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Condition: Disability
Countries: Canada Health

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Total 86 results found since Jan 2013.

Population-based study of home-time by stroke type and correlation with modified Rankin score
Conclusions: We showed that home-time is an objective and graded indicator that is correlated with disability after stroke. It is obtainable from administrative data, applicable to different stroke types, and a valuable outcome indicator in population-based health services research.
Source: Neurology - November 6, 2017 Category: Neurology Authors: Yu, A. Y. X., Rogers, E., Wang, M., Sajobi, T. T., Coutts, S. B., Menon, B. K., Hill, M. D., Smith, E. E. Tags: Outcome research, Medical care, Infarction, Intracerebral hemorrhage ARTICLE Source Type: research

Effects on balance skills and patient compliance of biofeedback training with inertial measurement units and exergaming in subacute stroke: a pilot randomized controlled trial.
Authors: Lupo A, Cinnera AM, Pucello A, Iosa M, Coiro P, Personeni S, Gimigliano F, Iolascon G, Paolucci S, Morone G Abstract Stroke patients have reduced balance and postural control that limits their activities of daily living and participation in social life. Recently, many exergaming systems based on video-biofeedback have been developed for balance training in neurological conditions, however their efficacy remains to be proven. The aim of this study was to investigate the effects on balance skills and patient compliance of biofeedback training based on inertial measurement units and exergaming in subacute str...
Source: Functional Neurology - November 22, 2018 Category: Neurology Tags: Funct Neurol Source Type: research

Academic outcome in pediatric ischemic stroke.
Abstract An important cause of acquired brain injury in children, pediatric ischemic stroke can cause sequelae across a wide range of cognitive domains, including verbal reasoning and processing speed. As a result, survivors are especially vulnerable to academic difficulties and face unique challenges compared to their peers. Despite this knowledge, pediatric stroke remains an understudied neurological condition, and its impact on school functioning poorly understood. The present clinical study addressed academic outcome in this population using a multifaceted approach. Patients were recruited for participation fr...
Source: Child Neuropsychology - January 8, 2020 Category: Child Development Authors: Champigny CM, Deotto A, Westmacott R, Dlamini N, Desrocher M Tags: Child Neuropsychol Source Type: research

Reconciling Marriage and Care after Stroke.
Abstract Most research on stroke's impact on couples has focused on the transition to caregiving/receiving. Despite considerable evidence that marriage is the primary source of support in the face of chronic conditions, little is known about what happens to marriage in the context of care after stroke. To address this gap, we undertook a qualitative grounded-theory study of 18 couples in which one partner had experienced a stroke. Findings revealed two interrelated themes of the couple processes: working out care, which involved discovering and addressing disruptions in day-to-day activities; and rethinking marria...
Source: Canadian Journal on Aging - July 3, 2017 Category: Geriatrics Authors: Anderson S, Keating N, Wilson D Tags: Can J Aging Source Type: research

Telehealth for Remote Stroke Management
Publication date: July 2018Source: Canadian Journal of Cardiology, Volume 34, Issue 7Author(s): Charlotte Zerna, Thomas Jeerakathil, Michael D. HillAbstractStroke is a leading cause of adult disability and the fourth leading cause of death in Canada. Most strokes are ischemic and functional outcome is highly time-dependent, making fast diagnosis and treatment initiation crucial. This poses a challenge in vast geographical areas where stroke neurology expertise is only available in urban centres. In this article we review the rationale for telestroke networks and their current implementation in Canada. Telestroke networks e...
Source: Canadian Journal of Cardiology - July 5, 2018 Category: Cardiology Source Type: research

Recovery of Sensorimotor Functional Outcomes at Discharge from In-Patient Rehabilitation in Three Stroke Units in the Province of Quebec.
Conclusions: The use of a combination of observational and performance assessment tools was essential to capture the full range of disabilities. We have documented significant and clinically meaningful improvements in functional independence, disability, and upper and lower extremity functions after usual post-stroke in-patient rehabilitation in the province of Quebec and provided baseline data for future studies. PMID: 32494100 [PubMed]
Source: Physiotherapy Canada - June 5, 2020 Category: Physiotherapy Authors: Richards CL, Durand A, Malouin F, Nadeau S, Fung J, D'Amours L, Perez C Tags: Physiother Can Source Type: research

Supporting post-stroke access to services and resources for individuals with low income: understanding usual care practices in acute care and rehabilitation settings
CONCLUSION: To better support post-stroke access to social services and resource for low-income individuals, a multidisciplinary approach, with actions beginning earlier on and extending throughout the continuum of care, is recommended, in addition to system-level advocacy.PMID:37067052 | DOI:10.1080/09638288.2023.2199462
Source: Disability and Rehabilitation - April 17, 2023 Category: Rehabilitation Authors: Katrine Sauv é-Schenk Patrick Duong Samantha Samonte-Brown Lisa Sheehy Martine Trudelle Jacinthe Savard Source Type: research

Sexual Rehabilitation After a Stroke: A Multi-site Qualitative Study About Influencing Factors and Strategies to Improve Services
This study aimed to better understand the factors influencing the provision of sexuality-related post-stroke rehabilitation services by clinicians on different sites and to explore strategies to improve post-stroke rehabilitation services with stakeholders. A qualitative study with co-design methods was conducted with 20 clinicians from five post-stroke rehabilitation centers in Canada, 1 manager and 1 patient-partner. Participants either took part in a focus group or in sessions of an adapted version of the LEGO Serious Play method to explore influencing factors and strategies of improvement in relation to post-stroke sex...
Source: Sexuality and Disability - May 24, 2023 Category: Disability Source Type: research

End-of-Life Care for Stroke
Stroke is a leading cause of disability and the third leading cause of death in Canada, according to the Heart and Stroke Association. Despite a high mortality rate, the experience of dying from a stroke has received limited attention from a palliative point of view. When attempting to make inferences from other specialties that have well researched methods of palliation, there was an obvious gap when considering the stroke population. Palliative stroke patients, at the Royal University Hospital, rarely have access to a bed on a specialized palliative care unit.
Source: Journal of Pain and Symptom Management - November 30, 2018 Category: Palliative Care Authors: Shelley Jolly, Ruth Whelan, Kimberly Davy Source Type: research

Cognitive oriented strategy training augmented rehabilitation (COSTAR) for ischemic stroke: a pilot exploratory randomized controlled study.
Conclusion: Negligible findings may be attributed to an inadvertent treatment group equivalency. Further, the research design did not allow for adequate measurement of the effect of each intervention on participants' ability to generalize learned skills. Implications for rehabilitation Stroke rehabilitation is largely based upon the principles of task-specific training, which is associated with improvements in upper extremity motor performance; however, TST requires a heavy dosage and lacks generalization to untrained activities. Cognitive strategy use has been associated with improved generalization of treatment to untrai...
Source: Disability and Rehabilitation - May 31, 2019 Category: Rehabilitation Authors: Wolf TJ, Doherty M, Boone A, Rios J, Polatajko H, Baum C, McEwen S Tags: Disabil Rehabil Source Type: research

Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study
We performed a retrospective, case-control study in consecutive ischemic stroke patients admitted to our stroke rehabilitation unit. Patients were matched for severity of neurological impairment (evaluated with the Canadian Neurological Scale, CNS), age (difference within 1 year) and onset admission interval (difference within 3 days). Participants were divided into two subgroups according to the presence or absence of PSD. Aim was to assess the specific influence of post-stroke depression (PSD) and antidepressant treatment on both basal functional status and rehabilitation outcomes. All PSD patients were treated primarily...
Source: Frontiers in Neurology - August 26, 2019 Category: Neurology Source Type: research

Early Botulinum Toxin Injections for Spasticity Management Post-stroke: A Delphi-based Canadian Consensus
To create a Canadian consensus statement on early intervention with botulinum toxin-A (BoNTA) injections for spasticity post-stroke. Spasticity is commonly seen in the early weeks post-stroke; if left untreated in this early period, spasticity can lead to contractures and further disability. Literature review indicates that there are very few studies examining the benefits of early BoNTA intervention on spasticity and function post-stroke. Although physicians choose to inject BoNTA in the early period post-stroke to manage spasticity, it is not clear what some of the clinical parameters are that can be used to assist in de...
Source: Archives of Physical Medicine and Rehabilitation - November 23, 2019 Category: Rehabilitation Authors: Farooq Ismail, Chris Boulias, Chetan Phadke, Jehane Dagher, Karen Ethans, Omar Khan, Galit Kleiner, Rodney Li Pi Shan, Nathania Liem, Alto Lo, Stephen McNeil, Patricia Mills, Marc Petitclerc, Rajiv Reebye, Will Ryan, Amra Saric, Lalith Satkunam, Saty Shar Tags: Late breaking research poster Source Type: research