ابداع روش نوین بیوفیدبک در بهبود عملکرد اندام فوقانی بیماران مبتلا به سکته مغزی در کلینیک تبسم

افتخاری دیگر برای کلینیک تبسم:
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مقاله برنده جایزه بهترین مقالات سال کانادا، ۲۰۲۱ 🥇
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ابداع روش نوین بیوفیدبک در بهبود عملکرد اندام فوقانی بیماران مبتلا به سکته مغزی در کلینیک تبسم
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.این موفقیت علمی را به تمام هموطنان عزیزمان تبریک میگوییم👏🏼💎
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.دکتر روزبه کاظمی و همکاران

Abstract
Introduction:
Hyperglycemia is common in the early acute stroke phase especially in patients with diabetes and possible benefits are obtained from proper control of it. However, the course of hyperglycemia in patients with diabetes after stroke during the chronic phase or rehabilitation is not clear and to the best of our knowledge, there is no study evaluating this issue.
Methods:
It was a case-series study, conducted in Tabassom Rehabilitation Center for Stroke Patients in Tehran from May 2018 and February 2021. Forty-seven consecutive patients with diabetes and stroke were enrolled in this study. Patients were included only if it has passed from their stroke was ascertained by monitoring any change in glycemic control of the patients before and after stroke was ascertained by monitoring any change in drugs used for control of diabetes, and laboratory results (Hb Alc & FB$)
Results:
The mean age of participants was 63.6‡6.9 years and 22 patients (47%) were women. The median of time from the occurrence of a stroke to the first visit was 5 months and 6 days.Glycemic control was improved among patients with diabetes during the chronic phase of stroke. There was a significant decrease of 0.7‡1.3% in HbA1c(P-0.001).Despite a decrease or no change in HbAlc and FPG, also the dose and the number of drugs used for treating diabetes were usually decreased.Interestingly, despite a significant weight loss, no significant carrelation could be found between changes in HbA1c and weight.
Conclusion:
Despite the initial increase in glycemia in patients with diabetes in the acute phase of stroke, glycemic control improves after stroke, and often it is nececcary to decrease diabetes drugs to prevent hypoglycemia this topic is important and should be addressed by guidelines and institions involved in the care of patients with diabetes and stroke.