Talk:Stroke recovery

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Copyright issue[edit]

Anyone know what the story is here or which section/s? — Preceding unsigned comment added by Someguycalledtom (talkcontribs) 11:26, 1 May 2012 (UTC)[reply]

I[edit]

I created this page from the stroke page but not sure it was a good idea. Better readability if stroke rehabilitation is embedded in the stroke page I think. User:Dokane

It depends largely on how big this article will be getting. If it stops at 200 words, we may as well merge it with cerebrovascular accident. Sometimes, the subject pertains to more articles, and in those cases a split-off is certainly warranted, but here the stroke rehab is a virtual continuation of stroke. JFW | T@lk 20:51, 3 Oct 2004 (UTC)
Stroke rehabilitation is a huge and very important field of research in neurology and I am personally convinced that the wide variety of treatments and insights available will create a rich and dense "stroke rehabilitation" article. In addition, the "stroke" article focuses a lot on the before and the during stroke, which is essential and deserves, also, lengthy and elaborate descriptions. I can think of another reason to let "stroke rehabilitation" separately : there exists a broad range of chemical and metabolic insults that cause strokes, although a stroke is, of course, by convention, a vascular accident. You can consult Glutaric acidemia type 1 for an overview of the problem of chemical strokes. Check the work by Morton, an Albert Schweitzer laureate. Pierre-Alain Gouanvic 06:04, 28 July 2007 (UTC)[reply]
This is an important and growing field, especially with stem cell therapies, see sections created by Someguycalledtom (talk) 07:49, 1 May 2012 (UTC) Also, I have no idea how to create linked references (sorry am new here), could someone let me know how to do this? Thanks, Someguycalledtom (talk) 07:49, 1 May 2012 (UTC)[reply]

Related article[edit]

There is a little information at brain healing that might (or might not) overlap with this article. WhatamIdoing (talk) 21:54, 25 January 2008 (UTC)[reply]

Constraint-induced movement therapy[edit]

The article says that this approach was invented by someone called Oden (1918). I'm sorry but I've never heard of this guy. Are there some references? I can't believe this is correct. I thought this was the work of Edward Taub and co. --Falott (talk) 20:25, 2 October 2009 (UTC)(talk) 20:24, 2 October 2009 (UTC)[reply]

Removal of copypaste tag[edit]

I've removed the copypaste tag (and added cv-unsure above). Most of the major revisions to this article were added by User:Sredgley who claims to be a specialist in this field (a simple google confirms that someone by this name is indeed such a specialist). As such I suspect these additions have been added by a knowledgable academic hence the reason they look like they've been copied from somewhere, however I could find no such source. Given that and the style it was introduced (with references etc) I think it's unlikely to be a copyvio.

User:Pierre-Alain Gouanvic intoduced significant amounts of text in July 2007 but this has already been reverted as a possible copyvio. As this has been removed I think it's unlikely that there is now any copyvio. Dpmuk (talk) 12:10, 24 February 2011 (UTC)[reply]

Acupuncture on Stroke Recovery[edit]

Some people said that acupuncture is effective in the recovery after a stroke, how true is this? — Preceding unsigned comment added by 60.49.220.170 (talkcontribs) 06:37, 25 October 2011‎

The article Acupuncture lists the things acupuncture is proven to improve in some cases. Only two things have reliable evidence, some types of pain and nausea, and only for some people, and the effect is not long-lasting. --Anthonyhcole (talk) 09:28, 29 January 2012 (UTC)[reply]

Feedback?[edit]

Would like to get feedback on my first contribution to Wikipedia, the current section three, "stem cell therapies (in research)". Someguycalledtom (talk) 11:24, 1 May 2012 (UTC)[reply]

Queen's University Student Editing Initiative[edit]

Hello, we are group of medical students from Queen's University in Canada. We are working to improve this article over the next month or so, and will be posting planned changes to the talk page. We look forward to working with the existing Wikipedia community to improve this article and share evidence. We welcome feedback and suggestions as we learn how to edit. Thank you!

We propose the following changes:

1) Change "Shoulder Sublaxation Following Stroke" Heading to "Hemiplegic Shoulder Pain Following Stroke"

2)Add a section outlining the etiology of hemiplegic shoulder pain: Hemiplegic shoulder pain (shoulder pain on the stroke-affected side of the body) is a common source of pain and dysfunction following stroke. [1] The etiology of hemiplegic shoulder pain remains unclear, [2] however, some possible causes may include shoulder subluxation, muscle contractures, spasticity, rotator cuff disorders or impingement, and complex regional pain syndrome. [2] [3] Overall, the shoulder is very mobile, and relies on muscles and ligaments to support it, therefore, if a stroke damages the neurons that control those muscles and ligaments, the whole joint will be affected and pain may result. [3]

3) Add a section under hemiplegic shoulder pain following stroke > Pharmacological Therapies: Analgesics (ibuprofen and acetaminophen) may offer some pain relief for generalized hemiplegic shoulder pain. [4] For people with spasticity associated shoulder pain, botulinum toxin injections into the shoulder muscles has also been shown to provide significant pain relief [4] and improve range of motion. [2] Subacromial corticosteroid injections can be effective for people with shoulder pain related to injury/inflammation of the rotator cuff region. [2]


4) Treatment for post-stroke hemiplegic shoulder pain There are several non-pharmacological interventions which are recommended for prevention and treatment of post-stroke hemiplegic shoulder pain, including proper positioning, range of motion exercises, motor retraining, and adjuvant therapies like neuromuscular electric stimulation (NMES) (e.g. functional electric stimulation (FES)). [5] The use of slings remains controversial. [4]

Functional electric stimulation FES is a NMES technique where nerves or muscles affected by stroke receive bursts of low-level electrical current. [6] [7] The goal of FES is to strengthen muscle contraction and improve motor control. [6] It may be effective in reducing subluxation and the pain associated with subluxation. [6] [8]

Slings Different slings are available to manage shoulder subluxation. [5] However, the use of slings remains controversial and may increase the risk of adverse effects on symmetry and balance between the left and right shoulders, and can impact peoples’ body image. [4]


BucksteinJ (talk) 18:17, 1 October 2018 (UTC)[reply]

Comments for the whole group:[edit]

These comments apply to most of the suggestions, so I will put them down here:
Thanks for sharing your suggested changes. I have a few notes, but I think your work looks great.
  • Please include the page #s from where you found the information in the text book if they are available
  • Same for ref 2 text book, you added in the chapter. Can you add these with the DOI tool that was taught in class? Citations go immediately after the punctuation in Wikipedia like this.1 The DOI tool will do all this, you just need to click after the period (or comma) and then click "cite" above. See WP:MEDHOW or feel free to send me a note if you have any questions or need assistance.
  • Can you find some wikilinks for some of these terms? I also think that you can add more common english terms. For example: etiology, adjuvant, etc.
Adjust the use of the word patients-->people which is how Wikipedia refers to people/patients.
Thanks again, JenOttawa (talk) 14:50, 6 November 2018 (UTC)[reply]

References

  1. ^ Braddom's rehabilitation care : a clinical handbook. pp. 244–247. ISBN 9780323497336.
  2. ^ a b c d "Hemiplegic Shoulder Pain & Complex Regional Pain Syndrome | EBRSR - Evidence-Based Review of Stroke Rehabilitation". www.ebrsr.com.
  3. ^ a b Harrison, Rebecca A.; Field, Thalia S. (2015). "Post Stroke Pain: Identification, Assessment, and Therapy". Cerebrovascular Diseases. 39 (3–4): 190–201. doi:10.1159/000375397.
  4. ^ a b c d Hebert, Debbie; Lindsay, M Patrice; McIntyre, Amanda; Kirton, Adam; Rumney, Peter G; Bagg, Stephen; Bayley, Mark; Dowlatshahi, Dar; Dukelow, Sean; Garnhum, Maridee; Glasser, Ev; Halabi, Mary-Lou; Kang, Ester; MacKay-Lyons, Marilyn; Martino, Rosemary; Rochette, Annie; Rowe, Sarah; Salbach, Nancy; Semenko, Brenda; Stack, Bridget; Swinton, Luchie; Weber, Valentine; Mayer, Matthew; Verrilli, Sue; DeVeber, Gabrielle; Andersen, John; Barlow, Karen; Cassidy, Caitlin; Dilenge, Marie-Emmanuelle; Fehlings, Darcy; Hung, Ryan; Iruthayarajah, Jerome; Lenz, Laura; Majnemer, Annette; Purtzki, Jacqueline; Rafay, Mubeen; Sonnenberg, Lyn K.; Townley, Ashleigh; Janzen, Shannon; Foley, Norine; Teasell, Robert (14 April 2016). "Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015". International Journal of Stroke. 11 (4): 459–484. doi:10.1177/1747493016643553.
  5. ^ a b Winstein, Carolee J.; Stein, Joel; Arena, Ross; Bates, Barbara; Cherney, Leora R.; Cramer, Steven C.; Deruyter, Frank; Eng, Janice J.; Fisher, Beth; Harvey, Richard L.; Lang, Catherine E.; MacKay-Lyons, Marilyn; Ottenbacher, Kenneth J.; Pugh, Sue; Reeves, Mathew J.; Richards, Lorie G.; Stiers, William; Zorowitz, Richard D. (June 2016). "Guidelines for Adult Stroke Rehabilitation and Recovery". Stroke. 47 (6). doi:10.1161/STR.0000000000000098.
  6. ^ a b c "Functional Electrical Stimulation - hemiplegic shoulder - Stroke Engine". Stroke Engine.
  7. ^ Modalities for therapeutic intervention (Sixthition ed.). ISBN 978-0-8036-4563-9.
  8. ^ Arya, Kamal Narayan; Pandian, Shanta; Puri, Vinod (11 October 2017). "Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review". Topics in Stroke Rehabilitation. 25 (1): 68–81. doi:10.1080/10749357.2017.1383712.


Constraint-induced movement therapy[edit]

The article mentions that the development of CI therapy is the work of Dr. Oden. I believe that it is the work of Dr. Edward Tuab. [1] — Preceding unsigned comment added by DanielJanko (talkcontribs) 00:42, 8 February 2021 (UTC)[reply]

References

  1. ^ Uswatte, G., Taub, E., Morris, D., Barman, J., & Crago, J. Contribution of the shaping and restraint components of constraint-induced movement therapy to treatment outcome. 2006 NeuroRehabilitation, 21(2), 147-156.