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Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

A pilot study: Can the UFOV assessment be used as a repeated measure to determine timing of on ‐road assessment in stroke?
ConclusionImprovements in scores at one month intervals over three months are due to improvements in abilities assessed by the UFOV as no practice effect was found to influence scores. UFOV scores performed at monthly intervals post‐stroke can be used to guide the timing of an occupational therapy on‐road assessment, with an increased likelihood of passing, as recovery occurs. This repeated use of the UFOV assessment can assist referral practices that best utilise driving rehabilitation programmes. Larger studies need to be conducted to confirm these results.
Source: Australian Occupational Therapy Journal - February 1, 2018 Category: Occupational Health Authors: Annabel McNamara, Christopher John Barr, Malcolm J. Bond, Stacey George Tags: Feature Article Source Type: research

Occupational engagement following mild stroke in the Australian context using the occupational gaps questionnaire.
Conclusions and significance: The English version of the OGQ was found to be a feasible instrument for identifying occupational gaps following mild stroke and may be suitable to support research and clinical practice with this population. PMID: 31906780 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - January 8, 2020 Category: Occupational Health Tags: Scand J Occup Ther Source Type: research

The lived experience of supporting people with mild stroke.
Conclusions and Significance: Whilst spouses generally return to their daily routines after a family members' mild stroke, some will experience increased time pressures and occupational disruptions. Health providers should prepare spouses for behavioral and emotional changes in people with mild stroke. PMID: 31264497 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - July 4, 2019 Category: Occupational Health Tags: Scand J Occup Ther 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 stroke survivors' experiences and understandings of occupational therapy.
CONCLUSION: Both impairment-based and occupation-based therapy were considered valuable aspects of occupational therapy, representing the proposed tension between the professional philosophy and research-based evidence. Occupation-based and client-centred practice was more often experienced in the outpatient setting, with challenges described for both within the inpatient setting. PMID: 33054465 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - October 20, 2020 Category: Occupational Health Tags: Scand J Occup Ther Source Type: research

Home exercise programs supported by video and automated reminders for patients with stroke: A qualitative analysis
Conclusions and significance of the studySmart technology is increasingly accessible and provides a novel, convenient way to provide home exercise programs post stroke with a number of benefits. This technology is not for everyone, but may be well suited to patients who already own and use these devices in daily life. Automated reminders were not viewed as a useful reminder tool.
Source: Australian Occupational Therapy Journal - March 11, 2018 Category: Occupational Health Authors: Kellie B. Emmerson, Katherine E. Harding, Kylee J. Lockwood, Nicholas F. Taylor Tags: Feature Article Source Type: research

Effect of occupational therapy home visit discharge planning on participation after stroke: protocol for the HOME Rehab trial
This study is approved by the Alfred Health Human Research Ethics Committee and site-specific ethics approval has been obtained at all participating sites. Results of the main trial and the secondary endpoint of cost-effectiveness will be submitted for publication in peer-reviewed journals Trial registration number ACTRN12618001360202
Source: BMJ Open - July 5, 2021 Category: General Medicine Authors: Lannin, N. A., Clemson, L., Drummond, A., Stanley, M., Churilov, L., Laver, K., O'Keefe, S., Cameron, I., Crotty, M., Usherwood, T., Andrew, N. E., Jolliffe, L., Cadilhac, D. A. Tags: Open access, Rehabilitation medicine Source Type: research

Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus
Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
Source: BMJ Open - January 6, 2022 Category: General Medicine Authors: Mahmood, A., Deshmukh, A., Natarajan, M., Marsden, D., Vyslysel, G., Padickaparambil, S., TS, S., Direito, A., Kumaran, S., N, G., Sachdev, H., Kumar Veluswamy, S., Karthikbabu, S., Unnikrishnan, B., English, C., Solomon, J. M. Tags: Open access, Neurology Source Type: research

Cross-sectional survey of rehabilitation service availability for stroke and hip fracture in Australian public hospitals
CONCLUSION: There was reduced availability of rehabilitation services and health disciplines in rural/regional settings. A follow-up study is underway investigating relationships between reduced outpatient service availability and inpatient length of stay in rural/regional versus metropolitan hospitals.PMID:34757624 | DOI:10.1111/ajr.12803
Source: The Australian Journal of Rural Health - November 10, 2021 Category: Rural Health Authors: Angela Vratsistas-Curto Christine T Shiner Linda Klein Steven G Faux Source Type: research

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