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Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: a randomized trial.
Conclusions: The home-based intervention was effective in improving self-reported health, coping skills in CG and cognitive functioning in SS. However, the finding that dyads in both groups demonstrated decreased depression and stress suggests that providing repeated doses of relevant, personalized information by mail may result in positive changes. Implications for Rehabilitation A stroke affects both the stroke survivor and the spousal caregiver, so nurses and therapists should use multicomponent strategies to provide education, support, counseling and linkages to community resources to ease the transition from hospital ...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Ostwald SK, Godwin KM, Cron SG, Kelley CP, Hersch G, Davis S Tags: Disabil Rehabil Source Type: research

The experience of recurrent fallers in the first year after stroke.
CONCLUSIONS: Stroke survivors' assessment of their own falls-risk and their individual priorities contribute to their decisions around activity participation. "Being careful" could be described as a form of self-managing falls-risk. The inclusion of self-management principles, peer-educators, and education to rise from the floor in falls-management programmes warrants investigation. Not all falls were considered equally important by participants. This could be considered when defining falls-related outcomes. Implications for Rehabilitation Healthcare professionals may be able to offer an increased sense of control to strok...
Source: Disability and Rehabilitation - September 26, 2017 Category: Rehabilitation Authors: Walsh ME, Galvin R, Williams DJP, Harbison JA, Murphy S, Collins R, McCabe DJH, Crowe M, Horgan NF Tags: Disabil Rehabil Source Type: research

Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review.
CONCLUSIONS: Some interventions improved physical activity after stroke. However, the interpretability is limited. Implications for rehabilitation Individuals with stroke show low physical activity, which may compromise function and health. The use of interventions aimed at improving and maintaining physical activity of individuals with stroke are recommended. Some interventions, such as aerobic, resistance, and combined home-based training, electrical stimulation during walking, functional task training, and arm robot-assisted therapy, could improve the physical activity after stroke. PMID: 30451539 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - November 19, 2018 Category: Rehabilitation Authors: Aguiar LT, Nadeau S, Martins JC, Teixeira-Salmela LF, Britto RR, Faria CDCM Tags: Disabil Rehabil Source Type: research

Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review.
Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitationThere is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA)...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Sammut M, Fini N, Haracz K, Nilsson M, English C, Janssen H Tags: Disabil Rehabil Source Type: research

Exploring self-management within hospital-based stroke care: current and future opportunities.
CONCLUSIONS: A consistent conceptualisation and approach to stroke self-management in the hospital setting is required. Interprofessional education and shared intentional language can enhance understanding and practice. IMPLICATIONS FOR REHABILITATION Understanding and application of stroke self-management varies among members of hospital-based stroke teams. Health professionals working in hospital-based stroke care should use the term self-management with their patients. Education of healthcare teams is necessary to develop knowledge about self-management and develop consistent practices across the continuum of care. ...
Source: Disability and Rehabilitation - October 14, 2020 Category: Rehabilitation Authors: Greenway A, Gustafsson L, Bower K, Walder K Tags: Disabil Rehabil Source Type: research

Psychosocial interventions for building resilience of informal carers of people living with stroke: a systematic review
CONCLUSION: Interventions comprising of information provision, problem-solving skills and psychoeducation appear to be beneficial to improve resilience of carers. However, because of the heterogeneity of the interventions and outcome measures reported across the twelve studies no particular intervention could be definitively supported.CLINICAL TRIAL REGISTRATION: Systematic review registration: CRD 42020172824 https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172824 IMPLICATIONS FOR REHABILITATIONProviding care for stroke survivors is particularly demanding due to the lack of preparation for managing the un...
Source: Disability and Rehabilitation - April 25, 2022 Category: Rehabilitation Authors: Ayesha Qureshi Claire Hargest Nicola Swain Daniela Aldabe Leigh Hale Source Type: research

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

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

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

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

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

The long-term unmet needs of informal carers of stroke survivors at home: a systematic review of qualitative and quantitative studies.
Conclusions: Evidence from this review suggests that carers are experiencing a range of long-term unmet needs, particularly in education and training, coping and managing their own emotions, and accessing much-needed services. Recommendations to support carers at home include continuing engagement, assessment, and support from health care providers and services to meet the needs of carers throughout the stroke recovery process.IMPLICATIONS FOR REHABILITATIONCarers of stroke survivors experience complex long-term unmet needs around managing the recovery process of the stroke survivor when they have been discharged from hosp...
Source: Disability and Rehabilitation - May 11, 2020 Category: Rehabilitation Authors: Denham AMJ, Wynne O, Baker AL, Spratt NJ, Loh M, Turner A, Magin P, Bonevski B Tags: Disabil Rehabil Source Type: research

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

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