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A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient

BACKGROUND: Stroke is a main cause of disability worldwide and its neuro-rehabilitative management is not limited to the acute phase but requires continuity in the rehabilitation approach especially in the chronic phase. The aim of this scoping review was to highlight the different treatment opportu...

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Autores principales: Paolucci, Teresa, Agostini, Francesco, Mussomeli, Elena, Cazzolla, Sara, Conti, Marco, Sarno, Francescapia, Bernetti, Andrea, Paoloni, Marco, Mangone, Massimiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542412/
https://www.ncbi.nlm.nih.gov/pubmed/37789885
http://dx.doi.org/10.3389/fneur.2023.1234205
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author Paolucci, Teresa
Agostini, Francesco
Mussomeli, Elena
Cazzolla, Sara
Conti, Marco
Sarno, Francescapia
Bernetti, Andrea
Paoloni, Marco
Mangone, Massimiliano
author_facet Paolucci, Teresa
Agostini, Francesco
Mussomeli, Elena
Cazzolla, Sara
Conti, Marco
Sarno, Francescapia
Bernetti, Andrea
Paoloni, Marco
Mangone, Massimiliano
author_sort Paolucci, Teresa
collection PubMed
description BACKGROUND: Stroke is a main cause of disability worldwide and its neuro-rehabilitative management is not limited to the acute phase but requires continuity in the rehabilitation approach especially in the chronic phase. The aim of this scoping review was to highlight the different treatment opportunities available in neurorehabilitation, effective for patients with chronic stroke sequelae, not only in terms of maintaining motor function but also improving it. METHODS: The literature search was conducted using the following databases: MEDLINE (PubMed), PEDro, Scopus, Web of Science (WOS), Cochrane from 2012 to February 2023. We selected Randomized Clinical Trials in English dealing with neurorehabilitation strategies in chronic hemiplegic patients after stroke focusing on motor function, muscular strength, gait, postural balance, spasticity, and quality of life. RESULTS: According to the inclusion criteria, 47 articles were selected for our review. All of them were analyzed following the primary outcome and the rehabilitation technique used. Despite the different protocols used within the same technique and despite the chronicity of the disease, all studies report an improvement after the rehabilitation treatment of motor function and quality of life. CONCLUSION: The literature analyzed invites us to reflect respect to neurorehabilitation approach to the patient with chronic stroke sequelae often considered to have as its objective the maintenance of the present motor function and contain disability: instead, the review reports how, even in chronicity, the patient always reports margins of statistically and clinically significant improvement. The chronic stroke rehabilitation over 6 months has been proved effective in obtaining recovery in different settings.
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spelling pubmed-105424122023-10-03 A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient Paolucci, Teresa Agostini, Francesco Mussomeli, Elena Cazzolla, Sara Conti, Marco Sarno, Francescapia Bernetti, Andrea Paoloni, Marco Mangone, Massimiliano Front Neurol Neurology BACKGROUND: Stroke is a main cause of disability worldwide and its neuro-rehabilitative management is not limited to the acute phase but requires continuity in the rehabilitation approach especially in the chronic phase. The aim of this scoping review was to highlight the different treatment opportunities available in neurorehabilitation, effective for patients with chronic stroke sequelae, not only in terms of maintaining motor function but also improving it. METHODS: The literature search was conducted using the following databases: MEDLINE (PubMed), PEDro, Scopus, Web of Science (WOS), Cochrane from 2012 to February 2023. We selected Randomized Clinical Trials in English dealing with neurorehabilitation strategies in chronic hemiplegic patients after stroke focusing on motor function, muscular strength, gait, postural balance, spasticity, and quality of life. RESULTS: According to the inclusion criteria, 47 articles were selected for our review. All of them were analyzed following the primary outcome and the rehabilitation technique used. Despite the different protocols used within the same technique and despite the chronicity of the disease, all studies report an improvement after the rehabilitation treatment of motor function and quality of life. CONCLUSION: The literature analyzed invites us to reflect respect to neurorehabilitation approach to the patient with chronic stroke sequelae often considered to have as its objective the maintenance of the present motor function and contain disability: instead, the review reports how, even in chronicity, the patient always reports margins of statistically and clinically significant improvement. The chronic stroke rehabilitation over 6 months has been proved effective in obtaining recovery in different settings. Frontiers Media S.A. 2023-09-15 /pmc/articles/PMC10542412/ /pubmed/37789885 http://dx.doi.org/10.3389/fneur.2023.1234205 Text en Copyright © 2023 Paolucci, Agostini, Mussomeli, Cazzolla, Conti, Sarno, Bernetti, Paoloni and Mangone. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Paolucci, Teresa
Agostini, Francesco
Mussomeli, Elena
Cazzolla, Sara
Conti, Marco
Sarno, Francescapia
Bernetti, Andrea
Paoloni, Marco
Mangone, Massimiliano
A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title_full A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title_fullStr A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title_full_unstemmed A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title_short A rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
title_sort rehabilitative approach beyond the acute stroke event: a scoping review about functional recovery perspectives in the chronic hemiplegic patient
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542412/
https://www.ncbi.nlm.nih.gov/pubmed/37789885
http://dx.doi.org/10.3389/fneur.2023.1234205
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