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Source: Disability and Rehabilitation
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Total 855 results found since Jan 2013.
Comparison of three instruments to assess changes of motor impairment in acute hemispheric stroke: the Stroke Impairment Assessment Set (SIAS), the National Institute of Health Stroke Scale (NIHSS) and the Canadian Neurological Scale (CNS).
Conclusions: Although the assessment results with the three instruments were highly inter-correlated, the SIAS performed better with respect to responsiveness to changes. Implication for Rehabilitation When providing rehabilitation services to patients with stroke, it is important to document objectively the level of their impairment from the acute stage and during the entire course of rehabilitation with standardized instrument, and to predict their functional outcomes as early and accurately as possible. This study therefore compared three representative instruments with established psychometric properties, the SIAS, the...
Source: Disability and Rehabilitation - November 18, 2013 Category: Rehabilitation Authors: Seki M, Hase K, Takahashi H, Liu M Tags: Disabil Rehabil Source Type: research
Physical activity monitoring in stroke: SenseWear Pro2 Activity accelerometer versus Yamax Digi-Walker SW-200 Pedometer.
Conclusion: YDWP and SWP2A are both reliable. Only knee-worn YDWP is a valid device to measure steps except high intensity walking in stroke. YDWP systematically undercounts steps during other activities of short duration. This study could not demonstrate valid measurement of steps/EE in stroke using SWP2A. Implications for Rehabilitation Stroke is a disabling disease with residual neurologic deficits, which impairs mobility and predisposes them to sedentary behavior. A Yamax Digi-Walker SW-200 knee-worn pedometer showed to be a valid and reliable technique to measure ambulatory activity in stroke. A valid instrument to me...
Source: Disability and Rehabilitation - November 27, 2013 Category: Rehabilitation Authors: Vanroy C, Vissers D, Cras P, Beyne S, Feys H, Vanlandewijck Y, Truijen S Tags: Disabil Rehabil Source Type: research
How is self-management perceived by community living people after a stroke? A focus group study.
Conclusion: Self-management post-stroke is complex. Stroke self-management programmes may be optimised when integrating role and emotional management in addition to medical management. Although readiness to self-manage differs among individuals, support should start as soon as possible and continue post-discharge in people's personal environments. Self-management programmes should not only focus on self-management of stroke survivors but also on co-management with relatives. Implications for Rehabilitation This study suggests that health care professionals should pay attention to the way patients understand the word and co...
Source: Disability and Rehabilitation - May 14, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research
Patient-directed therapy during in-patient stroke rehabilitation: stroke survivors' views of feasibility and acceptability.
CONCLUSIONS: Patient-led mirror therapy and lower limb exercises during in-patient rehabilitation is generally feasible and acceptable to patients but "light touch" supervision to deal with any problems, and strategies to maintain focus and motivation are needed. Implications for Rehabilitation Most stroke patients receive insufficient therapy to maximize recovery during rehabilitation. As increases in staffing are unlikely there is an imperative to find ways for patients to increase the amount of exercise and practice of functional tasks they undertake without increasing demands on staff. Patient-led therapy (also known a...
Source: Disability and Rehabilitation - April 28, 2015 Category: Rehabilitation Authors: Horne M, Thomas N, McCabe C, Selles R, Vail A, Tyrrell P, Tyson S Tags: Disabil Rehabil Source Type: research
Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research
The experiences of everyday activities post-stroke.
CONCLUSIONS: Stroke survivors' lived experiences of pleasure, productivity and restoration in the context of everyday activities yields insight into the survivors' recovery and adjustment processes and into their quality of life. Practitioners should therefore incorporate stroke survivors' experiences as they facilitate goal setting and plan interventions. Implications for Rehabilitation Understanding stroke survivors' lived experiences provides practitioners valuable information to assist with goal setting and intervention planning. A sense of accomplishment may be gained outside of work in home management and high demand...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Atler K Tags: Disabil Rehabil Source Type: research
Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors.
CONCLUSIONS: A range of impacts was identified, some of which (such as use of information technology and alienation from the upper limb) are not addressed in current assessment instruments. They should be considered in post-stroke assessments. Blogs may help in the development of more comprehensive assessments. Implications for Rehabilitation A comprehensive assessment of the upper limb following stroke should include the impact of upper limb problems on social participation, as well as associated emotional, cognitive and behavioural changes. Using personalised assessment instruments alongside standardised measures may hel...
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Poltawski L, Allison R, Briscoe S, Freeman J, Kilbride C, Neal D, Turton AJ, Dean S Tags: Disabil Rehabil Source Type: research
Impact of depression following a stroke on the participation component of the International Classification of Functioning, Disability and Health.
CONCLUSIONS: Depression is a moderate predictor of participation among stroke survivors, explaining 51% of the decline of this aspect. Thus, depression should be diagnosed, monitored and treated to ensure a better prognosis regarding social participation following a stroke. Implications for Rehabilitation Individuals with post-stroke depression experience a lower degree of social participation. Depression explains 51% of the decline in participation following a stroke. The present findings can serve as a basis to assist healthcare professionals involved in the rehabilitation of stroke survivors and can assist in the establ...
Source: Disability and Rehabilitation - January 4, 2016 Category: Rehabilitation Authors: Micaela Silva S, Carlos Ferrari Corrêa J, da Silva Mello T, Rodrigues Ferreira R, Fernanda da Costa Silva P, Ishida Corrêa F Tags: Disabil Rehabil Source Type: research
Survivors of chronic stroke - participant evaluations of commercial gaming for rehabilitation.
CONCLUSION: Overall, participants were optimistic about their experience with VR training and all reported that they had perceived functional gain. VR is an enjoyable rehabilitation tool that can increase a stroke survivor's confidence towards completing ADL. Implications for Rehabilitation Although there is an increase in rehabilitation programmes geared towards those with chronic stroke, we must also consider the participants' perception of those programmes. Incorporating participant feedback may increase enjoyment and adherence to the rehabilitation programmes. The VR experience, as well as provision of feedback and ins...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Paquin K, Crawley J, Harris JE, Horton S Tags: Disabil Rehabil Source Type: research
Validation of the Stroke and Aphasia Quality of Life Scale in a multicultural population.
Conclusions Both the SAQOL-39 g and SAQOL-CSg demonstrated good reliability and validity. Our results suggested some influence of ethnicity in self-rating of health status in relation to SAQOL-39 g scores. Further research is warranted to examine its use with stroke survivors with greater stroke severity and over time. Implications for Rehabilitation Validation of SAQOL in Singapore: Both the SAQOL-39g and the SAQOL-CSg may be used to measure the HRQoL of stroke survivors with and without aphasia in Singapore. Further investigation is required to examine use with stroke survivors with greater stroke severity and over t...
Source: Disability and Rehabilitation - February 10, 2016 Category: Rehabilitation Authors: Guo YE, Togher L, Power E, Koh GC Tags: Disabil Rehabil Source Type: research
Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: an observational study.
CONCLUSION: Minimal changes in glenohumeral joint positioning occurs early post-stroke. Clinicians should consider changes in glenohumeral joint position for both non- and hemiparetic sides during the early rehabilitation phase following stroke. Implications for rehabilitation Changes occur in glenohumeral joint centre of rotation (GHJC) position between hemiparetic and non-hemiparetic sides early in people with mild stroke. Clinicians need to be aware of early GHJC positional changes. Early GHJC positional changes may contribute to the development of hemiparetic shoulder pain (HSP), anterior humeral subluxation and glenoh...
Source: Disability and Rehabilitation - November 19, 2016 Category: Rehabilitation Authors: Choolun P, Kuys S, Bisset L Tags: Disabil Rehabil Source Type: research
Assessing advanced walking ability in people with stroke using the Groningen Meander Walking Test.
CONCLUSION: The Groningen Meander Walking Test is a highly reliable and valid tool for quantifying the advanced walking abilities of people with stroke. Implications for Rehabilitation The Groningen Meander Walking Test completion times demonstrated excellent intrarater, interrater and test-retest reliabilities. The Groningen Meander Walking Test completion times correlates well with Berg Balance Scale scores, comfortable walking and Timed Up and Go test times. The Groningen Meander Walking Test overstep scores correlates significantly to its completion times, Fugl-Myer Assessment-Lower Extremity scores, comfortable walkin...
Source: Disability and Rehabilitation - August 2, 2017 Category: Rehabilitation Authors: Tan IO, Ng JK, Ng SSM Tags: Disabil Rehabil Source Type: research
Adherence of physical therapy with clinical practice guidelines for the rehabilitation of stroke in an active inpatient setting.
CONCLUSION: This audit provides an initial picture of the current adherence of physical therapy assessment and management with the stroke physical therapy guideline at a tertiary rehabilitation hospital in the state of Qatar. An evaluation of the guideline adherence and practice variations helps to fine tune the physical therapy care to a highest possible standard of practice. Implications for Rehabilitation • An evaluation of the guideline adherence and practice variations helps to fine tune the rehabilitation care to the highest possible standard of practice. • Proper assessments of the relationshi...
Source: Disability and Rehabilitation - March 9, 2018 Category: Rehabilitation Authors: M S A, Kooven S, Al-Mudahka N Tags: Disabil Rehabil Source Type: research
Assessing the impact of a home-based stroke rehabilitation programme: a cost-effectiveness study.
CONCLUSIONS: The study shows that CSRT model of care is cost-effective, and should be considered when evaluating potential stroke rehabilitation delivery methods. Implications for Rehabilitation Ongoing rehabilitation following stroke is imperative for optimal recovery. Home-based specialised stroke rehabilitation may be an option for individuals for whom ongoing rehabilitation is unavailable or inaccessible. The results of this study demonstrated that home-based rehabilitation is a cost-effective means of providing ongoing rehabilitation to individuals who have experienced a stroke.
PMID: 29631453 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - April 10, 2018 Category: Rehabilitation Authors: Allen L, John-Baptiste A, Meyer M, Richardson M, Speechley M, Ure D, Markle-Reid M, Teasell R Tags: Disabil Rehabil Source Type: research
Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa.
CONCLUSION: The findings suggest focusing stroke rehabilitation on important factors such as mobility, cognition, life activities and risk factors to advance patients' participation. It also emphasizes giving specific consideration to key factors specific for gender and age of stroke survivors. Implications for Rehabilitation Community participation in the general population of stroke survivors' is largely determined by their mobility function. Determinants of community participation among stroke survivors essentially vary according to age and gender. Clinically, this study suggests that focusing on specific determinants o...
Source: Disability and Rehabilitation - May 29, 2018 Category: Rehabilitation Authors: Elloker T, Rhoda A, Arowoiya A, Lawal IU Tags: Disabil Rehabil Source Type: research
