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Developing complex interventions: lessons learned from a pilot study examining strategy training in acute stroke rehabilitation.
Conclusions:It is feasible and acceptable to administer both intervention protocols as an adjunct to acute inpatient rehabilitation, and strategy training shows promise for reducing disability. PMID: 24113727 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 10, 2013 Category: Rehabilitation Authors: Skidmore ER, Dawson DR, Whyte EM, Butters MA, Dew MA, Grattan ES, Becker JT, Holm MB Tags: Clin Rehabil Source Type: research

Risk Factors for Discharge to an Acute Care Hospital From Inpatient Rehabilitation Among Stroke Patients
Conclusion: Based on this research, we identified specific medical and functional health risk factors in the stroke population that affect the rate of discharge to an acute-care hospital. With active medical and functional management, early identification of these critical components may lead to the prevention of stroke patients from being discharged to an acute-care hospital from the inpatient rehabilitation setting.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Pamela S. Roberts, Margaret A. DiVita, Richard V. Riggs, Paulette Niewczyk, Brittany Bergquist, Carl V. Granger Tags: Original Research Source Type: research

Reliability, Validity, and Sensitivity to Change of the Lower Extremity Functional Scale in Individuals Affected by Stroke
Conclusion: LEFS exhibits good reliability, validity, and sensitivity to change in patients with lower extremity impairments secondary to stroke. Therefore, the LEFS can be a clinically efficient outcome measure in the rehabilitation of patients with subacute stroke. The LAS is shown to be a time-saving and reasonable option to track changes in a patient's functional status.
Source: PM and R - July 22, 2013 Category: Rehabilitation Authors: Joseph L. Verheijde, Fred White, James Tompkins, Peder Dahl, Joseph G. Hentz, Michael T. Lebec, Mark Cornwall Tags: Original Research Source Type: research

The GestureTek virtual reality system in rehabilitation: a scoping review.
Conclusions: This literature provides preliminary evidence for the technology's efficacy for rehabilitation. Identified research gaps relate to study quality and design, treatment characteristics, populations and outcomes of interest, including transfer across ICF levels. Implications for Rehabilitation There is limited high-level evidence to support the use of the GestureTek virtual reality system for rehabilitation. Moderate to strong quality evidence exists primarily for the stroke and cerebral palsy populations, and primarily for balance, mobility and upper extremity outcomes. A lack of consistent outcome measures in t...
Source: Disability and Rehabilitation. Assistive Technology. - May 29, 2013 Category: Rehabilitation Authors: Glegg SM, Tatla SK, Holsti L Tags: Disabil Rehabil Assist Technol 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

A Comparison of Two Balance Measures to Predict Discharge Performance From Inpatient Stroke Rehabilitation
Objective: To compare the admission Berg Balance Scale (BBS) and Postural Assessment Scale for Stroke (PASS) in predicting outcomes at discharge from an inpatient rehabilitation unit (IRU). We hypothesized that discharge outcomes would be better predicted by (1) the PASS compared with the BBS, and (2) by the PASS changing position subscore compared with the PASS maintain posture subscore. Design: A retrospective study. Setting: An IRU in an academic medical center. Participants: Fifty-five subjects with stroke and mean (standard deviation [SD]) age of 71.5 ± 13.8 years, admission functional independence measures (F...
Source: PM and R - February 18, 2013 Category: Rehabilitation Authors: Michael W. O'Dell, Jessica Au, Eric Schwabe, Holly Batistick, Paul J. Christos Tags: Commentary 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

Randomized Controlled Trial of Surface Peroneal Nerve Stimulation for Motor Relearning in Lower Limb Hemiparesis
Abstract: Objective: To compare the motor relearning effect of a surface peroneal nerve stimulator (PNS) versus usual care on lower limb motor impairment, activity limitation, and quality of life among chronic stroke survivors.Design: Single-blinded randomized controlled trial.Setting: Teaching hospital of academic medical center.Participants: Chronic stroke survivors (N=110;>12wk poststroke) with unilateral hemiparesis and dorsiflexion strength of ≤4/5 on the Medical Research Council scale.Interventions: Subjects were stratified by motor impairment level and then randomly assigned to ambulation training with either a su...
Source: Archives of Physical Medicine and Rehabilitation - February 11, 2013 Category: Rehabilitation Authors: Lynne R. Sheffler, Paul N. Taylor, Douglas D. Gunzler, Jaap H. Buurke, Maarten J. IJzerman, John Chae Tags: Journal-Based CME Article Source Type: research

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

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