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Total 255 results found since Jan 2013.

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

Effectiveness of the conductive educational approach added to conventional physiotherapy in the improvement of gait parameters of poststroke patients: randomized-controlled pilot study
Our objective was to assess the benefits of the conductive education (CE) approach added to conventional physiotherapy in gait functions of poststroke, hemiparetic patients. A randomized-controlled trial was designed in a rehabilitation clinic. Late and chronic poststroke patients with gait disturbances (n=17, median age: 55 years, range: 41–72 years) were enrolled in the study. All patients received conventional physiotherapy. However, patients of only one group took part in therapy on the basis of the CE approach. The gait parameters, semiobjective outcome measures, functional independence measure, and International Cl...
Source: International Journal of Rehabilitation Research - December 1, 2017 Category: Rehabilitation Tags: Brief research reports 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

Call for human contact and support: an interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions.
CONCLUSION: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff's function in rehabilitation which, in the patients' perspective, equals physical training. Implications for Rehabilitation Nursing staff need to pay attention to the patients' needs, existential thoughts and concerns during inpatient rehabilitation. Meaningful goals f...
Source: Disability and Rehabilitation - October 24, 2017 Category: Rehabilitation Authors: Loft MI, Martinsen Woythal B, Esbensen BA, Mathiesen LL, Iversen HK, Poulsen I Tags: Disabil Rehabil Source Type: research

Therapeutic patient education and post-stroke cognitive-behavioral disorders: Inputs for patients, caregivers and professionals in rehabilitation units
Discussion – conclusion Participation and satisfaction rates for patients and caregivers show that TEP has met their expectations. A clear positioning is defined for the caregiver, target of TEP on CBD. Measured burden is low, but Zarit scale may reduce the objective component of burden. Awareness of CBD and decrease in anosognosia may explain the lack of improvement in the quality of life measured by EuroQol. TEP approach has changed professionals practice through their positioning in the patient-professional and caregiver-professional relationship and their collaboration between professionals. Our ultimate goal is to w...
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation 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

Conductive Education as a Method of Stroke Rehabilitation: A Single Blind Randomised Controlled Feasibility Study
To investigate the feasibility and acceptability of a larger scale randomised controlled trial to assess the clinical and cost-effectiveness of a Conductive Education programme for stroke survivors versus usual care.
Source: Archives of Physical Medicine and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Judith Bek, Melanie Brown, Catherine Sackley 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

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

Treadmill training to improve mobility for people with sub-acute stroke: a phase II feasibility randomized controlled trial.
CONCLUSION: Treadmill training in sub-acute stroke patients was feasible but showed no significant difference in outcomes when compared to normal gait re-education. A large definitive randomized trial is now required to explore treadmill training in normal clinical practice. PMID: 28730849 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 1, 2017 Category: Rehabilitation Authors: Baer GD, Salisbury LG, Smith MT, Pitman J, Dennis M Tags: Clin Rehabil Source Type: research

Community-Based Rehabilitation to Improve Stroke Survivors’ Rehabilitation Participation and Functional Recovery
This study followed a quasi-experimental design. In each of 5 centers servicing approximately 50,000 individuals, 2 communities were designated as either the intervention or control community. A CRAT intervention program, including 2-year rehabilitation education and 3-month CRAT treatment, was regularly implemented in the intervention communities, whereas there was no special intervention in the control community. Two sampling surveys, at baseline and after intervention, were administered to evaluate the rehabilitation activity undertaken. In intervention communities, stroke survivor’s motor function, daily activity, an...
Source: American Journal of Physical Medicine and Rehabilitation - June 21, 2017 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Predictive indices for functional improvement and deterioration, institutionalization, and death among elderly Medicare beneficiaries
Conclusion Predictive indices, or point and scoring systems used to predict outcomes, can identify elderly Medicare beneficiaries at risk of functional deterioration, institutionalization, and death and can aid policy makers, clinicians, and family members in improving care for older adults and supporting successful aging in the community.
Source: PMandR - April 27, 2017 Category: Rehabilitation Source Type: research

Conception and Preliminary Evaluation of a Rehabilitation-Attending Counseling Service for Caregivers of Stroke Patients.
Abstract This paper presents the pilot project "The Caregivers' Guide", which is financed by the German Federal Ministry of Education and Research (BMBF). The project's concept is outreach-oriented and personal, giving constant support to relatives of stroke patients throughout rehabilitation. Its effects were reviewed in an accompanying study. A combination of qualitative and quantitative methods was chosen to gather data on the experiences and assessments of the caregivers, as well as changes during the counselling process. 62 caregivers completed questionnaires before and after the intervention. Additionally, 3...
Source: Die Rehabilitation - February 22, 2017 Category: Rehabilitation Authors: Jungbauer J, Krieger T, Floren M Tags: Rehabilitation (Stuttg) Source Type: research

Time for food - training physiatrists in nutritional prescription.
CONCLUSION: Training physiatrists to address nutrition is a step-wise process, described here. PMID: 28101556 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - January 21, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research