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Specialty: Rehabilitation
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Total 255 results found since Jan 2013.

Impact of first-ever mild stroke on participation at 3 and 6 month post-event: the TABASCO study.
Conclusions: Participants after mild ischemic stroke experienced cognitive and EF difficulties that affect their participation and QoL. Further studies are needed of mild stroke survivors to enhance our understanding of the variables that affect participation. Implications for Rehabilitation The findings of the current study have significant implications for the participation of people after mild stroke in the community. Health care systems in general and rehabilitation programs, in particular, do not consider that these clients need rehabilitation as most of them perform basic daily functions independently. Thus, although...
Source: Disability and Rehabilitation - June 3, 2014 Category: Rehabilitation Authors: Adamit T, Maeir A, Ben Assayag E, Bornstein NM, Korczyn AD, Katz N Tags: Disabil Rehabil Source Type: research

Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke - a preliminary study.
Conclusion: Fast speed and self-perceived balance appear to be important characteristics of ICW at 6 months and may be useful early predictors of the potential for patients to achieve this. Further research is needed to ensure the precision of these functional cut-offs. Implications for Rehabilitation Prognostic information is important for people with stroke and health services. The ability to walk faster than 0.42 m/s and a fear of falling on the Falls Efficacy Scale of less than 57 in the first 3 months after stroke predict who will be an independent community walker at 6 months. At 6 months after stroke, people who c...
Source: Disability and Rehabilitation - April 23, 2014 Category: Rehabilitation Authors: Rosa MC, Marques A, Demain S, Metcalf CD 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

Lost in translation: exploring therapists' experiences of providing stroke rehabilitation across a language barrier.
Conclusions: Therapists perceive that rehabilitation is affected by a language barrier. The conceptual model illustrates the interrelationship between factors affecting rehabilitation provision when there is a language barrier. Subtle communication was found to be an important therapeutic tool which was lost across a language barrier, and may have broader relevance to therapeutic relationships in the field of rehabilitation. Further research is needed to gain insights into experiences of individuals receiving rehabilitation across a language barrier and to identify how to enhance the efficacy of rehabilitation for them. Im...
Source: Disability and Rehabilitation - February 25, 2014 Category: Rehabilitation Authors: Taylor E, Jones F Tags: Disabil Rehabil Source Type: research

Interdisciplinary Cardiovascular and Neurologic Outpatient Rehabilitation in Patients Surviving Transient Ischemic Attack or Stroke With Minor or No Residual Deficits
Abstract: Objective: To evaluate the feasibility and effectiveness of a comprehensive outpatient rehabilitation program combining secondary prevention and neurorehabilitation to improve vascular risk factors, neurologic functions, and health-related quality of life (HRQOL) in patients surviving a transient ischemic attack (TIA) or stroke with minor or no residual deficits.Design: Prospective interventional single-center cohort study.Setting: University hospital.Participants: Consecutive consenting patients having sustained a TIA or stroke with 1 or more vascular risk factors (N=105) were included.Interventions: Three-month...
Source: Archives of Physical Medicine and Rehabilitation - November 4, 2013 Category: Rehabilitation Authors: Christian P. Kamm, Jean-Paul Schmid, René M. Müri, Heinrich P. Mattle, Prisca Eser, Hugo Saner Tags: Original Articles Source Type: research

The cardiac model of rehabilitation for reducing cardiovascular risk factors post transient ischaemic attack and stroke: a randomized controlled trial.
Conclusion:The results suggest that standard cardiac rehabilitation programmes are a feasible and effective means of reducing the risk of future cardiovascular events for patients after minor stroke and transient ischaemic attack. PMID: 24121497 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 11, 2013 Category: Rehabilitation Authors: Kirk H, Kersten P, Crawford P, Keens A, Ashburn A, Conway J Tags: Clin Rehabil Source Type: research

The impact of abnormal muscle tone from hemiplegia on reclining wheelchair positioning: a sliding and pressure evaluation.
Conclusion: Stroke patients with flaccid hemiplegia are the most vulnerable to sacral sitting and higher sacral pressure in reclining wheelchairs, followed by patients with spastic hemiplegia. There is a difference in the displacement pattern between participants with normal muscle tone and those with abnormal muscle tone during wheelchair positioning. People who have hemiplegia with spasticity do not have incremental forward sliding with repetitive reclining in the same way as those who have a flaccid hemiplegia. Clinical Rehabilitation Impact: The findings are valuable for wheelchair prescription and caregiver education....
Source: European Journal of Physical and Rehabilitation Medicine - October 9, 2013 Category: Rehabilitation Authors: Huang HC, Lin YS, Chen JM, Yeh CH, Chung KC Tags: Eur J Phys Rehabil Med Source Type: research

'Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors'.
Conclusions: Participation in the Masterstroke program for community dwelling stroke survivors resulted in significant improvements in knowledge, functional balance, dietary behaviours and quality of life. Qualitative interviews support the participants' implementation of lifestyle changes essential for reducing risks of secondary stroke. Results support the utilisation of this model and warrants rigorous investigation regarding long-term impacts of an education and exercise program on community dwelling stroke survivors. [Box: see text]. PMID: 23641954 [PubMed - in process]
Source: Disability and Rehabilitation - May 26, 2013 Category: Rehabilitation Authors: White JH, Bynon BL, Marquez J, Sweetapple A, Pollack M Tags: Disabil Rehabil Source Type: research

Serious Adverse Events Experienced by Survivors of Stroke in the First Year Following Discharge from Inpatient Rehabilitation.
CONCLUSIONS: Education on prevention and treatment of common AE is important prior to discharge. Anticipatory guidance may help survivors and caregivers modify their lifestyle and prevent common AE. PMID: 23686536 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - May 17, 2013 Category: Rehabilitation Authors: Ostwald SK, Godwin KM, Ye F, Cron SG Tags: Rehabil Nurs Source Type: research

Linking Theory with Qualitative Research through Study of Stroke Caregiving Families.
CONCLUSIONS: A theoretical framework guided the process of developing and refining this coding rubric for the purpose of organizing data; but, more importantly, guided the investigators' thought processes, allowing them to extract rich information from the data set, as well as synthesize this information to generate a broad understanding of the caring situation. PMID: 23686448 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - May 17, 2013 Category: Rehabilitation Authors: Pierce LL, Steiner V, Cervantez Thompson TL, Friedemann ML Tags: Rehabil Nurs Source Type: research

Fostering Interprofessional Learning in a Rehabilitation Setting: Development of an Interprofessional Clinical Learning Unit.
CONCLUSIONS: The development of the IP clinical learning unit was successful and rewarding, but not without its challenges. Formal IP education was necessary to enhance collaborative practice, even in a multidisciplinary environment. Commitment and support from all participants, particularly managers and administrators from the healthcare agency, were critical to success. CLINICAL RELEVANCE: The focus of this unit was on a stroke rehabilitation unit; however, the development and implementation principles identified may be applicable to any team-based clinical setting. PMID: 23686422 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - May 17, 2013 Category: Rehabilitation Authors: Vanderzalm J, Hall MD, McFarlane LA, Rutherford L, Patterson SK Tags: Rehabil Nurs Source Type: research

Match and mismatch between objective and subjective improvements in upper limb function after stroke.
Conclusions: Mismatches between objective and subjective outcomes are relevant for practitioners evaluating rehabilitation goals, and for defining outcome variables in future upper limb rehabilitation trials. Implications for Rehabilitation In upper limb rehabilitation after stroke, a match between capacity and self-perception outcome measures is not self-evident. Regarding these potential mismatches, practitioners and patients should consider carefully which goals to set, and how to evaluate upper limb rehabilitation after stroke; preferably with capacity measures and self-perception measures combined. PMID: 23611500...
Source: Disability and Rehabilitation - April 23, 2013 Category: Rehabilitation Authors: van Delden AL, Peper CL, Beek PJ, Kwakkel G Tags: Disabil Rehabil Source Type: research

Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: a randomized trial.
Conclusions: The home-based intervention was effective in improving self-reported health, coping skills in CG and cognitive functioning in SS. However, the finding that dyads in both groups demonstrated decreased depression and stress suggests that providing repeated doses of relevant, personalized information by mail may result in positive changes. Implications for Rehabilitation A stroke affects both the stroke survivor and the spousal caregiver, so nurses and therapists should use multicomponent strategies to provide education, support, counseling and linkages to community resources to ease the transition from hospital ...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Ostwald SK, Godwin KM, Cron SG, Kelley CP, Hersch G, Davis S Tags: Disabil Rehabil Source Type: research

A qualitative study exploring patients' and carers' experiences of Early Supported Discharge services after stroke.
Conclusions:Accelerated hospital discharge and home-based rehabilitation was perceived positively by service users. The study findings highlight the need for Early Supported Discharge teams to address information and support needs of patients and carers and to monitor their impact on carers in addition to patients, using robust outcome measures. PMID: 23455948 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 1, 2013 Category: Rehabilitation Authors: Cobley CS, Fisher RJ, Chouliara N, Kerr M, Walker MF Tags: Clin Rehabil Source Type: research

Sexuality after stroke: patient counseling preferences.
Conclusions: Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Preferences regarding the timing of such counseling vary, creating challenges for optimizing the delivery of this care. Implications for Stroke Rehabilitation Sexual dysfunction is common after stroke, but is frequently not addressed by healthcare providers. Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Most stroke survivors identify sexuality as an important issue ...
Source: Disability and Rehabilitation - January 22, 2013 Category: Rehabilitation Authors: Stein J, Hillinger M, Clancy C, Bishop L Tags: Disabil Rehabil Source Type: research