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Source: Disability and Rehabilitation
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Total 662 results found since Jan 2013.

The volume and timing of upper limb movement in acute stroke rehabilitation: still room for improvement.
CONCLUSIONS: Recognition of the need to improve upper limb outcomes after stroke has not yet translated into changes in the amount of upper limb activity undertaken during sub-acute rehabilitation. Opportunities to rehabilitate the hemiplegic upper limb are not fully realized. The dominance of bilateral movement in the early stages after stroke may provide scope for interventions that maximize this aspect of motor control. IMPLICATIONS FOR REHABILITATION Despite advances in rehabilitation, time spent in upper limb activity following stroke is very low, particularly in the affected arm. Most movement of the affected arm occ...
Source: Disability and Rehabilitation - April 4, 2019 Category: Rehabilitation Authors: McLaren R, Signal N, Lord S, Taylor S, Henderson J, Taylor D Tags: Disabil Rehabil Source Type: research

Effect of cycling and functional electrical stimulation with linear and interval patterns of timing on gait parameters in patients after stroke: a randomized clinical trial.
Conclusions: The functional electrical stimulation with cycling protocols improved the Functional Ambulation Classification, Timed 10-Meter Walk Test, active range of motion, Timed Up and Go Test, and Modified Modified Ashworth scale. An interval protocol of timing was more effective than the linear protocol in terms of spasticity and active range of motion.Implications for rehabilitationCycling + functional electrical stimulation training with an interval pattern of timing seems superior to cycling + functional electrical stimulation training with a linear pattern.Interval protocol has positive effects on spastici...
Source: Disability and Rehabilitation - November 9, 2019 Category: Rehabilitation Authors: Shariat A, Nakhostin Ansari N, Honarpishe R, Moradi V, Hakakzadeh A, Cleland JA, Kordi R Tags: Disabil Rehabil Source Type: research

Low gait speed is associated with low physical activity and high sedentary time following stroke.
Conclusions: Physical activity is low following stroke and should be a target for treatment, particularly in those with gait speeds ≤0.8 m/s.Implications for rehabilitationSeventy-three percent of stroke survivors performed ≥30 minutes of moderate to vigorous physical activity throughout the day.Twenty-seven percent of stroke survivors accumulated ≥30 minutes of moderate to vigorous physical activity in 10 minute bouts.Despite relatively good physical ability, daily step count was low in this sample.Those with gait speeds ≤0.8 m/s had lower physical activity levels and higher sedentary time. PMID: 3175...
Source: Disability and Rehabilitation - November 21, 2019 Category: Rehabilitation Authors: Fini NA, Bernhardt J, Holland AE Tags: Disabil Rehabil Source Type: research

The effects of exercise on cognition post-stroke: are there sex differences? A systematic review and meta-analysis.
Conclusion: There were no sex differences in the effects of exercise on memory, executive functioning, language or global cognition in individuals with stroke. Further research is warranted to address sex differences in individuals with stroke to enable better targeting, prevention, and interventions in stroke rehabilitation.IMPLICATIONS FOR REHABILITATIONUnderstanding sex differences and potentially similarities in the relationship between exercise and cognition is an important step in enhancing stroke rehabilitation and the development of optimal, sex-specific rehabilitation.Although our findings suggest that there is no...
Source: Disability and Rehabilitation - March 26, 2020 Category: Rehabilitation Authors: Khattab S, Wiley E, Fang H, Richardson J, MacDermid J, Tang A Tags: Disabil Rehabil Source Type: research

The long-term unmet needs of informal carers of stroke survivors at home: a systematic review of qualitative and quantitative studies.
Conclusions: Evidence from this review suggests that carers are experiencing a range of long-term unmet needs, particularly in education and training, coping and managing their own emotions, and accessing much-needed services. Recommendations to support carers at home include continuing engagement, assessment, and support from health care providers and services to meet the needs of carers throughout the stroke recovery process.IMPLICATIONS FOR REHABILITATIONCarers of stroke survivors experience complex long-term unmet needs around managing the recovery process of the stroke survivor when they have been discharged from hosp...
Source: Disability and Rehabilitation - May 11, 2020 Category: Rehabilitation Authors: Denham AMJ, Wynne O, Baker AL, Spratt NJ, Loh M, Turner A, Magin P, Bonevski B Tags: Disabil Rehabil Source Type: research

A systematic review of social service and community resource interventions following stroke.
CONCLUSION: Overall, interventions demonstrated some improvements in information received and access to social services and community resources following stroke. Future research should focus on carrying out high quality studies that examine the effectiveness of various social service and community resource interventions, and on setting valid and reliable outcome measures. IMPLICATIONS FOR REHABILITATION Stroke survivors and care partners have unmet social service and community resource needs. Stroke survivors and care partners can benefit from interventions that provide information, referrals, and ongoing support to access...
Source: Disability and Rehabilitation - December 5, 2020 Category: Rehabilitation Authors: Sauvé-Schenk K, Duong P, Savard J, Durand F Tags: Disabil Rehabil Source Type: research

Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation.
DISCUSSION: Personalized rehabilitation can be considered in comparison to person-centred care principles. The barriers and enablers experienced by patients in this study contribute to the existing knowledge of the patient experience of stroke rehabilitation and may be used to inform clinical practices and future research. Implications for Rehabilitation The surrounding environments can facilitate participation in rehabilitation using strategies to reduce noise and disruption and also by encouraging social interactions among patients. Increasing the frequency and consistency of communication with patients about rehabilitat...
Source: Disability and Rehabilitation - February 11, 2021 Category: Rehabilitation Authors: Last N, Packham TL, Gewurtz RE, Letts LJ, Harris JE Tags: Disabil Rehabil Source Type: research

Development and validation of the World Health Organization disability Assessment Schedule 2.0 (WHODAS 2.0) Indonesian version in stroke survivors
CONCLUSIONS: The WHODAS 2.0 was adapted for use in Indonesia and showed good results for all six domains. Therefore, the Indonesian version of the WHODAS 2.0 can be applied to assess disability in Indonesian stroke survivors.Implications for rehabilitationThe WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) was developed as a single, generic instrument for assessing the health status and disability in different cultures and settings.In this study, we adapted and validated an Indonesian version of the WHODAS 2.0 for stroke survivors in Indonesia.The WHODAS 2.0 was adapted for use in Indonesia and showed good results for ...
Source: Disability and Rehabilitation - March 22, 2021 Category: Rehabilitation Authors: Sri Yuliana Muhammad Muslih Jenny Sim Amelia Nur Vidyanti Ageng Brahmadhi Hsiu Ting Tsai Source Type: research

User engagement in the development of a home-based virtual multidisciplinary stroke care clinic for stroke survivors and caregivers: a qualitative descriptive study
CONCLUSION: This study provides findings of users' expectations of using telehealth services. Their perspectives on facilitators and barriers may increase the adoption of the newly developed telehealth service.Implications for rehabilitationTo implement telehealth as part of post-stroke care, it is important to ensure that stroke survivors and caregivers have the necessary information and communication technology support and infrastructure to engage in two-way interactions.Stroke survivors and caregivers may be inclined to use telehealth services due to ease of use, having flexibility in scheduling consultation sessions, d...
Source: Disability and Rehabilitation - July 23, 2021 Category: Rehabilitation Authors: Simon Kwun Yu Lam Janita Pak Chun Chau Suzanne Hoi Shan Lo Elaine Kee Chen Siow Vivian Wing Yan Lee Edward Wai Ching Shum Alexander Yuk Lun Lau Source Type: research

Urdu translation and cross-cultural validation of the Fugl-Meyer assessment in people with stroke
CONCLUSION: The Urdu FMA is reliable and valid for the assessment of sensorimotor function in people with chronic stroke and can therefore be recommended for use in clinical and research applications.IMPLICATIONS FOR REHABILITATIONThe Urdu FMA is now available for use in Pakistan.The Urdu FMA is reliable and valid for the assessment of sensorimotor function in people with chronic stroke.The use of Urdu FMA is recommended to clinicians to estimate stroke severity and motor recovery.PMID:34807783 | DOI:10.1080/09638288.2021.2003449
Source: Disability and Rehabilitation - November 22, 2021 Category: Rehabilitation Authors: Mehwish Ikram Syed Shakil Ur Rehman Katharina S Sunnerhagen Margit Alt Murphy Source Type: research

Longitudinal changes in life-space mobility and the factors influencing it among chronic community-dwelling post-stroke patients
CONCLUSIONS: Life-space mobility may persistently decline, and gait function may be a determinant influencing these changes in community-dwelling chronic post-stroke patients.Implications for RehabilitationLimited life-space mobility leads to less frequent participation in social activities and an increased risk of adverse health outcomes such as hospitalization.Changes in life-space mobility should be considered in the rehabilitation care plan for chronic post-stroke patients.Life-space mobility may decline persistently in stable post-stroke patients, even if they have periodically received day-care rehabilitation service...
Source: Disability and Rehabilitation - December 13, 2021 Category: Rehabilitation Authors: S Tsunoda S Shimizu Y Suzuki A Tsunoda R Yamada R Shimose M Kawabata M Ogura A Matsunaga Source Type: research