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Total 535 results found since Jan 2013.

Match and mismatch between objective and subjective improvements in upper limb function after stroke.
Conclusions: Mismatches between objective and subjective outcomes are relevant for practitioners evaluating rehabilitation goals, and for defining outcome variables in future upper limb rehabilitation trials. Implications for Rehabilitation In upper limb rehabilitation after stroke, a match between capacity and self-perception outcome measures is not self-evident. Regarding these potential mismatches, practitioners and patients should consider carefully which goals to set, and how to evaluate upper limb rehabilitation after stroke; preferably with capacity measures and self-perception measures combined. PMID: 23611500...
Source: Disability and Rehabilitation - April 23, 2013 Category: Rehabilitation Authors: van Delden AL, Peper CL, Beek PJ, Kwakkel G Tags: Disabil Rehabil Source Type: research

Depression Among Stroke Survivors: A Community-based, Prospective Study from Kolkata, India.
CONCLUSIONS: Approximately one-third of SS develop PSD, similar to developed countries. Prevalence remains stable annually. Delayed peak of PSD suggested later realization of underlying disability. Predictors of PSD have been described and higher literacy was protective in this study. PMID: 23871116 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - July 23, 2013 Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research

Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke - a preliminary study.
Conclusion: Fast speed and self-perceived balance appear to be important characteristics of ICW at 6 months and may be useful early predictors of the potential for patients to achieve this. Further research is needed to ensure the precision of these functional cut-offs. Implications for Rehabilitation Prognostic information is important for people with stroke and health services. The ability to walk faster than 0.42 m/s and a fear of falling on the Falls Efficacy Scale of less than 57 in the first 3 months after stroke predict who will be an independent community walker at 6 months. At 6 months after stroke, people who c...
Source: Disability and Rehabilitation - April 23, 2014 Category: Rehabilitation Authors: Rosa MC, Marques A, Demain S, Metcalf CD Tags: Disabil Rehabil Source Type: research

Overcoming Framing Bias in Stroke Neurologists' Assessments of the Minimally Clinically Important Difference for Novel Acute Ischemic Stroke Therapies (P4.187)
CONCLUSIONS: When assessed with framing based on clinical practice rather than convenience, vascular neurologists indicated the MCID for a safe agent to be worthwhile to use in acute ischemic stroke is about 1[percnt]. Drug and device agencies should consider this value to be the expert opinion MCID for acute ischemic stroke treatments when making regulatory decisions.Disclosure: Dr. Cranston has nothing to disclose. Dr. Kaplan has nothing to disclose. Dr. Saver has received personal compensation for activities with the University of California, BrainsGate, CoAxia, eV3, Talecris Biotherapeutics Inc., and PhotoThera, Inc.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Cranston, J., Kaplan, B., Saver, J. Tags: Research Methodology and Education Source Type: research

Effectiveness Of A Structured Teaching Programme In Improving The Knowledge And Skills Of The Care Givers And Preventing Secondary Complications In Hospitalized Stroke Patients (P5.147)
Conclusion: The structured teaching program was effective in improving the knowledge and skill of the caregivers and decreasing the complications in the hospitalized stroke patients.Disclosure: Dr. Bhatia has nothing to disclose. Dr. Thomas has nothing to disclose. Dr. Agarwal has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bhatia, R., Thomas, A., Agarwal, M. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in regional areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine program.
Source: Internal Medicine Journal - April 22, 2015 Category: Internal Medicine Authors: Natasha Moloczij, Ian Mosley, Karen Moss, Kathleen Bagot, Christopher Bladin, Dominique A Cadilhac Tags: Original Article Source Type: research

Non-vitamin K antagonist oral anticoagulants and atrial fibrillation guidelines in practice: barriers to and strategies for optimal implementation
Stroke is a leading cause of morbidity and mortality worldwide. Atrial fibrillation (AF) is an independent risk factor for stroke, increasing the risk five-fold. Strokes in patients with AF are more likely than other embolic strokes to be fatal or cause severe disability and are associated with higher healthcare costs, but they are also preventable. Current guidelines recommend that all patients with AF who are at risk of stroke should receive anticoagulation. However, despite this guidance, registry data indicate that anticoagulation is still widely underused. With a focus on the 2012 update of the European Society of Car...
Source: Europace - June 26, 2015 Category: Cardiology Authors: Camm, A. J., Pinto, F. J., Hankey, G. J., Andreotti, F., Hobbs, F. D. R., on behalf of the Writing Committee of the Action for Stroke Prevention alliance, on behalf of the Writing Committee of the Action for Stroke Prevention alliance, John Camm, Pinto, H Tags: REVIEW Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in rural areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine programme.
Source: Internal Medicine Journal - September 1, 2015 Category: Internal Medicine Authors: N. Moloczij, I. Mosley, K. M. Moss, K. L. Bagot, C. F. Bladin, D. A Cadilhac Tags: Original Article Source Type: research

Patients' perspectives on aerobic exercise early after stroke.
CONCLUSION: Patients with stroke are willing to participate in aerobic exercise within a week after admission to inpatient rehabilitation. However, they perceive a lack of ability to perform aerobic exercise, social support from family and information as barriers. Implications for rehabilitation Aerobic exercise is recognized as part of comprehensive stroke rehabilitation. There is a need to better understand patient perspectives to develop and implement more effective interventions early after stroke. Patients lack confidence in their ability to overcome barriers early after stroke. Patients are concerned with their abili...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Prout EC, Mansfield A, McIlroy WE, Brooks D Tags: Disabil Rehabil Source Type: research

The benefits of clinical facilitators on improving stroke care in acute hospitals: a new program for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - April 19, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Rates and correlates of suicidal ideation among stroke survivors: a meta-analysis
Conclusion Despite some limitations, this meta-analysis shows that about one out of eight stroke survivors has suicidal ideation. Thus, there is enough evidence to support the use of routine screening and early interventions to prevent and treat suicidal ideation after stroke, especially among subjects carrying specific correlates.
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 23, 2017 Category: Neurosurgery Authors: Bartoli, F., Pompili, M., Lillia, N., Crocamo, C., Salemi, G., Clerici, M., Carra, G. Tags: Neuropsychiatry Source Type: research

Benefits of clinical facilitators on improving stroke care in acute hospitals: a new programme for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - July 4, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Does a cycling program combined with education and followed by coaching promote physical activity in subacute stroke patients? A randomized controlled trial.
CONCLUSION: When active cycling combined with education is used in subacute patients with severe motor function deficits, more sport participation might be observed after one year. No other significant group differences were found over time. In all groups, however, patients showed significant improvement over time in physical activity measures. Future work is needed to explore the most effective coaching approach after an aerobic training program. Implications for Rehabilitation The active cycling program combined with education is applicable in subacute stroke patients as it required little stand-by assistance due to chip...
Source: Disability and Rehabilitation - November 5, 2017 Category: Rehabilitation Authors: Vanroy C, Vanlandewijck Y, Cras P, Truijen S, Vissers D, Swinnen A, Bosmans M, Wouters K, Feys H Tags: Disabil Rehabil Source Type: research

Depressive symptoms in stroke patients treated and non-treated with intravenous thrombolytic therapy: a 1-year follow-up study
Conclusions(1) Thrombolysed and non-thrombolysed stroke survivors had similar frequency of depressive symptoms although the thrombolysed patients had more severe neurological deficits in the acute phase. It can be assumed that if thrombolysis had not been used, depressive symptoms would have been more frequent. (2) Lack of the rt-PA treatment was associated with three-time greater odds of screening for PSD at 3  months post-stroke, after adjustment for other PSD correlates. (3) Therefore, thrombolytic therapy seems to have a positive, but indirect, effect on patients’ mood, especially in the first months after stroke. (...
Source: Journal of Neurology - June 18, 2018 Category: Neurology Source Type: research

Activities and participation after stroke: validity and reliability of the Turkish version of IMPACT-S questionnaire.
CONCLUSION: The Turkish version of the IMPACT-S is a valid and reliable questionnaire for evaluating activities and participation in patients with stroke. Implications for rehabilitation Patients with stroke experience difficulties across multiple participation domains, such as major life areas and community life. The screener part of the IMpact on Participation and ACTivities (IMPACT-S) questionnaire is the only measure that accurately reflects The International Classification of Functioning, Disability and Health (ICF) sections and appears a promising outcome measure in rehabilitation research. The Turkish version of the...
Source: Disability and Rehabilitation - January 17, 2019 Category: Rehabilitation Authors: Aşkın A, Atar E, Tosun A, Demirdal Ü, Koca Ö Tags: Disabil Rehabil Source Type: research