/10.1111/j.1532-5415.1989.tb07289.x.

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4

Osowicka-Kondratowicz, Magdalena, Joanna Białkowska, and Paweł Białkowski. "Specyfika pracy oraz rola logopedy w interdyscyplinarnym modelu opieki nad chorym po udarze mózgu." Prace Językoznawcze 20, no. 4 (September 16, 2019): 181–96. http://dx.doi.org/10.31648/pj.4491.

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The interdisciplinary team involved in the rehabilitation process of the post-CVA patient requires close co-operation among all involved health care professionals in order to ensure a continuous exchange of information and to relate the same information to the patient. The lack of awareness of each team member’s work-related tasks could jeopardize the effectiveness of the rehabilitation process instead of enhancing it. Therapeutic goals cannot be achieved during the rehabilitation process if there is inadequate team cooperation when treating a patient. For example, unfamiliarity with the treatment approach that is utilized by the speech therapist may cause developing pathological movement patterns in CVA patients. Interdisciplinary teamwork is a complex process which needs to be based on exchanging knowledge and skills to impact patient care. The purpose of this article is to describe the speech therapy approach to the rehabilitation of a post CVA patient. This type of approach needs to be included in the planning of a complex care for a population of patients with neurological disorders, especially for those suffering from CVA. These patients comprise the majority of neurological disorders.
5

Linsenmeyer, Todd A. "Post-CVA voiding dysfunctions: Clinical insights and literature review." NeuroRehabilitation 30, no. 1 (February 15, 2012): 1–7. http://dx.doi.org/10.3233/nre-2012-0721.

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6

Eberly, V. J., C. J. Newsam, S. J. Mulroy, W. B. Weiss, J. K. Gronley, and J. Perry. "CLINICAL INDICATIONS FOR AFO PRESCRIPTION IN INDIVIDUALS POST CVA." Journal of Neurologic Physical Therapy 28, no. 4 (December 2004): 186. http://dx.doi.org/10.1097/01253086-200412000-00055.

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7

Bhatti, Sameera Ayub, Ayesha Butt, and Afifa Khanam. "The Effects of Dictionary Vocabulary Learning Versus Contextual Vocabulary Acquisition on the Vocabulary Development of Pakistani EFL Learners." Global Regional Review IV, no. IV (December 31, 2019): 140–48. http://dx.doi.org/10.31703/grr.2019(iv-iv).16.

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The vocabulary of a language refers to the range of words used in it. A number of strategies are used in EFL classrooms to teach vocabulary, where the most common are Dictionary Vocabulary Learning (DVL) and Contextual Vocabulary Acquisition (CVA) The present study investigates the difference between the vocabulary development of EFL learners undergone the mentioned strategies. The study is experimental and the population is the BS students of Punjab (Pakistan). The sample was forty EFL students, divided as group 1 and group 2, where group 1 was taught by using DVL while group 2 was taught by CVA. Pre and Post tests were used to see the effects of DVL on group 1 and of CVA on group 2. Results indicated that the vocabulary development of the students taught by using CVA was higher than the students taught by DVL.
8

Baran, Jane A., Richard W. Bothfeld, and Frank E. Musiek. "Central Auditory Deficits Associated with Compromise of the Primary Auditory Cortex." Journal of the American Academy of Audiology 15, no. 02 (February 2004): 106–16. http://dx.doi.org/10.3766/jaaa.15.2.2.

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The subject of this study was a 46-year-old female who had suffered a cerebrovascular accident (CVA). Magnetic resonance imaging revealed damage in the area of the distribution of the middle cerebral artery involving most, if not all, of the primary auditory area of the left hemisphere. No auditory problems were noted prior to the CVA; however, following the CVA, the subject reported a number of auditory difficulties. Pure-tone thresholds were normal post-CVA, and performance on speech recognition testing was good in both ears if ample time was provided between a response and the presentation of the next test item. Duration pattern, intensity discrimination, and middle latency response test results were abnormal for both ears, and right ear deficits were evident on an auditory fusion test and two dichotic speech tests (digits and rhymes). This case is significant in that it demonstrates a good correlation between damage to known key auditory regions and central auditory test results.
9

Benedetto, Umberto, Mario F. Gaudino, Arnaldo Dimagli, Stephen Gerry, Alastair Gray, Belinda Lees, Marcus Flather, et al. "Postoperative Atrial Fibrillation and Long-Term Risk of Stroke After Isolated Coronary Artery Bypass Graft Surgery." Circulation 142, no. 14 (October 6, 2020): 1320–29. http://dx.doi.org/10.1161/circulationaha.120.046940.

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Background: Postoperative atrial fibrillation (pAF) after coronary artery bypass grafting is a common complication. Whether pAF is associated with an increased risk of cerebrovascular accident (CVA) remains uncertain. We investigated the association between pAF and long-term risk of CVA by performing a post hoc analysis of 10-year outcomes of the ART (Arterial Revascularization Trial). Methods: For the present analysis, among patients enrolled in the ART (n=3102), we excluded those who did not undergo surgery (n=25), had a history of atrial fibrillation (n=45), or had no information on the incidence of pAF (n=9). The final population consisted of 3023 patients, of whom 734 (24.3%) developed pAF with the remaining 2289 maintaining sinus rhythm. Competing risk and Cox regression analyses were used to investigate the association between pAF and the risk of CVA. Results: At 10 years, the cumulative incidence of CVA was 6.3% (4.6%–8.1%) versus 3.7% (2.9%–4.5%) in patients with pAF and sinus rhythm, respectively. pAF was an independent predictor of CVA at 10 years (hazard ratio, 1.53 [95% CI, 1.06–2.23]; P =0.025) even when CVAs that occurred during the index admission were excluded from the analysis (hazard ratio, 1.47 [95% 1.02–2.11]; P =0.04). Conclusions: Patients with pAF after coronary artery bypass grafting are at higher risk of CVA. These findings challenge the notion that pAF is a benign complication.
10

Saha, Somnath, Anton Dev X, and Prithvi Das. "Evaluation of Language in Post-CVA Patients: A Clinicophonological Study." International Journal of Phonosurgery & Laryngology 11, no. 2 (February 28, 2021): 54–60. http://dx.doi.org/10.5005/jp-journals-10023-1229.

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11

Simpson, Diane T. "The Nutritional Management of the Elderly Post-CVA Coma Patient." Journal of Nutrition For the Elderly 4, no. 3 (May 1985): 61–66. http://dx.doi.org/10.1300/j052v04n03_06.

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12

Lazarovska, S., H. Tie, A. Hopkins, H. Dimitri, U. Premwardhana, A. Mcdougall, S. Gopinath, J. Chow, and R. Rajaratnam. "Novel Wireless S Patch Device Improves AF Detection Post CVA." Heart, Lung and Circulation 28 (2019): S222. http://dx.doi.org/10.1016/j.hlc.2019.06.206.

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13

Salz, Talya, Emily Craig Zabor, Peter de Nully Brown, Susanne Oksbjerg Dalton, Nirupa Jaya Raghunathan, Matthew J. Matasar, Richard Steingart, et al. "The contribution of pre-existing cardiovascular (CV) risk factors to the risk of stroke or heart attack among non-Hodgkin lymphoma (NHL) survivors." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): 10082. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.10082.

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10082 Background: Increased risk of myocardial infarction (MI) and cerebrovascular accident (CVA) among NHL survivors is commonly attributed to NHL treatment. The extent to which pre-existing CV risk factors also contribute to increased risk is unknown. We investigated this association among an entire national population of NHL survivors who have a full range of important CV risk factors. Methods: Using Danish population-based registries, we identified all adults diagnosed with primary aggressive NHL from 2000-2010 and followed them for MI and CVA from 9 months after diagnosis through 2012. MI and CVA diagnoses were ascertained from the nationwide Hospital Discharge Register and Cause of Death Register. CV risk factors (hypertension, dyslipidemia, and diabetes), vascular disease, and intrinsic heart disease prevalent at NHL diagnosis were ascertained algorithmically using the National Prescription Register and the Hospital Discharge Register. Cumulative anthracycline dose was coded continuously. Receipt of radiation was coded dichotomously for both chest and neck. Controlling for age, sex, treatment, and CV diseases, we used Cox multivariate regression to test the association between pre-existing CV risk factors and subsequent CVA or MI. Results: Among 2604 patients with NHL, median age was 62, and median follow-up time was 2.4 years. Overall, 131 patients were diagnosed with MI or CVA. Before NHL diagnosis, 40% of patients had at ≥1 CV risk factor, 13% had vascular disease, and 6% had intrinsic heart disease. 90% of the patients were treated with anthracyclines, 9% had received chest radiation, and 15% had received neck radiation. Patients with ≥1 CV risk factor had an increased risk of MI or CVA compared to patients with none (HR = 1.5 [95% CI = 1.1-2.2). Prevalent vascular disease, prevalent intrinsic heart disease, and NHL treatment were not associated with MI or CVA (p’s > 0.05). Conclusions: In a large, well-characterized, and nationally representative cohort of NHL survivors, prevalent CV risk factors were associated with later CVA and MI. To prevent MI and CVA among survivors, decisions about post-treatment monitoring should take into account prevalent CV risk.
14

Ye, Q., X. Zhang, X. Jiang, and Q. Huang. "MIDDLE RESOLUTION REMOTE SENSING IMAGE CHANGE DETECTION BASED ON VECTOR ANALYSIS OF MIDLINE CHANGE." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLIII-B3-2020 (August 21, 2020): 775–82. http://dx.doi.org/10.5194/isprs-archives-xliii-b3-2020-775-2020.

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Abstract. The extraction and timely updating of land use /cover information is a key issue in remote sensing change detection. The change vector analysis (CVA) is a better method of change detection. However, the CVA method is the blindness of artificial choice of threshold. Moreover, the direction cosine of CVA cannot represent the unique point in change vector space and it can’t distinguish the change category effectively. In order to avoid this defect, the midline vector is added to CVA method. In this paper, we use the midline change vector analysis (MCVA) method to detect the land use /cover change in multi temporal remote sensing images. We proposed the two-step threshold method to get the optimal threshold and determine the change and the unchanged region of the difference remote sensing image. We chose Hefei city of Anhui Province as the study area, and adopted two Landsat5 TM images in 2000 and 2008 year as experiment data. We use the MCVA and two-step threshold method to achieve remote sensing change detection. In order to compare the detection accuracy between MCVA method and the traditional post classification comparison method, the paper choose the same area (178 pixels × 180 pixels) in the two images to analyse the accuracy, and compare the accuracy of MCVA method with that of the traditional post classification comparison method based on SVM. The experiment results show that the MCVA method has higher overall accuracy, lower allocation disagreement and quantity disagreement. What’s more, the overall accuracy of MCVA method can reach nearly 60%, much higher than the traditional post classification comparison method (less than 40%). And the MCVA method can effectively avoid the problem of change vector direction cosine values are not unique, and the result is much better than the traditional post classification (SVM) comparison method. It indicates that MCVA is a more effective method in land use / cover change detection for middle resolution multispectral images.
15

Babayov, Dana, Haim Omer, and Jacob Menczel. "Sensorimotor Integration Therapy for Hip Fracture and CVA Patients." Canadian Journal of Occupational Therapy 52, no. 3 (June 1985): 133–37. http://dx.doi.org/10.1177/000841748505200307.

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A rehabilitation program, having as its central component a sensorimotor integration procedure, was applied to 36 geriatric patients after hip fracture or CVA. The sensorimotor integration was gradually carried out in a developmental sequence from a lying down position to a fully erect position. Results were preliminarily evaluated by pre- and post- treatment figure drawings, and by ADL ratings. Significant changes were obtained in both measures. Qualitative changes in figure drawings point to specific effects of the sensorimotor integration therapy. A detailed theoretical rationale is provided for the implementation of SI therapy with patients suffering from CVA or hip fracture.
16

Chida, Miyuki, and Sumiko Iida. "Factors on Motives for Rehabilitation of Post-CVA Clients at Homes." Journal of Japan Academy of Nursing Science 17, no. 2 (1997): 43–53. http://dx.doi.org/10.5630/jans1981.17.2_43.

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17

van Rooijen, Marion A., Merlene C. Gingher, Catherine Y. Gordon, and William C. Mann. "Depression in Post-CVA Patients Residing in Long Term Care Facilities." Physical & Occupational Therapy In Geriatrics 9, no. 2 (January 1991): 25–41. http://dx.doi.org/10.1080/j148v09n02_02.

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18

Trombly, Catherine A., and Lee Ann Quintana. "Differences in Responses to Exercise by Post-CVA and Normal Subjects." Occupational Therapy Journal of Research 5, no. 1 (January 1985): 39–58. http://dx.doi.org/10.1177/153944928500500103.

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19

Hong, Sang-Hoon, and Sang-Eun Park. "Case Report of Post-CVA Voiding Dysfunction Treated with Gamidaejihwang-tangaggam." Herbal Formula Science 23, no. 2 (December 31, 2015): 261–69. http://dx.doi.org/10.14374/hfs.2015.23.2.261.

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20

Beinotti, Fernanda, Carla Prazeres Fonseca, Maria do Carmo Silva, Maria Izabel Fernandes de Arruda Serra Gaspar, Enio Walker Azevado Cacho, and Telma Dagmar Oberg. "Bodyweight supported treadmill training associated with functional electrical stimulation in hemiparetic patients." Acta Fisiátrica 14, no. 3 (September 9, 2007): 159–63. http://dx.doi.org/10.11606/issn.2317-0190.v14i3a102824.

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The loss of the ambulation capacity in individuals with Cerebrovascular Accidents (CVA) has been attributed to hemiparesis, the most frequent cause of post-CVA impairment. New approaches, such as the bodyweight supported treadmill training (BWSTT) associated with functional electrical stimulation (FES), have been suggested as a gait rehabilitation method for hemiparetic patients. Objective: The aim of the present study was to evaluate the efficacy of the BWSTT associated to FES in hemiparetic patients. Methods: Fourteen individuals with hemiparesis due to CVA were randomly selected. The Fugl-Meyer Assessment of Sensorimotor Impairment (Fugl-Meyer Scale), the Berg Balance Scale, the Functional Ambulation Category Scale and the cadence assessment were used as measurement tools. The study subjects underwent four evaluations: the first (control) carried out before and the second (pretreatment) after the conventional physical therapy, the third (post-treatment) after the BWSTT associated to FES (20 sessions) and the fourth (retention), 30 days after the end of the treatment. Results: The proposed training showed a significant improvement (p>0.05) in gait velocity, cadence, balance and motor impairment level and the results persisted 30 days after the end of the treatment. Conclusion: The BWSTT associated with FES is effective for gait rehabilitation in hemiparetic individuals.
21

Dulay, Mario F., Jennifer L. Thompson, Tracey H. Hicks, Emma Lai, and Jerome S. Caroselli. "1 Post-stroke Apathy, Pseudobulbar Affect and Memory Loss Hinder Return-to-Work After CVA." Journal of the International Neuropsychological Society 29, s1 (November 2023): 301–2. http://dx.doi.org/10.1017/s1355617723004216.

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Objective:Post-stroke depression (PSD) and anxiety disorders are the most common psychiatric issues that occur after cerebrovascular accident (CVA), with prevalence rates of up to 50%. Less studied, post-stroke apathy and pseudobulbar affect (PBA) also occur in a subset of individuals after CVA leading to reduced quality of life. Cognitive impairments also persist, especially memory, language, and executive difficulties. Residual cognitive and emotional sequelae after CVA limit return-to-work with between 20-60% becoming disabled or retiring early. This study examined the frequency and relative contribution of cognitive, behavioral and emotional factors for not returning-to-work after CVA.Participants and Methods:Participants included 242 stroke survivors (54% women, average age of 59.2 years) who underwent an outpatient neuropsychological evaluation approximately 13 months after unilateral focal CVA. Exclusion criteria were a diagnosis of dementia, comprehension issues identified during assessment, multifocal or bilateral CVA, and inpatients. Predictors of return-to-work included in logistic regression analyses were psychological (depressive and anxiety disorders, apathy, PBA, history of psychiatric treatment before stroke) and neuropsychological (memory, executive functioning) variables. Depression and anxiety were diagnosed using DSM-IV-TR or -5 criteria. Apathy was operationalized as diminished goal-directed behavior, reduced initiation and decreased interest that impacted daily life more than expected from physical issues after stroke (including self- and family-report using the Frontal Systems Behavior Scale [FrSBe]). PBA was defined by the Center for Neurologic Study-Lability Scale and clinical judgment based on chart review.Results:Post-stroke apathy persisted in 27.3% of patients 13 months after stroke, PBA persisted in 28.2% of patients (i.e., uncontrollable crying spellings not simply attributable to depression alone, uncontrollable laughing spells), anxiety disorders persisted in 18.6% of patients (mainly panic attacks), and PSD persisted in 29.8% of patients. Memory loss persisted in 67.4% of patients and executive difficulties persisted in 74.4% of patients. Thirteen months after stroke, 34.7% of individuals had returned-to-work and 47.1% had not returned-to-work. The other 18.2% were not working either at the time of their stroke or after the stroke. Logistic regression indicated that post-stroke apathy, PBA, and memory loss were significant predictors of not returning-to-work (odds ratio p < 0.001). Patients who experienced post-stroke apathy were 7.1 times more likely to not return-to-work after stroke (p=0.008), those who suffered from PBA were 4.8 times more likely to not return-to-work (p=0.028), and those with memory loss were 6.6 times more likely to not return-to-work (p=0.005). PSD, history of treatment for psychiatric issues before the stroke, presence of an anxiety disorder after stroke, and executive difficulties were not significant predictors (p’s>0.05).Conclusions:Results replicate the finding that return-to-work is hindered by residual cognitive deficits after stroke and extends previous research by clarifying the multifactorial emotional and behavioral barriers to not returning-to-work. Results highlight the importance of quantifying post-stroke apathy and pseudobulbar affect in a standard neuropsychological work-up after stroke to identify candidates for services to facilitate efforts in returning to work (e.g., vocational rehabilitation services, psychotherapy, interventions for decreased initiation).
22

Sack, Kenneth, Joseph C. Watson, Yana Al-Inaya, Jack Wellington, Jazz Dhaliwal, Fariba Amiri, Ana Zidaru, et al. "219 A Proposed Technique for Early Venous Sacrifice as an Alternative to Standard Yasargil Technique for Resection of Cerebral AVM's." Neurosurgery 70, Supplement_1 (April 2024): 58–59. http://dx.doi.org/10.1227/neu.0000000000002809_219.

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INTRODUCTION: This study introduces an alternative technique to the standard Yasargil resection of AVMs. METHODS: This 20-year prospective observational study compared the outcomes of 510 consecutive patients undergoing resection of AVM using either the early venous sacrifice technique (test group, n = 206) or a historical control group who underwent AVM resection using standard technique (Yasargil Technique, n = 304). RESULTS: The test group had significantly more Grade II (35% vs 30.3%) and Grade III (45.1% vs 38.8%) AVMs, while the control group had significantly more Grade I (40.4% vs 7.8%) AVMs. There was no difference in the number of Grade IV or Grade V AVMs. Overall, the test group presented with higher grade AVMs than the control group. Outcomes analyzed included post-operative stroke (CVA), death, modified Rankin Scale (mRS) score, need for blood transfusion, and incomplete obliteration of the AVM. Patients in the test group were 58% less likely to require blood transfusion compared to control (5.8% vs 13.8%, 58% RRR, NNT = 12.5, p = 0.004). Although not statistically significant, there was a trend toward reduced risk of CVA (RRR = 26%), post-operative mRS = 3 (RRR = 30%), and death (RRR = 51%) in the test group relative to the traditional Yasargil technique. CONCLUSIONS: In the proposed technique the number of patients requiring blood transfusions was reduced by 1 for every 12.5 patients treated with the standard technique. The number of patients experiencing poor mRS (>3) was reduced by 1 for every 48.7 patients treated. The number of patients experiencing post- operative CVA was reduced by 1 for every 58 patients treated.
23

Shinde, Mukesh, Mahesh Mitra, and Pradnya Mahajan. "Effectiveness of strengthening deep cervical flexors using pressure biofeedback on vertical mandibular opening & craniovertebral angle in young adults with forward head posture - An experimental study." Romanian Journal of Rheumatology 33, no. 1 (March 31, 2024): 29–38. http://dx.doi.org/10.37897/rjr.2024.1.6.

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Background and objectives. Forward head posture is associated with weakness in deep cervical short flexor & shortening of the opposing cervical extensor & Pectoralis muscles. Deep cervical flexor (DCF) has a major postural function in supporting and straightening the cervical lordosis. There were few studies on the correlation between craniovertebral angle & vertical mandibular opening. So there was a need to evaluate the effect of deep cervical muscle strengthening on forward head posture and vertical mandibular opening and find out the correlation between vertical mandibular opening (VMO) and craniovertebral angle(CVA). Materials and methods. A total of 84 subjects were included in an experimental study. Subjects were screened according to the inclusion and exclusion criteria. Selected CVA were assessed using MB ruler software (ICC= 0.88). Selected VMO was measured using a ruler (ICC= 0.95-0.96). Subjects received DCF strengthening using pressure biofeedback, 2 sets of 10 repetitions, 5 days per week for 4 weeks. “Paired t test” was used within the group to test the change in quantitative data, pre-intervention and post-intervention. For the correlation between VMO & CVA, Pearson’s correlation coefficient test was used. Results. Strengthening of DCF using pressure biofeedback was effective in improving CVA & VMO (p value <0.0001) and moderate the positive correlation (r=0.4509) exist between CVA & VMO (p value <0.0001). Conclusions. The study concluded that strengthening of deep cervical flexors using pressure biofeedback is effective on improving vertical mandibular opening & craniovertebral angle in young adults (18-30 years) with forward head posture.
24

Fahada, Shabin, Sayali Shirsath, and Ahmed Elmallah. "Outcome of carotid endarterectomy in patients with symptomatic carotid near occlusion with partial collapse." Egyptian Journal of Surgery 43, no. 1 (January 2024): 9–15. http://dx.doi.org/10.4103/ejs.ejs_222_23.

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Background Symptomatic carotid near occlusion with partial collapse (CNOPC) of the distal internal carotid artery (ICA) is an uncommon condition. Guidelines for its treatment have recommended conservative management, although surgery may be indicated for many patients. In this work, our goal was to examine the postoperative outcomes of CNOPC patients who had undergone carotid endarterectomy (CEA) for symptomatic disease. Methods Symptomatic CNOPC patients were identified in this single-center retrospective study from January 2019 to February 2022. Patients’ demographics, comorbidities, and CEA indications were gathered. At 30 days and 1 year after surgery, postoperative complications including stroke and death, hospital stay, and operational details were evaluated. Results In the 3-year study period, 128 CEAs were done, and 21 (16.4%) patients had CNOPC. Males were 15 (71.4%) with no sex difference in comorbidities except a significantly higher IHD in men, P less than 0.01. The mean ipsilateral to contralateral distal ICA luminal narrowing ratio was 34.1%. All patients had carotid patches. General anesthesia was associated with more shunt usage, P less than 0.05. High carotid bifurcation lengthened CEA time (P<0.05), but neither anesthetic type, nor the use of a shunt or patch did. At 30-day post CEA, there was only 1 (4.7%) recorded cerebrovascular event (CVA), no mortality, and no carotid restenosis or occlusion was found. At 1-year, no new CVA were reported but 1 (4.7%) fatality was recorded. Conclusion Carotid endarterectomy for patients with carotid near occlusion and partial distal collapse is safe and may be considered despite marginally higher procedural risks than patients with low-to-moderate risk anatomy.
25

Romanowicz, Magdalena, Bruce Sutor, and Christopher Sola. "Safety and efficacy of electroconvulsive therapy for depression following cerebrovascular accident." Acta Neuropsychiatrica 24, no. 4 (August 2012): 226–29. http://dx.doi.org/10.1111/j.1601-5215.2011.00624.x.

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Introduction: Depressive syndromes are common following cerebrovascular accident (CVA) and many patients do not respond to pharmacotherapy. Electroconvulsive therapy (ECT) is a safe and effective treatment for mood disorders arising with many comorbid medical conditions. In this paper, we describe the successful treatment of post-CVA depression with ECT.Methods: Retrospective chart review of 24 patients hospitalised for depression on an in-patient Medical Psychiatry unit between 2000 and 2010. Medical, neurologic and psychiatric histories, physical examination findings, results of laboratory, imaging and neurophysiologic investigations and treatment response with medications and ECT were recorded.Results: Twenty patients (83%) showed a positive response to treatment with ECT. None had worsening of depression after the ECT or experienced exacerbation of post-stroke neurological deficits. Three patients suffered from minor complications of ECT (prolonged confusion or short-term memory problems).Conclusions: This review supports the use of ECT after a stroke with appropriate clinical observation. The treatment was well tolerated and the majority obtained clinical benefit.
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Bronson, L. A., N. A. Nuzzo, T. M. McCarthy, and M. P. Massery. "THE EFFECT OF VMT ON POST-CVA PULMONARY FUNCTION & FUNCTIONAL MOBILITY." Cardiopulmonary Physical Therapy Journal 8, no. 4 (1997): 25–26. http://dx.doi.org/10.1097/01823246-199708040-00013.

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Read, Jennifer, Stephen Welbourne, Karen Sage, and Matthew Lambon Ralph. "Recovery of Language and Reading in Post-CVA Aphasia: A Longitudinal Study." Procedia - Social and Behavioral Sciences 6 (2010): 158–59. http://dx.doi.org/10.1016/j.sbspro.2010.08.078.

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Quigley, Robert L., David W. Fried, Jan L. Kramer, Richard Y. Highbloom, John Pym, Steven J. Weiss, and Janet Gonzalez. "Passive Retrograde Cerebral Perfusion (PRCP)Following Routine Cardiac Valve Surgery Eliminates the Risk of Peri-Operative Cerebral Vascular Accidents." Stroke 32, suppl_1 (January 2001): 378. http://dx.doi.org/10.1161/str.32.suppl_1.378-d.

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P215 A post-operative neurologic event, in the open heart patient, is second only to a low cardiac output state as the complication most highly associated with in-hospital death. In the elderly, the incidence of a cerebral vascular accident (CVA), following cardiac valve surgery in particular, may be as high as 11%. This may be the result of either macro-embolism (air/debris) or inadequate perfusion pressure. We have previously demonstrated in a cohort of valve patients that upon discontinuation of cardiopulmonary bypass (CPB) the risk of peri-operative stroke could virtually be eliminated by opening a shunt for three minutes between the arterial (in-flow) and venous (out-flow) limbs of the extra-corporeal circuit. This phenomenon, passive retrograde cerebral perfusion (PRCP), reverses blood flow in the middle cerebral arteries. In this study, we have further evaluated PRCP in an older population with more co-morbidities to determine if there exists any limitations to the procedure. One hundred eight consecutive patients with a mean age of 68 years (range 38- 90 years) underwent elective valve repair/replacement and PRCP was instituted. The mean shunt flow rate was 2.6 Liters/minute (L/m) with a range of 1.9–4.0 L/m. The incidence of peri-operative CVA (30 day) was 0% (0/108). The incidence of CVA in published retrospective data is 0.7–3.8% and 4.8–5.2% in prospective data. In this report, we confirm that PRCP following valve surgery eliminates the risk of peri-operative CVA. We frequently perform the procedure as an adjunct to on-pump coronary artery bypass surgery in the context of suspected intra-ventricular thrombus or an artheromatous ascending aorta. We hypothesize that the principles of PRCP could easily be applied to Port surgery now that the instrumentation is trans-thoracic since aortic occlusion is still performed with an intra-vascular device.
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Montonen, Jukka, Ritva Järvinen, Antti Reunanen, and Paul Knekt. "Fish consumption and the incidence of cerebrovascular disease." British Journal of Nutrition 102, no. 5 (September 14, 2009): 750–56. http://dx.doi.org/10.1017/s0007114509274782.

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Studies of the beneficial role of fish consumption in the prevention of CVD are not consistent in their findings, particularly those studies that focus on the risk of stroke. The aim of the present study is to investigate the relationship between the consumption of different types of fish and the subsequent incidence of cerebrovascular disease (CVA). We prospectively evaluated the association between consumption of different types of fish and CVA in 3958 men and women aged 40–79 years who were free of heart disease and had participated in a health examination survey from 1967 to 1972. A total of 659 incident cases of CVA occurred during a follow-up until the end of 1994. A dietary history interview method provided data on habitual consumption of fish and other foods over the preceding year at baseline. Total fish intake did not predict CVA, but consumption of salted fish suggested an increased risk of intracerebral haemorrhage. The relative risk of intracerebral haemorrhage between the highest tertile of salted fish consumption and non-consumers was 1·98 (95 % CI 1·02, 3·84; P for trend = 0·06) after adjustment for age, sex, energy intake, smoking, BMI, physical activity, geographic area, occupation, diabetes, use of post-menopausal hormones, serum cholesterol, hypertension, and consumptions of butter, vegetables, fruits and berries. The relationship between fish consumption and stroke risk is not straightforward. How the fish is prepared for consumption may play an important role, affecting the association.
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Cohen, Miri, Gregory Telman, Daniela Mansoor, and Avraham Lorber. "Comparison of psychological symptoms in post-cryptogenic cerebral-vascular accident (CVA) and/or transient ischemic attack (TIA) patients who have undergone foramen ovale closure, and in post-CVA patients." Archives of Gerontology and Geriatrics 52, no. 3 (May 2011): e152-e155. http://dx.doi.org/10.1016/j.archger.2010.10.002.

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Patel, Ameet, Karina L. Wilkerson, Kathryn A. Culos, Jennifer Green, Michael T. Byrne, Salyka M. Sengsayadeth, Bhagirathbhai Dholaria, et al. "Reduction in Prevalence of Thrombotic Events in Sickle Cell Disease after Allogeneic Hematopoietic Stem Cell Transplantation." Blood 136, Supplement 1 (November 5, 2020): 12. http://dx.doi.org/10.1182/blood-2020-138499.

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Background: Venous thromboembolism (VTE) is a recognized complication of sickle cell disease (SCD). SCD confers a life-time risk of development of VTE, with a cumulative incidence of 11.3% by age of 40 years based on Cooperative group studies. Patients with SCD and VTE have a higher mortality rate (HR, 2.32; 95% CI, 1.20-4.46) compared to those without VTE (Naik et al, Am J Med. 2013;126(5):443-449). However, it remains unclear if this thrombotic pre-disposition improves after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Methods: This is a retrospective single institution cohort study of SCD patients with history of VTE and/or cerebrovascular accident (CVA) who underwent allo-HSCT for indications of CVA, recurrent acute chest, or organ dysfunction related to SCD. Inclusion criteria included SCD genotype, VTE of any location, or CVA confirmed on ultrasound, V/Q scan, or CT/MRI angiography/venography. The number and proportion of VTE and CVA events were recorded before and after allo-HSCT. Patients who had VTE events prior to transplant did not have their anticoagulation or aspirin continued post-transplant. Statistical and clinically significant differences were identified using non-parametric analysis using McNemar's method with exact probability and binomial distribution. Multivariate analysis was done to identify potential explanatory variables within results. Results: 26 patients with SCD met inclusion criteria, all had HbSS genotype. 23 patients (88%) underwent HLA-haploidentical bone marrow transplant (haplo-BMT) with reduced intensity conditioning and 3 (12%) patients had myeloablative matched sibling donor transplants (MSD). Graft-versus-Host Disease (GVHD) prophylaxis included posttransplant cyclophosphamide/sirolimus/mycophenolate and cyclosporine/methotrexate in haplo-BMT and MSD, respectively. All patients had standard infection prophylaxis. The median age was 25 years (range: 8-54) at transplant and 17 patients were male (62%). 18 patients were taking hydroxyurea and 9 were on chronic transfusion therapy. Two patients had a second transplant for prior graft failure following haplo-BMT, all achieved 100% donor chimerism on days 30 and 100. Median follow up for the cohort was 74.5 (range:10-212) months total and 28.5 (range: 9-111) post allo-HSCT. Prior to allo-HSCT, 10 patients developed 7 deep vein thrombosis (DVT) and 3 pulmonary emboli. Seven of these (70%) were unprovoked events. 11 patients (40%) had ischemic CVA. Post-transplant, there were two provoked DVTs and one embolic stroke events in three patients, of which two had a history of provoked VTE (Figure). One DVT and the embolic stroke were associated with venous catheter use in a patient with PFO (patent foramen ovale). Only one patient had grade two acute GVHD after development of DVT. All events occurred within 30 days post transplantation and during acute hospitalization. No further VTE occurred after 3 months of anticoagulation in all patients. There was an absolute difference of 25% [95% CI=4.87- 26.9, p=0.015] in the prevalence of VTE events before and after allo-HSCT. In addition, there was an absolute 38.5% [95% CI=10.63-45.96, p=0.006] difference in the number of ischemic CVA before and after allo-HSCT. GVHD status, infection rates, age, history of pulmonary hypertension, and gender did not reach significance in explaining variation in results on logistic multivariate analysis (p &gt; 0.05). Conclusion : In patients with SCD with a history of thrombosis, there is an observed reduction in prevalence of VTE and stroke events post transplantation. Allogeneic stem cell transplantation may attenuate the ongoing activation of the coagulation cascade and hypercoagulable state in SCD. This needs to be validated in a larger prospective cohort study. Disclosures Green: Scripps: Honoraria, Other: travel; North American Thrombosis: Honoraria; CSL: Research Funding; Baxter,: Research Funding; Baxalta: Research Funding; Shire US Inc: Other: clinical trial support. Dholaria:bms: Research Funding; Poseida: Research Funding; Angiocrine: Research Funding; Takeda: Research Funding; J&J: Research Funding.
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Mays, Simone, Tracy-Ann Moo, and Rache M. Simmons. "Impact of comorbidities on surgical outcomes following mastectomy in elderly breast cancer patients: An analysis of the NSQIP database." Journal of Clinical Oncology 33, no. 28_suppl (October 1, 2015): 88. http://dx.doi.org/10.1200/jco.2015.33.28_suppl.88.

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88 Background: Approximately 4% of women age 70 will develop breast cancer during the next ten years. There is limited data on surgical outcomes in elderly patients undergoing treatment for breast cancer. This study examines complications following mastectomy in elderly patients and determines how comorbidities impact those outcomes. Methods: The American College of Surgeons National Surgery Quality Improvement Program database was used to examine complications and comorbidities in breast cancer patients 70 or older undergoing mastectomy from 2007-2012. The relationship between complication and comorbidity was characterized using descriptive statistics and Wilcoxon rank-sum test. Variable frequencies were compared using Chi-square or Fisher’s exact test with a statistically significant two-sided p-value set at 0.05. Results: We identified 12,026 patients 70 or older who underwent mastectomy. The 30-day overall morbidity rate was 4.22%. Myocardial infarction (MI) was associated with history of bleeding disorder and cerebral vascular accident (CVA) (P < 0.05). Prior CVA, transient ischemic attack and MI were associated with post-operative CVA (p < 0.05). Chronic obstructive pulmonary disease and steroid use impacted post-operative pneumonia (p < 0.05). Bleeding disorder, hypertension, and steroid use impacted urinary tract infection occurrence (p < 0.05). Diabetes increased the rate of wound dehiscence (p = 0.001). Conclusions: The 30-day morbidity rate of elderly breast cancer patients undergoing mastectomy is low. Although the complication rate is low, certain comorbidities increase the risk of specific complications. Appropriate measures should be taken to optimize comorbidities in elderly patients to further minimize adverse outcomes.
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Manlogon, Jamaica, and Maurice Villafranca. "Effect of Deep Cervical Flexor Training on Craniovertebral Angle and Muscle Endurance among Students with Forwarding Head Posture." JPAIR Multidisciplinary Research 38, no. 1 (October 8, 2019): 232–44. http://dx.doi.org/10.7719/jpair.v38i1.734.

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With the ease of use and a wide variety of choices of smartphones, it significantly affects the ways of life in terms of socializing, applications, gathering, and sharing information. Little do people know that it can also affect posture. This is where an introduction of exercise that targets the muscles involved in the impaired posture comes to maintain a proper posture. This study aimed to evaluate the effect of deep cervical flexor training on the craniovertebral angle and muscle endurance of students with forwarding head posture. The study is an experimental type of research that was utilized on thirty (30) junior high school students who had undergone fishbowl technique selection and were assigned to two (2) groups namely control and experimental group. Craniovertebral angle and deep neck flexor endurance test were used to determine the pre-and post-test of both groups. There is a significant difference in the paired t-test result of the pre-and post-test outcome of deep cervical flexor training of the experimental group in terms of CVA. In contrast to DNFET, there is no significant difference in the paired t-test result of the pre-and post-test intervention of deep cervical flexor training of the experimental group. Deep cervical flexor training is useful to increase CVA.
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Ribeiro, Kátia Suely Queiroz Silva, Robson da Fonseca Neves, Geraldo Eduardo Guedes de Brito, Ingrid Davis da Silva Gadelha, Ed'Cleberson Alves de Morais, and Vitor Hugo de Oliveira Nascimento. "Analysis of impacts from environmental factors evaluated by icf in individuals post-cva." Fisioterapia em Movimento 29, no. 2 (June 2016): 237–49. http://dx.doi.org/10.1590/0103-5150.029.002.ao03.

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Abstract Introduction: The CVA is the second cause of death in Brazil, presenting with serious clinical repercussions and as a public health issue. Live with the disabilities caused by it requires facing daily situations, which can increase the disability, such as the ones imposed by the environment inside or outside home. Objective: Analyze the environmental factors of ICF with a facilitator or barrier for victims of Stroke. Materials and methods: A cross-sectional study, 152 individuals; span of less than 60 months involvement and enrolled in the Family Health Units in João Pessoa, Brazil. A questionnaire was used to characterize the socio-economic and clinical form and the Core Set for stroke to identify environmental factors. The data were stored in EpiInfo 7. Associations between environmental factors and the variables age, gender, and marital status verified by chi-square test. Results: Assistive technologies and products or substances for personal consumption were the main factors recognized as facilitators, followed by interpersonal relationships. The most prevalent factors as barriers were the physical structures of public and private spaces, highlighting the physical geography of their residence. It was found that the immediate family was associated with variable marital status, use of products and technology for personal use in daily life was associated with age and, friends partnered with variable gender. Conclusions: The Core Set is shown as a sensitive instrument to capture the barriers and facilitators in population surveys. Their findings point to the need to think about public policy more appropriate for this population.{#}
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McCarthy, H. "A REDUCTION IN FUNCTIONAL LIMITATIONS AFTER RESUMING PHYSICAL THERAPY 17 WEEKS POST CVA." Journal of Geriatric Physical Therapy 29, no. 3 (December 2006): 122. http://dx.doi.org/10.1519/00139143-200612000-00021.

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Rydell, Harriet, Ylva Huge, Victoria Eriksson, Markus Johansson, Farhood Alamdari, Johan Svensson, Firas Aljabery, and Amir Sherif. "Central Venous Access and the Risk for Thromboembolic Events in Patients Undergoing Neoadjuvant Chemotherapy and Radical Cystectomy for Muscle-Invasive Bladder Cancer." Life 12, no. 8 (August 6, 2022): 1198. http://dx.doi.org/10.3390/life12081198.

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Thromboembolic events (TEE) are high-risk complications in patients undergoing neoadjuvant chemotherapy (NAC) and radical cystectomy (RC) for urothelial muscle-invasive bladder cancer (MIBC). The purpose of the study was to investigate any differences in TEE-incidence, comparing peripherally inserted central catheter (PICC) versus a totally implanted port (PORT) as CVA (central venous access) during NAC. We identified 947 cystectomized MIBC-patients from four Swedish medical centers in 2009–2021. Inclusion criteria were cT2-T4aN0M0 and 375 patients were finally eligible and evaluated, divided into: NAC-administered (n = 283) resp. NAC-naïve-NAC-eligible (n = 92), the latter as tentative control group. Data on TEEs and types of CVA were retrospectively collected and individually validated, from final transurethral resection of the bladder tumor (TUR-B) to 30 days post-RC. Adjusted logistic regression and log rank test were used for statistical analyses. Amongst NAC-administered, 83% (n = 235) received PICCs and 15% (n = 42) PORTs. Preoperative TEEs occurred in 38 PICC-patients (16.2%) and in one PORT-patient (2.4%), with 47 individual events registered. We found a significantly increased odds ratio of TEE in NAC-administered PICC-patients compared to in PORT-patients (OR: 8.140, p-value: 0.042, 95% CI 1.078–61.455). Our findings indicate a greater risk for pre-RC TEEs with PICCs than with PORTs, suggesting favoring the usage of PORTs for MIBC-NAC-patients.
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Arow, Ziad, Tzipi Hornik-Lurie, Mustafa Gabarin, Alexander Omelchenko, Rami Barashi, Yoav Arnson, Abid Assali, and David Pereg. "Transcatheter Left Atrial Appendage Occlusion: A Multi-Center Real Life Experience." Journal of Clinical Medicine 11, no. 23 (November 25, 2022): 6944. http://dx.doi.org/10.3390/jcm11236944.

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(1) Background: left atrial appendage occlusion (LAAO) is considered an effective and relatively safe treatment for the prevention of thromboembolic events in patients with atrial fibrillation and a contra-indication for anticoagulation. We present a large multicenter real-world experience of transcatheter LAAO implementation in patients with atrial fibrillation who cannot be treated with chronic anti-coagulation; (2) Methods: included were atrial fibrillation patients who underwent transcatheter LAAO between 1 January 2016 and 30 June 2021. The study was conducted using the electronic health record database of Clalit Health Services (CHS). The primary outcomes included hemorrhagic and ischemic stroke following LAAO; (3) Results: included were 389 atrial fibrillation patients. During a median follow-up of 2.1 years, 13% patients had ischemic cerebrovascular accident (CVA), and 4.4% patients had hemorrhagic CVA. While the risk of ischemic stroke increased gradually over time, the risk of hemorrhagic CVA was highest during the first 3 months following the procedure. Moreover, previous ischemic stroke was the only significant predictor for both hemorrhagic and ischemic stroke following LAAO; (4) Conclusions: while the annual performance rate of transcatheter LAAO has increased significantly over the past years, post procedural long-term prognosis remains poor with a substantial risk of both thrombotic and bleeding events.
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Goo, Bon Wook, Jin Hee Oh, Ju Sang Kim, and Mi Young Lee. "Effects of cervical stabilization with visual feedback on craniovertebral angle and proprioception for the subjects with forward head posture." Medicine 103, no. 2 (January 12, 2024): e36845. http://dx.doi.org/10.1097/md.0000000000036845.

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Background: This study aimed to identify the effect of cervical stabilization exercise with visual feedback on the craniovertebral angle and proprioception in subjects with forward head posture. Methods: Thirty healthy adults were recruited in the study. Participants were randomly assigned to the stabilization exercise with visual feedback (SE-VF) group (N = 15) or stabilization exercise group (N = 15). The SE-VF group performed cervical stabilization exercise while sitting on a chair without a backrest and checking their side profile in real-time via a monitor 3-m away. The stabilization exercise group performed the same cervical stabilization exercise as the SE-VF group but without visual feedback. Craniovertebral angle (CVA) was measured to quantify forward head posture, and the proprioception of the subjects was evaluated. Results: There was a significant interaction between group and time in CVA and proprioception (P < .05). Additionally, there was no significant difference pre-intervention between the groups (P > .05); however, there was a significant difference post-intervention (P < .05) in CVA and proprioception. Conclusion: The findings of this study showed that the cervical stabilization exercise with visual feedback was effective for the proprioception of subjects. Moreover, the results suggest that visual feedback is effective in cervical stabilization exercise.
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Fowler, Cosmo, Briana Makadia, Lauren Chism, Stephen Pastores, and Dennis Auckley. "0854 Obstructive Sleep Apnea with Obesity Hypoventilation Syndrome: Deep Vein Thrombosis Risk After Bariatric Surgery." SLEEP 47, Supplement_1 (April 20, 2024): A367. http://dx.doi.org/10.1093/sleep/zsae067.0854.

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Abstract Introduction Morbidity and mortality in patients with untreated obesity hypoventilation syndrome (OHS) is significant. The vast majority of OHS patients have concomitant obstructive sleep apnea (OSA), known to be associated with worse cardiovascular outcomes following bariatric surgery. However, there is limited data on the post-bariatric surgery outcomes of patients with OHS. Methods We queried TriNetX Analytics, a federated health record and claims-derived database of &gt;115 million patients across 5 countries. We established two cohorts of patients with OSA (ICD-10-CM G47.33) who underwent laparoscopic bariatric surgery (CPT 1007387) between 5/1/2008-5/1/2023: one with superimposed OHS (E66.2) and one without. We examined the 30-day incidence of deep vein thrombosis [DVT (I82)], pulmonary embolism [PE (I26)], stroke [CVA (I63)], and myocardial infarction [MI (I21)]. We then re-examined these outcomes following extensive in-platform propensity score matching (PSM) to account for demographic and comorbidity antecedents. Results A total of 66,085 bariatric surgery patients were isolated, all in the US. Of these, 26,392 (40%) were diagnosed with OSA prior to surgery, of which 1,176 (1.8%) also carried a diagnosis of OHS. Prior to PSM, the OSA+OHS cohort experienced a significant excess incidence of all outcomes besides CVA when compared to the cohort with OSA alone: DVT risk was 3.9 vs 1.1% (OR 3.5, CI 2.6-4.4), PE risk 2.6 vs 0.9% (OR 3.0, CI 2.1-4.5), composite DVT/PE risk 5.4 vs 1.8% (OR 3.2, CI 2.4-4.1), CVA risk 0.9 vs 0.6%, MI risk 1.4 vs 0.4% (OR 3.3, CI 2.0-5.5), composite CVA/MI risk 2.0 vs 1.0% (OR 2.0, CI. 1.3-3.2). Following PSM, which generated two like sub-cohorts of 1,167 each, significant risk excess was retained only for DVT incidence: DVT risk was 3.8 vs 2.0% (OR 1.9, CI 1.2-3.2), but not for PE risk 2.4 vs 2.1%, DVT/PE risk 5.1 vs 3.7%, CVA risk 0.9 vs 1.2%, MI risk 1.5 vs 1.5%, and CVA/MI risk 2.0 vs 2.4%. Conclusion Our findings suggest that patients with OSA and OHS undergoing bariatric surgery experience similar rates of adverse cardiovascular events in the first postoperative month as those with OSA alone. The exception is DVT risk, which appears greater in the OHS-OSA cohort despite matching. Support (if any)
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Shade, Marcia, Changmin Yan, Julie Blaskewicz Boron, and Valerie Jones. "INTERACTIVE VOICE ASSISTANT ROUTINES: A USABILITY STUDY." Innovation in Aging 7, Supplement_1 (December 1, 2023): 876. http://dx.doi.org/10.1093/geroni/igad104.2819.

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Abstract Musculoskeletal pain is prevalent among older adults and is associated with disability and social isolation. This study explored the feasibility of using conversational voice assistant (CVA) routines for proactive interaction and pain reduction with older adults. A 12-week randomized controlled pilot trial was conducted with adults aged 60 years and older who self-reported living alone and chronic musculoskeletal pain. Participants (N=37) were randomly assigned to a standard routine or an enhanced routine group. Data were collected on participants’ CVA engagement, self-reported pain, and system usability. Overall, older adults-initiated morning routines more frequently than the evening routines. The enhanced group initiated more morning routines (M=50.01; SD=33.07) than the standard group (M=16.11, Z= -1.70, p&lt;.05, r= -.28). Participants reported significant post-study pain reduction, t(35)=1.84, p&lt;.05, r= .30 (baseline mean=3.60, SD=1.93; post-study mean=3.19, SD=1.97); there were no significant group differences in amount of pain reduction. The enhanced group participants rated the system usability as good (Mean=74.81, SD=9.28); those in the standard condition reported a lower-tier rating of “OK” (Mean=65.88, SD=12.76), t(31)= -2.29, p&lt;.05, r=.37. System usability predicted pain reduction (B= -0.55, t(13)= -2.46, p&lt;.05) in the enhanced condition (R2=.30, F(1,14)=6.07, p&lt;.05), but the association was non-significant in the standard condition (R2=.14, F(1,15)=0.29, p=.60). These results show that the CVA routines were feasible to use with older adults, and resulted in perceived pain reduction. Future creation of tailored routines based on the older adults’ pain characteristics, personality, and interaction preferences when alone, may further increase engagement.
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Lucena Miranda Filho, Haroldo, Francisco Winter dos Santos Figueiredo, Arthur Viana Freitas Costa, Clarisse Nogueira Barbosa Albuquerque, Rafael Campelo Diógenes, Gustavo Vieira Rafael, and João Antônio Correa. "Why do some patients with acute ischemic stroke after intravenous thrombolytic therapy fail to improve? A case-control study." Journal of Human Growth and Development 33, no. 3 (December 1, 2023): 383–91. http://dx.doi.org/10.36311/jhgd.v33.15284.

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Introduction: thrombolytic therapy is the primary saving measure adopted in ischemic cerebrovascular accident (ICVA) victims, adequate for most of them. However, some patients do not show clinical progress, worsening the prognosis, which constitutes an essential scientific gap. Objective: to analyze the determinants of clinical non-improvement in stroke patients who used rt-PA thrombolytic agentes. Methods: retrospective observational case-control study, carried out from 2014 to 2017 through an active search of medical records of CVA patients undergoing thrombolytic therapy in a reference hospital in Ceará. Clinical failure was characterized as no reduction in the National Institutes of Health Stroke Scale-Score (NIHSS). Results: a total of 139 patients enrolled in the study in a single CVA unit. The mean age was 66.14 years (range 34 to 95). The 24-hour follow-up was completed in 100% of patients. A favorable result 24 hours post-thrombolysis was observed in 113 patients (81.29%), and there was no clinical improvement in 26 (18.7%). Post-thrombolysis hemorrhagic transformation was a strong predictor of no improvement (p=0.004), and diabetes was the main modifiable risk factor found (p=0.040). Conclusion: diabetes and hemorrhagic transformation after thrombolysis were identified as risk factors for clinical non-improvement in patients with acute stroke undergoing thrombolytic therapy.
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Webber, J., and L. Pierce. "49. Breathing assessment and treatment in post-CVA and neurological patients: a clinical approach." Biological Psychology 43, no. 3 (January 1996): 269. http://dx.doi.org/10.1016/0301-0511(96)88274-3.

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McShan, Evan, Simon Driver, Stephanie Calhoun, Chad Swank, Megan Douglas, Monica Bennett, Sridevi Mukkamala, and Alexandria Suhalka. "Outcomes Of A 12-month Weight-loss Intervention For Adults Post Stroke (GLB-CVA)." Medicine & Science in Sports & Exercise 55, no. 9S (September 2023): 435. http://dx.doi.org/10.1249/01.mss.0000983856.63985.ac.

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Prasad Nayak, Janmejaya, Prakash Sahoo, and Debidarshini Sahoo. "Combined Effect of Exercise and Orthotic Intervention in Case of Right Hemiparesis with Glenohumeral Subluxation - A Case Report." International Journal of Health Sciences and Research 13, no. 8 (August 9, 2023): 89–92. http://dx.doi.org/10.52403/ijhsr.20230814.

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Background: Stroke (Cerebrovascular accident [CVA]) is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. The evidence of occurrence of shoulder subluxation in stroke survivors varies from 17–66%. GHS usually develops immediately after stroke Case Description and Methods: A 40-year-old male having right hemiparesis due to CVA reported at SVNIRTAR after the proper assessment, the patient was treated with Physiotherapy treatment along with Bo bath Axilla Roll. The pre and post data were captured. Findings and Outcomes: The Fugl-Meyer score of patients was improved from 0 to 20. There was also a significant improvement in Brunnstrom stage. Patient was also able to perform half of shoulder range of motion exercise in synergy pattern. There is significant improvement in reduction of shoulder subluxation and prevention of further increase in intra-articular mobility Conclusion: Physiotherapy treatment along with orthotic intervention is paramount in case of shoulder subluxation. Key words: Hemiparesis, Shoulder Subluxation, Exercises, Bobath Axilla Roll.
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Da Silva, Ivan do Nascimento, Tiago Barbosa Guimarães, Mayra Mariana Lins de Azevedo Vila Verde Araujo, and Paulo Victor Santos Brito. "Post-stroke treatment - use of virtual reality as aid in motor rehabilitation." Brazilian Journal of Health Review 7, no. 1 (February 19, 2024): 6017–32. http://dx.doi.org/10.34119/bjhrv7n1-485.

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This study describes the use of Virtual Reality (VR) therapy in the rehabilitation of patients after suffering from a cerebrovascular accident (CVA) who had motor sequelae. Several studies were presented showing that the use of VR as a rehabilitation tool can bring significant benefits in improving the motor function of patients. Introducing different elements into therapy, such as task-specific practice, explicit feedback, increasing difficulty, implicit feedback, variable practice, and mechanisms to promote use of the paretic limb, can enhance clinical benefits. Studies in patients in the subacute and chronic phases of stroke were presented, showing that VR therapy combined with other therapies can bring about significant improvements in motor function, manual skill and other measures related to the performance of upper limb activities.
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C, Andrew, and Smith M. "A-253 A Case Study of Anterograde Memory Impairment Following Forniceal Infarct– Neurocognitive Sequelae and Recovery." Archives of Clinical Neuropsychology 35, no. 6 (August 28, 2020): 1048. http://dx.doi.org/10.1093/arclin/acaa068.253.

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Abstract Objective To describe neurobehavioral consequences and recovery course in a case of acute infarct of the fornix superimposed on chronic subcortical cerebrovascular disease. Method We present a right-handed, 72-year-old, African American man with cardiovascular risk factors, chronic kidney disease, and history of CVA with no prior functional or cognitive difficulties. He was evaluated twice, first four days post and again two months post-infarct of the bilateral fornix. Results Initial inpatient testing revealed impaired verbal memory characterized by rapid forgetting (HVLT-R Delay T = &lt; 20) with some benefit from recognition cues, and subtle deficits in constructional praxis and practical judgement.
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Pierre-Louis, Renée E., Kelly Pannikodu, Maher Madhoun, Josette Hartnett, and Suzanne Rose. "Implementing a Neurohospitalist Program Improves Stroke Care Metrics and Patient Satisfaction Scores." Neurohospitalist 12, no. 2 (February 11, 2022): 241–48. http://dx.doi.org/10.1177/19418744211069272.

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Objective Compare the differences in health outcomes and patient satisfaction between a neurohospitalist model of care and a community-based neurologists model at a single community-based teaching hospital among in-patients diagnosed with a cerebrovascular accident (CVA). Methods Data was collected from the Stamford Hospital’s electronic medical records system. An assessment of patient health outcomes and satisfaction scores was conducted, comparing both discrete and continuous variables between the two time periods. An omnibus P-value of 0.05 ( P < 0.05) was considered statistically significant. Results The sample consisted of 341 patients between the two periods, pre-period n = 168 (49.3%) post-period n = 173 (50.7%). Door to lab and door to tPA times decreased significantly between pre- and post-periods ( P = 0.003 and P = 0.002, respectively) as did the number of MRIs ( P < 0.001). In addition, statistically significant increases were found between pre-period and post-period percentages, all increasing over time: stroke education ( P < 0.001), discharged on anticoagulant medication ( P < 0.001), and discharged on anti-thrombolytic medication ( P = 0.019). Patient satisfaction scores demonstrated mean gain across both periods for five of six items. Two items “Doctor’s Concern of my Questions/Worries” and “Skill of Doctors” demonstrated statistical significance ( P = 0.020 and P = 0.029, respectively). Conclusions The introduction of a neurohospitalist service at a community-based teaching hospital improved patient health outcomes on time to intervention, stroke education, discharge medications as well as patient satisfaction. Therefore, it may be beneficial for hospitals to implement a neurohospitalist model of care for their patients presenting with CVA.
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Hossam, Asmaa, Fatma S. Amin, and Enas E. Abutaleb. "Effect of whole-body vibration on craniovertebral angle and balance control in forward head posture: Single-Blinded randomized controlled trial." Fizjoterapia Polska 21, no. 1 (March 30, 2021): 98–104. http://dx.doi.org/10.56984/8zg208142.

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Background. A fault posture of head can disturb the body balance. Forward head posture (FHP) is one of common faulty postures seen among university students. Whole Body Vibration (WBV) is a quick method of neuromuscular training used to increase muscle strength, improve dynamic balance control and eventually correct posture. Purpose. A randomized controlled trial was designed to investigate the effect of WBV training on craniovertebral angle and dynamic balance control in subjects with forward head posture. Methods. Forty-five participants (11 males and 34 females, 18-23 years old) were randomly allocated into 3 equal groups: group (A) received traditional treatment (stretching and strengthening exercises) + postural advices, group (B) received whole body vibration training + postural advices, group (C) received traditional treatment + whole body vibration training + postural advices, 3 sessions /week for 4 weeks. Outcome measures included craniovertebral angle (CVA), overall stability index (OSI), anteroposterior stability index (APSI) and mediolateral stability index (MLSI) that were assessed at baseline and 4 weeks post-intervention. Results. Comparing all groups post training revealed that there were statistically significant increases (p < 0.05) in all measured variables (CVA, OSI, APSI and MLSI) in favour of group (C), while there were statistically non-significant differences between group A & B (p > 0.05). Conclusion. The conjugation of WBV training with traditional treatment of FHP improved craniovertebral angle and dynamic balance control in subjects with forward head posture.
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A, Gharaibeh. "Slipped Capital Femoral Epiphysis (SCFE) Coxa Vara Adolescentium (CVA)." Journal of Orthopaedics & Bone Disorders 3, no. 4 (2019): 1–2. http://dx.doi.org/10.23880/jobd-16000188.

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Slipped fem oral capital epiphysis is considered to be one of the most destructive conditions of hip joint during adolescence. The epiphysolysis of the femoral head was first defined in 1572 by the French surgeon Abrois Paré (1510 - 1590). The first authentic traumati c epiphysesolysis of the femoral head was described by Brousseau in 1867. It was in a 15 - year - old boy with multiple injuries after trauma with heavy carriage. Death occurred in a few hours, and was discovered by post - mortem examination. Complete separation of epiphysis of the femur head was found. The first mention of a non - traumatic form of epiphysolysis occurred in a fourteen years old boy later. In 1881, Fiorani reported fifteen cases of distorted hip joint with impaired adduction in children. He describ ed the deformity as a bend of the proximal part of the femur, which was based on rickets. With a high probability, some individua ls were coxa vara adolescentium . The first complete description of the disease was given by E Müller (1888) in his work “ About the bending of the femoral neck in the growth age ” Coxa vara adolescentium (CVA), epiphysesolysis of femural head or slipped femoral capital epiphysis represents a serious hip disease in the pubescent age at which the femoral proximal growth plate loses it s strength and influence mechanical forces, caused mainly by excessive body weight, the non - traumatic epiphysesolysis will occur. Symptoms like pain and twisting are initially vague, but they tend to escalate over time . The incidence of this disease is 0. 1 per one million, affect male more than female 2:1,4 in the rapid growth period 10 - 16 years old. Childhood obesity is the common cause of Slipped femoral capital epiphysis, then endocrine disorders and Down syndrome. Slipped femoral capital epiphysis has three grades first up to 33 degrees of slippage, second grade from 34 - 50% of slippage and the third degree more than 50%.Slipped femoral capital epiphysis, represents a serious disease of the puberty in the pubescent age at which the femoral proximal growth plate loses its strength and influence mechanical forces, caused mainly by excessive body weight, will occu r non - traumatic epiphysesolysis . Symptoms like pain and limping are initially vague, but they tend to escalate over time .
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Pradikatama Prihanto, Yafet, and Ellia Ariesti. "ADAPTASI PSIKOLOGIS LANSIA DENGAN POST STROKE ; ANALISIS FENOMENOLOGI." Jurnal Keperawatan Dirgahayu (JKD) 4, no. 1 (March 14, 2022): 7–14. http://dx.doi.org/10.52841/jkd.v4i1.213.

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ABSTRAK Stroke atau Cerebro Vaskuler Accident (CVA) merupakan gangguan peredaran darah di daerah cerebral, yang disebebkan oleh pecahnya pembulih darah (stroke haemorargic) atau karena sumbatan (stroke iscemic). Manifestasi klinis stroke ini tergantung pada daerah serebri mana yang mengalami gangguan vaskularisasi. Tanda umum yang terjadi pada penderita stroke adalah terjadi kelemahan tubuh sampai dengan kelumpuhan total, baik seluruh tubuh maupun sebagian tubuh. Prevalensi stroke saat ini terbanyak masuh dialami oleh lansia, diatas 50 tahun, walaupun angka tersebut telah bergeser, dan banyak juga terjadi pada usia produktif, dan ini berhubungan dengan sedentary lifestyle. Setelah terjadi serangan stroke pada lansia, biasanya lansia masih mengalami gejala sisa. Gejala sisa inilah yang membuat lansia mengalami stress psikologis, salah satunya diakibatkan oleh kurangnya sumber informasi terkait perawatan post stroke. Jenis penelitian ini adalah kualitatif, pengambilan data dilakukan dengan cara wawancara terstruktur, jumlah partisipan 5 orang. Didapatkan 7 sub tema yang menghasilkan 3 tema besar ; yaitu memiliki harapan, hambatan dari dalam diri dan perlunya dukungan eksternal. Saran dari penelitian ini adalah sebaiknya Puskesmas sebagai fasilitas kesehatan pertama juga menyediakan layanan kunjungan rumah pada pasien post stroke sehingga meminimalkan komplikasi, terutama masalah psikologis. Kata Kunci : Post stroke ; Adaptasi ; Psikologis
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