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The role of rehabilitation psychology in stroke care described through case examples.
CONCLUSION: Given the abrupt and significant life-changing nature of stroke, it is often necessary to manage a diverse array of psychological issues that often cannot be simply managed via psychotropic medications. Moreover, an understanding of the patients' emotional adjustment and issues can help them maximize their rehabilitation, recovery, and community integration. For the cases discussed, psychology consultations were central in helping optimize their rehabilitation and functional outcomes. PMID: 32083601 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 22, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Podcast: Selective serotonin reuptake inhibitors for stroke recovery
Stroke is a major cause of death and disability across the world, with many reviews from the Cochrane Stroke Group providing evidence on the effects of treatments and rehabilitation interventions. In November 2019, the Group published their update of their review of selective serotonin reuptake inhibitors and we asked lead author, Gillian Mead from the University of Edinburgh in Scotland, to tell us more.Stroke is a common cause of disability in the community. Although there have been major advances in the care of stroke patients over the last few years, many survivors are still left with physical disability, such as weakn...
Source: Cochrane News and Events - February 26, 2020 Category: Information Technology Authors: Lydia Parsonson Source Type: news

The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onwards....
Source: Disability and Rehabilitation - August 30, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA Tags: Disabil Rehabil Source Type: research

Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke
Conclusion: Our results extended the time course of post-stroke fatigue up to 10 years after stroke onset. The participants with more fatigue performed better in cognitive assessments and daily activity, which indicated dissociation between fatigue and fatigability among stroke patients. Visuospatial function at the sub-acute phase predicted independently late post-stroke fatigue. This may offer a broad time window for rehabilitation and information about fatigue. The clinical implications of the current findings are worth to be studied further.
Source: Frontiers in Neurology - October 23, 2020 Category: Neurology Source Type: research

Predictive Model for Quality of Life in Patients 1 Year After First Stroke
CONCLUSIONS: When predicting quality of life in a patient 1 year after a stroke, it is important to consider variables such as type D personality, age, National Institutes of Health Stroke Scale score, social support, the modified Rankin Scale score, and anxiety at the time of the first stroke. Interventions to improve the quality of life of patients with stroke should consider these factors.PMID:33811204 | DOI:10.1097/JCN.0000000000000814
Source: The Journal of Cardiovascular Nursing - April 3, 2021 Category: Nursing Authors: Sung Reul Kim Sung-Hee Yoo Hye Young Kim Gye-Gyoung Kim Source Type: research

Factors associated with cognitive impairment at 3, 6, and 12 months after the first stroke among Lebanese survivors
ConclusionThe risk of PSCI among Lebanese stroke survivors was high especially in the acute phase, depending on various determinants. Health care providers are invited to implement an emergency rehabilitation program for an appropriate successful management of the risk factors in order to reduce stroke burden and to improve overall cognitive performance.
Source: Brain and Behavior - December 10, 2022 Category: Neurology Authors: Celina F. Boutros, Walaa Khazaal, Maram Taliani, Najwane Said Sadier, Pascale Salameh, Hassan Hosseini Tags: ORIGINAL ARTICLE Source Type: research

Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units.
Conclusion: Response rate was modest but included all mainland Scottish regions with active stroke services. Although the majority of responders are assessing cognition and mood there is substantial heterogeneity in measures used and certain commonly used tools are not validated or appropriate for use in stroke. We suggest development of evidence based, standardised assessment protocols. Implications for Rehabilitation Screening stroke survivor's for cognitive and mood issues is recommended but there is little guidance on the preferred assessment strategy Across Scottish stroke services there is a lack of consensus in asse...
Source: Disability and Rehabilitation - May 14, 2013 Category: Rehabilitation Authors: Lees RA, Broomfield NM, Quinn TJ Tags: Disabil Rehabil Source Type: research

Topographic sleep EEG changes in the acute and chronic stage of hemispheric stroke
Summary After stroke, the injured brain undergoes extensive reorganization and reconnection. Sleep may play a role in synaptic plasticity underlying stroke recovery. To test this hypothesis, we investigated topographic sleep electroencephalographic characteristics, as a measure of brain reorganization, in the acute and chronic stages after hemispheric stroke. We studied eight patients with unilateral stroke in the supply territory of the middle cerebral artery and eight matched controls. All subjects underwent a detailed clinical examination including assessment of stroke severity, sleep habits and disturbances, anxiety an...
Source: Journal of Sleep Research - August 1, 2014 Category: Neurology Authors: Rositsa Poryazova, Reto Huber, Ramin Khatami, Esther Werth, Peter Brugger, Krizstina Barath, Christian R. Baumann, Claudio L. Bassetti Tags: Regular Research Paper Source Type: research

Literature and art therapy in post-stroke psychological disorders.
In conclusion, literature and art therapy can identify the emotional status of patients and serve as a useful auxiliary tool to help stroke patients in their rehabilitation process. PMID: 25744067 [PubMed - in process]
Source: The Tohoku Journal of Experimental Medicine - March 8, 2015 Category: Research Authors: Eum Y, Yim J Tags: Tohoku J Exp Med Source Type: research

Comparing the Course of Mental Health over the First Year after Stroke with Healthy Controls in Colombia, South America
Conclusions This is the first study to examine the course of mental health over the first year post-stroke in Latin America, specifically in Ibague, Colombia. Despite the improvements in anxiety and depression over the first year post-stroke, patient anxiety and depression were still worse in comparison to healthy controls. The current findings indicate a need for rehabilitation services in Colombia, especially targeting mental health issues.
Source: PMandR - July 10, 2016 Category: Rehabilitation Source Type: research