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The trajectory of pain and pain intensity in the upper extremity after stroke over time: a prospective study in a rehabilitation population
CONCLUSIONS: The proportion of patients reporting upper extremity pain after stroke was considerable, despite a significant decrease in 2.5 years. In patients reporting persistent pain, the intensity did not change over time.PMID:36628499 | DOI:10.1080/09638288.2022.2164801
Source: Disability and Rehabilitation - January 11, 2023 Category: Rehabilitation Authors: Winke van Meijeren-Pont Henk Arwert Gerard Volker Marta Fiocco Wilco P Achterberg Thea P M Vliet Vlieland Daniella M Oosterveer Stroke Cohort Outcomes of REhabilitation (SCORE) Study Group Source Type: research

Detection of symptoms of late complications after stroke in young survivors with active surveillance versus usual care.
CONCLUSIONS: Active surveillance leads to higher rates of early symptom detection of non-motor LCAS in young stroke survivors. Implications for rehabilitation Young stroke survivors frequently have late complications after stroke (LCAS) that impair return to pre-stroke responsibilities. Active surveillance for LCAS symptoms with a semi-structured interview increases detection of non-motor late complications. A bundled approach to screening for LCAS symptoms is pragmatic as a majority of young stroke survivors have at least one symptom but no single symptom is present in all stroke survivors. PMID: 33605166 [PubMed - a...
Source: Disability and Rehabilitation - February 19, 2021 Category: Rehabilitation Authors: Gans SD, Michaels E, Thaler DE, Leung LY Tags: Disabil Rehabil Source Type: research

Detection of symptoms of late complications after stroke in young survivors with active surveillance versus usual care
CONCLUSIONS: Active surveillance leads to higher rates of early symptom detection of non-motor LCAS in young stroke survivors. Implications for rehabilitation Young stroke survivors frequently have late complications after stroke (LCAS) that impair return to pre-stroke responsibilities. Active surveillance for LCAS symptoms with a semi-structured interview increases detection of non-motor late complications. A bundled approach to screening for LCAS symptoms is pragmatic as a majority of young stroke survivors have at least one symptom but no single symptom is present in all stroke survivors.PMID:33605166 | DOI:10.1080/09638288.2021.1883749
Source: Disability and Rehabilitation - February 19, 2021 Category: Rehabilitation Authors: Sarah D Gans Elena Michaels David E Thaler Lester Y Leung Source Type: research

Which clinical and sociodemographic determinants are associated with self-perceived manual ability at one year after stroke?
CONCLUSION: In order to understand self-perceived difficulties in manual ability in daily activities in persons with stroke, assessments of UE motor function and activity capacity are recommended. Implications for rehabilitation The ultimate goal of the upper extremity rehabilitation after stroke is to regain ability to use the UE in daily activities that are important to the individual in his or her own environment. This requires a good understanding of factors that are associated with self-perceived manual ability in order to tailor effective rehabilitation interventions. Upper extremity motor function and activity capac...
Source: Disability and Rehabilitation - January 27, 2019 Category: Rehabilitation Authors: Ekstrand E, Alt Murphy M, Persson HC, Lundgren-Nilsson Å, Stibrant Sunnerhagen K Tags: Disabil Rehabil Source Type: research

Stroke survivors' perceptions of their sedentary behaviours three months after stroke.
Conclusions: This information will inform evidence-based sedentary behaviour interventions after stroke.Implications for rehabilitationHigher levels of sedentary behaviours are associated with poor health and stroke survivors are highly sedentary.Stroke survivors have complex reasons for spending time in sedentary behaviours including fatigue, pain, fear of falling and environmental barriers.Future interventions should educate stroke survivors on the health consequences of sedentary behaviours and encourage an increased awareness of time spent sedentary.Supporting stroke survivors to identify enjoyable and achievable activ...
Source: Disability and Rehabilitation - June 25, 2020 Category: Rehabilitation Authors: Fitzsimons CF, Nicholson SL, Morris J, Mead GE, Chastin S, Niven A Tags: Disabil Rehabil Source Type: research

Correlates of depressive symptoms in individuals attending outpatient stroke clinics.
Conclusions High levels of depressive symptoms are common in the chronic phase post-stroke and were partially related to cognition, pain, therapy enrollment and lifestyle factors. Implications for Rehabilitation Stroke patients who report cognitive deficits, pain, tobacco use or being enrolled in therapy may experience increased depressive symptoms. A holistic perspective of disease and lifestyle factors should be considered while assessing risk of depressive symptoms in stroke patients. Patients at risk for depressive symptoms should be monitored at subsequent outpatient visits. PMID: 26883012 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Vermeer J, Rice D, McIntyre A, Viana R, Macaluso S, Teasell R Tags: Disabil Rehabil Source Type: research

Three-dimensional assessment of the asymptomatic and post-stroke shoulder: intra-rater test-retest reliability and within-subject repeatability of the palpation and digitization approach.
CONCLUSIONS: This noninvasive, clinically feasible palpation/digitization protocol was reliable and repeatable in asymptomatic shoulders, and in a smaller sample of painful post-stroke shoulders. Implications for Rehabilitation In the clinical setting, a reliable and repeatable noninvasive method for assessment of three-dimensional (3D) clavicular/scapular/humeral joint orientation and range of motion (ROM) is currently required. The established reliability and repeatability of this proposed palpation/digitization protocol will enable comparative 3D ROM studies between asymptomatic and post-stroke shoulders, which will fur...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Richardson D, Zabjek K, Mogk JPM, Agur AMR Tags: Disabil Rehabil Source Type: research

Absent median somatosensory evoked potential is a predictor of type I complex regional pain syndrome after stroke.
Conclusions: In conclusion, GHS and the absent median SEP at sub-acute phase of stroke were primary predictors of the onset of post-stoke CRPS. Implications for Rehabilitation Recent investigations have suggested that autonomic, motor and somatosensory abnormalities of CRPS are impairments involving the central nervous system (CNS) as well as the peripheral neurogenic inflammatory process. However, the understanding of the pathophysiology of CRPS is still far from complete. The absence of SEP at the sub-acute stage of stroke correlated with the onset of post-stroke CRPS type I. The SEP evaluation at the sub-acute period af...
Source: Disability and Rehabilitation - September 19, 2013 Category: Rehabilitation Authors: Han EY, Jung HY, Kim MO Tags: Disabil Rehabil Source Type: research

Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research

Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: an observational study.
CONCLUSION: Minimal changes in glenohumeral joint positioning occurs early post-stroke. Clinicians should consider changes in glenohumeral joint position for both non- and hemiparetic sides during the early rehabilitation phase following stroke. Implications for rehabilitation Changes occur in glenohumeral joint centre of rotation (GHJC) position between hemiparetic and non-hemiparetic sides early in people with mild stroke. Clinicians need to be aware of early GHJC positional changes. Early GHJC positional changes may contribute to the development of hemiparetic shoulder pain (HSP), anterior humeral subluxation and glenoh...
Source: Disability and Rehabilitation - November 19, 2016 Category: Rehabilitation Authors: Choolun P, Kuys S, Bisset L Tags: Disabil Rehabil Source Type: research

Incidence and potential predictors of early onset of upper-limb contractures after stroke.
Conclusions: Individuals with mild and moderate stroke developed upper-limb contractures three months after the onset of the stroke, with an incidence of 28%. The predictors were the presence of pain and loss of dexterity. These impairments should be earlier targeted during rehabilitation interventions. Implications for rehabilitation The incidence of upper limb contracture 3 months after the stroke is high after mild to moderate stroke. Wrist contractures are the most common upper limb contracture. The presence of pain and loss of dexterity significantly contribute to the development of upper limb contractures. Health pro...
Source: Disability and Rehabilitation - July 21, 2019 Category: Rehabilitation Authors: Matozinho CVO, Teixeira-Salmela LF, Samora GAR, Sant'Anna R, Faria CDCM, Scianni A Tags: Disabil Rehabil Source Type: research

The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.
CONCLUSIONS: The Three-Dimensional Shoulder Pain Alignment mobilization protocol significantly improved pain-free range of motion, functional reach and pain during sleep in shoulders with moderate/severe post-stroke upper-extremity impairment. Implications for rehabilitation Although three-dimensional clavicular/scapular/humeral rotations are an essential component of normal pain-free shoulder range of motion, current guidelines for treatment of post-stroke shoulder pain only includes uni-dimensional mobilizations for joint alignment and pain management. The Three-Dimensional Shoulder Pain Alignment (3D-SPA) mobilization p...
Source: Disability and Rehabilitation - March 22, 2019 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Hebert D, Zabjek K, Richardson D, Agur AMR Tags: Disabil Rehabil Source Type: research

Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke.
CONCLUSIONS: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management among nursing-home residents. Implications for rehabilitation Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases. Spasticity was associated with increased pain and more difficult passive limb care in this population. There is an unmet need for spasticity management among nursing home residents with prior stroke. Efforts should be made...
Source: Disability and Rehabilitation - March 30, 2019 Category: Rehabilitation Authors: Shiner CT, Vratsistas-Curto A, Bramah V, Faux SG, Watanabe Y Tags: Disabil Rehabil Source Type: research

Effect of trunk-restraint training on function and compensatory trunk, shoulder and elbow patterns during post-stroke reach: a systematic review.
Conclusions: Trunk restraint is a simple, cost-effective technique that may help to reduce compensatory trunk/shoulder/elbow movements in the post-stroke adult population. Synthesis of study outcomes also highlights applications of TR to clinical practice and areas for further research. Implications for Rehabilitation The ability to use the shoulder and elbow to perform functional reach is a primary goal in post-stroke recovery; however, compensatory trunk movements are often used to achieve the reaching goal. Long-term use of compensatory strategies may contribute to secondary impairments, such as learned non-use, joint c...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Pain LM, Baker R, Richardson D, Agur AM Tags: Disabil Rehabil Source Type: research

Movement changes due to hemiplegia in stroke survivors: a hermeneutic phenomenological study.
CONCLUSIONS: The first four themes attempt to express participants' pain and difficulty in living with their present body; the last three attempt to express methods for coping with the present body in the company of others. Results will assist therapists to understand the significant needs of their clients in the maintenance phase. Implications for Rehabilitation Hemiplegia is paralysis of half of the body; it represents one kind of physical disability caused by stroke. Re-interpretation of how patients had experienced the changes of their movements after they had hemiplegia is helpful for the therapists to understand the ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Takashima R, Murata W, Saeki K Tags: Disabil Rehabil Source Type: research

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