Browsing by Subject "chronic stroke"

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    Circumstances and consequences of falls among people with chronic stroke
    (2013) Schmid, Arlene A.; Yaggi, H. Klar; Burrus, Nicholas; McClain, Vincent; Austin, Charles; Ferguson, Jared; Fragoso, Carlos; Sico, Jason J.; Miech, Edward J.; Matthias, Marianne S.; Williams, Linda S.; Bravata, Dawn M.
    Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.
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    Yoga after Stroke Leads to Multiple Physical Improvements
    (Office of the Vice Chancellor for Research, 2013-04-05) Schmid, A. A.; Miller, K. K.; Van Puymbroeck, M.; DeBaun, E. L.; Schalk, N.; Dierks, T. D.; Altenburger, P.; Damush, T.; Williams, Linda S.
    Methods: Forty-seven individuals with chronic stroke were recruited and randomized 3:1 to yoga or waitlist control (usual care). The yoga group completed one hour yoga sessions twice a week for 8 weeks. Yoga was taught by a yoga therapist and included modified physical postures in seated, standing, and supine positions and included yoga breathing, bilateral movements, concluding with relaxation. Assessments before and after the 8 weeks included: flexibility via passive range of motion (PROM) for the hamstrings (HS) and active range of motion (AROM) for hip flexion, cervical rotation, and cervical lateral flexion; strength with the chair to stand and arm curl and hip flexion manual muscle test; and walking capacity with the 6 minute walk test. We compared groups with a t-test/Mann Whitney. We used paired t-tests/Wilcoxon non-parametric tests to compare baseline and 8-week data.