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Total 255 results found since Jan 2013.

Do clinical guidelines guide clinical practice in stroke rehabilitation? An international survey of health professionals
CONCLUSION: While many health professionals were aware of clinical guidelines, they identified multiple barriers to their implementation. Efforts should be made to raise awareness of local guidelines in low- and middle-income countries. More attention should be paid to addressing local contextual factors to improve guideline use internationally, going beyond traditional strategies focused on individual health professionals.IMPLICATIONS FOR REHABILITATIONSystems are required so people and organisations are held accountable to deliver evidence-based care in stroke rehabilitation.Locally developed stroke rehabilitation guidel...
Source: Disability and Rehabilitation - March 2, 2021 Category: Rehabilitation Authors: Elizabeth A Lynch Louise A Connell Lilian B Carvalho Marie-Louise Bird Source Type: research

Factors Associated With Non-enrollment of Center-Based Cardiovascular Rehabilitation Program Among Transient Ischemic Attack or Mild Stroke Patients: A MIXED-METHOD RETROSPECTIVE STUDY
Conclusions: This study found that patients with TIA or mild stroke who were older, lived farther from the CRP center, or were current smokers were less likely to enroll in a CRP. The present findings may help clinicians identify patients unlikely to enroll in a CRP and allow the implementation of interventions focused on health education and physical activity to improve enrollment. Future research should validate these factors in multiple settings using prospective mixed methods so that interventions can be developed to address non-enrollment in the CRP.
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2021 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

How do healthcare professionals experience communication with people with aphasia and what content should communication partner training entail?
CONCLUSIONS: According to HCP, communication difficulties challenge the provision of healthcare activities and lead to negative feelings in HCP. HCP suggest that communication can be improved by providing more time in the healthcare pathway of people with aphasia, adapting healthcare information to the needs of people with aphasia, commitment of physicians and managers, changing the roles of SLTs and improving knowledge and skills of HCP. Implications for rehabilitation Communication between healthcare professionals (HCP) and people with aphasia can be improved by training HCP to use supportive conversation techniques and ...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: van Rijssen MN, Veldkamp M, Bryon E, Remijn L, Visser-Meily JMA, Gerrits E, van Ewijk L Tags: Disabil Rehabil Source Type: research

Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

The role of theory to develop and evaluate a toolkit to increase clinical measurement and interpretation of walking speed and distance in adults post-stroke.
CONCLUSIONS: The approach may help to inform toolkit development to advance other rehabilitation practices of similar complexity. Implications for Rehabilitation Toolkits are an emerging knowledge translation intervention used to support widespread implementation of clinical practice guideline recommendations. Although experts recommend using theory to inform the development of knowledge translation interventions, there is little guidance on a suitable approach. This study describes an approach to using theories, models and frameworks to design a toolkit and implementation strategy, and a process evaluation of toolkit impl...
Source: Disability and Rehabilitation - January 16, 2021 Category: Rehabilitation Authors: Salbach NM, MacKay-Lyons M, Solomon P, Howe JA, McDonald A, Bayley MT, Veitch S, Sivarajah L, Cacoilo J, Mihailidis A Tags: Disabil Rehabil Source Type: research

"Factors influencing sedentary time and physical activity early after stroke: a qualitative study".
CONCLUSION: Stroke survivors and their carers need a clearer understanding of the role of physical activity and risks of sedentary time during stroke recovery. Physical activity enablers included consistent communication, building confidence and skills to self-manage activity before discharge. Implications for Rehabilitation Inpatient rehabilitation and early after discharge may be an important time-point to support stroke survivors to establish long term physical activity behaviours before contact with healthcare professionals reduces. To reduce sedentary behaviour, people need to understand the health benefits of breakin...
Source: Disability and Rehabilitation - January 5, 2021 Category: Rehabilitation Authors: Simpson DB, Jose K, English C, Gall SL, Breslin M, Callisaya ML Tags: Disabil Rehabil Source Type: research

Effect of a comprehensive eRehabilitation intervention alongside conventional stroke rehabilitation on disability and health-related quality of life: A pre-post comparison.
CONCLUSION: eRehabilitation alongside conventional stroke rehabilitation had a small effect on communication and physical strength on the longer term. PMID: 33369683 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - December 30, 2020 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

Understanding activity participation 3-months after stroke: a mixed methodology study.
CONCLUSION: Qualitative interviews extend our understanding of the process of returning to participation in life activities and occupations following stroke to reveal that it involves the stroke survivor in a dynamic adaptation process of synchronizing personal, environmental and temporal dimensions in their daily lives. IMPLICATIONS FOR REHABILITATION Rehabilitation professionals need to recognize the unique knowledge and ability stroke survivors have to manage their capacities, activities, occupations and environments. Client-centered practice involving true collaborative partnerships are needed to ensure stroke survivor...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: Tse T, Lentin P, Douglas J, Carey LM Tags: Disabil Rehabil Source Type: research

Perspectives, satisfaction, self-efficacy, and barriers to aerobic exercise reported by individuals with chronic stroke in a developing country.
CONCLUSIONS: Individuals with stroke in a developing country considered aerobic exercise important. However, they perceived barriers related to safety, individual ability, social support, and aerobic exercise. It is necessary to improve education of these individuals, family members, and health care professionals regarding aerobic exercises. IMPLICATIONS FOR REHABILITATION Individuals after stroke in developing countries consider aerobic exercise important and recognized that it improves stroke recovery and health, although they perceived barriers related to safety, individual ability, social support, and aerobic exercise ...
Source: Disability and Rehabilitation - December 16, 2020 Category: Rehabilitation Authors: Aguiar LT, Nadeau S, Teixeira-Salmela LF, Reis MTF, Peniche PDC, Faria CDCM Tags: Disabil Rehabil 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

Factors Associated With Non-enrollment of Center-Based Cardiovascular Rehabilitation Program Among Transient Ischemic Attack or Mild Stroke Patients: A MIXED-METHOD RETROSPECTIVE STUDY.
CONCLUSIONS: This study found that patients with TIA or mild stroke who were older, lived farther from the CRP center, or were current smokers were less likely to enroll in a CRP. The present findings may help clinicians identify patients unlikely to enroll in a CRP and allow the implementation of interventions focused on health education and physical activity to improve enrollment. Future research should validate these factors in multiple settings using prospective mixed methods so that interventions can be developed to address non-enrollment in the CRP. PMID: 33186198 [PubMed - as supplied by publisher]
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Meng G, Qazi H, Chen H Tags: J Cardiopulm Rehabil Prev Source Type: research

Patient experience using digital therapy "Vigo" for stroke patient recovery: a qualitative descriptive study.
CONCLUSIONS: Participants had a positive attitude towards using tablet tehchnologies in their home environment. Users of digital assistant "Vigo" acknowledged its ability to support, give educational information and increase participation in therapeutic activities. Implications for rehabilitation Tablet application can support, give educational information, and increase participation in therapeutic activities for persons after stroke. As home-based rehabilitation tool, the content of the application must be simple, flexible, and diverse, to face the challenges of meeting each individual's goals, functional needs and abilit...
Source: Disability and Rehabilitation. Assistive Technology. - November 6, 2020 Category: Rehabilitation Authors: Epalte K, Tomsone S, Vētra A, Bērziņa G Tags: Disabil Rehabil Assist Technol 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

Incorporating Neighborhood Socioeconomic Disadvantage Measures in Rehabilitation Clinical Trials
Socioeconomic disadvantage measures characterize the relative disadvantage of an individual or social network using indicators of employment, housing, poverty, and education. While related to a number of health outcomes, socioeconomic disadvantage measures have not been routinely incorporated in rehabilitation research. The purpose of this analysis was to examine the relationships of the Area Deprivation Index (ADI) with stroke survivor (SS) and carepartner (CP) factors, and family functioning.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Josue Rodriquez, George Cotsonis, Sarah Blanton Tags: Research Poster Source Type: research