scholarly journals A Cross-sectional Survey and Cross-sectional Clinical Trial to Determine the Prevalence and Management of Eye Movement Disorders and Vestibular Dysfunction in Post-Stroke Patients in the Sub-Acute Phase: Protocol

2016 ◽  
Vol 7 ◽  
Author(s):  
Andoret van Wyk ◽  
Carina A. Eksteen ◽  
Piet J. Becker ◽  
Barbara M. Heinze
Keyword(s):  
Clinical Trial ◽  
Eye Movement ◽  
Acute Phase ◽  
Movement Disorders ◽  
Vestibular Dysfunction ◽  
Stroke Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Stroke ◽  
Eye Movement Disorders

scholarly journals Intrarater and Interrater Reliability of Dynamic Gait Index in Post Stroke Patients With Eye Movement Disorders

2021 ◽  
Author(s):  
Sana Batool ◽  
Hamayun Zafar ◽  
Syed Amir Gilani ◽  
Ashfaq Ahmad ◽  
Asif Hanif
Keyword(s):  
Acute Stroke ◽  
Eye Movement ◽  
Movement Disorders ◽  
Dynamic Balance ◽  
Stroke Patients ◽  
Rater Reliability ◽  
Eye Movement Disorders ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Abstract Background: The Dynamic Gait Index is a useful scale that has been evaluated for its reliability in patients with vestibular disorder, elderly people and, in chronic stroke population but its reliability has not been evaluated yet in sub-acute stroke patients with eye movement disorders. So the purpose of this study was to evaluate the intra-rater and inter-rater reliability of the Dynamic gait index to measure the dynamic balance, gait and risk of fall in sub-acute stroke population with eye movement disorders.Methods: A total of 30 (18 male, 12 females) stroke patients in the sub-acute phase suffering from eye movement disorders were recruited for this reliability study. Two experienced Physical therapists assessed the intra-rater and inter-rater reliability of the Dynamic gait index in two testing sessions three days apart. In the later session, two raters assessed the patients’ performance simultaneously on the Dynamic gait index. Data analysis was done at 95% confidence interval using the intra-class correlation coefficient (ICC2, 1). A significance level was set at P-value <0.05.Results: Mean tests scores by rater 1 in the first and second assessment were 17.4±2.04 and 18.0±2.05. Mean tests score by rater 2 in the second assessment were 18.6±2.06. Intra-rater (ICC=0.86, CI=0.73-0.93) and inter-rater (ICC=0.91, CI=0.83-0.96) reliability of total DGI scores was found good to excellent while intra-rater (ICC=0.73-0.91) and inter-rater (ICC=0.73-0.93) reliability of individual items of DGI scores were ranged from moderate to good. Item 8 (steps) showed lowest reliability (ICC=0.73). The significant difference was seen in total and individual scores (P<0.001) of DGI scale in both intra-rater and inter-rater reliability.Conclusions: The Dynamic gait index is found clinically a reliable tool to objectively measure dynamic balance, gait and risk of fall in sub-acute stroke individuals with eye movement disorders. The intra-rater and inter-rater reliability of the total DGI scores was found good to excellent; whereas intra-rater and inter-rater reliability for individual items of DGI were varied from moderate to good.

Upper limbs cycle ergometer increases muscle strength, trunk control and independence of acute stroke subjects: A randomized clinical trial

2021 ◽  
pp. 1-10
Author(s):  
Douglas Rafael da Rosa Pinheiro ◽  
Maria Eduarda Parcianello Cabeleira ◽  
Luigi Antonio da Campo ◽  
Laís Andrielli Ferreira Gattino ◽  
Kellen Sábio de Souza ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Muscle Strength ◽  
Randomized Clinical Trial ◽  
Acute Phase ◽  
Functional Independence ◽  
Cycle Ergometer ◽  
Upper Limbs ◽  
Trunk Control ◽  
Post Stroke ◽  
Conventional Physiotherapy

BACKGROUND: Studies demonstrate the benefits of upper limbs cycle ergometer (ULCE) in subacute and chronic stroke subjects, but the literature still needs to explore the acute phase of the disease. OBJECTIVE: Verify the effects of ULCE on muscular strength, trunk control and independence of post-stroke subjects in hospital acute phase. METHODS: In this randomized clinical trial participants were allocated into two groups. The control group (CG) performed two daily sessions of conventional physiotherapy, while the intervention group (IG) had one daily session of conventional physiotherapy and one of ULCE. The interventions were carried out for 20 minutes for five days. Both groups were assessed before and after the treatment for upper limbs strength by manual dynamometer, trunk control by Trunk Impairment Scale and level of independence by the Modified Rankin Scale. RESULTS: Twenty subjects with mean ages of 63.5±4.5 were enrolled. There was a significant intra-group difference of palmar grip, shoulder abductors, elbow flexor and wrist extensor strength, trunk control and functional independence only in IG. Inter-group difference for all variables showed superiority in IG. CONCLUSIONS: ULCE is an effective device for increasing muscle strength, trunk control and consequently improving the independence of post-stroke subjects in the acute hospital phase.

Abstract W P140: Post-stroke Oculomotor Abnormalities evident during Objective Eye Tracking but Not under Clinical Assessment

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
John-Ross Rizzo ◽  
Todd Hudson ◽  
Briana Kowal ◽  
Michal Wiseman ◽  
Preeti Raghavan
Keyword(s):  
Motor Control ◽  
Eye Movements ◽  
Eye Movement ◽  
Oculomotor Control ◽  
Healthy Controls ◽  
Visually Guided ◽  
Stroke Patients ◽  
Movement Execution ◽  
Post Stroke ◽  
Control Post

Introduction: Visual abnormalities and manual motor control have been studied extensively after stroke, but an understanding of oculomotor control post-stroke has not. Recent studies have revealed that in visually guided reaches arm movements are planned during eye movement execution, which may contribute to increased task complexity. In fact, in healthy controls during visually guided reaches, the onset of eye movement is delayed, its velocity reduced, and endpoint errors are larger relative to isolated eye movements. Our objective in this experiment was to examine the temporal properties of eye movement execution for stroke patients with no diagnosed visual impairment. The goal is to improve understanding of oculomotor control in stroke relative to normal function, and ultimately further understand its coordination with manual motor control during joint eye and hand movements. We hypothesized that stroke patients would show abnormal initiation or onset latency for saccades made in an eye movement task, as compared to healthy controls. Methods: We measured the kinematics of eye movements during point-to-point saccades; there was an initial static, fixation point and the stimulus was a flashed target on a computer monitor. We used a video-based eye tracker for objective recording of the eye at a sampling frequency of 2000 Hz (SR Research, Eyelink). 10 stroke subjects, over 4 months from injury and with no diagnosed visual impairment, and 10 healthy controls completed 432 saccades in a serial fashion. Results: Stroke patients had significantly faster onset latencies as compared to healthy controls during saccades (99.5ms vs. 245.2ms, p=0.00058). Conclusion: A better understanding of the variations in oculomotor control post-stroke, which may go unnoticed during clinical assessment, may improve understanding of how eye control synchronizes with arm or manual motor control. This knowledge could assist in tailoring rehabilitative strategies to amplify motor recovery. For next steps, we will perform objective eye and hand recordings during visually guided reaches post-stroke to better understand the harmonization or lack thereof after neurologic insult.

scholarly journals Eye movement disorders and neurological symptoms in late-onset inborn errors of metabolism

2018 ◽  
Vol 33 (12) ◽  
pp. 1844-1856 ◽  
Author(s):  
Lisette H. Koens ◽  
Marina A.J. Tijssen ◽  
Fiete Lange ◽  
Bruce H.R. Wolffenbuttel ◽  
Alessandra Rufa ◽  
...  
Keyword(s):  
Eye Movement ◽  
Movement Disorders ◽  
Inborn Errors Of Metabolism ◽  
Late Onset ◽  
Neurological Symptoms ◽  
Inborn Errors ◽  
Eye Movement Disorders

scholarly journals FREQUENCY OF FUNCTIONAL DISABILITY AND COGNITIVE IMPAIRMENTS IN SUB-ACUTE STROKE PATIENTS

2021 ◽  
Vol 10 (2) ◽  
pp. 69-74
Author(s):  
Aisha Sarfaraz ◽  
Dr Abdul Azeem ◽  
Mehwish Butt ◽  
Muhammad Umar
Keyword(s):  
Acute Stroke ◽  
Functional Disability ◽  
Cognitive Impairments ◽  
Age Groups ◽  
Female Gender ◽  
Primary Objective ◽  
P Value ◽  
Stroke Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND & OBJECTIVE Stroke is a very common neurological condition affects various aspects of health. The primary objective of this study was to find out the frequency of functional disability and cognitive impairments in Sub-acute Stroke patients. MATERIAL AND METHODS A cross-sectional survey was conducted on 112 Sub-acute Stroke patients in Karachi, Pakistan. Using Barthel Index (BI) and Mini-Mental State Examination (MMSE) test was used to find out the frequency of functional disability and cognitive impairments of Sub-acute Stroke patients. RESULTS The correlation of BI scores with MMSE scores for the Male gender was 0.576 whilst the correlation of BI scores with MMSE scores for the Female gender was 0.440. The severity of functional disability concerning age groups assessed P-value was 0.026 using Chi-Square Test. The severity of functional disability (BI severity) concerning gender, P-value was found 0.097 using the same test. CONCLUSION Functional Disability is directly linked with age. However, there was no linkage established between Cognitive Impairment and age as well as gender. On close inspection, there was a trend between Functional disability and gender but not statistically significant.

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