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Source: Disability and Rehabilitation
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Total 662 results found since Jan 2013.
The inclination for conscious motor control after stroke: validating the Movement-Specific Reinvestment Scale for use in inpatient stroke patients.
CONCLUSIONS: The MSRS is a valid and reliable tool and suitable to assess the relationship between reinvestment and motor recovery in the first months post-stroke. Eventually, this may help therapists to individualize motor learning interventions based on patients' reinvestment preferences. Implications for rehabilitation This study showed that the Movement-Specific Reinvestment Scale (MSRS) is a valid and reliable tool to objectify stroke patients' inclination for conscious motor control. The MSRS may be used to identify stroke patients who are strongly inclined to consciously control their movements, as this disposition ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Kal E, Houdijk H, Van Der Wurff P, Groet E, Van Bennekom C, Scherder E, Van der Kamp J Tags: Disabil Rehabil Source Type: research
Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments.
CONCLUSIONS: Long-term stroke survivors have a high activity level in daily life, though individual variation is considerable. The structure provided by linking instruments to the ICF core set for stroke can be used for more fine-tuned descriptions of activity. Implications for Rehabilitation Since most long-term stroke survivors are independent in ADL but may have limitations in other activity domains such as social and leisure activities, these aspects should be considered in the rehabilitation process. Older stroke survivors deserve special attention due to their higher risk of long-term inactivity. The Barthel Index an...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Norlander A, Jönsson AC, Ståhl A, Lindgren A, Iwarsson S Tags: Disabil Rehabil Source Type: research
Auditory rehabilitation after stroke: treatment of auditory processing disorders in stroke patients with personal frequency-modulated (FM) systems.
CONCLUSIONS: Personal FM systems may substantially improve speech-in-noise deficits in stroke patients who are not eligible for conventional hearing aids. FMs are feasible in stroke patients and show promise to address impaired AP after stroke. Implications for Rehabilitation This is the first study to investigate the benefits of personal frequency-modulated (FM) systems in stroke patients with disordered AP. All cases significantly improved speech perception in noise with the FM systems, when noise was spatially separated from the speech signal by 90° compared with unaided listening. Personal FM systems are feasible in s...
Source: Disability and Rehabilitation - March 22, 2016 Category: Rehabilitation Authors: Koohi N, Vickers D, Chandrashekar H, Tsang B, Werring D, Bamiou DE Tags: Disabil Rehabil Source Type: research
Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 20, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research
Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health.
CONCLUSIONS: Twenty-four ICF categories were coded and qualified with the use of the SS-QOL, enabling the participation component of the ICF biopsychosocial model to be easily evaluated in clinical practice. Overall, the sample in the present study demonstrated a moderate decline in participation following a stroke and only the "social roles" domain was severely affected. The FIM was the main predictor of participation and the depression was a moderate predictor. Therefore, health professionals involved in the rehabilitation of these patients should focus on the promotion of functional independence and improvements in emot...
Source: Disability and Rehabilitation - December 13, 2017 Category: Rehabilitation Authors: Silva SM, Corrêa JCF, Pereira GS, Corrêa FI Tags: Disabil Rehabil Source Type: research
Racial and ethnic disparities in stroke outcomes: a scoping review of post-stroke disability assessment tools.
CONCLUSIONS: A wide variety of assessments are used to examine disparities in post-stroke disability across the time course of stroke recovery. Several studies have identified disparities through a variety of assessments; however, substantial problems abound from the assessments used including inconsistent use of assessments, lacking evidence on the validity of assessments among racial/ethnic groups, and inadequate representation among all racial/ethnic populations comprising the US. Implications for Rehabilitation An enhanced understanding of racial/ethnic disparities in post-stroke disability outcomes is inherently impor...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Burns SP, White BM, Magwood G, Ellis C, Logan A, Jones Buie JN, Adams RJ Tags: Disabil Rehabil Source Type: research
Opportunities and challenges in secondary stroke prevention: a mixed methods study.
CONCLUSIONS: These findings highlight the ongoing challenges with achieving risk factor control after stroke and the potential to utilise health information technology to engage stroke survivors in self-management of their risk factors. Implications for rehabilitation Clinicians should be knowledgeable of the challenges that stroke survivors face in managing their risk factors after stroke and the role that they can play in providing tailored education. BP continues to be poorly controlled after stroke and there is opportunity for improvement. Stroke survivors and their families are receptive to using health information te...
Source: Disability and Rehabilitation - July 24, 2018 Category: Rehabilitation Authors: White CL, Cantu A, Motz D, Patterson M, Caron JL, Birnbaum LA Tags: Disabil Rehabil Source Type: research
What are the perceptions and experiences of falls amongst people with stroke who live in the community?
CONCLUSIONS: This study highlights the perceived negative consequences of falls amongst people with stroke, and the potential contribution of falls to the reduced levels of physical activity often seen following a stroke. Our findings emphasise the need to address falls and balance related self-efficacy alongside strategies to promote safe mobility. A paradigm shift may be needed to highlight potentially modifiable intrinsic risk factors and emphasise the relevance and value of proactive fall prevention to people with stroke. Implications for rehabilitation People with stroke may not report falls or may minimise their sign...
Source: Disability and Rehabilitation - December 4, 2018 Category: Rehabilitation Authors: Munford D, Gunn H Tags: Disabil Rehabil Source Type: research
The trouble with footwear following stroke: a qualitative study of the views and experience of people with stroke.
CONCLUSIONS: Foot problems, as well as gait and balance impairment, have implications for footwear priorities following stroke, but people felt unsupported in making healthy footwear choices. Health care professionals could be trained to routinely deliver footwear assessment and advice and facilitate referrals to podiatrist, when appropriate. Implications for rehabilitation Foot problems, as well as gait and balance impairment, have implications for footwear priorities following stroke. People with stroke perceive a lack of professional advice about footwear and feel unsupported making healthy footwear choices. Health care...
Source: Disability and Rehabilitation - January 8, 2019 Category: Rehabilitation Authors: Donovan-Hall M, Robison J, Cole M, Ashburn A, Bowen C, Burnett M, Mamode L, Pickering R, Bader D, Kunkel D Tags: Disabil Rehabil Source Type: research
Stroke survivors' perceptions of their sedentary behaviours three months after stroke.
Conclusions: This information will inform evidence-based sedentary behaviour interventions after stroke.Implications for rehabilitationHigher levels of sedentary behaviours are associated with poor health and stroke survivors are highly sedentary.Stroke survivors have complex reasons for spending time in sedentary behaviours including fatigue, pain, fear of falling and environmental barriers.Future interventions should educate stroke survivors on the health consequences of sedentary behaviours and encourage an increased awareness of time spent sedentary.Supporting stroke survivors to identify enjoyable and achievable activ...
Source: Disability and Rehabilitation - June 25, 2020 Category: Rehabilitation Authors: Fitzsimons CF, Nicholson SL, Morris J, Mead GE, Chastin S, Niven A Tags: Disabil Rehabil Source Type: research
The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onwards....
Source: Disability and Rehabilitation - August 30, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA 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
How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
CONCLUSIONS: Patients with greater stroke severity participate in less active exercise in physiotherapy sessions than those with lesser stroke severity. Reasons for this disparity warrant further investigation.Implications for rehabilitationStroke patients with higher levels of severity engage in less active exercise during rehabilitation.A discrepancy exists between patients' planned physiotherapy session lengths and actual session lengths during stroke rehabilitation.Physiotherapists should be mindful in how to adapt their sessions (particularly with severe stroke patients) to maximise the amount of activity they underta...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research
