Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce:
Julie Bernhardt,Kathryn S Hayward,Kathryn S Hayward,Gert Kwakkel,Gert Kwakkel,Nick S. Ward,Steven L. Wolf,Karen Borschmann,John W. Krakauer,Lara A. Boyd,S. Thomas Carmichael,Dale Corbett,Dale Corbett,Steven C. Cramer +13 more
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Domain-Specific Outcome Measures in Clinical Trials of Therapies Promoting Stroke Recovery: A Suggested Blueprint
TL;DR: In this article , the authors propose a framework for using domain-specific outcome measures in stroke recovery trials, which is intended to foster clinical trials that, by using domain specific end points, are able to demonstrate favorable results in clinical trials of therapies that promote stroke recovery.
Safety and efficacy of selenium in improving the outcomes of stroke patients: a systematic review and meta-analysis with GRADE system
Esraa Y. Salama,Mariam A. Shaltout,Rahma Abdelaziz Ismail,Eslam Afifi,Rana Abdelnasser A. Azab,Abdelrahman Abdelshafi,Rahma Sameh Shaheen,Esraa Y. Salama,Mariam A. Shaltout,Rahma Abdelaziz Ismail,Eslam Afifi,Rana Abdelnasser A. Azab,Abdelrahman Abdelshafi,Rahma Sameh Shaheen +13 more
Abstract: Abstract Background Stroke represents the second most common cause of death worldwide and a significant cause of long-term morbidity. Although the brain is incapable of regeneration, the element selenium (Se) has been found to have a role in regenerating the antioxidant systems and improving cell proliferation and viability. So, we conduct this systematic review and meta-analysis to assess its effectiveness in enhancing cell proliferation and viability. Aims Our study aims to determine the efficacy and safety of selenium in alleviating the impact of brain injury and promoting recovery in patients with stroke. Summary of review We finally included five randomized clinical trials. Our meta-analysis showed a statistically significant difference between selenium and placebo in the outcomes of interest: Glasgow Outcome Scale after 1 month (OR: 1.54, 95% CI [1.10, 2.15], P = 0.01) and respiratory infection (OR: 0.55, 95% CI [0.34, 0.88], P = 0.01). There is no statistically significant difference in Glasgow Outcome Scale after 3 months (OR: 1.36, 95% CI [0.97, 1.91], P = 0.07), mortality (OR: 0.76, 95% CI [0.45, 1.30], P = 0.31). Conclusion Selenium showed a promising contribution to minimizing the damage caused by brain injuries. Further studies, including randomized-controlled trials, must be conducted on the efficacy of selenium and its association with better neurological outcomes.
Translating concepts of neural repair after stroke: Structural and functional targets for recovery
TL;DR: For clinicians recovery after stroke, basic elements of spontaneous neural repair, and ongoing work to augment neural repair are reviewed.
Modifying the Mobility Scale for Acute Stroke (MSAS) for All Stroke Phases (MSAllS): Measurement Properties and Clinical Application.
Shamala Thilarajah,Low Ai Ying,Amanda Lee,Sherie Ng,Seow Hui Chueng,Silvana Choo,Bok Chek Wai,Deidre De Silva,Eleanor Shuxian Chew,Chua Tse Lert,Li Khim Kwah,Pua Yong Hao +11 more
TL;DR: A modified Mobility Scale for All Stroke Phases (MSAllS) was developed and evaluated for measurement properties and clinical application, demonstrating adequate validity, reliability, and interpretability as a potential single outcome measure for physical function after stroke.
Recent Advances in Drug Delivery Systems for Targeting the Blood-Brain Barrier
Sree Lakshmi N
- 04 Aug 2024
TL;DR: Recent advancements in drug delivery systems have shown promising results in targeting the blood-brain barrier, utilizing nanoparticle-based systems, focused ultrasound, and alternative routes to enhance brain drug targeting and potentially revolutionize CNS disorder treatment.
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What Do Motor “Recovery” and “Compensation” Mean in Patients Following Stroke?
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Aphasia in acute stroke: incidence, determinants, and recovery.
Palle Møller Pedersen,Henrik Stig Jørgensen,Hirofumi Nakayama,Hans Otto Raaschou,Tom Skyhøj Olsen +4 more
TL;DR: Sex, handedness, and side of stroke lesion were not independent outcome predictors, and the influence of age was minimal, but a valid prognosis of aphasia could be made within 1 to 4 weeks after the stroke depending on the initial severity.
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