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Clinical Consequences of Stroke

The impairments associated with a stroke exhibit a wide diversity of clinical signs and symptoms. Disability, which is multifactorial in its determination, varies according to the degree of neurological recovery, the site of the lesion, the patient's premorbid status and the environmental support systems.
Clinical evidence is reviewed as it pertains to stroke lesion location (cerebral, right & left hemispheres; lacunar and brain stem), related disorders (emotional, visual spatial perceptual, communication, fatigue, etc.) and artery or arteries affected.

Introduction

The Stroke Rehabilitation Clinician Handbook is intended to be a learning resource for residents and a useful compliment to the Stroke Rehabilitation Evidence Based Review for clinicians. It is a new resource available with the 16th edition update of the Stroke Rehabilitation Evidence Based Review. The content is based on a series of lectures and case studies, and will continually be updated and refined.

The Rehabilitation of Severe Stroke
This review presents research focused on the admission, classification, treatment, recovery and rehabilitation of severe stroke patients.
Rehabilitation of Younger Patients Post Stroke
This review highlights the unique rehabilitation needs of younger patients with stroke.
Outcome Measures in Stroke Rehabilitation
To enhance the meaningfulness the SREBR, the present review provides information about assessment tools commonly used in stroke rehabilitation research and practice including summary reviews of 38 assessment tools used in the evaluation of Body Structure (14 tools), Activity (15 tools) and Participation (9 tools) outcomes.
Community Reintegration
The present review examines aspects around the return to life in the community following stroke.
Post-Stroke Depression and Mood Disorders
Depression is a well-documented sequela of stroke that may have a negative impact on functional recovery, cognition and social activity. Interventions to prevent and treat post-stroke depression and various other mood disorders are reviewed.
Medical Complications Post Stroke
This review identifies clinically relevant post stroke complications and methods used to control them. Treatment interventions are reviewed and levels of evidence assigned.
Nutritional Interventions Following Stroke
This review includes discussion of nutritional status and malnutrition following stroke including incidence rates, detection markers, underlying causes, treatment interventions, and potential complications. Articles are summarized and conclusions are drawn based on levels of evidence.
Dysphagia and Aspiration Following Stroke
This review provides information regarding the assessment and treatment of dysphagia.

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