Feasibility of Early Physical Therapy Program In-Hospital Patients with Acute Ischemic Stroke

Grigorova-Petrova, Kristin; Lubenova, Daniela; Dimitrova, Antoaneta; Baldaranov, Dimo; Lozeva, Julia
September 2014
Macedonian Journal of Medical Sciences;Sep2014, Vol. 7 Issue 3, p452
Academic Journal
BACKGROUND AND PURPOSE: Clinical practice guidelines for patients with stroke recommend early stroke rehabilitation at acute stroke unit care. The purpose of the study is to determine the feasibility of the application of feedback breathing device for respiratory training during the acute period in patients with ischemic cerebral stroke and appropriate program of physical therapy. MATERIAL AND METHODS: Seven patients in acute period - not later than 48 hours after the accident with light to moderate stroke severity under the NIHSS scale. The applied study methods are the following: functional respiratory evaluation, inspiratory capacity with incentive spirometer device, assessing diaphragmatic movement by ultrasonography. RESULTS: Better results in Forced Vital Capacity, Peak Expiratory Flow, inspiratory capacity and ultrasonography have been observed. CONCLUSION: An early targeted impact on respiratory disorders in patients with ischemic cerebral stroke is applicable. To determine the clinical significance larger studies are needed.


Related Articles

  • Ultrasonographic markers of vascular risk in patients with asymptomatic carotid stenosis. Silvestrini, Mauro; Altamura, Claudia; Cerqua, Raffaella; Pasqualetti, Patrizio; Viticchi, Giovanna; Provinciali, Leandro; Paulon, Luca; Vernieri, Fabrizio // Journal of Cerebral Blood Flow & Metabolism;Apr2013, Vol. 33 Issue 4, p619 

    Six-hundred twenty-one subjects with unilateral asymptomatic severe internal carotid artery (ICA) stenosis were prospectively evaluated with a median follow-up of 27 months (min=6, max=68). Vascular risk profile, plaque characteristic, stenosis progression, and common carotid artery intima-media...

  • Chest physiotherapy. Selsby, D.S. // BMJ: British Medical Journal (International Edition);3/4/89, Vol. 298 Issue 6673, p541 

    Reports the risk of chest physiotherapy for patients with acute and chronic respiratory problems. Forms of chest physiotherapy; Removal of lung secretion to improve respiratory functions; Value of physiotherapy for patients with excess sputum.

  • Stress cardiomyopathy following acute ischemic stroke during flexible bronchoscopy: a rare sequence of complications. Badovinac, Sonja; Korsic, Marta; Cucevic, Branka; Slivnjak, Valentina; Vukic Dugac, Andrea; Jakopovic, Marko // Jornal Brasileiro de Pneumologia;jul/ago2013, Vol. 39 Issue 4, p525 

    No abstract available.

  • A hybrid framework for registration of carotid ultrasound images combining iconic and geometric features. Gupta, Anupama; Verma, Harsh; Gupta, Savita // Medical & Biological Engineering & Computing;Sep2013, Vol. 51 Issue 9, p1043 

    Stroke is the third major cause of death worldwide behind heart disease and cancer. Carotid atherosclerosis is the most frequent cause of ischemic stroke. Early diagnosis of carotid plaque and serial monitoring of its size with the help of imaging modalities can help to prevent the...


    The paper studies the characteristics of cerebral hemodynamic in patients with acute ischemic stroke using ultrasound diagnostics (dopplerography). It is shown that cerebral atherosclerotic genesis in patients occurs with the dominated diffuse decrease of cerebral hemodynamics and increased...

  • Zator skrzyżowany i zatorowość pÅ‚ucna u chorego z zakrzepicÄ… żyÅ‚ powierzchownych koÅ„czyn dolnych jako pierwsza manifestacja przetrwaÅ‚ego otworu owalnego. Mościcki, Dariusz; Drążkiewicz, Marek; Główka, Bartłomiej; Loranc, Paweł; Byrdy, Wacław // Polish Surgery / Chirurgia Polska;2013, Vol. 15 Issue 1, p76 

    Paradoxical embolism concerns the state when a venous thrombus gets into the arterial system through an intracardiac defect between the left and right part of heart causing stroke, visceral artery occlusion or acute limb ischemia. The purpose of this report is to present the case of paradoxical...

  • Prevalence of patent foramen ovale in ischemic stroke in Italy: the SISIFO study. Consoli, Domenico; Paciaroni, Maurizio; Aguggia, Marco; Melis, Maurizio; Malferrari, Giovanni; Vidale, Simone; Cerrato, Paolo; Sacco, Simona; Gandolfo, Carlo; Bovi, Paolo; Serrati, Carlo; Sette, Massimo; Cavallini, Anna; Diomedi, Marina; Postorino, Paolo; Ricci, Stefano // Neurological Sciences;Jun2014, Vol. 35 Issue 6, p867 

    Patent foramen ovale (PFO) is a common congenital anatomical defect in the general population with a mean prevalence of 20 %. Transcranial Doppler sonography and echocardiography, both with infusion of agitated saline as an echo contrast, have been introduced for the diagnosis of PFO....

  • Recanalization of Extracranial Internal Carotid Artery Occlusion after i.v. Thrombolysis for Acute Ischemic Stroke. Pechlaner, Raimund; Knoflach, Michael; Matosevic, Benjamin; Ruecker, Michael; Schmidauer, Christoph; Kiechl, Stefan; Willeit, Johann // PLoS ONE;Jan2013, Vol. 8 Issue 1, Special section p1 

    Background: Although extracranial internal carotid artery (e-ICA) occlusion is a common pathology in patients undergoing intravenous thrombolysis for treatment of acute ischemic stroke, no data on e-ICA recanalization rate or potential effects on outcome are yet available. Methods and Results:...

  • Reperfusion therapies of acute ischemic stroke: potentials and failures. Tsivgoulis, Georgios; Katsanos, Aristeidis H.; Alexandrov, Andrei V. // Frontiers in Neurology;Nov2014, Vol. 5, p1 

    Over the past 20 years, clinical research has focused on the development of reperfusion therapies for acute ischemic stroke (AIS), which include the use of systemic intravenous thrombolytics (alteplase, desmoteplase, or tenecteplase), the augmentation of systemic intravenous recanalization with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics