Cerebrovascular disease

Organised inpatient (stroke unit) care for stroke: network meta‐analysis

Abstract Background Organised inpatient (stroke unit) care is provided by multi‐disciplinary teams that manage stroke patients. This can been provided in a ward dedicated to stroke patients (stroke ward), with a peripatetic stroke team (mobile stroke team), or within a generic disability service (mixed rehabilitation ward). Team members aim to provide co‐ordinated multi‐disciplinary care using […]

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Physical fitness training for stroke patients

Abstract Background Levels of physical activity and physical fitness are low after stroke. Interventions to increase physical fitness could reduce mortality and reduce disability through increased function. Objectives The primary objectives of this updated review were to determine whether fitness training after stroke reduces death, death or dependence, and disability. The secondary objectives were to […]

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Carotid artery stenting versus endarterectomy for treatment of carotid artery stenosis

Abstract Background Carotid artery stenting is an alternative to carotid endarterectomy for the treatment of atherosclerotic carotid artery stenosis. This review updates a previous version first published in 1997 and subsequently updated in 2004, 2007, and 2012. Objectives To assess the benefits and risks of stenting compared with endarterectomy in people with symptomatic or asymptomatic […]

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Transcranial Doppler sonography for detecting stenosis or occlusion of intracranial arteries in people with acute ischaemic stroke

Abstract Background An occlusion or stenosis of intracranial large arteries can be detected in the acute phase of ischaemic stroke in about 42% of patients. The approved therapies for acute ischaemic stroke are thrombolysis with intravenous recombinant tissue plasminogen activator (rt‐PA), and mechanical thrombectomy; both aim to recanalise an occluded intracranial artery. The reference standard […]

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Telerehabilitation services for stroke

Abstract Background Telerehabilitation offers an alternate way of delivering rehabilitation services. Information and communication technologies are used to facilitate communication between the healthcare professional and the patient in a remote location. The use of telerehabilitation is becoming more viable as the speed and sophistication of communication technologies improve. However, it is currently unclear how effective […]

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Interventions for treating depression after stroke

Abstract Background Depression is an important morbidity associated with stroke that impacts on recovery yet often undetected or inadequately treated. This is an update and expansion of a Cochrane Review first published in 2004 and updated in 2008. Objectives Primary objective • To determine whether pharmacological therapy, non‐invasive brain stimulation, psychological therapy, or combinations of […]

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Motor neuroprosthesis for promoting recovery of function after stroke

Abstract Background Motor neuroprosthesis (MN) involves electrical stimulation of neural structures by miniaturized devices to allow the performance of tasks in the natural environment in which people live (home and community context), as an orthosis. In this way, daily use of these devices could act as an environmental facilitator for increasing the activities and participation […]

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Repetitive peripheral magnetic stimulation for impairment and disability in people after stroke

Abstract Background Repetitive peripheral magnetic stimulation (rPMS) is a non‐invasive treatment method that can penetrate to deeper structures with painless stimulation to improve motor function in people with physical impairment due to brain or nerve disorders. rPMS for people after stroke has proved to be a feasible approach to improving activities of daily living and […]

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Selective serotonin reuptake inhibitors (SSRIs) for stroke recovery

Abstract Background Stroke is a major cause of adult disability. Selective serotonin reuptake inhibitors (SSRIs) have been used for many years to manage depression and other mood disorders after stroke. The 2012 Cochrane Review of SSRIs for stroke recovery demonstrated positive effects on recovery, even in people who were not depressed at randomisation. A large […]

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Cognitive rehabilitation for attention deficits following stroke

Abstract Background Many survivors of stroke report attentional impairments, such as diminished concentration and distractibility. However, the effectiveness of cognitive rehabilitation for improving these impairments is uncertain.This is an update of the Cochrane Review first published in 2000 and previously updated in 2013. Objectives To determine whether people receiving cognitive rehabilitation for attention problems 1. […]

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