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"I'm just not a Sudoku person": analysis of stroke survivor, carer, and healthcare professional perspectives for the design of a cognitive rehabilitation intervention.
CONCLUSIONS: Qualitative work with stroke survivors, carers and healthcare professionals provided vital information for the intervention design. Issues identified by participants as being key to intervention development included: (i) implications of post-stroke cognitive impairment survivors' confidence; (ii) their individual capacity in terms of fatigue and metacognition; and (iii) practical issues such as intervention location. The inclusion of psychoeducation regarding consequences of stroke was recommended. Implications for rehabilitation Stroke survivors, carers, and rehabilitation professionals who provide stroke car...
Source: Disability and Rehabilitation - April 10, 2019 Category: Rehabilitation Authors: Merriman NA, Bruen C, Gorman A, Horgan F, Williams DJ, Pender N, Byrne E, Hickey A Tags: Disabil Rehabil Source Type: research

Treatment interventions for pusher syndrome: A case series.
CONCLUSIONS: These outcomes provide preliminary evidence of decreased pushing behavior, and improved balance and transfers following a program of interventions designed to improve the functional outcomes of patients with PS. Larger studies are needed to confirm these findings, and whether these interventions are effective for patients with less severe pushing behavior. PMID: 30814367 [PubMed - in process]
Source: NeuroRehabilitation - March 4, 2019 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Stroke survivor attitudes toward, and motivations for, considering experimental stem cell treatments.
CONCLUSIONS: Stroke survivors may consider undergoing experimental stem cell treatments despite uncertainty regarding the risks/benefits. Clinicians should be mindful of the factors that may increase the likelihood of patients considering these treatments and intervene, where appropriate, to clarify any misconceptions regarding the medical/financial risks. IMPLICATION FOR REHABILITATION Stem cell treatments offer a new focus for reducing stroke-related disability, although their safety and effectiveness have yet to be established. Despite uncertainty regarding the medical risks and benefits associated with stem cell inject...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Unsworth DJ, Mathias JL, Dorstyn DS, Koblar SA Tags: Disabil Rehabil Source Type: research

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study.
CONCLUSION: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities. Implications for rehabilitation Stroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a futu...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Parappilly BP, Mortenson WB, Field TS, Eng JJ Tags: Disabil Rehabil Source Type: research

Experiences of people with stroke and multiple sclerosis and caregivers of a community exercise programme involving a healthcare-recreation partnership.
CONCLUSIONS: Group, task-oriented community-based exercise programmes incorporating a healthcare-recreation partnership may yield health benefits for exercise participants and caregivers. Results can guide programme evaluation, the nature and timing of education about such programmes, and efforts to address cost and transportation issues. Implications of rehabilitation Stroke and multiple sclerosis commonly cause balance and mobility limitations that can result in physical inactivity and further deterioration in health. Group, task-oriented community-based exercise programmes in which rehabilitation professionals train and...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Merali S, Cameron JI, Barclay R, Salbach NM 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

Significant others' perspectives on person-centred information and communication technology in stroke rehabilitation - a grounded theory study.
CONCLUSION: Information and communication technology has the potential to facilitate participation in everyday life after stroke. It is important, therefore, to start using information and communication technology in the rehabilitation process after stroke, to bring meaning to everyday life and to support both the stroke survivors and their significant others. IMPLICATIONS FOR REHABILITATION Integration of information and communication technology in the rehabilitation process after stroke can accommodate several of the significant others´ needs. Educating stroke survivors to use information and communication technology as...
Source: Disability and Rehabilitation - January 16, 2019 Category: Rehabilitation Authors: Marwaa MN, Ytterberg C, Guidetti S Tags: Disabil Rehabil Source Type: research

How can stroke care be improved for younger service users? A qualitative study on the unmet needs of younger adults in inpatient and outpatient stroke care in Australia.
CONCLUSIONS: This study provides new insights into the experience of inpatient and outpatient stroke care by younger stroke survivors and outlines possible improvements for clinical practice. Future research should evaluate the effect of targeted strategies to support younger adults after stroke. Implications for rehabilitation Post-stroke rehabilitation might be improved by providing more support for the non-physical effects of stroke (e.g., psycho-emotional support, cognitive rehabilitation). Younger stroke survivors may also benefit from a long-term community care plan and longer-term rehabilitation. Patient-centered re...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Shipley J, Luker J, Thijs V, Bernhardt J Tags: Disabil Rehabil Source Type: research

What are the perceptions and experiences of falls amongst people with stroke who live in the community?
CONCLUSIONS: This study highlights the perceived negative consequences of falls amongst people with stroke, and the potential contribution of falls to the reduced levels of physical activity often seen following a stroke. Our findings emphasise the need to address falls and balance related self-efficacy alongside strategies to promote safe mobility. A paradigm shift may be needed to highlight potentially modifiable intrinsic risk factors and emphasise the relevance and value of proactive fall prevention to people with stroke. Implications for rehabilitation People with stroke may not report falls or may minimise their sign...
Source: Disability and Rehabilitation - December 4, 2018 Category: Rehabilitation Authors: Munford D, Gunn H Tags: Disabil Rehabil Source Type: research

Impact of quality improvement strategies on the quality of life of individuals post-stroke: a systematic review.
CONCLUSIONS: There is a lack of evidence to demonstrate efficacy/effectiveness of patient education, self-management, team changes, and case management approaches on improving the quality of life of stroke survivors. Identifying the essential features of effective and ineffective strategies, especially in the area of self-management strategies would be beneficial. Implications for rehabilitation There is a lack of evidence to demonstrate efficacy/effectiveness of patient education, self-management, team changes, and case management approaches on improving the quality of life of stroke survivors. To improve these outcomes, ...
Source: Disability and Rehabilitation - November 25, 2018 Category: Rehabilitation Authors: Munce SEP, Perrier L, Shin S, Adhihetty C, Pitzul K, Nelson MLA, Bayley MT 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

An Interprofessional Communication Training Program to Improve Nurses' Ability to Communicate With Stroke Patients With Communication Disorders.
CONCLUSION: Nurses' attitudes toward and knowledge about communication strategies improved, which enhances their ability to care for stroke patients with communication disorders. CLINICAL RELEVANCE: Interdisciplinary workshops and speech language pathologist support appear beneficial to nurses working with patients with communication disorders. PMID: 30395560 [PubMed - in process]
Source: Rehabilitation Nursing - November 1, 2018 Category: Rehabilitation Authors: Chu CH, Sorin-Peters R, Sidani S, De La Huerta B, McGilton KS Tags: Rehabil Nurs Source Type: research

Harmonizing Data Sharing: NIH/NINDS and DOD Sport-Related Concussion Common Data Elements (CDE) Recommendations
To increase the efficiency and effectiveness of clinical research studies and clinical treatment, the National Institute of Neurological Disorders and Stroke (NINDS)/National Institutes of Health (NIH) and Department of Defense (DOD) developed the Sport-Related Concussion (SRC) CDE recommendations to increase data quality, facilitate data sharing across studies, significantly reduce study start-up time, and help educate new clinical investigators.
Source: Archives of Physical Medicine and Rehabilitation - October 27, 2018 Category: Rehabilitation Authors: Anthony Kontos, Elisabeth Wilde, Harvey Levin, Joy Esterlitz, Katelyn Gay, Kathryn Schneider, Kristen Joseph, Patrick Bellgowan, Sherita Ala'i, Steven Broglio Source Type: research

Effects of Repetitive Transcranial Magnetic Stimulation on Walking and Balance Function after Stroke: A Systematic Review and Meta-Analysis
Conclusion These results suggest that rTMS, particularly ipsilesional stimulation, significantly improves walking speed. Future studies with larger sample sizes and an adequate follow-up period are required to further understand the effects of rTMS on lower limb function and its relationship with changes in cortical excitability with the help of functional neuroimaging techniques. 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) Understand the potential neurophysiol...
Source: American Journal of Physical Medicine and Rehabilitation - October 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 11 Source Type: research

Development of an Interdisciplinary Stroke Wellness Program in Inpatient Rehabilitation
To review program utilization and outcomes of a multidisciplinary stroke wellness education series that was developed and led by the treatment team of an inpatient rehabilitation hospital.
Source: Archives of Physical Medicine and Rehabilitation - October 1, 2018 Category: Rehabilitation Authors: Lauren Thomas, Laura Tabio, Denise Maillet, Meilani Mapa Source Type: research

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