Meyer, M. (M.)

Filtering

2012 - 201922020 - 20231

Settings

Author search.filters.isAuthorOfPublication.2c6b926a-3560-4220-b16f-b1f07365b155

Search Results

Now showing 1 - 3 of 3
  • Thumbnail Image
    Teaching note-taking in EMI: An experimental study in Economics and Business Administration
    (2023-06-08) Roothooft, H. (Hanne); Alfaro, J.A. (José Antonio); Meyer, M. (M.); Breeze, R. (Ruth)
  • Thumbnail Image
    Tiempo es cerebro ¿solo en la fase aguda del ictus?
    (Elsevier España, 2012) Carmona-Abellán, M.M. (María del Mar); Ortega-Cubero, S. (Sara); Meyer, M. (M.); Murie, M. (M.); Teasell, R. (R.)
    Introduction and objective: In Spain, stroke is the leading cause of death in women as well as the leading cause of disability in adults. This translates into a huge human and economic cost. In recent years there have been significant advances both in the treatment of acute stroke and in the neuro-rehabilitation process; however, it is still unclear when the best time is to initiate neurorehabilitation and what the consequences of delaying treatment are. To test the effect of a single day delay in the onset of neurorehabilitation on functional improvement achieved, and the influence of that delay in the rate of institutionalisation at discharge. Methods: A retrospective study of patients admitted to Parkwood Hospital’s Stroke Neurorehabilitation Unit (UNRHI) (University of Western Ontario, Canada) between April 2005 and September 2008 was performed. We recorded age, Functional Independence Measurement (FIM) score at admission and discharge, the number of days between the onset of stroke and admission to the Neurorehabilitation Unit and discharge destination. Results: After adjustment for age and admission FIM, we found a significant association between patient functional improvement (FIM gain) and delay in starting rehabilitation. We also observed a significant correlation between delay in initiating therapy and the level of institutionalisation at discharge. Conclusions: A single day delay in starting neurorehabilitation affects the functional prognosis of patients at discharge. This delay is also associated with increased rates of institutionalisation at discharge.
  • Thumbnail Image
    Hombro doloroso hemipléjico en pacientes con ictus: causas y manejo
    (Elsevier España, 2012) Carmona-Iragui, M. (M.); Meyer, M. (M.); Murie, M. (M.); Gnanakumar, V. (V.); Foley, N. (N.); Teasell, R. (R.)
    The hemiplegic shoulder pain is common after a stroke. Its appearance brings pain and limits daily living activities as well as participation in specific Neuro-rehabilitation programs. All this leads to a worse functional outcome. Good management of patients can reduce both the frequency and intensity of shoulder pain, improving functional outcome. DEVELOPMENT: We conducted a literature search of various databases between 1980 and 2008. The articles were evaluated using the PEDro scoring system. Five evidence levels were established for the conclusions. CONCLUSIONS: Shoulder subluxation, occurs at an early stage after stroke and is associated with subluxation of the shoulder joint and spasticity (mainly subscapularis and pectoralis). Slings prevent subluxation of the shoulder. It is preferable to move within a lower range of motion and without aggression to prevent the occurrence of shoulder pain. The injection of corticosteroids does not improve pain and range of motion in hemiplegic patients, while botulinum toxin combined with physical therapy appears to reduce hemiplegic shoulder pain.