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Total 255 results found since Jan 2013.

Factors Influencing Access to Follow-Up Rehabilitation.
CONCLUSIONS: The diagnosis was identified as the most important criterion for follow-up rehabilitation access. No measurable factors of functioning seem to have a big influence. Therefore, the individual doctor's decision to submit an application is of particular importance. Especially because of the low level of medical knowledge on the indication catalog of the German pension insurance, the medical treatment based on professional experience as well as the lack of further education possibilities (Gottschling-Lang, 2016), it can be assumed that the follow-up rehabilitation is less standardized and systematic. In order to e...
Source: Die Rehabilitation - November 3, 2019 Category: Rehabilitation Authors: Sturm C, Egen C, Briest J, Bökel A, Blumenthal M, Schiller J, Korallus C, Gutenbrunner C Tags: Rehabilitation (Stuttg) Source Type: research

GETCare: Development of a Comprehensive Education and Training Program For Care-Partners Post-Stroke
Stroke is the leading cause of long-term disability in the United States, with spousal partners often filling a significant role as caregivers after loved ones return home. Without adequate resources, this new role can lead to increased burden and depression for care-partners, and decreased rehabilitation effectiveness for stroke survivors. Research suggests the quality and amount of education provided to care-partners is severely lacking and there is need for improved services and resources. The purpose of this project was to conduct a needs assessment, create the GETCare program, and gather stakeholder feedback in prepar...
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jackie Einerson, Alexandra Terrill Source Type: research

Gait Velocity and Joint Power Generation After Stroke: Contribution of Strength and Balance
Conclusions Ankle plantar flexor and hip flexor strength had the largest contribution to gait velocity. Future research may wish to refocus strength assessment and treatment to target the ankle plantar flexors and hip flexors. 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) Differentiate the contribution that lower limb strength of each muscle group has on gait velocity after stroke; (2) Appraise the relationship between isometric strength and joint power generati...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2019 Category: Rehabilitation Tags: CME Article . 2019 Series . Number 10 Source Type: research

Every person is an individual: physical therapist clinical reasoning used in inpatient rehabilitation for walking assistive device prescription in patients with stroke and brain injury.
Conclusions: Results from this study revealed complexity in the clinical reasoning process used in physical therapy practice to determine the best walking assistive device for patients with stroke and brain injury during inpatient rehabilitation. Information from this study can inform post-acute physical therapy practice and education, and may reduce device abandonment. Implications for rehabilitation Clinical reasoning (CR) is a complex process in which a clinician must consider multiple factors, which requires non-linear and iterative thinking, and involves many people, making it shared among the patient, caregivers, and...
Source: Disability and Rehabilitation. Assistive Technology. - August 19, 2019 Category: Rehabilitation Authors: O'Brien SR, Durr K, Laubisch E, Losi L, Parrillo V, Pericozzi S, Poirier B, Poirier L, Ray K, Sackett A, Simoneau D Tags: Disabil Rehabil Assist Technol 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

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

New factors that affect quality of life in patients with aphasia
Conclusion: Aphasia severity, mood disorders and functional limitations may have a negative effect on QoL in patients with aphasia. Also, for the first time, we show that fatigue has an important impact on QoL in this population. Specific management of this symptom might be beneficial and should be explored in future studies.
Source: Annals of Physical and Rehabilitation Medicine - July 26, 2019 Category: Rehabilitation 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

Unilateral Strength Training and Mirror Therapy in Patients With Chronic Stroke: A Pilot Randomized Trial
Conclusions This pilot trial established the feasibility of a randomized controlled trial comparing mirror-aided cross-education with cross-education alone for poststroke upper limb recovery. Mirror therapy did not augment cross-education when training isometrically. However, results indicate that the combination of interventions should be investigated further applying an altered training protocol.
Source: American Journal of Physical Medicine and Rehabilitation - July 19, 2019 Category: Rehabilitation Tags: Original Research Articles 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

Predictors of return to work after stroke: a prospective, observational cohort study with 6  months follow-up.
Conclusions: Less than 50% of stroke survivors returned to work six months after stroke. Among predictors, only the level of dependence in daily activities is a modifiable factor. Interventions aimed at reducing disability after stroke might increase rates of return to work. Implications for rehabilitation In Brazil, less than 50% of stroke survivors returned to work six months after stroke. Clinicians may collect information regarding household income, type of work and dependence in daily activities to estimate chances of returning to work, in developing countries. Being independent at 3 months was the strongest predictor...
Source: Disability and Rehabilitation - June 25, 2019 Category: Rehabilitation Authors: Nascimento LR, Scianni AA, Ada L, Fantauzzi MO, Hirochi TL, Teixeira-Salmela LF Tags: Disabil Rehabil Source Type: research

Understandings stroke in rural Malaysia: ethnographic insights.
Conclusion: Lack of knowledge about stroke and its symptoms was evident in participants' account. Findings emphasize the importance of knowledge based health interventions, especially in health education strategies for stroke survivors to reduce delays to diagnosis and potentially improve health outcomes post-stroke. Implications for rehabilitation Stroke survivors often form explanatory models of stroke that draw from both biomedical and traditional explanations of stroke. Understanding how people derive lay understandings of stroke can contribute towards developing the goals and activities that facilitate recovery and re...
Source: Disability and Rehabilitation - June 5, 2019 Category: Rehabilitation Authors: Yap KH, Warren N, Allotey P, Reidpath DD Tags: Disabil Rehabil Source Type: research

Trajectories of memory, language, and visuoperceptual problems in people with stroke during the first year and controls in Colombia.
Conclusion: These findings suggest profound disparities in post-stroke cognitive functioning in Colombia compared to other more developed global region and underscore the importance of comprehensive cognitive rehabilitation services for individuals with stroke in Colombia and other similar global regions. Implications for rehabilitation Because this study found only negligible cognitive improvements beyond practice effects over the first year after stroke in Colombia among individuals without access to acute rehabilitation, it is imperative that comprehensive cognitive rehabilitation services be implemented immediately dur...
Source: Disability and Rehabilitation - June 4, 2019 Category: Rehabilitation Authors: Olabarrieta-Landa L, Pugh M, Calderón Chagualá A, Perrin PB, Arango-Lasprilla JC Tags: Disabil Rehabil Source Type: research

Moving stroke rehabilitation evidence into practice: a systematic review of randomized controlled trials.
CONCLUSION: A large range of interventions are used to facilitate clinical practice change. Education is commonly used, but in isolation is not effective. Multicomponent interventions including facilitation and tailoring to local settings can change clinical practice and are more effective when targeting fewer changes. PMID: 31066289 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 7, 2019 Category: Rehabilitation Authors: Bird ML, Miller T, Connell LA, Eng JJ Tags: Clin Rehabil 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