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Total 255 results found since Jan 2013.

Return to Work 2 –5 Years After Stroke: A Cross Sectional Study in a Hospital-Based Population
Conclusions A minority of working patients RTW after stroke; a shorter duration of the initial hospitalization was associated with a favorable work outcome. The significant association between work status and activities, mental aspects and quality of life underlines the need to develop effective interventions supporting RTW.
Source: Journal of Occupational Rehabilitation - July 10, 2016 Category: Rehabilitation Source Type: research

What environmental factors influence resumption of valued activities post stroke: A systematic review of qualitative and quantitative findings.
CONCLUSION: A diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted. PMID: 27681480 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 27, 2016 Category: Rehabilitation Authors: Jellema S, van Hees S, Zajec J, van der Sande R, Nijhuis-van der Sanden MW, Steultjens EM Tags: Clin Rehabil Source Type: research

Clinician perspectives on cross-education in stroke rehabilitation.
CONCLUSIONS: Cross-education is paradoxical yet promising was the primary theme. This theme was elucidated by three descriptive categories: (1) therapists worked in a forced-use paradigm; (2) there was gap in current practice for those with more severe impairments in arm function; and (3) cross-education used as an adjunct could be useful within current practice for specific patients. Therapists suggested that educational materials for clinicians, patients, and patient families would be essential to the success of cross-education to explain training the less affected limb. This study provides important foundational informa...
Source: Disability and Rehabilitation - July 24, 2017 Category: Rehabilitation Authors: Russell W, Pritchard-Wiart L, Manns PJ Tags: Disabil Rehabil Source Type: research

Corticomotor Excitability Effects of Peripheral Nerve Electrical Stimulation to the Paretic Arm in Stroke
Conclusions: A 1-hr PNS alone to the paretic arm could increase corticomotor excitability in both hemispheres, together with hand dexterity improvement in people presented with mild-to-moderate motor impairment in the paretic upper limb after stroke. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the readers should be able to: (1) Understand the effects of a stroke on the corticomotor excitability of the lesioned and intact hemisphere; (2) Describe the effect of peripheral nerve electrical stimulati...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2017 Category: Rehabilitation Tags: Original Research Articles CME Article . 2017 Series . Number 13 Source Type: research

Six hours of task-oriented training optimizes walking competency post stroke: a randomized controlled trial in the public health-care system of South Africa.
CONCLUSION: Results support the efficacy of a minimal dose task-oriented circuit training program with caregiver help to enhance locomotor recovery and walking competency in these persons with stroke. PMID: 29529870 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 1, 2018 Category: Rehabilitation Authors: Knox M, Stewart A, Richards CL Tags: Clin Rehabil Source Type: research

Recovery and compensation after robotic assisted gait training in chronic stroke survivors.
CONCLUSIONS: These results indicate that the proposed training induced mainly a functional change rather than an improvement of the quality of gait. Implication for Rehabilitation Gait re-education is a primary goal in stroke rehabilitation. Nowadays several robotic devices for gait rehabilitation are used in the clinical practice, but their effectiveness is controversial, especially for chronic survivors. After a 20-session training with an endpoint robot the chronic stroke survivors showed an improvement in overground gait speed. The increased gait speed was mainly due to functional changes of the temporal parameters and...
Source: Disability and Rehabilitation. Assistive Technology. - May 9, 2018 Category: Rehabilitation Authors: De Luca A, Vernetti H, Capra C, Pisu I, Cassiano C, Barone L, Gaito F, Danese F, Antonio Checchia G, Lentino C, Giannoni P, Casadio M Tags: Disabil Rehabil Assist Technol Source Type: research

Acute Phase Predictors of 6-Month Functional Outcome in Italian Stroke Patients Eligible for In-Hospital Rehabilitation
Conclusions According to the Barthel Index and modified Rankin Scale, early mobilization is an early predictor of favorable outcome. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Incorporate prognostic factors of good clinical outcomes after stroke in developing treatment plans for patients admitted to rehabilitation; (2) Identify acute phase indicators associated with favorable 6-mo outcome after stroke; and (3) Recognize the cut-off for early mobilization link...
Source: American Journal of Physical Medicine and Rehabilitation - June 20, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 7 Source Type: research

Key informants' perspectives on implementing caregiver programs in an organized system of stroke care.
Conclusions: This study provides initial insight into the potential barriers and facilitators needed to develop and implement stroke caregiver programs. Further exploration of these topics can inform caregiver program development and their implementation into stroke systems of care. IMPLICATIONS FOR REHABILITATION Rehabilitation research needs to demonstrate that caregivers are a unique group in need of support from the health care system. Rehabilitation research needs to contribute to the evidence that caregiver programs can improve patient, caregiver, and health system outcomes. Researchers can enhance caregiver program ...
Source: Disability and Rehabilitation - August 18, 2019 Category: Rehabilitation Authors: Tseung V, Jaglal SB, Salbach NM, Yoshida K, Cameron JI Tags: Disabil Rehabil Source Type: research

Efficacy of task-specific circuit training on physical activity levels and mobility of stroke patients: A randomized controlled trial.
CONCLUSION: TSCT focused on both UL and LL was not effective on PA levels and mobility of individuals with chronic stroke, however, improvements in quality of life were observed. Since this is the first study to investigate this combined training aimed at improving PA levels, future studies are necessary to better understand the impact of this type of intervention. PMID: 33136078 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - November 4, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Young Stroke: Resources for Patients, Their Families, and Caregivers for Long-Term Community Living
Approximately 1 in 10 strokes occurs in adults younger than 50 years of age (young stroke).1 In the United States, hospitalizations resulting from to ischemic stroke (most common type of stroke) among young adults are increasing.2,3 Although having a stroke at any age can result in lifelong physical, visual, emotional, and thinking changes that significantly affect the lives of the survivors, their families, and caregivers, young stroke survivors experience additional challenges. Young stroke survivors often still have to take care of their families, work to ensure their financial security, and be active members of their social communities.
Source: Archives of Physical Medicine and Rehabilitation - November 23, 2020 Category: Rehabilitation Authors: Abiodun Akinwuntan, Xiaolei Hu, Alexandra L. Terrill, Suzanne Perea Burns, Catherine Cooper Hay, Samir R. Belagaje Tags: Information/Education Page Source Type: research

Self-management interventions to improve mobility after stroke: an integrative review
CONCLUSION: There is some evidence that self-management interventions help to improve mobility outcomes post-stroke. Heterogeneity of data in the studies made meta-analysis impossible. Most of the identified studies examined the feasibility and fidelity of the interventions and further research is warranted to examine the efficacy of these interventions to improve functional mobility post-stroke.Implications for rehabilitationSelf-management interventions can improve mobility-related outcomes, which are considered a priority goal for many stroke survivors.Survivors valued their participation in self-management integrated c...
Source: Disability and Rehabilitation - January 24, 2022 Category: Rehabilitation Authors: Ahmad Sahely Daniel Giles Carron Sintler Andrew Soundy Sheeba Rosewilliam Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Empowering Stroke Survivors: Understanding The Role of Multidisciplinary Rehabilitation
Stroke is 1 of the leading causes of disability worldwide, with someone having a stroke every 40 seconds in the United-States.1 A stroke can occur by clot that interrupts blood flow in the brain. It can also be caused by a burst of a blood vessel that causes bleeding in the brain. There are also other unknown causes of stroke which occur less frequently. A stroke causes brain cells to die as they no longer receive oxygen and nutrients from the blood. Some of the most common risk factors of stroke are high blood pressure, high cholesterol, heart diseases, diabetes, smoking, physical inactivity, and obesity.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Tags: INFORMATION/EDUCATION PAGE Source Type: research

Health Care Disparities in Stroke Rehabilitation
This article conducted a literature review of original research articles published between 2008 and 2022. The article also expands on research that highlights stroke disparities in risk factors, rehabilitative stroke care, language barriers, outcomes for stroke survivors, and interventions focused on rehabilitative stroke disparities.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 2, 2023 Category: Rehabilitation Authors: Audrie A. Chavez, Kent P. Simmonds, Aardhra M. Venkatachalam, Nneka L. Ifejika Source Type: research