A cohort study on anxiety and perceived recovery 3 and 12 months after mild to moderate stroke

BackgroundAnxiety is a common complication of stroke, affecting one in every three stroke survivors. Stroke recovery is a dynamic process, with most recovery occurring within the first 3 months. However, how anxiety affects this dynamic remains unknown. Therefore, this study aimed to investigate how anxiety affects perceived recovery at 3 and 12 months after stroke. Additionally we also examined the change in perceived stroke recovery from 3 to 12 months and its relationship with anxiety.MethodsIn this longitudinal study patients with stroke were enrolled at Sahlgrenska University Hospital, Gothenburg, Sweden. The Hospital Anxiety and Depression Scale was used to assess anxiety, and the Stroke Impact Scale was used to assess perceived recovery 3 and 12 months after the stroke. The difference in perceived stroke recovery between the anxiety and no-anxiety groups at 3 and 12 months was analyzed. Changes in perceived stroke recovery were calculated and trichotomized from 3 to 12 months based on clinically significant positive changes (+10 points or more), clinically important negative changes (−10 points or less), or no changes (±9). At 3 and 12 months after the stroke, negative and positive recovery was compared to no change in recovery regarding anxiety scores.ResultsThis study included 99 patients (44.4% female, median age, 77 years). At 3 and 12 months after the stroke, the median recovery score was 80 out of 100. At 3- and 12-months 17.6 and 15.7% of the patients experienced anxiety, respectively. At both time points, there was a significant association between anxiety and lower perceived stroke recovery (at 3 months: p < 0.001; and 12 months p = 0.002). Among participants with anxiety at 3 or 12 months after stroke, a positive change in recovery from 3 to 12 months was identified (3 months, p = 0.004 and 12 months, p = 0.0014).ConclusionAnxiety symptoms following a stroke are associated with lower levels of perceived stroke recovery for at least 1 year after the stroke. Identifying patients with anxiety early after stroke may be beneficial for identifying those at risk of lower recovery.Clinical trial registration:ClinicalTrials.gov, identifier [NCT01622205]. Registered on June 19, 2012 (retrospectively registered)

The presence of a flat foot depending on the parameters of the human body

MedicīnaVeselības aprūpeMedicineHealth CarePLAKANĀS PĒDAS ESAMĪBA ATKARĪBĀ NO CILVĒKA ĶERMEŅA PARAMETRIEM. Plakanā pēda (pes planus) ir viena no mūsdienās visizplatītākajām pēdas deformācijām, kas var novest pie nopietnām locītavu traumām. Šī darba mērķis ir noskaidrot vai pastāv korelācija starp pēdas velves deformāciju un cilvēka ķermeņa parametriem. Mēs noskaidrojām, ka cilvēkiem ar augstāku ķermeņa masas indeksu ir lielāks risks, ka viņiem būs plakanās pēdas deformācija, tomēr arī cilvēkiem ar normālu ĶMI bieži ir novērojama plakanā pēda.CORRELATION BETWEEN FOOT DEFORMITIES AND PARAMETERS OF HUMAN BODY. Deformities of foot valves are very common nowadays and should be taken seriously because they can lead to joint trauma. The aim of this work was to determine correlations between flat foot deformation and parameters of human body. Using data collected from RSU Anatomicum, we analysed to identify any correlating trends. We found out that people with higher body mass index were at greater risk of having flat foot deformity, never the less, even people with adequete BMI often have flat foot