September stroke current awareness[1] by Musgrove Park Hospital Library

Library Service Musgrove Park Academy

Current Awareness Stroke This monthly Current Awareness Bulletin is produced by the Library, Musgrove Park Academy to provide staff with a range of stroke-related resources to support practice. It includes recently published guidelines and research articles, news and policy items.

This guide provides a selection of resources relevant to the subject area and is not intended to be a comprehensive list. All websites have been evaluated and details are correct at the time of publications. Details correct at time of going to print. Please note that resources are continuously updated. For further help or guidance, please contact a member of library staff.

This guide has been compiled by: Jess Pawley Senior Library Assistant Musgrove Park Hospital Library Service jessica.pawley@tst.nhs.uk

Issue 2 September 2015

Contents Click on a section title to navigate contents Page Recent journal articles

Books

13 UpToDate & DynaMed

Stroke in the News

Reports, publications and resources

Twitter

Training & Networking Opportunities, Conferences, Events

Literature search service

Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433) Fax: 01823 34 (2434) Email: library@tst.nhs.uk Blog: http://librarymph.wordpress.com @musgrovesompar

RECENT JOURNAL ARTICLES BACK TO TOP This is a list of journal articles on the topic of stroke. Some articles are available in the library or online via an OpenAthens password by following the full-text link. If you would like an article which is not available as full-text then please contact library staff. Please note that abstracts are not always available for all articles.

Click on the image to access full-text-available from 1970 to current using your OpenAthens password

ARTICLES FROM OTHER JOURNALS Title: Constraint-induced aphasia therapy in subacute neurorehabilitation. Citation: Aphasiology, 01 October 2015, vol./is. 29/10(1152-1163), 02687038 Author(s): Kristensen, Lisbeth Frlund, Steensig, Inger, Pedersen, Anders Degn, Pedersen, Asger Roer, Nielsen, Jrgen Feldb ćŤź/div> Abstract: Background: Constraint-induced aphasia therapy (CIAT) is an intensive, short-term speech and language therapy. Previous research indicates that CIAT can lead to lasting improvements in chronic aphasia. CIAT in the subacute phase of recovery has only been sparsely investigated and only in modified versions compared to the original protocol. Aims: The aim of the current pilot study was to investigate unmodified CIAT in stroke patients in the subacute phase of recovery in the frame of an inpatient multidisciplinary neurorehabilitation program. Methods & Procedures: Eleven stroke patients with subacute aphasia completed 30 hr of CIAT in 10 weekdays. Language functions as well as the amount and quality of communication were assessed four times, before the control period, preand post-CIAT, and at follow-up. The primary outcome measure was Western Aphasia Battery. Secondary measures were the Danish adaptions of Communication Effectiveness Index and of Communication Effectiveness Profile. Issues of applicability were observed currently. Outcomes &Results: The improvement of neither language nor communication was statistically significant; however, all completing participants presented an improved or at least stable language function. CIAT was applied without modification of intensity and as group therapy to a subgroup of patients with aphasia in the first months after stroke in an inpatient multidisciplinary setting. Only one participant dropped out. Logistics, prioritisation of rehabilitation needs, and prioritisation of the resources of the patients and of the speech and language pathologists turned out to be issues of applicability. Conclusions: The improvement of language and of real-life communication was not statistically significant. The original protocol was followed demonstrating that CIAT can be applied without modifications in a subacute, inpatient multidisciplinary setting. Issues of applicability were identified.

Title: How is physical activity monitored in people following stroke? Citation: Disability & Rehabilitation, 15 September 2015, vol./is. 37/19(1717-1731), 09638288 Author(s): Fini, Natalie A., Holland, Anne E., Keating, Jenny, Simek, Jacinta, Bernhardt, Julie Abstract: Purpose: To describe how physical activity is monitored following stroke; to summarise methods and devices used across the stroke pathway and document their psychometric properties. Methods: Searches of five databases identified studies that included stroke survivors whose physical activity was quantitatively measured. Two reviewers independently determined inclusion. A descriptive synthesis was undertaken and reliability data for specific methods of monitoring physical activity were pooled where possible. Results: Ninety-one papers (60 using devices and 31 using observational methods) met inclusion criteria, with 3479 participants aged 21-96 years. Twenty-nine devices (72% accelerometers) were identified. Devices were typically used to measure ambulant participants more than 6 months following stroke. Direct observation of physical activity was commonly used for inpatients. No outcome measurements were common to all methods/devices. Test-retest reliability was not reported for 23 devices; for the remaining six it ranged from r = 0.44 to r = 0.99. Inter-rater reliability of observational methods ranged from 0.51 to 1.0. Validity was infrequently reported. Conclusions: Physical activity outcomes were variable. Devices allow for unobtrusive, sustained monitoring in free-living environments. Observational methods suit inpatient settings but are time and labour intensive. No single approach appears superior but standardisation of outcomes would improve the field. Title: Self-management: challenges for allied healthcare professionals in stroke rehabilitation a focus group study. Citation: Disability & Rehabilitation, 15 September 2015, vol./is. 37/19(1745-1752), 09638288 Author(s): Satink, Ton, Cup, Edith H. C., de Swart, Bert J. M., Nijhuis-van der Sanden, Maria W. G. Abstract: Purpose: Self-management has become an important concept in stroke rehabilitation. This study explored allied healthcare professionals' (AHPs) perceptions and beliefs regarding the selfmanagement of stroke survivors and their knowledge and skills regarding stroke self-management interventions. Method: Four focus group interviews were conducted with 27 professionals. Verbal questions and mind mapping were used to collect data. A constant comparative framework was used for analysis. Results: The AHPs discussed different levels of post-stroke self-management, depending on factors such as pre-stroke skills, recovery-phases post-stroke and cognitive abilities of the stroke patients. They hesitated about stroke clients' capacities to self-manage. AHPs questioned whether their own attitudes and skills were really supportive for stroke clients' self-management and criticised stroke services as being too medically oriented. They recommended that self-management programmes should focus both on clients and caregivers and be delivered at peoples' homes. Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke selfmanagement. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes. Title: Intensive virtual reality-based training for upper limb motor function in chronic stroke: a feasibility study using a single case experimental design and fMRI. Citation: Disability & Rehabilitation: Assistive Technology, 01 September 2015, vol./is. 10/5(385392), 17483107 Author(s): Schuster-Amft, Corina, Henneke, Andrea, Hartog-Keisker, Birgit, Holper, Lisa, Siekierka, Ewa, Chevrier, Edith, Pyk, Pawel, Kollias, Spyros, Kiper, Daniel, Eng, Kynan

Abstract: Purpose: To evaluate feasibility and neurophysiological changes after virtual reality (VR)based training of upper limb (UL) movements. Method: Single-case A-B-A-design with two male stroke patients (P1:67 y and 50 y, 3.5 and 3 y after onset) with UL motor impairments, 45-min therapy sessions 5‫ׯ‬week over 4 weeks. Patients facing screen, used bimanual data gloves to control virtual arms. Three applications trained bimanual reaching, grasping, hand opening. Assessments during 2week baseline, weekly during intervention, at 3-month follow-up (FU): Goal Attainment Scale (GAS), Chedoke Arm and Hand Activity Inventory (CAHAI), Chedoke-McMaster Stroke Assessment (CMSA), Extended Barthel Index (EBI), Motor Activity Log (MAL). Functional magnetic resonance imaging scans (FMRI) before, immediately after treatment and at FU. Results: P1 executed 5478 grasps (paretic arm). Improvements in CAHAI (+4) were maintained at FU. GAS changed to +1 post-test and +2 at FU. P2 executed 9835 grasps (paretic arm). CAHAI improvements (+13) were maintained at FU. GAS scores changed to -1 post-test and +1 at FU. MAL scores changed from 3.7 at pre-test to 5.5 post-test and 3.3 at FU. Conclusion: The VR-based intervention was feasible, safe, and intense. Adjustable application settings maintained training challenge and patient motivation. ADL-relevant UL functional improvements persisted at FU and were related to changed cortical activation patterns. Title: Innovative application of virtual reality to advance mirror therapy in paretic upper limb after stroke. Citation: International Journal of Therapy & Rehabilitation, 02 August 2015, vol./is. 22/(0-0), 17411645 Author(s): Opara, J., Rycerski, W., Szczygiel, J., Mazurek, J., Wardejn, E. Abstract: Background: Improvement of upper limb function is a core element of modern post-stroke rehabilitation. Mirror therapy is a new method for improving upper limb function. Although clinical research and systematic reviews on the efficiency of mirror therapy have been published in recent years, it is still necessary (mostly due to methodological limitations as well as a limited sample size) to conduct further research in this area. Methods: The objective of the planned study is to evaluate the efficiency of an innovative therapy using a device called Neuroforma in patients who are in the early stages of recovery after stroke. Neuroforma is a motion control device that is equipped with a Kinetic video camera, screen and computer programme, which works on the basis of motion capture and, simultaneously, with the use of a webcam, enables analysis and correction of a virtual image (augmented reality). The study will involve 60 patients with hemiparesis, with limited upper limb function who have undergone early post-hospital rehabilitation (up to 3 months after stroke). Participants will attend therapy for 4 weeks, 5 days/week. The intervention group (n=30) will perform exercises using Neuroforma, while the control group (n=30) will receive therapy based on traditional methods. Results will be evaluated using the 'Repty' Functional Index, Frenchay Arm Test and Rapid Hand Hick Time before and after the therapy. It is expected that improvement of the upper limb with the use of modern mirror therapy based on Neuroforma will improve outcomes in patients after stroke and create a modern, I attractive alternative to mirror therapy Full Text: Available from EBSCOhost in International Journal of Therapy & Rehabilitation Title: Recovery of arm function after thalamic stroke: A shared case report through clinical supervision. Citation: International Journal of Therapy & Rehabilitation, 02 August 2015, vol./is. 22/(0-), 17411645 Author(s): Saunders, K. Abstract: Background/Aims: A 72-year-old male patient who was diagnosed with right thalamic haemorrhagic stroke in January 2014 was admitted to hospital 3 weeks later for rehabilitation. Case report study agreed by Professional Team Lead and physiotherapist to assess and treat the patient in Clinical Supervision over a 2-week intervention period to focus on regaining maximal left upper limb

functional movement. Methods: The patient received daily 45-minute treatment sessions and a weekly shared hour session with both physiotherapists. The clinical reasoning hypothesis was: Could the recovery of selective left upper limb functional movement be promoted by working to optimally improve the activation of the patient's postural control systems? (i.e. vestibulo-spinal and corticoreticulo-spinal systems) via his trunk, and by using sensory stimulation into his left hand to activate the cortico-spinal system for goal-related left arm functional movements. Treatment focused on the hypothesis and activation of postural control systems using a variety of 'hands-on' techniques and facilitation skills. Results: Improvements in all motor measures, functional measures and postural alignment of pelvis and trunk were observed, reflecting increased postural stability, and improved task performance. Conclusions: This case report challenges the accepted role of the thalamus, as this patient appeared to have intact sensory pathways relating to touch, temperature, proprioception, pressure and pain. Further analysis of the extent of injury to the thalamus is indicated to ascertain the validity of this challenge. In this case, the patient appeared to still have some intact sensory pathways that could be used to effect significant recovery of sensorimotor functional skills in the affected arm. Treatment to optimise postural control and midline can influence the extent and quality of upper limb recovery after stroke. Clinical supervision can enhance clinical outcomes for patients and offer positive opportunities for learning for all parties involved. Full Text: Available from EBSCOhost in International Journal of Therapy & Rehabilitation Title: An Investigation of post-stroke fatigue: The Nottingham Fatigue After Stroke (NotFAST) study. Citation: International Journal of Therapy & Rehabilitation, 02 August 2015, vol./is. 22/(0-0), 17411645 Author(s): Hawkins, L., Birks, E., Clark, E., Drummond, A., Lagogianni, C., Lincoln, N. B., Milligan, H., Mistri, A., Sprigg, N., Tyrrell, P., Ward, N., Worthington, A., Worthington, E. Abstract: Background: Fatigue is reported by stroke survivors to be one of the most common and distressing symptoms experienced, with prevalence estimated to range from 16-70%. Research into post-stroke fatigue provides a mixed and often conflicting picture, with no clear understanding of what factors are associated with its occurrence, in part due to the association of fatigue with depression. Consequently evidence-based interventions for fatigue after stroke are lacking. The NotFAST study is the largest UK-based study to investigate the frequency of fatigue after stroke in patients without depression, and to identify factors associated with it. Methods: This study comprises quantitative and qualitative methods. Participants who are not depressed are recruited from four UK sites within 6 weeks of first stroke. Assessments are conducted at 4-6 weeks and 6 months post-stroke. Questionnaire assessments comprise measures of fatigue, activities of daily living, mobility, cognitive function and mood. We aim to recruit at least 300 participants. Participants with high levels of fatigue will be interviewed to explore their experiences and coping strategies to manage the impact of fatigue in daily life. Thematic analysis of the semi-structured interviews will be conducted. Results: This study commenced in September 2013 and will report results in 2015/16. At the time of submission, 282 participants have been recruited, with 200 baseline assessments and 78 six-month follow-up assessments completed. Impact: The results of the study will, for the first time in a UK setting, raise the profile of fatigue as an import issue for stroke survivors and their carers. This is an essential first step to inform the design and implementation of interventions to manage fatigue after stroke, and to inform the timing and focus of rehabilitation. Full Text: Available from EBSCOhost in International Journal of Therapy & Rehabilitation

Title: Risk factor-related lifestyle habits of hospital-admitted stroke patients - an exploratory study. Citation: Journal of Clinical Nursing, 01 August 2015, vol./is. 24/15/16(2219-2230), 09621067 Author(s): Oikarinen, Anne, Engblom, Janne, Kä¤˛iäŠŽen, Maria, KyngäłŹ Helvi Abstract: Aims and objectives To describe and explain the lifestyle habits of hospital-admitted stroke patients by identifying relationships between the different lifestyle habits and by examining associations between them and clinical measurements. Background Stroke is associated with several risk factors that are closely intertwined. However, lifestyle factors have profound effects on its incidence. It has been shown that healthy lifestyle habits are associated with a reduced stroke risk both in combination and independently. Design A cross-sectional, exploratory study. Methods Data were collected from stroke and transient ischemic attack (TIA) patients ( n = 150) in an acute neurology unit in Finland between January 2010 and October 2011 using the Lifestyle Instrument. Data analysis was performed by cross-tabulation of variables, factor analysis, analysis of variance and logistic regression. Results Patients with a mean age of 565 participated. Based on their body mass index, most were overweight (432%) or obese (318%). Their waist circumference levels indicated significant health problems in most cases (70%). Their mean glucose (56 mmol/l) and blood pressure (1499/867 mmHg) levels were also above the guideline values. The participants had diverse risk factor-related lifestyle habits. There were several statistically significant differences between the different lifestyle habits and most of the clinical data were at least partly explained by the lifestyle habits. Conclusions The participants in this study had many lifestyle habits that are associated with stroke risk factors, exposing them to an elevated risk of a new stroke in the future. Relevance to clinical practice It is an important obligation for nursing staff courageously to bring up the lifestyle habits at the hospital phase and point out that there is a relationship between them and stroke incidence and that secondary stroke can be prevented or made less likely by adopting a healthy lifestyle. Title: Efficacy of cerebral thrombolysis in an extended 'time window'. Citation: Journal of Clinical Pharmacy & Therapeutics, 01 August 2015, vol./is. 40/4(472-476), 02694727 Author(s): Sobolewski, P., Kozera, G., Kazmierski, R., Michalak, S., Szczuchniak, W., Nyka, W. Abstract: What is known and objective Cerebral systemic thrombolysis (i.v. thrombolysis) with tissuetype plasminogen activator (rt- PA) is the only proven medical therapy for ischaemic stroke. The use of i.v. thrombolysis up to 45 h from stroke onset was approved in certain countries in 2008, but its safety and efficacy have not been fully determined to date. Objective: To assess the long-term outcome and complication rate of i.v. thrombolysis performed in the extended 'time window'. Methods The study included 403 ischaemic stroke patients consecutively treated with i.v. thrombolysis from 2006 to 2012 at three comprehensive stroke centres in Poland. The long-term outcome and the haemorrhagic complications' ( HC) rate were compared between subgroups of patients treated within 3 vs. 3-45 h from stroke onset. Results and discussion About 132 (3275%) patients were treated between 3 and 45 h from stroke onset. Neurological deficits tended to be more severe in patients treated =3 than in those treated 3-45 h (National Institutes of Health Stroke Scale, NIHSS 12 vs.10 points; P = 0053); however, the ratio of patients with a favourable outcome ( mRS 0-2 points) and mortality did not differ between the two groups (539 vs. 583, P = 039 and 177 vs. 212, P = 039, respectively). The rate of HC also did not differ between the two groups (188% vs. 151%, P = 046). What is new and conclusion The efficacy of i.v. thrombolysis routinely performed in an extended 'time window' is not reduced when compared to procedures performed within 3 h from symptom onset. Title: Ischaemic stroke after exposure to aflibercept: interaction with vitamin K antagonist and/or direct pharmacodynamic effect?

Citation: Journal of Clinical Pharmacy & Therapeutics, 01 August 2015, vol./is. 40/4(477-479), 02694727 Author(s): Thorel, J., Civade, E., Quintyn, J. C., Cestac, P., Montastruc, J.-L., Bagheri, H. Abstract: What is known and objective Vascular endothelial growth factor ( VEGF) proteins are involved in the regulation of vascular endothelium, and their inhibition led to the development of a number of drugs used for malignancies or exudative neo-vascular age-related macular degeneration ( AMD). Case summary We report a case of ischemic stroke in an 87-year-old woman having received intravitreal aflibercept, a new anti- VEGF for AMD. She had been treated with ranibizumab since 2007. In 2013, ranibizumab was replaced with aflibercept, followed by a decrease in the International Normalized Ratio, complicated by a stroke a few days later. The rechallenge was positive. What is new and conclusion A potential time-dependent interaction between aflibercept and VKA antagonist and/or a direct effect of aflibercept may have contributed to the occurrence of the ischaemic stroke. Currently available data suggest some pharmacokinetic and pharmacodynamic effects of aflibercept by explaining its pro-thrombotic profile. Title: Risk of Nursing Home Admission After Femoral Fracture Compared With Stroke, Myocardial Infarction, and Pneumonia. Citation: Journal of the American Medical Directors Association, 01 August 2015, vol./is. 16/8(064355), 15258610 Author(s): Rapp, Kilian, Rothenbacher, Dietrich, Magaziner, Jay, Becker, Clemens, Benzinger, Petra, K‫ׯׯ‬, Hans-Helmut, Jaensch, Andrea, Bchele, Gisela Abstract: Objective To analyze the burden of institutionalizations after femoral fracture and compare it with other catastrophic disease entities like stroke, myocardial infarction, or pneumonia. Design/Setting/Participants Routine data of 414,000 hospitalized German patients aged 66 years and older were used to calculate institutionalization risks after femoral fracture, stroke, myocardial infarction, pneumonia or a combined group of all other hospitalizations. Measurements Institutionalization was defined as nursing home admission within 6 months after discharge from hospital. Age- and sex-specific incidence and incidence rates of institutionalization were calculated. To compare the risk of institutionalization between the disease entities, age-standardized rates were computed and proportional hazards models were applied. In-house mortality and mortality after discharge from hospital were also calculated. Results The risk of institutionalization increased exponentially with age in all disease entities. For example, the risk of institutionalization after femoral fracture increased from 3.6% in women aged 65 to 69 years to 34.8% in women aged 95 years and older. The highest institutionalization rates were observed in patients with stroke, followed by femoral fracture, pneumonia, and myocardial infarction. In men, the age-standardized risk of institutionalization was almost as high after femoral fracture as after stroke (7.5% vs 8.0%). In contrast to myocardial infarction and pneumonia, femoral fracture and stroke were more likely to be followed by institutionalization rather than death. Conclusion Femoral fractures result in high burden of institutionalizations. Prevention of falls, diagnosis and treatment of osteoporosis, and high-quality rehabilitation are challenges to tackle the burden of institutionalization in these patients in the future. Title: Effect of Trunk Support on Upper Extremity Function in People With Chronic Stroke and People Who Are Healthy. Citation: Physical Therapy, 01 August 2015, vol./is. 95/8(1163-1171), 00319023 Author(s): Seng Kwee Wee, Hughes, Ann-Marie, Warner, Martin B., Brown, Simon, Cranny, Andy, Mazomenos, Evangelos B., Burridge, Jane H. Abstract: Background. Trunk control is thought to contribute to upper extremity (UE) function. However, this common assumption in neurorehabilitation has not been validated in clinical trials. Objective. The study objectives were to investigate the effect of providing external trunk support on

trunk control and UE function and to examine the relationship between trunk control and UE function in people with chronic stroke and people who were healthy. Design. A cross-sectional study was conducted. Methods. Twenty-five people with chronic stroke and 34 people who were healthy and matched for age and sex were recruited. Trunk control was assessed with the Trunk Impairment Scale (TIS), and UE impairment and UE function were assessed with the UE subsection of the FuglMeyer Assessment (FMA-UE) and the Streamlined Wolf Motor Function Test (SWMFT), respectively. The TIS and SWMFT were evaluated, with and without external trunk support; the FMA-UE was evaluated without trunk support. Results. With trunk support, people with stroke showed improvement from 18 to 20 points on the TIS, a reduction in SWMFT performance times from 37.20 seconds to 35.37 seconds for the affected UE, and improvement from 3.3 points to 3.4 points on the SWMFT Functional Ability Scale for the function of the affected UE. With trunk support, the SWMFT performance time for people who were healthy was reduced from 1.61 seconds to 1.48 seconds for the dominant UE and from 1.71 seconds to 1.59 seconds for the nondominant UE. A significant moderate correlation was found between the TIS and the FMA-UE (r=.53) for people with stroke. Limitations. The limitations included a nonmasked assessor and a standardized height of the external trunk support. Conclusions. External trunk support improved trunk control in people with chronic stroke and had a statistically significant effect on UE function in both people with chronic stroke and people who were healthy. The findings suggest an association between trunk control and the UE when external trunk support was provided and support the hypothesis that lower trunk and lumbar stabilization provided by external support enables an improvement in the ability to use the UE for functional activities. Full Text: Available from EBSCOhost in Physical Therapy Available from ProQuest in Physical Therapy Title: Comparison of the Responsiveness of the Long-Form and Simplified Stroke Rehabilitation Assessment of Movement: Group- and Individual-Level Analysis. Citation: Physical Therapy, 01 August 2015, vol./is. 95/8(1172-1183), 00319023 Author(s): Yi-Jing Huang, Kuan-Lin Chen, Yeh-Tai Chou, I.-Ping Hsueh, Chieh-Yi Hou, Ching-Lin Hsieh Abstract: Background. The group-level responsiveness of the original, 30-item Stroke Rehabilitation Assessment of Movement measure (STREAM-30) is similar to that of the simplified STREAM (STREAM-15), even though the STREAM-30 has twice as many items as those of the STREAM-15. Objective. The purpose of this study was to compare the responsiveness of the STREAM-30 and STREAM-15 at both group and individual levels in patients with stroke. For the latter level, the Raschcalibrated 27-item STREAM (STREAM-27) was used because the individual-level indexes of the STREAM-30 could not be estimated. Design. A repeated-measurements design was used. In total, 195 patients were assessed with the STREAM-30 at both admission and discharge. Methods. The Rasch scores of the STREAM-27 and STREAM-15 were estimated from the participants' responses on the STREAM-30. We calculated the paired t-test value, effect size, and standardized response mean as the indexes of group-level responsiveness. The significance of change for each participant was estimated as the individual-level responsiveness index, and the paired t test and test of marginal homogeneity were used for individual-level comparisons between the STREAM-27 and STREAM-15. Results. At the group level, the STREAM-30, STREAM-27, and STREAM-15 showed sufficient and comparable responsiveness. At the individual level, the STREAM-27 detected significantly more participants with significant improvement and fewer participants with no change or deterioration compared with the STREAM-15. Limitations. Few patients with subacute stroke showed deterioration at discharge, so the abilities of the 2 measures to detect deterioration remain inconclusive. Conclusions. The STREAM-27 detected more participants with significant recovery compared with the STREAM-15, although the group-level responsiveness of the 2 measures was the same. The

STREAM-27 is recommended as an outcome measure to demonstrate the treatment effects of movement and mobility for patients with stroke. Full Text: Available from EBSCOhost in Physical Therapy Available from ProQuest in Physical Therapy Title: Clinical Factors of Enteral Tube Feeding in Acute Ischemic Stroke Patients. Citation: American Journal of Physical Medicine & Rehabilitation, 01 August 2015, vol./is. 4/8(595601), 08949115 Author(s): Jayoung Hong, Don-Kyu Kim, Si Hyun Kang, Kyung Mook Seo Abstract: Objective: The aim of this study was to identify possible clinical factors associated with enteral tube feeding use and duration in acute ischemic stroke patients. Design: The medical records of 410 acute ischemic stroke patients were reviewed. Brain lesions were classified into nine regions of interest according to the cerebral vascular system. Brain lesion volume, lesion side, National Institutes of Health Stroke Scale (NIHSS) score, type of feeding during admission, and demographic characteristics were compared between enteral tube feeding and non-enteral tube feeding groups. Results: Of the 410 patients, 61 used enteral feeding tubes. The mean age, NIHSS score, and brain lesion volume were significantly higher in the tube group than the nontube group (P < 0.001). Of the nine regions of interest, the right and left middle cerebral artery areas were strongly correlated with enteral tube feeding (P < 0.001). The NIHSS scores were significantly related to the duration of tube feeding (P < 0.05). The NIHSS consciousness subscores were significantly higher in the tube feeding group than in the non tube feeding group (P < 0.05). Conclusions: Older age, lesions in the middle cerebral artery territory, and larger lesions were identified as significant risk factors of enteral tube feeding. Especially, the NIHSS consciousness subscore needs to be evaluated precisely because it was the factor most closely related to the implementation and duration of enteral tube feeding. Title: Peroneal Stimulation for Foot Drop After Stroke. Citation: American Journal of Physical Medicine & Rehabilitation, 01 August 2015, vol./is. 4/8(649664), 08949115 Author(s): Dunning, Kari, O'Dell, Michael W., Kluding, Patricia, McBride, Keith Abstract: The purpose of this systematic review was to summarize the effect of daily use of singlechannel foot drop stimulation among persons with stroke. Randomized controlled trials were searched using electronic databases through May 2014. Six randomized controlled trials were included, involving 820 participants. Gait speed was the most common outcome measured. Other common outcomes included Timed Up and Go, modified Emory Functional Ambulation Profile, Berg Balance Scale, Physiologic Cost Index, Six-Minute Walk Test, quality-of-life, and lower extremity Fugl-Meyer. In summary, foot drop stimulation and ankle foot orthoses seem effective and "equivalent" for increasing gait speed. Other outcomes that consistently improved in both groups were the Timed Up and Go and Six-Minute Walk Test. Foot drop stimulation was more effective compared with ankle foot orthosis for decreasing Physiologic Cost Index and seemed to be preferred by participants. Physical therapy may facilitate improvement in both foot drop stimulation and ankle foot orthosis groups. Title: Comparison of occupation-based and impairment-based occupational therapy for subacute stroke: a randomized controlled feasibility study. Citation: Clinical Rehabilitation, 01 August 2015, vol./is. 29/8(752-762), 02692155 Author(s): Tomori, Kounosuke, Nagayama, Hirofumi, Ohno, Kanta, Nagatani, Ryutaro, Saito, Yuki, Takahashi, Kayoko, Sawada, Tatsunori, Higashi, Toshio

Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH Title: Effect of the cognitive-motor dual-task using auditory cue on balance of surviviors with chronic stroke: a pilot study. Citation: Clinical Rehabilitation, 01 August 2015, vol./is. 29/8(763-770), 02692155 Author(s): Choi, Wonjae, Lee, GyuChang, Lee, Seungwon Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH Title: A randomized controlled trial to assess the psychosocial effects of early exercise engagement in patients diagnosed with transient ischaemic attack and mild, non-disabling stroke. Citation: Clinical Rehabilitation, 01 August 2015, vol./is. 29/8(783-794), 02692155 Author(s): Faulkner, James, McGonigal, Gerard, Woolley, Brandon, Stoner, Lee, Wong, Laikin, Lambrick, Danielle Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH Title: Psychometric comparisons of four disease-specific health-related quality of life measures for stroke survivors. Citation: Clinical Rehabilitation, 01 August 2015, vol./is. 29/8(816-829), 02692155 Author(s): Chou, Chia-Yeh, Ou, Yu-Chih, Chiang, Tsuey-Ru Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH

BOOKS BACK TO TOP If you are unable to find a book, or require a book that is not on this list, please ask library staff who will be able to locate the book for you using interlibrary loan. Books available to borrow

ABC of Stroke

Acute Stroke Nursing

From the back of the book:

This brand new title in the ABC series covers the entire patient journey, from prevention through to long-term support. It includes primary prevention and management of risk factors for stroke and secondary prevention including pharmaceutical, lifestyle and surgical intervention. The general principles of stroke rehabilitation are also addressed as well as mobility, communication and psychological problems, as is stroke in younger people. It also covers long-term support for stroke survivors and their carers.

The first text to explore stroke management from UK and international perspectives, and with a nursing focus. Acute Stroke Nursing provides an evidencebased, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support.

COCHRANE SYSTEMATIC REVIEWS BACK TO TOP Full-text evidence-based systematic reviews prepared by the Cochrane collection Reviews from July 2015 Buflomedil for acute ischaemic stroke

GUIDELINES

National Clinical Guideline for Stroke, 4 edition 2012 NICE Guidelines Stroke rehabilitation: Long-term rehabilitation after stroke (June 2013, to be reviewed December 2015) Atrial fibrillation: the management of atrial fibrillation- assessing your risk of stroke (June 2014) Apixaban for preventing stroke and systemic embolism in people with nonvalvular atrial fibrillation (February 2013)

UPTODATE & DYNAMED BACK TO TOP Whatâ&#x20AC;&#x2122;s new from our clinical decision-making tools on the topic of stroke. UpToDate DynaMed Please contact library staff for details on how to access these resources; you will need an Athens password if accessing from home.

STROKE IN THE NEWS BACK TO TOP Behind the Headlines Working long hours ‘increases stroke risk’

REPORTS, PUBLICATIONS AND RESOURCES

UK Stroke Forum- hosted by Stroke Association Stroke Association website- contains information about support groups, conferences, fundraising, research and professional advice including toolkits and posters. NICE Pathway on Stroke

TOPIC ALERTS AND UPDATES

ABSTRACTS AVAILABLE VIA LINKS BELOW - FOR FULL-TEXT PLEASE ASK LIBRARY STAFF Medscape Topic Alerts Using antidepressants and the risk of stroke recurrence: report from a national representative cohort study FREE FULL TEXT BMC Neurol. 2015;15(86) Executive function, but not memory, associates with incident coronary heart disease and stroke Neurology, Published online before print August 5, 2015 Time to endovascular reperfusion and degree of disability in acute stroke FREE FULL TEXT Annals of Neurology, Article first published online: 17 AUG 2015

Elsevier Practice Updates Temporal relationship between infective endocarditis and stroke Neurology August 11, 2015 vol. 85 no. 6 512-516 Incidence, outcomes, risk factors, and long-term prognosis of cryptogenic transient ischamic attack and ischaemic stroke: a population-based study FREE FULL TEXT Lancet Neurology, Volume 14, No. 9, p903–913, September 2015 Spouses of stroke survivors report reduced health-related quality of life even in long-term follow-upresults from Sahlgrenska academy study on ischemic stroke FREE FULL TEXT Stroke Published online before print August 20, 2015 TRIP Database ‘HeART of Stroke (HoS)’, a community based Arts for Health group intervention to support selfconfidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study FREE FULL TEXT BMJ Open. 2015; 5(8): e008888. Published online 2015 Aug Clinical effectiveness of statin therapy after ischemic stroke: primary results from the statin therapeutic area of the patient-centered research into outcomes stroke patients prefer and effectiveness research (PROSPER) study Circulation.2015;CIRCULATIONAHA.115.016183 published online before print August 5 2015 Falls and fractures 2 years after acute stroke : the North Dublin Population Stroke Study Age Ageing. 2015 Aug 12. [Epub ahead of print] Endovascular stent thrombectomy: the new standard of care for large vessel ischaemic stroke Lancet Neurol. 2015 Aug;14(8):846-54.

TWITTER BACK TO TOP The latest from popular Twitter pages dedicated to stroke: Stroke Association @TheStrokeAssoc World Stroke Campaign @WStrokeCampaign Sign Against Stroke in Atrial Fibrillation @signagnststroke Different Strokes- Support for Younger Stroke Survivors @diffstrokes

TRAINING & NETWORKING OPPORTUNITIES, CONFERENCES, EVENTS BACK TO TOP

LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but havenâ&#x20AC;&#x2122;t got time to trawl the databases? Do you need a literature search carried out? Do you need to find evidence to support an improvement? Do you want to know how something has been done elsewhere and whether it worked?

Library staff provide a literature search service for busy clinicians who are pressed for time.

To request a search please complete and return the attached form ,providing as much information as possible. Alternatively if you would like an assisted search training session, where we will sit down with you and go through the steps of a literature search, then please contact the library.

TRAINING AND ATHENS BACK TO TOP Most electronic resources are available via an Athens password. You can register for this via the Library intranet page, or from home at www.swice.nhs.uk and following the link for Athens selfregistration. Please note that registering from home will take longer as it will need to be verified that you are NHS staff/student on placement. The library offers training on how to access and use Athens resources, as well as an introductory course on critical appraisal. You can book a course through the Learning and Development intranet page, or by contacting the library directly.