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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Lokomat guided gait in hemiparetic stroke patients: the effects of training parameters on muscle activity and temporal symmetry.
CONCLUSIONS: The Lokomat training parameters are generally ineffective in shaping short term muscle activity and step symmetry patients with hemiparetic stroke, as speed is the only parameter that significantly affects muscular amplitude. TRIAL REGISTRATION: d.n.a. IMPLICATIONS FOR REHABILITATION The Lokomat is a commercially available gait trainer that can be used for gait rehabilitation in post-stroke hemiparetic patients. This study shows that muscle amplitude is generally low during Lokomat guided walking, and that treadmill Speed is the main training parameter to influence muscular output in stroke patients durin...
Source: Disability and Rehabilitation - April 10, 2019 Category: Rehabilitation Authors: van Kammen K, Boonstra AM, van der Woude LHV, Visscher C, Reinders-Messelink HA, den Otter R Tags: Disabil Rehabil Source Type: research

The implications of the Canadian Stroke Best Practice Recommendations for design and allocation of rehabilitation after hospital discharge: a problematization.
CONCLUSION: An alternate vision of post-discharge rehabilitation could help resolve this tension. Post-discharge rehabilitation could be envisioned as a self-management intervention. Rather than primarily an expert-driven process of measuring impairment and applying procedures aimed at normalization, rehabilitation would be considered facilitation of self-management with the goal of reengaging in forms of participation that comprise a satisfying life. Implications for Rehabilitation Implicit assumptions within best practice guidelines powerfully influence recommendations. These ideas are difficult to examine because they s...
Source: Disability and Rehabilitation - April 10, 2019 Category: Rehabilitation Authors: Egan MY, Laliberté-Rudman D, Rutkowski N, Lanoix M, Meyer M, McEwen S, Collver M, Linkewich E, Montgomery P, Quant S, Donnelly B, Fearn J Tags: Disabil Rehabil Source Type: research

Effects of hybrid assistive neuromuscular dynamic stimulation therapy for hemiparesis after pediatric stroke: a feasibility trial.
Conclusion: This preliminary study demonstrated the feasibility and effectiveness of HANDS therapy in patients with pediatric stroke. Implications for rehabilitation Pediatric stroke is a very rare disease and patients are forced to live with sequelae in most of the rest of their lives. Hybrid assistive neuromuscular dynamic stimulation therapy is effective for upper limb paralysis of adult stroke. Hybrid assistive neuromuscular dynamic stimulation therapy was adaptable even for children, and improvement of upper limb paralysis was observed even in a relatively short period of intervention. PMID: 31335219 [PubMed - as...
Source: Disability and Rehabilitation - July 22, 2019 Category: Rehabilitation Authors: Oshima O, Kawakami M, Okuyama K, Suda M, Oka A, Liu M Tags: Disabil Rehabil Source Type: research

Stroke self-management and the role of self-efficacy.
Conclusions: Engagement in a stroke-specific self-management program can improve client-perceived occupational performance and satisfaction. Self-efficacy was shown to be a mediating variable to occupational performance improvements. Future research should explore further the facilitatory strategies of self-efficacy during stroke self-management programs to maximize rehabilitation outcomes. Implications for rehabilitation Multi-modal self-management programs are recommended as effective for improving client-perceived occupational performance of people who have experienced stroke. Returning to valued occupations, goal setti...
Source: Disability and Rehabilitation - September 26, 2019 Category: Rehabilitation Authors: Nott M, Wiseman L, Seymour T, Pike S, Cuming T, Wall G Tags: Disabil Rehabil Source Type: research

Stroke Communication Scale based on the International Classification of Functioning, Disability and Health (ICF - SCS).
Conclusion: The Stroke Communication Scale allows a comprehensive clinical evaluation helping in the development of individualized treatment programs in post-stroke in a biopsychosocial approach centered on the patient. IMPLICATIONS FOR REHABILITATION Communication disorders post-stroke can be an important social barrier. An assessment based on the International Classification of Functioning, Disability, and Health offers an integral view of different perspectives of health. The Stroke Communication Scale is a holistic instrument to assess communication, participation, and functioning. The Stroke Communication Scale allows...
Source: Disability and Rehabilitation - October 14, 2019 Category: Rehabilitation Authors: Dallaqua GB, Bahia MM, Min Li L, Chun RYS Tags: Disabil Rehabil Source Type: research

Effect of aerobic training on vascular and metabolic risk factors for recurrent stroke: a meta-analysis.
Conclusion: Aerobic training results in a significant positive effect on systolic blood pressure and fasting glucose after stroke when compared to non-aerobic usual care or non-aerobic exercise.Implications for rehabilitationAerobic training has a positive effect on two of the most important vascular risk factors for recurrent stroke (i.e., systolic blood pressure and fasting glucose).The effect of solely aerobic training seems to be comparable to the effect of combined strength exercise and aerobic training for systolic blood pressure and fasting glucose.Since aerobic training has a significant effect on risk factors for ...
Source: Disability and Rehabilitation - December 2, 2019 Category: Rehabilitation Authors: Brouwer R, Wondergem R, Otten C, Pisters MF Tags: Disabil Rehabil Source Type: research

Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review.
Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitationThere is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA)...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Sammut M, Fini N, Haracz K, Nilsson M, English C, Janssen H Tags: Disabil Rehabil Source Type: research

Exploring self-management within hospital-based stroke care: current and future opportunities.
CONCLUSIONS: A consistent conceptualisation and approach to stroke self-management in the hospital setting is required. Interprofessional education and shared intentional language can enhance understanding and practice. IMPLICATIONS FOR REHABILITATION Understanding and application of stroke self-management varies among members of hospital-based stroke teams. Health professionals working in hospital-based stroke care should use the term self-management with their patients. Education of healthcare teams is necessary to develop knowledge about self-management and develop consistent practices across the continuum of care. ...
Source: Disability and Rehabilitation - October 14, 2020 Category: Rehabilitation Authors: Greenway A, Gustafsson L, Bower K, Walder K Tags: Disabil Rehabil Source Type: research

Out of sight, out of mind: long-term outcomes for people discharged home, to inpatient rehabilitation and to residential aged care after stroke.
CONCLUSIONS: Several long-term outcomes differed significantly for patients discharged to different settings after stroke. Patients discharged to IRFs reported some better outcomes than people discharge directly home despite having markers of more severe stroke. Implications for rehabilitation People with mild strokes are usually discharged directly home, people with moderate severity strokes to inpatient rehabilitation, and people with very severe strokes are usually discharged to residential aged care facilities. People discharged to inpatient rehabilitation reported fewer problems with mobility and had a reduced risk of...
Source: Disability and Rehabilitation - December 14, 2020 Category: Rehabilitation Authors: Lynch EA, Labberton AS, Kim J, Kilkenny MF, Andrew NE, Lannin NA, Grimley R, Faux SG, Cadilhac DA Tags: Disabil Rehabil Source Type: research

Implementation of a sexuality interview guide in stroke rehabilitation: a feasibility study.
CONCLUSION: This study showed that the SIG can be used in stroke rehabilitation and that, with sufficient financial and human resources, and training for clinicians, it would be feasible to implement it in usual care. Implications for rehabilitation The Sexuality Interview Guide (SIG) can be used in stroke rehabilitation and helps clinicians to target stroke clients who want to include sexuality in their rehabilitation. The best time to approach sexuality using the SIG, according to all participants, was in outpatient rehabilitation. For inpatient clients, it was more appropriate to use the SIG as they approach a weekend h...
Source: Disability and Rehabilitation - February 9, 2021 Category: Rehabilitation Authors: Auger LP, Pituch E, Filiatrault J, Courtois F, Rochette A Tags: Disabil Rehabil Source Type: research

Participation in social and leisure activities while re-constructing the self: understanding strategies used by stroke survivors from a long-term perspective
CONCLUSIONS: Strategies for SL participation involves balancing different priorities in life and can change over time as they are continuously influenced by various personal and environmental conditions. These findings contribute to an improved understanding of why and how people hold on to activities, give up activities and find new activities after a stroke. It also highlights the need for a long-term perspective on stroke rehabilitation and support.IMPLICATIONS FOR REHABILITATIONRe-engagement in social and leisure activities after stroke is a long-term process and various types of support may be needed during different ...
Source: Disability and Rehabilitation - March 29, 2021 Category: Rehabilitation Authors: Anna Norlander Susanne Iwarsson Ann-Cathrin J önsson Arne Lindgren Eva M ånsson Lexell Source Type: research

A systematic review of non-drug interventions to prevent and treat anxiety in people with aphasia after stroke
CONCLUSION: Definitive conclusions about the effectiveness of non-drug interventions for the prevention and/or treatment of anxiety in people with aphasia post-stroke cannot be made. Interventions that may show promise for those with aphasia and symptoms of anxiety include mindfulness meditation, modified cognitive behaviour therapy, unilateral nostril breathing, and the "Enhance Psychological Coping after Stroke" programme. Further high-quality research with better reporting of the inclusion of participants with aphasia and their specific sub-group results are required.Implications for RehabilitationIt is important for re...
Source: Disability and Rehabilitation - June 12, 2021 Category: Rehabilitation Authors: Brooke J Ryan Stephanie M Clunne Caroline J Baker Ciara Shiggins Miranda L Rose Ian I Kneebone Source Type: research