Poststroke chronic disease management: towards improved identification and interventions for poststroke spasticity-related complications

被引:100
作者
Brainin, Michael [1 ,2 ]
Norrving, Bo [3 ]
Sunnerhagen, Katharina S. [4 ]
Goldstein, Larry B. [5 ,6 ]
Cramer, Steven C. [7 ]
Donnan, Geoffrey A. [8 ]
Duncan, Pamela W. [9 ,10 ]
Francisco, Gerard [11 ]
Good, David [12 ]
Graham, Glenn [13 ]
Kissela, Brett M. [14 ]
Olver, John [15 ,16 ]
Ward, Anthony [17 ]
Wissel, Joerg [18 ]
Zorowitz, Richard [19 ]
机构
[1] Danube Univ Krems, Dept Clin Med & Prevent, A-3500 Krems, Austria
[2] Danube Univ Krems, Ctr Clin Neurosci, A-3500 Krems, Austria
[3] Univ Lund Hosp, Dept Clin Neurosci, S-22185 Lund, Sweden
[4] Gothenburg Univ, Rehabil Med Inst Neurosci & Physiol, Gothenburg, Sweden
[5] Duke Univ, Dept Med Neurol, Duke Stroke Ctr, Durham, NC USA
[6] Durham VA Med Ctr, Durham, NC USA
[7] Univ Calif Irvine, Dept Anat & Neurobiol, Orange, CA 92668 USA
[8] Univ Melbourne, Dept Neurol, Melbourne, Vic, Australia
[9] Duke Univ, Div Doctor Phys Therapy, Durham, NC USA
[10] Duke Univ, Duke Ctr Aging & Human Dev, Durham, NC USA
[11] Univ Texas Houston, Dept Phys Med & Rehabil, Houston, TX USA
[12] Penn State Milton S Hershey Med Ctr, Hershey, PA USA
[13] Univ New Mexico, New Mexico VA Healthcare System, Albuquerque, NM 87131 USA
[14] Univ Cincinnati, Dept Neurol, Cincinnati, OH USA
[15] Monash Univ, Clayton, Vic, Australia
[16] Epworth Med Fdn, Richmond, Vic, Australia
[17] Staffordshire Univ, Univ Hosp N Staffordshire, N Staffordshire Rehabil Ctr, Stoke On Trent ST4 2DE, Staffs, England
[18] Kliniken Beelitz GmbH, Beelitz, Germany
[19] Johns Hopkins Bayview Med Ctr, Dept Phys Med & Rehabil, Baltimore, MD USA
关键词
assessment; burden; spasticity; stroke; QUALITY-OF-LIFE; TOXIN TYPE-A; MOTOR RECOVERY; STROKE; BURDEN; IMPACT; CARE; ASSOCIATION; HEALTH; RECOMMENDATIONS;
D O I
10.1111/j.1747-4949.2010.00539.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This paper represents the opinion of a group of researchers and clinicians with an established interest in poststroke care and is based on the recognised need for long-term care following stroke, especially in view of the global increase of disability due to stroke. Among the more frequent long-term complications following stroke are spasticity-related disabilities. Although spasticity alone occurs in up to 60% of stroke survivors, disabling spasticity affects only 4-10%. Spasticity further interferes with important functions of daily life when it occurs in association with pain, motor impairment, and overall declines of cognitive and neurological function. It is proposed that the aftermath of stroke be considered a chronic disease requiring a multifactorial and multilevel approach. There are, however, knowledge gaps related to the prediction and recognition of poststroke disability. Interventions to prevent or minimise such disabilities require further development and evaluation. Poststroke spasticity research should focus on reducing disability and be considered as part of a continuum of chronic care requirements and should be recognised as a part of a comprehensive poststroke disease management programme.
引用
收藏
页码:42 / 46
页数:5
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