Clinical Perspectives in Stroke Rehabilitation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: 25 March 2025 | Viewed by 642

Special Issue Editors


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Guest Editor
Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-821 Bydgoszcz, Poland
Interests: stroke; neurological diseases; stroke thrombolysis; older adults neurological deficits

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Guest Editor
Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-821 Bydgoszcz, Poland
Interests: neurosurgery; traumatic brain injury; traumatic brain hemorrhage; neuro-oncology; glasgow coma scale; intervertebral disc; clinical nursing

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Guest Editor
Department of Neurological Nursing, Poznan University of Medical Sciences, Rokietnicka 2A, 60-806 Poznań, Poland
Interests: neuropsychological; stroke; bipolar disorder

Special Issue Information

Dear Colleagues,

Stroke is a serious medical and social problem due to its frequency of occurrence. The consequences of a stroke in the form of various types of deficits significantly limit everyday functioning and make independence difficult. Depending on the degree of brain damage, there is a risk of paresis, paralysis, balance disorders, sensory disorders, dysphagia, aphasia, and memory disorders. Thus, rehabilitation is so important for patients following a stroke. One of the key elements of successful rehabilitation after a stroke is how quickly it begins. It should be implemented as soon as possible, within the first few days of hospitalization. It can significantly improve the patient's condition and restore the ability to function independently. Furthermore, rehabilitation can limit the negative effects of stroke and reduce the risk of thromboembolic complications that can occur shortly after a stroke. Rehabilitation after a stroke is long-term and is influenced by many factors, including the patient’s age, cooperation from the patient, the time of commencement of rehabilitation, the number and type of comorbidities, the therapeutic methods used, the degree of brain damage, and others. Due to the seriousness of the topic, the aim of this Special Issue is to present, in a broad sense, clinical perspectives concerning rehabilitation after stroke.

Dr. Karolina Filipska-Blejder
Prof. Dr. Robert Ślusarz
Prof. Dr. Krystyna Jaracz
Guest Editors

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Keywords

  • stroke
  • clinical perspectives
  • therapy
  • functional outcome predictors
  • rehabilitation
  • quality of life

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Published Papers (1 paper)

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Research

12 pages, 1315 KiB  
Article
Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients
by Rafał Studnicki, Karolina Studzińska, Tomasz Adamczewski, Rita Hansdorfer-Korzon and Maciek Krawczyk
J. Clin. Med. 2024, 13(20), 6271; https://doi.org/10.3390/jcm13206271 - 21 Oct 2024
Viewed by 497
Abstract
Background/Objectives: Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the effects of rehabilitation, including neurofunctional exercises, on the [...] Read more.
Background/Objectives: Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the effects of rehabilitation, including neurofunctional exercises, on the functional status of stroke patients. Methods: The cohort study design included 102 male and female participants: 51 patients underwent physiotherapy rehabilitation including neurofunctional exercises (SG), while the other 51 did not follow a rehabilitation program based on neurofunctional exercises (CG). The participants were assessed twice: once during their stay in the early neurology department after the first stroke, and again six months later. The assessments were conducted using the Barthel Scale (BS), the Rankin Scale (RS), and the National Institutes of Health Stroke Scale (NIHSS). Results: Baseline comparisons revealed significantly greater BS (p = 0.001) in the CG compared to the SG. Conversely, the SG had a significantly higher NIHSS than the CG at baseline (p = 0.001), as well as higher RS (p < 0.001). Within the SG, there were significant increases in BS (p < 0.001), while no significant differences were found between baseline and post 6 months in RS (p = 0.537) and NIHSS (p = 0.475). Regarding the CG, significant increases were observed in BS (p = 0.005) and NIHSS (p < 0.001), while no significant differences were found in RS (p = 0.335). Conclusions: In conclusion, this study reveals that incorporating neurofunctional exercises does not appear to play a significant role in the patients’ progress. The controlled group, engaged in home-based activities, showed greater improvements in their condition. Full article
(This article belongs to the Special Issue Clinical Perspectives in Stroke Rehabilitation)
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