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001-es BibID:	BIBFORM037687
Első szerző:	Hofgárt Gergely (neurológus)
Cím:	Validation of a new movement monitoring method / Hofgárt Gergely, Csiba László
Dátum:	2012
ISSN:	1351-5101
Megjegyzések:	Introduction: In neurology, objective evaluation of the improvement of paresis is part of the daily routine. The aim of this study was to develop and test a small triaxial acceleration measuring device and validate its usefulness.Method: Our new movement monitoring method based on that we calculate the integral of the derivative of the acceleration in a chosen time frame. We compared accelerometry data with muscle tone (measured by EMG) during movements. We collected data from 17 hemiparetic stroke patients and made comparisons using 22 control subjects. The devices were attached to the paretic and nonparetic extremities and any movements were registered (24h). Movement monitor data were also evaluated against to National Institute of Health Stroke Scale and European Stroke Scale scores.Results: We found strong linear correlation between muscle tone and movement data (p<0,0001). Minor differences could be found in the use of dominant and non-dominant upper extremities in controls. Controls used their upper extremities more frequently than stroke patients (p<0.0001). Our movement data showed significant association with NIHSS score (p=0.0047). Greater scores were associated with less intensive limb use. We found a correlation between patients' level of consciousness and upper limb activity (p=0.0382). Patients with severe consciousness disturbances used their extremities significantly less intensively.Conclusion: Our device sensitively detected the movement differences between paretic and non-paretic extremities and can be used for the quantitative evaluation of patients' neurological and consciousness status.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt acclererometer validation stroke Egészség- és Környezettudomány
Megjelenés:	European Journal Of Neurology. - 19 (2012), p. 572. -
További szerzők:	Csiba László (1952-) (neurológus, pszichiáter)
Pályázati támogatás:	TÁMOP-4.2.1/B-09/1/KONV-2010-0007 TÁMOP Vascularis rizikó- és stroke betegek vizsgálata
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM037659
Első szerző:	Vér Csilla (neurológus)
Cím:	Prevention of lower limb spasticity and immobilization complications with passive mobilization in acute stroke patients / Vér Csilla, Hofgárt Gergely, Menyhárt László, Kiss András, Ábrahám László, Kovács Gábor, Nyisztor Zoltán, Csiba László
Dátum:	2012
ISSN:	1351-5101
Megjegyzések:	Aim: To test a self-developed, electronic mobilizing and stimulating device for bedridden, hemiparetic acute stroke patients. The device can prevent the stroke's complications such as deep venous thrombosis, spasticity.Methods: We treated 50 patients who suffered from ischaemic or haemorrhagic stroke (mean age: 69 yrs, min:51 max:89). Treatment period was 5.5 days (min:4, max:7), the duration 30 minutes per day of the hemiparetic leg. We evaluated the efficacy of our device with the help of national stroke scales (Modified Asworth scale, National Institute of Health Stroke Scale, Modified Rankin Scale) and goniometer. Every day (before and after treatment) the degree of spasticity was measured with Modified Ashworth Scale. On the first and seventh day we evaluated the patient's status with Modified Asworth scale, National Institute of Health Stroke Scale, Modified Rankin Scale. Results:Before treatment period (mean)After treatment period (mean)Ankle's plantar flexion (PROM)14.9 degree (min:5, max:20)20.64 degree (min:15, max:26)Ankle's dorsal flexion (PROM)2.85 degree (min:0, max:8)6.28 degree (min:0, max:13)Foot's outward position 18.9 degree (min:0, max:31)8 degree (min:0, max:18)Modified Rankin Scale 4.6 (min:3,max:5)4 (min:2, max:5)NIHSS (6th point, motor leg) 2.9(min:1,max:4)2.2 (min:1,max: 4)Modified Asworth Scale (8 patients)3.6 (min:3, max:4)2.4 (min:1, max:4)PROM=Passive Range Of Motion (p<0,05)Conclusion: In the early rehabilitation our device was efficient and can be used to increase the ankle's passive range of motion, to prevent and decrease the foot's outward posture and to prevent the lower limb's spasticity
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt stroke passive mobilization paresis ankle spasticity Egészség- és Környezettudomány
Megjelenés:	European Journal Of Neurology. - 19 (2012), p. 581. -
További szerzők:	Hofgárt Gergely (1984-) (neurológus) Menyhárt László Kiss András Ábrahám László Kovács Gábor Nyisztor Zoltán Csiba László (1952-) (neurológus, pszichiáter)
Pályázati támogatás:	TÁMOP-4.2.1/B-09/1/KONV-2010-0007 TÁMOP Vascularis rizikó- és stroke betegek vizsgálata
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM051019
035-os BibID:	PMID:23837733
Első szerző:	Yesilot Barlas, Nilufer
Cím:	Etiology of first-ever ischaemic stroke in European young adults : the 15 cities young stroke study / N. Yesilot Barlas, J. Putaala, U. Waje-Andreassen, S. Vassilopoulou, K. Nardi, C. Odier, G. Hofgart, S. Engelter, A. Burow, L. Mihalka, M. Kloss, J. Ferrari, R. Lemmens, O. Coban, E. Haapaniemi, N. Maaijwee, L. Rutten-Jacobs, A. Bersano, C. Cereda, P. Baron, L. Borellini, C. Valcarenghi, L. Thomassen, A. J. Grau, F. Palm, C. Urbanek, R. Tuncay, A. Durukan Tolvanen, E. J. van Dijk, F.-E. de Leeuw, V. Thijs, S. Greisenegger, K. Vemmos, C. Lichy, D. Bereczki, L. Csiba, P. Michel, D. Leys, K. Spengos, H. Naess, T. Tatlisumak, S. Z. Bahar
Dátum:	2013
ISSN:	1351-5101
Megjegyzések:	BACKGROUND AND PURPOSE: Risk factors for IS in young adults differ between genders and evolve with age, but data on the age- and gender-specific differences by stroke etiology are scare. These features were compared based on individual patient data from 15 European stroke centers. METHODS: Stroke etiology was reported in detail for 3331 patients aged 15-49 years with first-ever IS according to Trial of Org in Acute Stroke Treatment (TOAST) criteria: large-artery atherosclerosis (LAA), cardioembolism (CE), small-vessel occlusion (SVO), other determined etiology, or undetermined etiology. CE was categorized into low- and high-risk sources. Other determined group was divided into dissection and other non-dissection causes. Comparisons were done using logistic regression, adjusting for age, gender, and center heterogeneity. RESULTS: Etiology remained undetermined in 39.6%. Other determined etiology was found in 21.6%, CE in 17.3%, SVO in 12.2%, and LAA in 9.3%. Other determined etiology was more common in females and younger patients, with cervical artery dissection being the single most common etiology (12.8%). CE was more common in younger patients. Within CE, the most frequent high-risk sources were atrial fibrillation/flutter (15.1%) and cardiomyopathy (11.5%). LAA, high-risk sources of CE, and SVO were more common in males. LAA and SVO showed an increasing frequency with age. No significant etiologic distribution differences were found amongst southern, central, or northern Europe. CONCLUSIONS: The etiology of IS in young adults has clear gender-specific patterns that change with age. A notable portion of these patients remains without an evident stroke mechanism according to TOAST criteria.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	European Journal of Neurology 20 : 11 (2013), p. 1431-1439. -
További szerzők:	Putaala, Jukka Waje-Andreassen, Ulrike Vassilopoulou, Sofia Nardi, Katiuscia Odier, Celine Hofgárt Gergely (1984-) (neurológus) Engelter, Stefan Burow, Annika Mihálka László (1950-) (neurológus) Kloss, Manja Ferrari, Julia Lemmens, Robin Coban, Oguzhan Haapaniemi, Elena Maaijwee, Noortje Rutten-Jacobs, Loes Bersano, Anna Cereda, Carlo Baron, Pierluigi Borellini, Linda Valcarenghi, Caterina Thomassen, Lars Grau, Armin J. Palm, Frederick Urbanek, Christioan Tuncay, Rezzan Durukan-Tolvanen, Aysan Dijk, Ewoud J. van de Leeuw, Frank-Erik Thijs, Vincent Greisenegger, Stefan Vemmos, Konstantinos Lichy, Christoph Bereczki Dániel (1960-) (neurológus) Csiba László (1952-) (neurológus, pszichiáter) Michel, Patrik Leys, Didier Spengos, Konstantinos Naess, Halvor Tatlisumak, Turgut Bahar, Sara Zarko
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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