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Urinary and fecal incontinence in stroke survivors followed in general practice: a retrospective cohort study
Conclusion: This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.
Source: Annals of Physical and Rehabilitation Medicine - January 24, 2020 Category: Rehabilitation Source Type: research

Rehabilitation in Geriatric Patients after Ischemic Stroke - A Comparison of 2 Organisational Systems in Germany Using Claims Data of a Statutory Health Insurance Fund.
Abstract Due to historical aspects in some federal states in Germany rehabilitation of geriatric patients is organized in geriatric departments in hospitals (§ 109 SGB V). In other states rehabilitation of these patients is mainly realized in geriatric rehabilitation facilities outside hospital care after approval by the health insurance (§ 111 SGB V). Thus, it is of interest to compare both types of health care with respect to differences in population characteristics, resource utilization and outcome parameters (i. e., excess costs, rehospitalization, fracture risk and mortality) using a common geriatric indic...
Source: Die Rehabilitation - July 3, 2013 Category: Rehabilitation Authors: Abbas S, Ihle P, Hein R, Schubert I Tags: Rehabilitation (Stuttg) Source Type: research

Combining specific task-oriented training with manual therapy to improve balance and mobility in patients after stroke: a mixed methods pilot randomised controlled trial
CONCLUSIONS: Specific MT-TOT and TOT appeared effective and are feasible in stroke patients. A larger RCT is needed to validate the results.Trial Registration: German Clinical Trials Register, DRKS00023068. Registered on 21.09.2020, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00023068Implications for rehabilitationA specific goal- and task-oriented training involving timed mobility and dynamic balance activities based on the demands of daily life, of high intensity and progressed in difficulty according to predefined criteria is feasible in patients after stroke.In this mixed methods p...
Source: Disability and Rehabilitation - April 13, 2023 Category: Rehabilitation Authors: Kristina Traxler Eva Baum Edith Klotz Markus Reindl Franz Schinabeck Barbara Seebacher Source Type: research

Systematic development of practice guidelines for psychological interventions in stroke rehabilitation.
CONCLUSIONS: Our practice guidelines include detailed recommendations for psychological interventions that can guide individual decision-making by a multidisciplinary team. Specific aspects to foster implementation were considered, and attempts were made to promote their dissemination. Implications for Rehabilitation We developed practice guidelines for psychological interventions in rehabilitation after stroke based on the best available evidence. The practice guidelines include detailed recommendations for psychological interventions that can guide individual decisions by a multidisciplinary team. The practice guidelines...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Kampling H, Reese C, Küst J, Mittag O Tags: Disabil Rehabil Source Type: research

Group-based circuit training to improve mobility after stroke: a cross-sectional survey of German and Austrian physical therapists in outpatient settings
CONCLUSION: German and Austrian PTs do not yet use GCT in outpatient physical therapy for stroke. Almost half of PTs, however, employ task-oriented training as recommended across guidelines. A detailed, theory-driven and country-specific evaluation of barriers to GCT uptake is necessary to inform implementation.PMID:37424481 | DOI:10.3233/NRE-230010
Source: NeuroRehabilitation - July 10, 2023 Category: Rehabilitation Authors: Gudrun Diermayr Andrea Greisberger Maria Stadel Sven Garbade Nancy M Salbach Source Type: research

Current practice of outpatient rehabilitation services in patients with mobility-impaired paralysis due to stroke or spinal cord injury: a qualitative interview study in Germany
CONCLUSION: Areas of improvement identified focused on: setting rehabilitation goals towards participation, training therapists on evidence-based treatments and shared decision-making, updating the outpatient service catalogue, and implementing coordination actions. Implementation of these recommendations should be evaluated.PMID:37732606 | DOI:10.1080/09638288.2023.2259301
Source: Disability and Rehabilitation - September 21, 2023 Category: Rehabilitation Authors: Tiziana Daniel Tamara Spingler Andreas Hug Norbert Weidner Michel Wensing Charlotte Ullrich Source Type: research

Family caregiver adjustment and stroke survivor impairment: A path analytic model.
Objective: Depressive symptoms are a common problem among family caregivers of stroke survivors. The purpose of this study was to examine the association between care recipient’s impairment and caregiver depression, and determine the possible mediating effects of caregiver negative problem-orientation, mastery, and leisure time satisfaction. The evaluated model was derived from Pearlin’s stress process model of caregiver adjustment. Method: We analyzed baseline data from 122 strained family members who were assisting stroke survivors in Germany for a minimum of 6 months and who consented to participate in a randomized ...
Source: Rehabilitation Psychology - February 6, 2017 Category: Rehabilitation Source Type: research

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