Diagnosis Of Hemiplegia Research Articles

Evaluation of the relationship between the "Falling Risk" and Vitamin D level of Patients Receiving Neurological Rehabilitation Treatment

Objectives: The aim of this study is to investigate the effects of vitamin D levels on balance and fall risk on hemiplegic cases. Methods: In our descriptive study, a total of 152 patients who applied to the Physical Medicine and Rehabilitation Polyclinic with the diagnosis of Hemiplegia and were hospitalized in Maçka Ömer Burhanoğlu Physical Therapy and Rehabilitation Hospital between July 2020 and January 2021 were included. Results: A total of the 152 patients enrolled in the study, 57 were women (37.5%) and 95 were men (62.5%). The average age of the patients was 62.0± 12.7. The number of patients enrolled in the study was 19 (12.5%), 98 (64.5%), and 35 (23.0%). The number of patients with vitamin D Levels <12 ng/ml measured on the first day of hospitalization was 70 (46.1%), the number of patients between 12-20 ng/ml was 50 (32.9%), and the number of patients with >20 ng/ml was 32 (21.0%). Again, the vitamin D values measured on the last day of discharge of patients enrolled in the study were <12 ng/ml 46 (31.3%). In the study, the correlation between vitamin D levels during discharge and Berg Balance Scale score and İtaki Fall Risk Scale score was examined.; There is no difference between vitamin D level and Berg Balance Scale score at positive weak level (r=0.184, p<0.05) and İtaki Fall Risk Scale. (p<0.05). Conclusion: This study showed that vitamin D levels had positive effects on balance and decreased risk of falls in hemiplegia patients with low vitamin D levels.

Acute hemiplegia: aetiology and outcome in Nigerian children.

Introductionacute hemiplegia of childhood is a postnatally acquired nonspecific clinical response of the brain to various aetiological insults in a child who was neurologically normal at birth. This study aims at evaluating the aetiology and outcome of acute hemiplegia in children admitted into the University of Calabar Teaching Hospital (UCTH), Nigeria.Methodsa 5-year retrospective review of all children admitted to the Neurology Unit of the Department of Paediatrics of UCTH with a diagnosis of acute hemiplegia. The demographic characteristics of the children and the clinical features were noted. Investigations including neuroimaging of the brain and haemoglobin genotype were documented. The outcomes of the patients were recorded as either dead, recovered with deficit or loss to follow up. Data obtained was analysed using the SPSS version 24. Simple tables were used to display the results in number and percentages.Resultstwenty-five children with diagnosis of hemiplegia were admitted. Associated clinical features were prolonged seizures (68%), speech defect (32%), cranial nerve deficit (36%) and loss of consciousness (12%). Viral encephalitis was the common aetiology in 11(44%) of the patients, followed by meningitis and sickle cell anaemia in 6(24%) patients each. Four(16%) of the patients recovered completely within the follow up period of three month, 19(76%) had varying degrees of weakness; 2(8%) died. Twelve (48%) were lost to follow-up.Conclusioncentral nervous system infections and sickle cell disease as dominant aetiological factors of acute hemiplegia in Nigerian children. This calls for effective infection control and genetic counselling.

Improvement in kinematic characteristics and coordination following stroke quantified by linear systems analysis

The kinematic characteristics of standing up were studies during recovery following stroke. Patients with a diagnosis of hemiplegia were videotaped on two occasions: when they could first stand up independently and again when they could stand up and sit down three times in 10 seconds with no observable asymmetry. Peak angular velocity of the affected hip and knee joints increased, movement time decreased and the spectrum of the movement shifted towards higher frequencies. The velocity signals became smooth and bell-shaped, whereas initially they had multiple peaks. The hip and knee joints became almost perfectly coupled, whereas previously there was significant independent activity at each joint. However, the coordinative relation between the joints was a simple algebraic one with no significant dynamics and this did not change as the ability to stand up improved. The kinematic changes observed in the stroke patients mirrored those of normal motor skill acquisition.

A kinematic analysis of recovery of the ability to stand up following stroke

The purpose of this study was to determine the change in some kinematic characteristics of standing up as patients recovered following stroke. Patients who have had a stroke resulting in a diagnosis of hemiplegia, but with no other involvement, were videotaped on two occasions; when they could first stand up independently and again when they could stand up and sit down three times in 10 seconds with no observable asymmetry. A kinematic analysis yielded angular displacement and velocity data from the affected hip and knee joints. The results indicate that the kinematic characteristics that changed significantly as the subjects improved their ability to stand up are related more to velocity than to angular displacement. Movement time decreased, peak angular velocities increased and the velocity profiles shifted towards normal. This implies that in the clinic, once a patient can stand up independently, improvement on this task will be promoted if motor training includes strategies that affect these temporal characteristics.