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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Socioeconomic disparities in work performance following mild stroke.
Conclusions: Individuals from low socioeconomic backgrounds have more difficulty returning to work following mild stroke than individuals from higher socioeconomic backgrounds. Future work is needed to identify factors that can increase long-term work success and quality of work performance following a mild stroke that specifically targets the needs of individuals who have a lower socioeconomic status. Implications for Rehabilitation Many persons, especially those of low socioeconomic status (SES), have decreased work productivity following mild stroke despite having no physical impairments and receiving little to no post-...
Source: Disability and Rehabilitation - April 18, 2014 Category: Rehabilitation Authors: Brey JK, Wolf TJ Tags: Disabil Rehabil Source Type: research

A systematic review of the effectiveness of stroke self-management programs for improving function and participation outcomes: self-management programs for stroke survivors.
Abstract Abstract Purpose: A systematic review of stroke self-management programs was conducted to: (i) identify how many and what self-management support strategies were included in stroke self-management interventions and (ii) describe whether self-management programs effectively improved outcomes, focusing specifically on function and participation outcomes. Methods: Twelve databases were searched for the years 1986-2012 to identify self-management programs for stroke survivors. Pre-post, quasi-experimental and randomized controlled trial study designs were included. Descriptive information about the interventi...
Source: Disability and Rehabilitation - January 12, 2015 Category: Rehabilitation Authors: Warner G, Packer T, Villeneuve M, Audulv A, Versnel J Tags: Disabil Rehabil Source Type: research

Stroke survivors' and family members' perspectives of multimodal lifestyle interventions for secondary prevention of stroke and transient ischemic attack: a qualitative review and meta-aggregation.
CONCLUSIONS: The findings highlight the perceived benefits of participation in secondary prevention group interventions from the perspective of stroke survivors and family members, i.e. feeling supported, by others with shared understanding and by knowledgeable health professionals, acquiring new knowledge and gaining confidence. These findings may be used to inform development of patient-centred interventions and thereby assist in improving health outcomes. Implications for Rehabilitation Health professionals should consider implementing group-based secondary prevention interventions. The content of group-based secondary ...
Source: Disability and Rehabilitation - April 10, 2015 Category: Rehabilitation Authors: Lawrence M, Pringle J, Kerr S, Booth J Tags: Disabil Rehabil Source Type: research

Inequities in access to rehabilitation: exploring how acute stroke unit clinicians decide who to refer to rehabilitation.
CONCLUSIONS: Decisions made by ASU staff regarding who to refer to stroke rehabilitation are often not solely based on patients' rehabilitation requirements. Implications for Rehabilitation Not all patients on acute stroke units (ASUs) who may have benefited from rehabilitation were offered rehabilitation referrals. Criteria for rehabilitation referrals need to be made explicit and discussed openly with consumers, ASU clinicians and rehabilitation specialists. A change in rehabilitation assessment practices is required to provide data regarding the unmet rehabilitation needs of patients with stroke. New models of rehabilit...
Source: Disability and Rehabilitation - November 25, 2015 Category: Rehabilitation Authors: Lynch EA, Luker JA, Cadilhac DA, Hillier SL Tags: Disabil Rehabil Source Type: research

A qualitative exploration of self-reported unmet need one year after stroke.
CONCLUSIONS: Self-identification of unmet needs is complex. Further investigation could explore the factors which enable stroke survivors to appropriately identify and experience no unmet needs, and whether these could be applied to reduce unmet needs of others. Implications for Rehabilitation Despite self-reporting no/low unmet need, survivors of stroke may still be experiencing difficulties in their daily lives. Stroke-survivor-identified low unmet need is influenced by complex factors including: acceptance; expectations of services; and comparisons with other people, which Health and Social Care professionals have a rol...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Shannon RL, Forster A, Hawkins RJ Tags: Disabil Rehabil Source Type: research

Sexuality after stroke: an exploration of current professional approaches, barriers to providing support and future directions.
Conclusions The findings suggest that sexuality is not a legitimised topic within stroke rehabilitation, and current work practises limit professionals' abilities to address service-users' concerns. Implications for developing effective training and staff support are discussed. Implications for rehabilitation Professionals working within stroke rehabilitation rarely directly bring up sexuality with patients, but an indirect method of approaching the topic is more common. Addressing sexual concerns often does not require expertise. Training should show professionals how to use transferable knowledge to address sexual issues...
Source: Disability and Rehabilitation - January 4, 2016 Category: Rehabilitation Authors: Richards A, Dean R, Burgess GH, Caird H Tags: Disabil Rehabil Source Type: research

Stroke patients' and informal carers' experiences with life after stroke: an overview of qualitative systematic reviews.
Conclusions The need for broad, qualitative syntheses of stroke patients' experiences is currently fulfilled. Future qualitative reviews could focus more on implications for practice, e.g., by grading the quality of the metafindings. Implications for Rehabilitation Stroke is a profound disruption of life as known, and patients and carers value information that helps them prepare for and adjust to this new situation. Optimal rehabilitation is a main concern and goal for patients and carers, and thus carers may be a valuable asset to professionals in the rehabilitation process. Practical and emotional support is important fo...
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Lou S, Carstensen K, Jørgensen CR, Nielsen CP Tags: Disabil Rehabil Source Type: research

Experiences of using mobile phones in everyday life among persons with stroke and their families in Uganda - a qualitative study.
Conclusion The study gives support for the possibility of using mobile phones to facilitate change and community integration in the rehabilitation process after stroke. Implications for Rehabilitation Stroke leads to decreased functioning in everyday life due to impairments, activity limitations and participation restrictions as well caregiver burden. Mobile phones seem to be an accessible and affordable technology used in daily life of persons with stroke and family members and connects them to the needed services and social relationships. The mobile phone technology reduces resource and infrastructural challenges and inc...
Source: Disability and Rehabilitation - March 3, 2016 Category: Rehabilitation Authors: Kamwesiga JT, Tham K, Guidetti S Tags: Disabil Rehabil Source Type: research

Timely access to inpatient rehabilitation after stroke: a qualitative study of perceived barriers and potential solutions in Ontario, Canada.
CONCLUSIONS: The structure of Ontario's health care system presents challenges to early transfer of stroke patients to inpatient rehabilitation, yet the stakeholders consulted in this study felt that these could be addressed with proper planning, improved coordination and targeted investment. Implications for rehabilitation Stroke units are a well-established best practice in stroke care and timely access to rehabilitation is a key component of their effectiveness. Stroke experts in Ontario, Canada recommend transfer of suitable patients to inpatient rehabilitation on day 5 and day 7, on average, after ischemic and hemorrh...
Source: Disability and Rehabilitation - September 18, 2017 Category: Rehabilitation Authors: Meyer MJ, Teasell R, Kelloway L, Meyer SB, Willems D, O'Callaghan C Tags: Disabil Rehabil Source Type: research

The Big Five personality factors and psychological well-being following stroke: a systematic review.
CONCLUSIONS: People high on neuroticism are at increased risk of poor psychological well-being after stroke. Prospective longitudinal studies are needed to address the limited research on post-stroke personality change. Implications for rehabilitation High neuroticism is associated with poorer psychological well-being after stroke. Assessing personality characteristics early after stroke may help to identify those at risk of poor psychological outcomes. PMID: 29272953 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - December 22, 2017 Category: Rehabilitation Authors: Dwan T, Ownsworth T Tags: Disabil Rehabil Source Type: research

Reliability and validity of the de Morton Mobility Index in individuals with sub-acute stroke.
CONCLUSIONS: These results indicate unidimensionality, sufficient internal consistency reliability, inter-rater reliability, and construct validity of the DEMMI in patients with a sub-acute stroke. Advantages of the DEMMI in clinical application are the short administration time, no need for special equipment and interval level data. The de Morton Mobility Index, therefore, may be a useful performance-based bedside test to measure mobility in individuals with a sub-acute stroke across the whole mobility spectrum. Implications for Rehabilitation The de Morton Mobility Index (DEMMI) is an unidimensional measurement instrumen...
Source: Disability and Rehabilitation - February 4, 2018 Category: Rehabilitation Authors: Braun T, Marks D, Thiel C, Grüneberg C Tags: Disabil Rehabil Source Type: research

The psychometric properties of the toe tap test in people with stroke.
CONCLUSIONS: Toe tap test count on the affected side is a simple and reliable tool for assessing ankle control in people with stroke. Implications for rehabilitation Toe Tap Test counts have excellent intra-rater, inter-rater, and test-retest reliabilities in people with stroke. Toe Tap Test counts on the affected side were significantly associated with Fugl-Meyer Assessment of Lower Extremity scores, ankle muscle strength, Berg Balance Scale scores, and timed Up and Go test completion times. The 95% Minimal Detectable Change for the Toe Tap Test counts was 8.7 counts of the affected side and 12.6 of the unaffected side. T...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Ng SSM, Tse MMY, Tam EWC, Lai CYY Tags: Disabil Rehabil Source Type: research

Documenting the impact of stroke in a middle-income country: a Malaysian case study.
CONCLUSION: In LMIC, recovery can be shaped by the family unit and through active coping strategies especially those in relation to spirituality. Implications for rehabilitation The impact of stroke on survivors and lack of specialized stroke care compromise the recovery process and quality of life for stroke survivors in low and middle-income countries. Support from the family and reinforcement of religious coping were judged to successfully aid recovery. Physical and emotional impairments as well as psychosocial wellbeing of survivors in the context of environmental factors need to be addressed. PMID: 30183424 [PubM...
Source: Disability and Rehabilitation - September 5, 2018 Category: Rehabilitation Authors: Mairami FF, Warren N, Allotey PA, Mak JS, Reidpath DD Tags: Disabil Rehabil Source Type: research

Post-stroke emotionalism: a qualitative investigation.
Conclusions: Earlier recognition of emotionalism in clinical settings is needed as is promoting discussions about emotional reactions after-stroke. This will reduce the likelihood that patients will develop erroneous beliefs about emotionalism and unhelpful coping responses that may lead to adjustment difficulties in the months that follow their stroke. Implications for rehabilitation The unpredictable and uncontrollable nature of emotionalism can be embarrassing and cause social withdrawal or avoidance. Waiting for emotionalism episodes to pass, distraction, humor or optimism and social support are successful means of man...
Source: Disability and Rehabilitation - May 27, 2019 Category: Rehabilitation Authors: McAleese N, Guzman A, O'Rourke SJ, Gillespie DC Tags: Disabil Rehabil Source Type: research

Predictors of return to work after stroke: a prospective, observational cohort study with 6  months follow-up.
Conclusions: Less than 50% of stroke survivors returned to work six months after stroke. Among predictors, only the level of dependence in daily activities is a modifiable factor. Interventions aimed at reducing disability after stroke might increase rates of return to work. Implications for rehabilitation In Brazil, less than 50% of stroke survivors returned to work six months after stroke. Clinicians may collect information regarding household income, type of work and dependence in daily activities to estimate chances of returning to work, in developing countries. Being independent at 3 months was the strongest predictor...
Source: Disability and Rehabilitation - June 25, 2019 Category: Rehabilitation Authors: Nascimento LR, Scianni AA, Ada L, Fantauzzi MO, Hirochi TL, Teixeira-Salmela LF Tags: Disabil Rehabil Source Type: research