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- Perspective and Pathogenesis
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1. Expanding frontiers of cerebrovascular disease
- Prof. Vladimir Hachinski
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2. Basic anatomy, physiology and pathophysiology of the cerebral circulation for the physician
- Prof. Jean-Claude Baron
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3. Pathophysiology of cerebral ischemia
- Prof. Wolf-Dieter Heiss
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4. Intracerebral hemorrhages: causes and clinical findings
- Prof. Louis Caplan
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5. Subarachnoid hemorrhage (SAH)
- Prof. R. Loch Macdonald
- Diagnosis
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6. Clinical diagnosis of stroke and subtypes
- Prof. Louis Caplan
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7. The investigation of stroke
- Dr. Bart Demaerschalk
- Treatment
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8. Acute therapy of stroke and reperfusion treatments
- Prof. Brian Silver
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9. Subarachnoid hemorrhage diagnosis and management
- Prof. Gary K. Steinberg
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10. Stroke-induced heart injury
- Dr. Luciano A. Sposato
- Rehabilitation
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11. Stroke rehabilitation: principles of stroke
- Prof. Robert Teasell
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12. Stroke rehabilitation: therapies and treatments
- Prof. Robert Teasell
- Prevention
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13. Lifestyle and nutrition in stroke prevention
- Prof. J. David Spence
- Special Topics
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15. Pediatric stroke: cerebrovascular injury in the developing brain
- Prof. Adam Kirton
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16. Stroke in women: epidemiology, risk and prevention
- Prof. Cheryl Bushnell
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17. Transient ischemic attack and cognition
- Dr. Jennifer Mandzia
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18. Vascular cognitive impairment
- Prof. Eric E. Smith
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19. Atrial fibrillation, anticoagulation and vitamins for homocysteine
- Prof. J. David Spence
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20. Stroke in the young adult
- Prof. Jeffrey Saver
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21. Stroke in the young
- Dr. Gyan Kumar
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22. Convergence and joint prevention of stroke and dementia
- Prof. Vladimir Hachinski
- Archived Lectures *These may not cover the latest advances in the field
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23. Vascular cognitive impairment
- Dr. John Bowler
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24. Pediatric stroke
- Dr. Gabrielle deVeber
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25. The deteriorating stroke
- Prof. Werner Hacke
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26. General management
- Prof. Bo Norrving
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27. The treatment of stroke: specific management - thrombolysis plus
- Prof. Nils Wahlgren
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28. Rehabilitation: the chronic phase
- Prof. Lalit Kalra
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29. Prevention: management of risk and protective factors
- Prof. Graeme Hankey
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30. Medical therapy for secondary prevention of ischemic stroke
- Prof. Larry Goldstein
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31. Subarachnoid haemorrhage
- Prof. Jan van Gijn
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32. Controversies in stroke
- Prof. Stephen Davies
- Prof. Geoffrey Donnan
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33. Medical and surgical stroke
- Prof. Carlos Kase
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34. The urgency of stroke prevention after TIA
- Prof. S. Claiborne Johnston
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35. Carotid endarterectomy, angioplasty and stenting
- Prof. Martin Brown
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36. The clinical diagnosis of stroke and stroke subtypes
- Prof. Louis Caplan
Printable Handouts
Navigable Slide Index
- Introduction
- Individual treatment approaches
- Number of stroke rehab motor-based RCTs
- Time since stroke onset of all motor RCTs
- Research quality: stroke rehab motor RCTs
- Deciding individual treatment approaches
- What is the role of technologies?
- Types of interventions for stroke rehab
- Trends in technology interventions
- Stroke rehab technology motor RCTS
- The role of technologies
- Cognitive rehab post stroke
- Quality of cognitive rehab
- Stroke rehab perceptual RCTs to 2016
- Visual-perceptual RCTs in stroke rehab
- Stroke rehab aphasia RCTs to 2016
- Aphasia RCTs in stroke rehab
- Integration of therapeutic approaches
- Cognitive-motor interference (mobility)
- Sensory aspect of post-stroke motor rehab (1)
- Sensory aspect of post-stroke motor rehab (2)
- FLAME
- Shifting care to the community
- Shift to outpatient & long-term rehab
- Early supported discharge
- Early supported discharge: different groups
- Summary of part 2
Topics Covered
- Technologies
- Cognitive rehab
- Integration of new therapeutic approaches
- Shifting care to community
- Early-supported discharge
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Teasell, R. (2021, April 28). Stroke rehabilitation: therapies and treatments [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved April 19, 2024, from https://hstalks.com/bs/4612/.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Robert Teasell has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Stroke rehabilitation: therapies and treatments
Published on April 28, 2021
27 min
A selection of talks on Neuroscience
Transcript
Please wait while the transcript is being prepared...
0:00
I'm Robert Teasell, Professor of Physical Medicine and Rehabilitation.
In the second part of this talk,
we're going to discuss more of the specific therapies and treatments that are out there,
and discuss motor and cognitive rehabilitation.
We're going to talk about the use of technology and its increasing role,
we're going to discuss integration of
different therapeutic approaches (which is becoming an exciting new field),
and finally, the shift of rehab from hospitals to home with
an increasing emphasis on community-based care.
0:33
That's it for personalized care.
The second point we wanted to make about the limits of
standardization was the idea of individual treatment approaches.
Surprisingly in stroke rehabilitation
there's a spectacular amount of evidence,
particularly in terms of randomized controlled trials
for individual treatment approaches,
but there's still limited clinical consensus as to
what individual therapies should be consistently applied.
This is particularly true for things like motor deficits, for example:
do we use constraint-induced movement therapy;
do we apply different technologies;
do we use strengthening exercises?
We may need to begin to rethink our approach to individual therapies.
That's becoming quite clear, because right now there is
no consensus as to what clinical therapies we should be using.
Everybody has their own ideas,
but if you go through any of the guidelines
the consensus is not clear.
1:29
This slide shows you the number of
stroke rehab motor-based randomized controlled trials over each half-decade,
just up to 2016.
You can see that we have 1,245 randomized controlled trials that focus on motor outcomes
(so hemiplegia, or gait, or upper extremity function).
You can see that they're pretty evenly divided among upper and lower extremity trials,
there are a few more upper extremity trials than there are lower extremity trials.
What stands out here is the sheer number of randomized controlled trials,
it's very impressive.
I know for a fact that by the end of 2018,
we're up to around 1,500 randomized controlled trials looking at motor outcomes,
and you can see that that number has been increasing exponentially with each half-decade.
This looks pretty impressive, but one of the challenges