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

Brainin, Michael; Norrving, Bo LU ; Sunnerhagen, Katharina S.; Goldstein, Larry B.; Cramer, Steven C.; Donnan, Geoffrey A.; Duncan, Pamela W.; Francisco, Gerard; Good, David and Graham, Glenn, et al. (2011) In International Journal of Stroke 6(1). p.42-46
Abstract
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... (More)
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. (Less)
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publishing date
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Contribution to journal
publication status
published
subject
keywords
assessment, burden, spasticity, stroke
in
International Journal of Stroke
volume
6
issue
1
pages
42 - 46
publisher
Wiley-Blackwell
external identifiers
  • wos:000285922500009
  • scopus:78650940718
ISSN
1747-4949
DOI
10.1111/j.1747-4949.2010.00539.x
language
English
LU publication?
yes
id
19f85c0a-ea6b-4bb2-b80f-73ea31d9489c (old id 1791016)
date added to LUP
2011-03-02 14:42:42
date last changed
2017-05-28 03:23:11
@article{19f85c0a-ea6b-4bb2-b80f-73ea31d9489c,
  abstract     = {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.},
  author       = {Brainin, Michael and Norrving, Bo and Sunnerhagen, Katharina S. and Goldstein, Larry B. and Cramer, Steven C. and Donnan, Geoffrey A. and Duncan, Pamela W. and Francisco, Gerard and Good, David and Graham, Glenn and Kissela, Brett M. and Olver, John and Ward, Anthony and Wissel, Joerg and Zorowitz, Richard},
  issn         = {1747-4949},
  keyword      = {assessment,burden,spasticity,stroke},
  language     = {eng},
  number       = {1},
  pages        = {42--46},
  publisher    = {Wiley-Blackwell},
  series       = {International Journal of Stroke},
  title        = {Poststroke chronic disease management: towards improved identification and interventions for poststroke spasticity-related complications},
  url          = {http://dx.doi.org/10.1111/j.1747-4949.2010.00539.x},
  volume       = {6},
  year         = {2011},
}