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Integrating Cardiac Rehabilitation in Stroke Recovery
Stroke remains a top contributor to long-term disability in the United States and substantially limits a person ’s physical activity. Decreased cardiovascular capacity is a major contributing factor to activity limitations and is a significant health concern. Addressing the cardiovascular capacity of stroke survivors as part of poststroke management results in significant improvements in their endurance, fu nctional recovery, and medical outcomes such as all-cause rehospitalization and mortality. Incorporation of a structured approach similar to the cardiac rehabilitation program, including aerobic exercise and risk fact...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 11, 2023 Category: Rehabilitation Authors: Sara J. Cuccurullo, Talya K. Fleming, Hayk Petrosyan Source Type: research

Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: a preliminary investigation
Assist Technol. 2023 Jul 26. doi: 10.1080/10400435.2023.2239555. Online ahead of print.ABSTRACTStroke is the leading cause of long-term disability in the United States, leaving survivors with profound mobility challenges that impact independent community ambulation. Evidence shows assistance at the hip during walking may be beneficial for stroke survivors. In this cross-over design study, we examine the impact of a novel hip exoskeleton on both functional and patient reported outcomes measuring speed, fall risk, gait symmetry, energy expenditure and perceived walking ability during both indoors and outdoors in single and s...
Source: Assistive Technology - July 26, 2023 Category: Rehabilitation Authors: Kinsey Herrin Emily Upton Aaron Young Source Type: research

Empowering stroke survivors: understanding the role of multidisciplinary rehabilitation Impact of stroke
Stroke is one of the leading causes of disability worldwide, with someone having a stroke every 40 seconds in the United-States[1]. A stroke can occur by clot that interrupts blood flow in the brain. It can also be caused by a burst of a blood vessel that causes bleeding in the brain. There are also other unknown causes of stroke which occur less frequently. A stroke causes brain cells to die as they no longer receive oxygen and nutrients from the blood. Some of the most common risk factors of stroke are high blood pressure, high cholesterol, heart diseases, diabetes, smoking, physical inactivity, and obesity[2].
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Authors: Urvashy Gopaul, Demers Marika, Marina Charalambous, William R Reed Source Type: research

Empowering Stroke Survivors: Understanding The Role of Multidisciplinary Rehabilitation
Stroke is 1 of the leading causes of disability worldwide, with someone having a stroke every 40 seconds in the United-States.1 A stroke can occur by clot that interrupts blood flow in the brain. It can also be caused by a burst of a blood vessel that causes bleeding in the brain. There are also other unknown causes of stroke which occur less frequently. A stroke causes brain cells to die as they no longer receive oxygen and nutrients from the blood. Some of the most common risk factors of stroke are high blood pressure, high cholesterol, heart diseases, diabetes, smoking, physical inactivity, and obesity.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Tags: INFORMATION/EDUCATION PAGE Source Type: research

Effects of dynamic body weight support on functional independence measures in acute ischemic stroke: a retrospective cohort study
Stroke remains a major public health concern in the United States and a leading cause of long-term disability in adults. Dynamic body weight support (DBWS) systems are popular technology available for use in c...
Source: Journal of NeuroEngineering and Rehabilitation - January 16, 2023 Category: Rehabilitation Authors: Justin Huber, Nicholas Elwert, Elizabeth Salmon Powell, Philip M. Westgate, Emily Hines and Lumy Sawaki Tags: Research Source Type: research

African Americans and Women Have Lower Functional Gains During Acute Inpatient Rehabilitation After Hemorrhagic Stroke
Conclusions The results of our study indicate that Functional Independence Measure efficiency was worse for African Americans and female patients with intracerebral hemorrhage. Future research should consider these racial and sex disparities and focus on providing targeted rehabilitation therapy.
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

How does culture influence the implementation of strategy training in stroke rehabilitation? A rapid ethnographic study of therapist perspectives in Taiwan and the United States
CONCLUSIONS: Therapists from both countries shared similar perspectives on the perceived advantages of strategy training, such as enhancing client empowerment and engagement, and the generalization of strategies. Family involvement was more prominently discussed by therapists in Taiwan than by those in the United States.IMPLICATIONS FOR REHABILITATIONStrategy training differs from conventional rehabilitation in its emphasis on clients' life participation and empowerment, generalization of strategies, and enhancement of their engagement, confidence, and problem-solving skills.Therapists may face challenges related to client...
Source: Disability and Rehabilitation - September 28, 2022 Category: Rehabilitation Authors: Feng-Hang Chang Beth E Fields Jessica M Kersey Chao-Yi Wu Minmei Shih Elizabeth R Skidmore Source Type: research

Orthotic Research Initiative for Outcomes aNalysis (ORION I): predictors of PROMIS PF for stroke survivors seeking orthotic intervention
CONCLUSIONS: These results improve understanding of the factors that contribute to impaired self-reported PF of stroke survivors in need of AFO intervention.Implications for rehabilitationAnkle-foot orthoses (AFOs) are often used to improve physical performance measures of physical performance (PF) during stroke rehabilitation.Our data indicate that the self-reported PF of AFO users is severely impaired.Level of assistance, time since ankle and foot problems began, and living assistance status are important clinical characteristics to consider when planning AFO intervention for this population.PMID:34473570 | DOI:10.1080/09638288.2021.1971306
Source: Disability and Rehabilitation - September 2, 2021 Category: Rehabilitation Authors: Sally A DiBello Shane R Wurdeman Stacey L Gorniak Source Type: research

An Analysis of the Inclusion of Women, Older Individuals, and Racial/Ethnic Minorities in Rehabilitation Clinical Trials
Conclusions In this study, we found that among participants of rehabilitation clinical trials women, older individuals, and racial/ethnic minorities were generally underrepresented. In contrast, Black or African American participants were overrepresented with the exception of cardiac trials. An important finding was that many trials did not report age and/or race/ethnicity. Investigators should aim to include underrepresented populations and improve reporting.
Source: American Journal of Physical Medicine and Rehabilitation - May 27, 2021 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Suicide Following Stroke in the United States Veterans Health Administration Population
In the United States (US), suicide is a leading cause of death, and most of these suicides involve firearms, highlighting the importance of lethal means safety in suicide prevention.(1, 2) US Veterans experience a suicide rate 1.5 times higher than US civilian adults and are more likely to use firearms as the means of suicide.(3) Risk factors for suicide within this population include demographic factors such as sex, age, race, and level of education, as well as health factors such as smoking status, psychiatric conditions (e.g., posttraumatic stress disorder [PTSD], depression, bipolar and anxiety disorders, schizophrenia...
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Jordan M. Wyrwa, Tyler M. Shirel, Trisha A. Hostetter, Alexandra L. Schneider, Claire A. Hoffmire, Kelly A. Stearns-Yoder, Jeri E. Forster, Nathan E. Odom, Lisa A. Brenner Tags: Original Research Source Type: research

"Personal road map for recovery:" examining the therapeutic use of weblogs by stroke survivors with aphasia.
CONCLUSION: Weblog writing was therapeutic for stroke survivors with aphasia. Authors reported benefits across cognitive, psychological, emotional, and social domains. Health professionals should consider recommending weblog writing, journaling, or other methods of writing for stroke survivors with aphasia. Implications for rehabilitation Creating illness weblog posts can be therapeutically beneficial for stroke survivors with aphasia as a tool that addresses psychological, emotional, and social aspects in their recovery. Blogging appeared to offer a medium for stroke survivors with aphasia to practice writing, to express ...
Source: Disability and Rehabilitation - August 31, 2020 Category: Rehabilitation Authors: Carcello K, McLennon S Tags: Disabil Rehabil Source Type: research

Spirituality and resilience among family  caregivers of survivors of stroke: A scoping review.
CONCLUSIONS: Spirituality and resilience following stroke are essential factors in caregiver adjustment following stroke. Further research with a focus on causality and the link between spirituality, resilience and adjustment in this population is needed. PMID: 32039873 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 11, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

GETCare: Development of a Comprehensive Education and Training Program For Care-Partners Post-Stroke
Stroke is the leading cause of long-term disability in the United States, with spousal partners often filling a significant role as caregivers after loved ones return home. Without adequate resources, this new role can lead to increased burden and depression for care-partners, and decreased rehabilitation effectiveness for stroke survivors. Research suggests the quality and amount of education provided to care-partners is severely lacking and there is need for improved services and resources. The purpose of this project was to conduct a needs assessment, create the GETCare program, and gather stakeholder feedback in prepar...
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jackie Einerson, Alexandra Terrill Source Type: research

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