1.Alternating Hemiplegia of Childhood in a Person of Malay Ethnicity with Diffusion Tensor Imaging Abnormalities
Ai Huey TAN ; Tien Lee ONG ; Norlisah RAMLI ; Li Kuo TAN ; Jia Lun LIM ; Mohamad Addin AZHAN ; Azlina AHMAD-ANNUAR ; Khairul Azmi IBRAHIM ; Zariah ABDUL-AZIZ ; Laurie J OZELIUS ; Allison BRASHEAR ; Shen Yang LIM
Journal of Movement Disorders 2019;12(2):132-134
No abstract available.
Diffusion Tensor Imaging
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Diffusion
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Hemiplegia
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Humans
2.A Qualitative Study Exploring Understanding and Perceptions of Stroke Survivors Regarding Healthy Lifestyle Changes for Secondary Prevention
Hui Jie Wong ; Sakinah Harith ; Pei Lin Lua ; Khairul Azmi Ibrahim
Malaysian Journal of Medicine and Health Sciences 2021;17(No.1):33-41
Introduction: This study explored stroke survivors’ understanding regarding stroke, the perceived facilitators and
barriers of healthy lifestyle changes, and provision of secondary prevention education. Methods: Semi-structured interviews were conducted with 22 stroke patients (13 males and nine females; aged 34-80 years) who were attending
rehabilitation clinics in three Malaysian hospitals. Each interview was audiotaped, transcribed, and analysed using
the framework approach. Results: Six themes were reported: understanding of stroke; facilitators of healthy lifestyle
changes; barriers of healthy lifestyle changes; food taboos; recovery; and provision of secondary stroke prevention.
A third of them were uncertain about the cause of stroke and the perception towards risk of recurrent stroke varied
widely. The lack of secondary prevention education was obvious although many had received general verbal advices. Several personal, social, and environmental factors were identified as the facilitators or barriers in healthy lifestyle
participation. Food taboos were common and had become one of the barriers in practising healthy eating practices.
Families had a strong influence on the patient’s belief and behaviour changes, both in positive and negative ways.
Besides, patients tended to have a problem in information recall, while some faced confusion during the early
stages of stroke recovery. Conclusion: More efforts to improve knowledge regarding cause of stroke and secondary
prevention strategies are needed. Use of appropriate behavioural changes strategies, family-centred approach and
continuous health education are necessary to facilitate patients’ efforts at making successful lifestyle modification
after stroke event.