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Specialty: Rehabilitation
Countries: Australia Health

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Total 48 results found since Jan 2013.

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

Patients' experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach
CONCLUSIONS: While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.PMID:34780322 | DOI:10.1080/09638288.2021.1965226
Source: Disability and Rehabilitation - November 15, 2021 Category: Rehabilitation Authors: Sarah D'Souza Deborah Hersh Erin Godecke Natalie Ciccone Heidi Janssen Elizabeth Armstrong Source Type: research

Priorities for closing the evidence-practice gaps in post-stroke aphasia rehabilitation: A scoping review
To identify implementation priorities for post-stroke aphasia management relevant to the Australian healthcare context.
Source: Archives of Physical Medicine and Rehabilitation - September 16, 2017 Category: Rehabilitation Authors: Kirstine Shrubsole, Linda Worrall, Emma Power, Denise A. O ’Connor Source Type: research

Prognostication in post-stroke aphasia: speech pathologists' clinical insights on formulating and delivering information about recovery
CONCLUSIONS: Speech pathologists use implicit competencies to formulate and deliver aphasia prognoses. A patient-centred, holistic contextualisation of aphasia recovery may enable realistic, optimistic, and constructive conversations about prognosis. These conversations may have therapeutic potential if prognostic uncertainty, emotional adjustment, and conditional outcomes are carefully addressed. Future research should seek to understand the perceptions and preferences of people with aphasia and their significant others.Implications for RehabilitationAphasia prognostication in clinical practice is complex and nuanced, thu...
Source: Disability and Rehabilitation - May 10, 2021 Category: Rehabilitation Authors: Bonnie B Y Cheng Brooke Ryan David A Copland Sarah J Wallace Source Type: research

In search of Kipling's six honest serving men in upper limb rehabilitation: within participant case-crossover experiment nested within a web-based questionnaire.
CONCLUSION: We need to develop an evidence base concerning Kipling's six honest serving men and equip clinicians with clinical decision-making skills aligned with this focus. IMPLICATIONS FOR REHABILITATION Most clinicians did not have access to a protocol / clinical pathway which defines when, how much and what upper limb therapy to provide after stroke, which may be improved by providing individual clinicians with organisational support to make therapy decisions. To improve the personalisation of upper limb rehabilitation in clinical practice, we need to understand when and where after stroke to begin therapy, how much a...
Source: Disability and Rehabilitation - September 21, 2020 Category: Rehabilitation Authors: Hayward KS, Jolliffe L, Churilov L, Herrmann A, Cloud GC, Lannin NA Tags: Disabil Rehabil Source Type: research

Investigation of the implementation of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward: A before-and-after pilot study
CONCLUSIONS: Implementation of a Communication Enhanced Environment model was feasible in this specific setting and may potentially influence patients' engagement in language activities. The unforeseen contextual challenges that occurred during the study period demonstrate the challenging nature of the hospital environment and will be useful in future research planning.PMID:34749509 | DOI:10.1177/02692155211032655
Source: Clinical Rehabilitation - November 9, 2021 Category: Rehabilitation Authors: Sarah D'Souza Erin Godecke Natalie Ciccone Deborah Hersh Elizabeth Armstrong Claire Tucak Heidi Janssen Source Type: research

Inter-rater reliability of the Australian Spasticity Assessment Scale in poststroke spasticity
To investigate the inter-rater reliability of the Australian Spasticity Assessment Scale (ASAS) in adult stroke patients with spasticity, two experienced clinicians rated the elbow flexor, wrist flexor, and ankle plantar flexor spasticity by using the ASAS in 85 persons with stroke. Unweighted and weighted (linear and quadratic) kappa statistics were used to calculate the inter-rater reliability for each muscle group. Unweighted kappa coefficients for elbow flexors (n = 83), wrist flexors (n = 80), and ankle plantar flexors (n = 77) were 0.67, 0.60, and 0.55, respectively. Linear and quadratic weighted kappa coefficients, ...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles 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

"You felt like a prisoner in your own self, trapped": the experiences of Aboriginal people with acquired communication disorders.
Conclusions: An increase in healthcare staff's appreciation of the health and social contexts of Aboriginal people after brain injury is needed in order to improve communication with Aboriginal patients and the ability to offer accessible rehabilitation services. Ongoing support is required, with cultural identity noted as key to ensuring cultural security and ultimately recovery. Involvement of family and other Aboriginal people in recovery processes, as well as access to relevant Aboriginal languages and proximity to ancestral lands is central.Implications for rehabilitationAcknowledgment of cultural identity and strengt...
Source: Disability and Rehabilitation - November 5, 2019 Category: Rehabilitation Authors: Armstrong E, Coffin J, Hersh D, Katzenellenbogen JM, Thompson SC, Ciccone N, Flicker L, Woods D, Hayward C, Dowell C, McAllister M Tags: Disabil Rehabil Source Type: research

Composite active range of motion (CXA) and relationship with active function in upper and lower limb spastic paresis.
CONCLUSION: CXA is a valid measure for functional impairments in spastic paresis. CXA improvements following abobotulinumtoxinA injection correlated with and preceded active functional improvements. PMID: 32336148 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 25, 2020 Category: Rehabilitation Authors: Bayle N, Maisonobe P, Raymond R, Balcaitiene J, Gracies JM Tags: Clin Rehabil Source Type: research

Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
CONCLUSIONS: The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.Implications for RehabilitationA supportive workplace and family, and access to appropriate vocational rehabilitation are important environmental facilitators for RTW in individuals with ABI.Workplaces with a poor understanding of ABI and employment service providers unable to find work for individuals with ABI are environmental barrie...
Source: Disability and Rehabilitation - April 1, 2021 Category: Rehabilitation Authors: Charlotte L Brakenridge Charmaine Kai Ling Leow Melissa Kendall Ben Turner Donna Valiant Ray Quinn Venerina Johnston Source Type: research

Communication partner perspectives of aphasia self-management and the role of technology: an in-depth qualitative exploration
CONCLUSIONS: Aphasia self-management programs should focus on individual needs, functional communication in daily life, and social interaction. PwA and CPs are central to these programs, assisted by SLPs. Technology should be explored to augment aphasia self-management.Implications for RehabilitationCommunication partners suggest that people with aphasia are already engaging in aspects of self-management and that more formal aphasia-specific self-management approaches may be beneficial.Dedicated aphasia self-management programs should be situated in daily life with a focus on functional communication, life participation, c...
Source: Disability and Rehabilitation - November 8, 2021 Category: Rehabilitation Authors: Leana Nichol Sarah J Wallace Rachelle Pitt Amy D Rodriguez Annie J Hill Source Type: research

Implementation of the ICF Clinical Functioning Information Tool (ClinFIT) for assessment of functioning in routine clinical practice
CONCLUSION: ClinFIT is feasible to implement in an inpatient rehabilitation setting and can detect changes in functioning overtime, and across different health conditions.PMID:35174870 | DOI:10.2340/jrm.v54.159
Source: Journal of Rehabilitation Medicine - February 17, 2022 Category: Rehabilitation Authors: Bhasker Amatya Alaeldin Elmalik Krystal Song Su Yi Lee Mary Galea Fary Khan Source Type: research