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Specialty: Rehabilitation
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Total 54 results found since Jan 2013.

Hospital-Acquired Symptomatic Urinary Tract Infection in Patients Admitted to an Academic Stroke Center Affects Discharge Disposition
Objective: To test the role of hospital-acquired symptomatic urinary tract infection (SUTI) as an independent predictor of discharge disposition in the acute stroke patient. Study Design: A retrospective study of data collected from a stroke registry service. The registry is maintained by the Specialized Programs of Translational Research in Acute Stroke Data Core. The Specialized Programs of Translational Research in Acute Stroke is a national network of 8 centers that perform early phase clinical projects, share data, and promote new approaches to therapy for acute stroke. Setting: A single university-based hospital...
Source: PM and R - October 29, 2012 Category: Rehabilitation Authors: Nneka L. Ifejika-Jones, Hui Peng, Elizabeth A. Noser, Gerard E. Francisco, James C. Grotta Tags: Original Research Source Type: research

The implementation of evidence-based rehabilitation services for stroke survivors living in the community: the results of a Delphi consensus process.
Conclusions:Consensus on the provision of evidence-based community stroke rehabilitation has been reached. Commissioning services with a clearly defined remit, which can deliver tailored care to individual stroke patients, is a challenge that needs further exploration. PMID: 23405023 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 12, 2013 Category: Rehabilitation Authors: Fisher RJ, Walker MF, Golton I, Jenkinson D Tags: Clin Rehabil Source Type: research

Language, cognitive and school outcomes following childhood stroke
Discussion/conclusion Childhood stroke leads to severe language and cognitive impairments, with negative and long lasting consequences on academic achievement.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Conclusions The NIHSS >9 and FIM < 55 are moderately predictive of clinically relevant dysphagia. While the NIHSS clinical test characteristics are not as favorable as the FIM, NIHSS appears to be more sensitive than some other reported methods such as a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of dysphagia risk may be appropriate.
Source: PMandR - January 15, 2015 Category: Rehabilitation Source Type: research

Randomized Trial of Peripheral Nerve Stimulation to Enhance Modified Constraint-Induced Therapy After Stroke
This study aims to determine the effects of peripheral nerve stimulation paired with a modified form of constraint-induced therapy on upper extremity movement function after stroke. Nineteen adult stroke survivors with mild-to-moderate hemiparesis more than 12 mo after stroke received 2 hours of either active (n = 10) or sham (n = 9) peripheral nerve stimulation preceding 4 hours of modified constraint-induced therapy (10 sessions). Results: Active peripheral nerve stimulation enhanced modified constraint-induced therapy more than sham peripheral nerve stimulation (significance at P
Source: American Journal of Physical Medicine and Rehabilitation - May 21, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 6 Source Type: research

Cognitive impairment predicts engagement in inpatient stroke rehabilitation
Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke – Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were util...
Source: International Journal of Rehabilitation Research - November 3, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

A systematic review of the impact of stroke on social support and social networks: Associated factors and patterns of change.
CONCLUSION: Following a stroke non-kin contact is vulnerable, strain is observed within the family unit, and poor social support is associated with depressive symptoms. PMID: 26330297 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 1, 2015 Category: Rehabilitation Authors: Northcott S, Moss B, Harrison K, Hilari K Tags: Clin Rehabil 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

Acute Phase Predictors of 6-Month Functional Outcome in Italian Stroke Patients Eligible for In-Hospital Rehabilitation
Conclusions According to the Barthel Index and modified Rankin Scale, early mobilization is an early predictor of favorable outcome. 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) Incorporate prognostic factors of good clinical outcomes after stroke in developing treatment plans for patients admitted to rehabilitation; (2) Identify acute phase indicators associated with favorable 6-mo outcome after stroke; and (3) Recognize the cut-off for early mobilization link...
Source: American Journal of Physical Medicine and Rehabilitation - June 20, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 7 Source Type: research

National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia
Conclusions The NIHSS >9 and FIM <55 are moderately predictive of clinically relevant dysphagia. Although the NIHSS clinical test characteristics are not as favorable as the FIM, NIHSS appears to be more sensitive than some other reported methods such as a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of dysphagia risk may be appropriate.
Source: PMandR - January 24, 2015 Category: Rehabilitation Source Type: research

Functional Reach, Depression Scores and Number of Medications are Associated with Number of Falls in People with Chronic Stroke
Conclusions Number of medications, depression scores and decreased FRT distance at baseline were associated with increased number of falls. Increased medications might indicate multiple comorbidities or polypharmacy effect, increased depression scores may indicate psychological status, and decreased functional reach distance could indicate dynamic balance impairments. Level of Evidence Level II
Source: PMandR - December 27, 2017 Category: Rehabilitation Source Type: research

Functional Reach, Depression Scores, and Number of Medications Are Associated With Number of Falls in People With Chronic Stroke
ConclusionsNumber of medications, depression scores, and decreased FRT distance at baseline were associated with increased number of falls. Increased medications might indicate multiple comorbidities or polypharmacy effect; increased depression scores may indicate psychological status; and decreased functional reach distance could indicate dynamic balance impairments.Level of EvidenceII
Source: PMandR - August 21, 2018 Category: Rehabilitation Source Type: research

Stroke rehabilitation research translation in Australia: a survey of clinical trialists.
This study aims to investigate perceptions of Australian stroke clinical trialists' about implementation of their findings into practice, and what translation activities they embedded into trial protocols. MATERIALS AND METHOD: A descriptive cohort design and electronic survey was conducted. Three databases were searched to identify Australian stroke rehabilitation trials published between 2007 and 2017. Corresponding authors of the included trials were invited to complete an anonymous online survey about implementation of their trial intervention. RESULTS: Fifty-one trialists were invited to participate and 38 c...
Source: Disability and Rehabilitation - August 26, 2020 Category: Rehabilitation Authors: Jolliffe L, Hoffmann T, Laver K, McCluskey A, Lannin NA Tags: Disabil Rehabil Source Type: research

Young individuals with stroke in rehabilitation: a cohort study
Stroke in younger populations is a public health crisis and the prevalence is rising. Little is known about the progress of younger individuals with stroke in rehabilitation. Characterization of the course and speed of recovery is needed so that rehabilitation professionals can set goals and make decisions. This was a cohort study with data extracted from electronic medical records. Participants were 408 individuals diagnosed with stroke who participated in inpatient rehabilitation in an urban, academic medical center in the USA. The main predictor was age which was categorized as (18–44, 45–64, 65–74 and 75+). Outco...
Source: International Journal of Rehabilitation Research - November 8, 2021 Category: Rehabilitation Tags: Original articles Source Type: research

Discharge Rehabilitation Measures Predict Activity Limitations in Patients With Stroke 6 Months After Inpatient Rehabilitation
Conclusions Standardized rehabilitation measures at inpatient stroke rehabilitation discharge can predict future activity limitations, which may improve prediction of outcome post-stroke and aid in postdischarge treatment planning.
Source: American Journal of Physical Medicine and Rehabilitation - July 31, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research