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Total 535 results found since Jan 2013.

The experience of recurrent fallers in the first year after stroke.
CONCLUSIONS: Stroke survivors' assessment of their own falls-risk and their individual priorities contribute to their decisions around activity participation. "Being careful" could be described as a form of self-managing falls-risk. The inclusion of self-management principles, peer-educators, and education to rise from the floor in falls-management programmes warrants investigation. Not all falls were considered equally important by participants. This could be considered when defining falls-related outcomes. Implications for Rehabilitation Healthcare professionals may be able to offer an increased sense of control to strok...
Source: Disability and Rehabilitation - September 26, 2017 Category: Rehabilitation Authors: Walsh ME, Galvin R, Williams DJP, Harbison JA, Murphy S, Collins R, McCabe DJH, Crowe M, Horgan NF Tags: Disabil Rehabil Source Type: research

Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review.
CONCLUSIONS: Some interventions improved physical activity after stroke. However, the interpretability is limited. Implications for rehabilitation Individuals with stroke show low physical activity, which may compromise function and health. The use of interventions aimed at improving and maintaining physical activity of individuals with stroke are recommended. Some interventions, such as aerobic, resistance, and combined home-based training, electrical stimulation during walking, functional task training, and arm robot-assisted therapy, could improve the physical activity after stroke. PMID: 30451539 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - November 19, 2018 Category: Rehabilitation Authors: Aguiar LT, Nadeau S, Martins JC, Teixeira-Salmela LF, Britto RR, Faria CDCM Tags: Disabil Rehabil Source Type: research

Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016
We report estimates and corresponding uncertainty intervals (UIs), from 1990 to 2016, for incidence, prevalence, deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). DALYs were generated by summing YLLs and YLDs. Cause-specific mortality was estimated using an ensemble modelling process with vital registration and verbal autopsy data as inputs. Non-fatal estimates were generated using Bayesian meta-regression incorporating data from registries, scientific literature, administrative records, and surveys. The Socio-demographic Index (SDI), a summary indicator gene...
Source: The Lancet Neurology - March 12, 2019 Category: Neurology 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

Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review.
Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitationThere is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA)...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Sammut M, Fini N, Haracz K, Nilsson M, English C, Janssen H Tags: Disabil Rehabil Source Type: research

Exploring self-management within hospital-based stroke care: current and future opportunities.
CONCLUSIONS: A consistent conceptualisation and approach to stroke self-management in the hospital setting is required. Interprofessional education and shared intentional language can enhance understanding and practice. IMPLICATIONS FOR REHABILITATION Understanding and application of stroke self-management varies among members of hospital-based stroke teams. Health professionals working in hospital-based stroke care should use the term self-management with their patients. Education of healthcare teams is necessary to develop knowledge about self-management and develop consistent practices across the continuum of care. ...
Source: Disability and Rehabilitation - October 14, 2020 Category: Rehabilitation Authors: Greenway A, Gustafsson L, Bower K, Walder K Tags: Disabil Rehabil Source Type: research

Barriers to Optimal Acute Management of Stroke: Perspective of a Stroke Center in Mexico City
Conclusion: In this small, retrospective, single center study, the main prehospital barrier to optimal acute management of stroke in a developing country is multiple medical evaluations prior to the patient's transport to a specialized stroke hospital, who mostly arrived in a private car and without prenotification. These barriers can be overcome by strengthening public education and improving patient transfer networks and telemedicine.
Source: Frontiers in Neurology - December 7, 2021 Category: Neurology Source Type: research

Molecular mechanisms of cognitive impairment associated with stroke
AbstractStroke is the second leading cause of death after coronary heart disease in developed countries and is the greatest cause of disability and cognitive impairment. Risk factors for cognitive impairment and dementia after stroke are multifactorial including older age, family history, hypertension, arterial fibrillation, diabetes, genetic variants, low educational status, vascular comorbidities, prior transient ischaemic attack or recurrent stroke, depressive illness duration of a stroke, location, volume, intensity, and degree of neuronal degeneration, location and size of infarction after stroke, time interval after ...
Source: Metabolic Brain Disease - January 14, 2022 Category: Neurology Source Type: research

Psychosocial interventions for building resilience of informal carers of people living with stroke: a systematic review
CONCLUSION: Interventions comprising of information provision, problem-solving skills and psychoeducation appear to be beneficial to improve resilience of carers. However, because of the heterogeneity of the interventions and outcome measures reported across the twelve studies no particular intervention could be definitively supported.CLINICAL TRIAL REGISTRATION: Systematic review registration: CRD 42020172824 https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172824 IMPLICATIONS FOR REHABILITATIONProviding care for stroke survivors is particularly demanding due to the lack of preparation for managing the un...
Source: Disability and Rehabilitation - April 25, 2022 Category: Rehabilitation Authors: Ayesha Qureshi Claire Hargest Nicola Swain Daniela Aldabe Leigh Hale Source Type: research

IJERPH, Vol. 20, Pages 620: Medication Literacy in Chinese Patients with Stroke and Associated Factors: A Cross-Sectional Study
ifeng Zhang In China, stroke is characterized by high incidence, recurrence, disability, economic burden, and mortality. Regular and effective medication therapy can reduce stroke recurrence. High medication literacy is vital for the success of tertiary prevention measures aimed at preventing recurrence and minimizing disability. A cross-sectional survey using a medication literacy questionnaire was conducted between January and May 2022 on 307 inpatients of a Class III Grade A hospital in Hefei, Anhui Province, China. The demographic and clinical data of the patients were obtained from medical records. The health lite...
Source: International Journal of Environmental Research and Public Health - December 29, 2022 Category: Environmental Health Authors: Xiao Chang Kai Wang Yuting Wang Houmian Tu Guiping Gong Haifeng Zhang Tags: Article Source Type: research

Ethnodemographic characterization of stroke incidence and burden of disease in hospital discharge records in Ecuador
DiscussionDifferences in the burden of disease by ethnic group are likely to reflect differential access to care by region and socio-economic group, both of which are frequently correlated with ethnic composition in Ecuador. Equitable access to health services remains an important challenge in the country. The gender discrepancy in fatality rates suggests that there is a need for targeted educational campaigns to identify stroke signs early, especially in the female population.
Source: Frontiers in Neurology - February 8, 2023 Category: Neurology Source Type: research

Enhancing patient–provider communication for long‐term post‐stroke spasticity management
Stroke is a major public health concern, with estimated 16 million people worldwide experiencing first‐time strokes each year, a number that is expected to rise. Two‐thirds of those experiencing a stroke are younger than 70 years of age. Stroke is a leading cause of disability in adults as a result of major sequelae that include spasticity, cognitive impairment, paresis, and depression. Disabling spasticity, defined as spasticity severe enough to require intervention, occurs in 4% of stroke survivors within 1 year of first‐time stroke. The aim of this report is to focus instead on a discussion of patient–provider...
Source: Acta Neurologica Scandinavica - April 18, 2013 Category: Neurology Authors: K. S. Sunnerhagen, G. E. Francisco Tags: Review Article Source Type: research