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Management of post-stroke fatigue: an Australian health professional survey
CONCLUSIONS: Few Australian health professionals formally assess post-stroke fatigue. Management is multidisciplinary and based on evidence from fatigue management in other conditions.Implications for rehabilitationMost health professionals are not routinely using formal assessment tools for fatigue, possibly due to a lack of consensus on best practice in research.Common strategies recommended by health professionals include energy optimisation strategies, education and exercise.Comprehensive guidelines for post-stroke fatigue management are yet to be established.Health professionals should assess post-stroke fatigue using...
Source: Disability and Rehabilitation - November 12, 2022 Category: Rehabilitation Authors: Stewart Blackwell Gary Crowfoot Julie Davey Avril Drummond Coralie English Margaret Galloway Gillian Mason Dawn Simpson Source Type: research

The efficacy of interactive, motion capture-based rehabilitation on functional outcomes in an inpatient stroke population: a randomized controlled trial.
CONCLUSION: Interactive, motion capture rehabilitation for inpatients post stroke produced functional improvements that were similar to those achieved by usual care stroke rehabilitation, safely delivered by either a physical therapist or a rehabilitation assistant. PMID: 28719977 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 1, 2017 Category: Rehabilitation Authors: Cannell J, Jovic E, Rathjen A, Lane K, Tyson AM, Callisaya ML, Smith ST, Ahuja KD, Bird ML Tags: Clin Rehabil Source Type: research

Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre-post observational study.
CONCLUSION: A staff behaviour change intervention has the potential to increase the number of stroke survivors receiving ward-based practice books but did not increase active practice. PMID: 32204599 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 22, 2020 Category: Rehabilitation Authors: Stewart C, Power E, McCluskey A, Kuys S, Lovarini M Tags: Clin Rehabil Source Type: research

Dose and setting of rehabilitation received after stroke in Queensland, Australia: a prospective cohort study.
CONCLUSION: Amount of therapy varied widely between rehabilitation pathways. Amount of therapy and chance of improvement in function were highest with inpatient rehabilitation. PMID: 32389061 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 10, 2020 Category: Rehabilitation Authors: Grimley RS, Rosbergen IC, Gustafsson L, Horton E, Green T, Cadigan G, Kuys S, Andrew NE, Cadilhac DA Tags: Clin Rehabil Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Living with stroke during the first year after onset: an instrumental case study exploring the processes that influence adjustment
CONCLUSIONS: Adjustment to stroke necessitated a reconceptualization of self. Relationships and interactions with others emerged as potential facilitators. For health professionals working with people after stroke, knowledge of the adjustment process and attention to practices that affirm personhood and enhance self-efficacy have the potential to facilitate long term outcomes. Processes linked to adjustment are represented visually to guide conceptual understandings and facilitative actions.IMPLICATIONS FOR REHABILITATIONAll interactions with health professionals, including casual or ad hoc interactions, have the potential...
Source: Disability and Rehabilitation - October 12, 2022 Category: Rehabilitation Authors: Kellie Stagg Jacinta Douglas Teresa Iacono Source Type: research

The impact of environmental enrichment in an acute stroke unit on how and when patients undertake activities.
CONCLUSION:: Communal activities and environmental resources were important contributors to greater activity within the enriched acute stroke unit. PMID: 30582368 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 23, 2018 Category: Rehabilitation Authors: Rosbergen IC, Grimley RS, Hayward KS, Brauer SG Tags: Clin Rehabil Source Type: research

Development of a participatory, tailored behaviour change intervention to increase active practice during inpatient stroke rehabilitation.
CONCLUSIONS: This example of collaborative implementation research can be used and adapted by clinicians and researchers in other rehabilitation services. IMPLICATIONS FOR REHABILITATION Rehabilitation staff can be actively involved in designing behaviour change interventions. Behaviour change interventions should target local barriers to increase activity levels and practice completed by stroke inpatients. The process of co-designing behaviour change interventions has the potential to improve the uptake of a strategy such as ward-based practice books, by more precisely identifying local barriers and possible solutions. ...
Source: Disability and Rehabilitation - April 13, 2019 Category: Rehabilitation Authors: Stewart C, Power E, McCluskey A, Kuys 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

Stroke rehabilitation research translation in Australia: a survey of clinical trialists.
This study aims to investigate perceptions of Australian stroke clinical trialists' about implementation of their findings into practice, and what translation activities they embedded into trial protocols. MATERIALS AND METHOD: A descriptive cohort design and electronic survey was conducted. Three databases were searched to identify Australian stroke rehabilitation trials published between 2007 and 2017. Corresponding authors of the included trials were invited to complete an anonymous online survey about implementation of their trial intervention. RESULTS: Fifty-one trialists were invited to participate and 38 c...
Source: Disability and Rehabilitation - August 26, 2020 Category: Rehabilitation Authors: Jolliffe L, Hoffmann T, Laver K, McCluskey A, Lannin NA Tags: Disabil Rehabil Source Type: research

Hemianopia after stroke: A randomised controlled trial of the effectivenessof a standardised versus an individualised rehabilitation program, on scanning ability whilst walking1.
CONCLUSIONS: A standardized intervention of static scanning and mobility training improved QOL. Allocation of resources to visual rehabilitation services point towards the implementation of more mobility practice over a longer period of time. PMID: 30040755 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - July 25, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

The effect of self-management programs on post-stroke social participation: A systematic review and meta-analysis
CONCLUSION: The self-management programs seem not to be superior to usual care for the improvement on social participation in stroke survivors based on current evidence. Further well-designed investigation considering social participation as the primary outcome is still warranted.PMID:35765234 | DOI:10.1177/02692155221095477
Source: Clinical Rehabilitation - June 29, 2022 Category: Rehabilitation Authors: Xuan Zhou Minxia Du Yan Hu Source Type: research

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