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Do social determinants influence post-stroke aphasia outcomes? A scoping review
CONCLUSIONS: Research on SDOHs and aphasia outcomes is in its infancy. Given SDOHs are modifiable and operate over a lifetime, and aphasia is a chronic condition, there is a pressing need to understand the role of SDOHs on aphasia outcomes in the long term.Implications for rehabilitationResearch on the role of Social Determinants of Health (SDoH) and aphasia outcomes is in its infancy.The role of SDoHs has been mainly investigated in relation to language outcomes.Little is known about the SDoHs on activity, participation, and quality of life outcomes.Rehabilitation professionals should consider the potential influence of i...
Source: Disability and Rehabilitation - April 3, 2023 Category: Rehabilitation Authors: Robyn O'Halloran Joanne Renton Sam Harvey Marie-Pier McSween Sarah J Wallace Source Type: research

Characteristics of peer-based interventions for individuals with neurological conditions: a scoping review
CONCLUSION: Various peer-based interventions exist, each with its own definition of what it means to be a peer. Research using rigorous methodology is needed to determine the most effective interventions. Clear definitions of each program component are needed to better understand the outcomes and mechanism of action within each intervention.IMPLICATIONS FOR REHABILITATIONRehabilitation services can draw on various peer support interventions to add experiential knowledge and support based on shared experience to enhance outcomes.Fulfilling the role of peer mentor may be beneficial and could be encouraged as part of the reha...
Source: Disability and Rehabilitation - January 27, 2022 Category: Rehabilitation Authors: Sarah Aterman Setareh Ghahari Dorothy Kessler Source Type: research

The impact of aphasia on Internet and technology use.
CONCLUSIONS: It is clear that aphasia often negatively affects Internet use and proficiency. However, this research clearly demonstrates that it is important to consider the influence of factors such as age, proxy use, education, and previous technology use and experience. Implications for rehabilitation Post-stroke aphasia contributes negatively to Internet use, particularly in the use of online communication tools such as email and messaging services. Sub-groups of people with aphasia are likely to be more vulnerable to exclusion from the benefits of the Internet; specifically, older people and those with lower levels of...
Source: Disability and Rehabilitation - April 12, 2019 Category: Rehabilitation Authors: Menger F, Morris J, Salis C Tags: Disabil Rehabil Source Type: research

Perspectives on neurorehabilitation of unilateral impairments through cross-education.
Conclusion: Cross-education may serve as a viable option for those patients presenting severe unilateral weakness who are not able to fully exercise their weaker side directly. However, it should not be recommended straightaway if the training goal is to improve outcomes other than strength. As such, contralateral training may prove as a primer to establish a minimum level of strength that may suffice to sustain direct training, which has been proved to prompt more meaningful functional changes. Implications for rehabilitation Cross-education consists of training the stronger limb to increase strength in the untrained weak...
Source: Disability and Rehabilitation - June 27, 2019 Category: Rehabilitation Authors: Manca A, Deriu F Tags: Disabil Rehabil Source Type: research

Referrer and service provider beliefs and attitudes towards rehabilitation in the home; factors related to utilisation of Early Supported Discharge.
Conclusions: This study provides evidence that there was a level of uncertainty amongst referrers and RITH service providers regarding issues directly and indirectly related to patient eligibility and RITH service capability. This uncertainty needs to be explored in future research. Implications for Rehabilitation Differences in views held by referrers and ESD service providers were identified in this study that could lead to inconsistencies in patient selection for, and under-utilization of, ESD services. Improved communication between referrers and ESD service providers, for instance attendance of RITH staff at inpatient...
Source: Disability and Rehabilitation - March 4, 2014 Category: Rehabilitation Authors: Kraut JC, Singer BJ, Singer KP Tags: Disabil Rehabil Source Type: research

Prognostic factors of return to work after traumatic or non-traumatic acquired brain injury.
CONCLUSIONS: This study confirms earlier findings that after both traumatic and non-traumatic ABI injury related factors in the Emergency Department are not associated with RTW. In addition, it provides further evidence that personal factors after traumatic ABI and activity-related factors after non-traumatic ABI are strongly associated with RTW. Implications for Rehabilitation We found strong evidence for a significant association between RTW and personal factors (education level, unemployment) after traumatic ABI, and activities of daily living (ADL) after non-traumatic ABI. We advise to focus on work-related activities ...
Source: Disability and Rehabilitation - July 3, 2015 Category: Rehabilitation Authors: Donker-Cools BH, Wind H, Frings-Dresen MH Tags: Disabil Rehabil Source Type: research

'I do the best I can': an in-depth exploration of the aphasia management pathway in the acute hospital setting.
CONCLUSIONS: Findings suggest significant diversity in the pathways of care for people with aphasia and their families in the acute hospital setting. Additional support mechanisms are required in order to support speech pathologists to minimise the evidence-practice gap. Implications for Rehabilitation Significant diversity exists in the current aphasia management pathway for people with acute post-stroke aphasia and their families in the acute hospital setting. Mechanisms that support speech pathologists to minimise the evidence-practice gap, and consequently reduce their sense of professional dissonance, are required. ...
Source: Disability and Rehabilitation - December 17, 2015 Category: Rehabilitation Authors: Foster AM, Worrall LE, Rose ML, O'Halloran R Tags: Disabil Rehabil Source Type: research

The Bobath concept - a model to illustrate clinical practice.
This article describes the clinical application of the Bobath concept in terms of the integration of posture and movement with respect to the quality of task performance, applying the Model of Bobath Clinical Practice. Facilitation, a key aspect of Bobath clinical practice, was utilised to positively affect motor control and perception in two clients with impairment-related movement problems due to neurological pathology and associated activity limitations and participation restrictions - the outcome measures used to reflect the individual clinical presentation. Implications for Rehabilitation The model of Bobath clinical ...
Source: Disability and Rehabilitation - December 17, 2017 Category: Rehabilitation Authors: Michielsen M, Vaughan-Graham J, Holland A, Magri A, Suzuki M Tags: Disabil Rehabil Source Type: research

Patient readiness for risk-reduction education and lifestyle change following transient ischemic attack.
Conclusion: Readiness for risk-reduction education and lifestyle change following transient ischemic attack is individual and complex. Logistical factors including the location, time, and cost of education, timing of education delivery, and patient perspectives should be considered in the development and delivery of secondary prevention interventions for these people. Implications for rehabilitation Risk reduction and lifestyle change following transient ischemic attack is vital to prevent recurrent stroke. Patients are ready to receive risk reduction and lifestyle advice approximately one week after their transient ischem...
Source: Disability and Rehabilitation - July 24, 2019 Category: Rehabilitation Authors: Geldens N, Crowfoot G, Sweetapple A, Vyslysel G, Mason G, English C, Janssen H Tags: Disabil Rehabil Source Type: research

Health system challenges affecting rehabilitation services in South Africa.
This article presents challenges and solutions to ensure that South Africa can meet WHO 2030 Rehabilitation Goals for equitable provision of effective public rehabilitation services using the WHO's health system building block framework. IMPLICATIONS FOR REHABILITATION To meet the challenge of providing rehabilitation for those in need requires country-specific, strategic, evidence-informed, and planned decisions in terms of best investment for highest return. Whilst there is sound international evidence for best-practice rehabilitation care, country-specific strategies are required to identify and address local barriers t...
Source: Disability and Rehabilitation - August 2, 2019 Category: Rehabilitation Authors: Morris LD, Grimmer KA, Twizeyemariya A, Coetzee M, Leibbrandt DC, Louw QA Tags: Disabil Rehabil Source Type: research

How do healthcare professionals experience communication with people with aphasia and what content should communication partner training entail?
CONCLUSIONS: According to HCP, communication difficulties challenge the provision of healthcare activities and lead to negative feelings in HCP. HCP suggest that communication can be improved by providing more time in the healthcare pathway of people with aphasia, adapting healthcare information to the needs of people with aphasia, commitment of physicians and managers, changing the roles of SLTs and improving knowledge and skills of HCP. Implications for rehabilitation Communication between healthcare professionals (HCP) and people with aphasia can be improved by training HCP to use supportive conversation techniques and ...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: van Rijssen MN, Veldkamp M, Bryon E, Remijn L, Visser-Meily JMA, Gerrits E, van Ewijk L Tags: Disabil Rehabil Source Type: research

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