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Condition: Disability
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Total 20 results found since Jan 2013.

Effect of Inflammation on the Process of Stroke Rehabilitation and Poststroke Depression
Conclusions Stroke comprises ischemic stroke and ICH. The immuno-inflammatory process is involved in neural plasticity following events such as a hemorrhage or ischemic stroke. After ischemia, astrocytes, microglia, and MDMs play important roles during rehabilitation with the modulation of cytokines or chemokines, such as TNF-α and IL-1. Moreover, MiRNAs are also important posttranscriptional regulators in these glial mitochondrial responses to cerebral ischemia. ICH involves processes similar and different to those seen in ischemia, including neuronal injury, astrocytic and microglial/macrophage activation, and n...
Source: Frontiers in Psychiatry - April 10, 2019 Category: Psychiatry Source Type: research

Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

Stroke impairment categories: A new way to classify the effects of stroke based on stroke-related impairments.
CONCLUSIONS: A classification system of seven Stroke Impairment Categories has been presented. PMID: 33131321 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 1, 2020 Category: Rehabilitation Authors: Gittins M, Lugo-Palacios D, Vail A, Bowen A, Paley L, Bray B, Tyson S Tags: Clin Rehabil Source Type: research

199 Hospital Discharges for Acute Stroke in Ireland: National Data 2005-2017
ConclusionBetter understanding is needed of the risk factors underlying this worrying trend.Clinical service providers will need to adapt to better deal with the challenges specific to stroke at younger age.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

317 Incidence of Cognitive Impairment after Stroke: a Retrospective Cohort of Rehabilitation Patients.
ConclusionThis study replicates Pendlebury and Rothwell ’s findings that over a third of people suffering from severe strokes will develop cognitive impairment. This is of critical importance to stroke clinicians as it should prompt frank discussions with stroke patients and their families about prognosis, recovery and future planning.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy
ConclusionCCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Visual perceptual deficit screening in stroke survivors: evaluation of current practice in the United Kingdom and Republic of Ireland
CONCLUSIONS: Visual perceptual deficits are screened post-stroke at a similar rate to sensory vision or visual neglect. Underdiagnosis of visual perceptual deficits may stem from both reliance on subjective and non-standardised screening approaches, and conflicting definitions of visual perception held among clinicians. We recommend increased training provision and use of brief performance-based screening tools.IMPLICATIONS FOR REHABILITATIONLack of agreement among clinicians on what constitutes as visual perceptual or sensory vision deficits may prove problematic, as precise and exact language is often required for clinic...
Source: Disability and Rehabilitation - August 30, 2021 Category: Rehabilitation Authors: Michael J Colwell Nele Demeyere Kathleen Vancleef Source Type: research

Audit of inpatient acute stroke services in a university teaching hospital, 2020
DiscussionUsing national and international  audit data as an institutional benchmark provides a standard with which a service can be compared to highlight areas for improvement. We identified mood screening, swallow screening, thrombectomy rates, length of stay and time to neuroimaging as key areas for development in our centre. We are cur rently completing a process map to determine cause, effect, and solutions, and we will implement change using PDSA methodology as per SQUIRE 2.0 guidelines. The results of the re-audit cycle for 2020 will be available in 2021 to inform our progress. Ongoing quality improvement is esse...
Source: Irish Journal of Medical Science - March 16, 2021 Category: General Medicine Source Type: research

Investigating the association between inpatient stroke therapy and disability, destination on discharge, length of stay and mortality: a prospective cohort study using the Sentinel Stroke National Audit Programme
Conclusions Our findings suggest for stroke inpatients requiring therapy, ‘More is better’ may be overly simplistic. Strong limitations associated with analysis of routine data restrict further robust investigation of the therapy–response relationship. Robust prospective work is urgently needed to further investigate the relationships observed here.
Source: BMJ Open - April 1, 2022 Category: General Medicine Authors: Gittins, M., Lugo-Palacios, D. G., Vail, A., Bowen, A., Paley, L., Bray, B., Gannon, B., Tyson, S. Tags: Open access, Rehabilitation medicine Source Type: research

IJERPH, Vol. 19, Pages 14587: Returning to Leisure Activity Post-Stroke: Barriers and Facilitators to Engagement
Conclusions: Physical difficulties and lack of energy are problematic for stroke and TIA survivors who want to return to or participate in leisure activity. Healthcare support alone cannot overcome all practical and emotional issues related to leisure activity engagement. Family support and improving well-being are important facilitators and future research should explore these mechanisms further.
Source: International Journal of Environmental Research and Public Health - November 7, 2022 Category: Environmental Health Authors: Joanna Harrison Clare Thetford Matthew J. Reeves Christopher Brown Miland Joshi Caroline Watkins Tags: Article Source Type: research

Atrial fibrillation (AF) pilot screening programme in primary care in Ireland: an implementation study protocol
This study aims to investigate the acceptability, feasibility and impact of AF screening in primary care using a handheld mobile ECG device. Methods and analysis General practitioners (GPs) and practice nurses in the South of Ireland will opportunistically screen patients aged ≥65 years for AF at routine consultation using a handheld one-lead ECG device, KardiaMobile. This study will screen up to 4000 patients. Blood pressure and smoking status will be checked concurrently. A mixed-method evaluation will be undertaken including a partial economic evaluation. Anonymised data will be collected from participating practice...
Source: BMJ Open - February 7, 2022 Category: General Medicine Authors: Callanan, A., Quinlan, D., O'Sullivan, S., Bradley, C. P., Kearney, P. M., Murphy, A., Buckley, C. M. Tags: Open access, Public health Source Type: research

219 The Effect of Introducing In-house Radiographers Out of Hours on Door to CT Times for FAST Positive Patients
ConclusionThe introduction of in-house radiographers out of hours has led to a quicker transition of patients from the Emergency Department to the CT department thus reducing door to CT times.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Transcriptomic Analysis of Mecp2 Mutant Mice Reveals Differentially Expressed Genes and Altered Mechanisms in Both Blood and Brain
This study was carried out in accordance with the recommendations of National Animal Welfare Authority, Ireland. The protocol was approved by the Animal Ethical Committee Trinity College Dublin and HPRA.Author ContributionsAS performed the experiments and wrote the paper; KH provided assistance in the design and analysis of the RNAseq experiment; DT contributed to sample extraction and establishment of the colony; and DT and MG designed and supervised all the parts of the research and the writing of the manuscript.FundingThe study was funded by the Wellcome Trust Grant WT079408/C/06/Z issued to MG, and by an SFI FN Funded ...
Source: Frontiers in Psychiatry - April 29, 2019 Category: Psychiatry Source Type: research

33 “Striking Back Against Stroke”
ConclusionThis is an ongoing process which continues to ultimately improve patient outcomes.“Time is Brain”
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Exploring functional outcomes and allied health staffing levels in an inpatient paediatric rehabilitation unit.
CONCLUSIONS: This review from a tertiary hospital-based inpatient paediatric rehabilitation service provides information regarding the length of stay, functional change and allied health workload for children and adolescents on active inpatient rehabilitation programs. As expected, total and rehabilitation episode length of stay, functional improvement and allied health contact and input varied according to diagnostic groups. This information is likely to be of value to other Paediatric Rehabilitation Medicine inpatient units when developing staffing for services and benchmarking service delivery. Implications for Rehabili...
Source: Disability and Rehabilitation - October 10, 2017 Category: Rehabilitation Authors: Ireland PJ, Francis A, Jackman S, McLennan K Tags: Disabil Rehabil Source Type: research