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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

Assessing the fidelity of the independently getting up off the floor (IGO) technique as part of the ReTrain pilot feasibility randomised controlled trial for stroke survivors
CONCLUSIONS: IGO was successfully and safely practised by stroke survivors including those with hemiparesis. Trainers should be aware of comorbidities that may impede completion of IGO and modify teaching to accommodate individual need. Further research should assess if IGO can be utilised by individuals who have other disabilities with unilateral impairments and whether IGO has physical, functional and economic benefit.Implications for rehabilitationFalls are common in stroke survivors, and many are unable to get up despite being uninjured, leading to long-lie complications or ambulance call-outs but non-conveyance to hos...
Source: Disability and Rehabilitation - November 12, 2021 Category: Rehabilitation Authors: Laura Hollands Raff Calitri Krystal Warmoth Anthony Shepherd Rhoda Allison Sarah Dean ReTrain Trial team Source Type: research

Six-month outcomes and patterns of recovery for people with lateropulsion following stroke
CONCLUSIONS: Individuals with lateropulsion can recover from lateropulsion and make meaningful functional gains, including some individuals with more severe lateropulsion. Lateropulsion severity is a key indicator of functional outcome post-stroke.IMPLICATIONS FOR REHABILITATIONIndividuals with lateropulsion can make significant gains in terms of mobility and functional abilities by six months post-stroke, learning to compensate for their verticality impairment in standing by loading their non-paretic leg.It is important that stroke survivors with lateropulsion, including those with moderate and severe lateropulsion, are p...
Source: Disability and Rehabilitation - June 14, 2023 Category: Rehabilitation Authors: Melissa Birnbaum Kim Brock Ross Clark Elissa Burton Keith D Hill Source Type: research

Experiences of participation in rhythm and movement therapy after stroke.
Conclusions: Participation in RGRM seems to have helped the persons come to terms with their changed bodies, leading to feelings of being connected with their bodies. A feeling of change in competence occurred when an ability to carry out the tasks was simultaneously achieved. Implications for Rehabilitation Stroke may cause considerable functional limitations with needs of rehabilitation services as a consequence. Participation in rhythm and movement activities may help persons who have had a stroke come to terms with their "new" bodies. The rhythm and movement activities were considered demanding and helped return to a m...
Source: Disability and Rehabilitation - January 9, 2014 Category: Rehabilitation Authors: Thornberg K, Josephsson S, Lindquist I Tags: Disabil Rehabil Source Type: research

The key features and role of peer support within group self-management interventions for stroke? A systematic review.
CONCLUSION: Future self-management interventions should be designed to maximize peer support and incorporate techniques which facilitate, knowledge building, goal setting, access to resources, problem solving, and communication. Implications for rehabilitation Group self-management interventions offer a way to provide peer support to stroke survivors and should be utilized in practice. Peer support is seen by stroke survivors as valuable because it can facilitate the sharing of experiences, social comparison, vicarious learning, and increase motivation. Knowledge building, goal setting, problem solving, collaborative skill...
Source: Disability and Rehabilitation - October 16, 2018 Category: Rehabilitation Authors: Clark E, MacCrosain A, Ward NS, Jones F Tags: Disabil Rehabil Source Type: research

Experience of enriched rehabilitation in the chronic phase of stroke.
Conclusion: A therapy program including task-specific training and environmental enrichment may provide late-phase stroke survivors with perceived improvements in functional ability, knowledge insights, perceptions of rehabilitation needs and enriching emotional impacts.Implications for rehabilitationETT is feasible and may lead to perceived improvements in function and a change of mindset, even in the chronic phase after stroke.Trust in the competence of the rehabilitation staff is an important factor in compliance with the high-intensity training in the ETT program.Given the lack of stimulation and socialization among ma...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Vive S, Bunketorp-Käll L, Carlsson G Tags: Disabil Rehabil Source Type: research

Explicit versus implicit lower extremity sensory retraining for post-stroke chronic sensory deficits: a randomized controlled trial
CONCLUSIONS: Sensory rehabilitation treatment by either ESR or IRE led to similar clinically significant changes in the performance of the lower extremity and participation in subjects with sensory loss post-stroke. Both treatment protocols are easy to implement in an outpatient clinic. .CLINICALTRIALS.GOV REGISTRATION: NCT01988220. Implications for rehabilitationStandardized, structured, sensory-focused training can improve balance and gait in subjects with chronic post-stroke sensory impairment.Both explicit and implicit learning-based sensory protocols focused on the lower extremity effectively improved balance, mobilit...
Source: Disability and Rehabilitation - June 1, 2022 Category: Rehabilitation Authors: Hadas Ofek Mordechai Alperin Tsipi Knoll Daphna Livne Yocheved Laufer Source Type: research

Learning to flourish in a new reality: a thematic analysis of couples' experience of participation in a positive psychology intervention post-stroke
CONCLUSIONS: Individuals and couples post-stroke often experience negative mood changes, poor health outcomes, and decreased participation. Implementation of ReStoreD activities in the clinical setting can be a valuable and impactful way to encourage and foster positive experiences and re-engagement post-stroke.Implications for RehabilitationThrough dyadic positive psychology intervention activities, rehabilitation professionals can build upon existing strengths and resources to encourage couples to increase their awareness and development of positive coping strategies as individuals and couples.Positive psychology interve...
Source: Disability and Rehabilitation - August 1, 2022 Category: Rehabilitation Authors: Jackie Einerson Lauren K Lundstrom Brieanna K Allen Artemis Sefandonakis Alexandra L Terrill Source Type: research

Integrating an approach to personalised self-management support in stroke and neurorehabilitation service contexts: People1st - a quality improvement initiative
CONCLUSIONS: Bridges was successfully integrated within a wide range of stroke and neurorehabilitation service contexts, enabled by an approach in line with practitioners' values-based motivations. Further work is required to explore sustainability and impact on service users. Implications for rehabilitationPersonalised models of care and support for self-management are advocated for people living with stroke and neurological conditions; this requires practitioners to be supported to change behaviour and practices to adopt and sustain new ways of working.Staff from a wide variety of backgrounds in neurorehabilitation and s...
Source: Disability and Rehabilitation - October 27, 2022 Category: Rehabilitation Authors: Nicola J Hancock Julie Houghton Fiona Jones Source Type: research

"Wasting time": a qualitative study of stroke survivors' experiences of boredom in non-therapy time during inpatient rehabilitation
CONCLUSION: Creating rehabilitation environments that support autonomy, socialisation and opportunities to participate in activity are clear targets to reduce boredom during non-therapy time, increase meaningful engagement and possibly improve rehabilitation outcomes post-stroke.PMID:37409578 | DOI:10.1080/09638288.2023.2230131
Source: Disability and Rehabilitation - July 6, 2023 Category: Rehabilitation Authors: Katrina Kenah Meredith Tavener Julie Bernhardt Neil J Spratt Heidi Janssen Source Type: research

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