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Stroke

A number of services support care and rehabilitation after a stroke. These services are engaged in national research as part of their commitment to ensure the highest clinical standards and to improve patient care.

On-going Research

ARMEO - Cortical Activity Changes Among Stroke Patients Understanding brain function and reorganisation after stroke may provide the key to more effective rehabilitation practices. This study aims to characterise stroke patients’ cortical function, as measured by electroencephalography (EEG), during reaching movements. It will also investigate the effects of rehabilitation on cortical function, following a period of training using an upper limb rehabilitation robot. It is expected that results from this study will add to the body of knowledge on the subject of neuroplasticity by further understanding how the brain is affected by stroke and by identifying what changes can be brought about with rehabilitation.
Aphasia Care Pathway for Post Stroke Aphasia: People with Aphasia, Carers and Healthcare Practitioners Points of View This research will explore the care pathway for people with post stroke aphasia. Aphasia is the most commonly occurring stroke related communication difficulty. It is an impairment that reduces a person's ability to understand and effectively use spoken and or written language. The persistence of aphasia is a significant obstacle to the rehabilitation progress and has a significant impact on quality of life, not only for the person themselves, but also their family, friends, colleagues and carers. Studies of long term recovery from aphasia suggest that 45% of people still have a significant language impairment at 18 months post stroke. Clinical or care pathways are increasingly being used in health care settings as a structured plan of care, which can be easily shared with patients and families and designed to implement clinical guidelines and protocols. This study will explore an aphasia care pathway from the perspective of the key stakeholders.
PLORAS - Predicting Language Outcome and Recovery After Stroke The aim of the study is to provide a clinical protocol that will Predict Language Outcome and Recovery After Stroke (PLORAS). The project rests on a database that records three types of information from many hundreds of stroke patients: language scores (from standardised assessment), structural MRI, and demographic information (age, time post stroke etc). Critical lesion sites for aphasic symptoms are identified by linking structural MRI and language scores. A combination of all data types then enters the PLORAS system, which predicts recovery from aphasia in new patients. The information from this study will enable predictions about likely recovery patterns in patients who suffer strokes in the future. This will help guide both clinical and experimental therapeutic interventions.