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Source: Disability and Rehabilitation
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Total 855 results found since Jan 2013.
Developing a falls prevention program for community-dwelling stroke survivors in Singapore: client and caregiver perspectives.
CONCLUSIONS: Reducing the risk of falls in community-dwelling stroke survivors seems to be more important than promoting community participation among caregivers. The study findings highlight that a structured and client-centered fall prevention program targeting stroke survivors and caregivers is needed in Singapore. Implications for rehabilitation Falls after stroke can lead to functional decline in gait and mobility and restricted self-care activities. Community-dwelling stroke survivors develop adaptive safety strategies after a fall and want to be socially connected. However, caregivers see the safety of the stroke su...
Source: Disability and Rehabilitation - December 25, 2017 Category: Rehabilitation Authors: Xu T, O'Loughlin K, Clemson L, Lannin NA, Dean C, Koh G Tags: Disabil Rehabil Source Type: research
How can stroke care be improved for younger service users? A qualitative study on the unmet needs of younger adults in inpatient and outpatient stroke care in Australia.
CONCLUSIONS: This study provides new insights into the experience of inpatient and outpatient stroke care by younger stroke survivors and outlines possible improvements for clinical practice. Future research should evaluate the effect of targeted strategies to support younger adults after stroke. Implications for rehabilitation Post-stroke rehabilitation might be improved by providing more support for the non-physical effects of stroke (e.g., psycho-emotional support, cognitive rehabilitation). Younger stroke survivors may also benefit from a long-term community care plan and longer-term rehabilitation. Patient-centered re...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Shipley J, Luker J, Thijs V, Bernhardt J Tags: Disabil Rehabil Source Type: research
Disrupted biographies: making sense of minor stroke after hospital discharge.
Conclusions: Although participants had different experiences of minor stroke, there were common elements. The first weeks post-hospital discharge were a time of questioning and reconciling the stroke for many participants. Adjusting to post-stroke impairments and the impact of these on social participation was also prominent. There is a critical need for education about what to expect prior to discharge from hospital with minor stroke and a designated discharge pathway to avoid the development of secondary post-stroke issues in the community.IMPLICATIONS FOR REHABILITATIONPeople with minor stroke may experience ongoing pos...
Source: Disability and Rehabilitation - January 6, 2020 Category: Rehabilitation Authors: Finch E, Foster M, Fleming J Tags: Disabil Rehabil Source Type: research
Stroke-Specific Quality of Life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study.
Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATIONThe stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clin...
Source: Disability and Rehabilitation - April 30, 2020 Category: Rehabilitation Authors: Pedersen SG, Friborg O, Heiberg GA, Arntzen C, Stabel HH, Thrane G, Nielsen JF, Anke A Tags: Disabil Rehabil Source Type: research
Developing a stroke-vision care pathway: a consensus study.
Conclusions: This new stroke-vision care pathway is a process pathway describing potential options for stroke survivors with visual impairment to access health care and obtain appropriate referral(s) to vision services relevant to their specific vision problem(s).IMPLICATIONS FOR REHABILITATIONVisual impairment is a common consequence of stroke.It is imperative that those who care for stroke survivors are aware of the visual consequences of stroke and make the appropriate referrals for vision and support services.The stroke-vision care pathway is a process pathway that describes the potential options for stroke survivors w...
Source: Disability and Rehabilitation - May 28, 2020 Category: Rehabilitation Authors: Rowe FJ, Hepworth LR, Howard C, Hanna KL, Helliwell B Tags: Disabil Rehabil Source Type: research
Nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual.
CONCLUSIONS: Nurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare. Implications for rehabilitation Routine stroke follow-up care should pay attention to psychosocial and emotional outcome in a systematic manner, in addition to secondary prevention. Healthcare professionals such as (specialized) nurses are needed to appropriately address the hidden cognitive and emo...
Source: Disability and Rehabilitation - November 26, 2020 Category: Rehabilitation Authors: Verberne DPJ, Kroese MEAL, Staals J, Ponds RWHM, van Heugten CM Tags: Disabil Rehabil Source Type: research
Impact of visual impairment following stroke (IVIS study): a prospective clinical profile of central and peripheral visual deficits, eye movement abnormalities and visual perceptual deficits.
CONCLUSIONS: Incidence of impaired central vision, visual field loss, ocular motility disorders and visual inattention was 29.4%, 24.8%, 39.3% and 26.2% respectively. Visual impairment was more likely to occur in more severe stroke and older stroke survivors. Asymptomatic cases raise concerns for acute stroke units where robust specialist vision screening is not routine. Those with partial/no recovery require specialist follow-up and management whilst the wide range of abnormalities highlight the need for specialist visual assessment acutely. Implications for rehabilitation Visual impairment is a common consequence of stro...
Source: Disability and Rehabilitation - December 21, 2020 Category: Rehabilitation Authors: Rowe FJ, Hepworth LR, Howard C, Hanna KL, Currie J Tags: Disabil Rehabil Source Type: research
Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research
A qualitative study of sedentary behaviours in stroke survivors: non-participant observations and interviews with stroke service staff in stroke units and community services
CONCLUSIONS: Staff are aware of the consequences of prolonged sitting but did not relate to SB. Explicit knowledge of SB was limited. Staff need training to support stroke survivors to reduce SB. Sedentary behaviour in the community was not reported to change markedly, highlighting the need to engage stroke survivors in movement from when capable in hospital, following through to home.Implications for rehabilitationStroke survivor sedentary behaviour is influenced, directly and indirectly, by the actions and instructions of stroke service staff in the inpatient and community setting.The built and social environment, both i...
Source: Disability and Rehabilitation - July 26, 2021 Category: Rehabilitation Authors: Sarah Morton Jennifer Hall Claire Fitzsimons Jessica Hall Coralie English Anne Forster Rebecca Lawton Anita Patel Gillian Mead None David J None Clarke Source Type: research
Exploring the experience of cognitive changes among community-dwelling stroke survivors: a qualitative study
CONCLUSIONS: Post-stroke cognitive changes were described by participants as a driving force behind negative shifts in their daily lives, emotional health, and social connections after stroke. Despite seeking care for their post-stroke cognitive changes, many participants were unable to find support in mainstream healthcare. There is a demonstrated need to further elucidate the gaps in care for post-stroke cognitive deficits and implement community interventions targeting cognitive health post-stroke.IMPLICATIONS FOR REHABILITATIONClinicians should consider how cognitive changes post-stroke may affect daily life and the up...
Source: Disability and Rehabilitation - May 22, 2023 Category: Rehabilitation Authors: Kimberly J Bennett Jenny Leese Jennifer C Davis Janice J Eng Teresa Liu-Ambrose Source Type: research
Meeting the need for post-stroke vision care in Australia: a scoping narrative review of current practice
CONCLUSION: Further research is needed into current Australian post-stroke vision care to accurately assess whether the needs of stroke survivors are being met. Available evidence indicates that in Australia, there is a requirement for well-defined protocols for vision screening, education, management, and referral of stroke survivors.Implications for RehabilitationPost-stroke vision care in Australia is unstandardised, which may cause inequities in vision care provision to Australian stroke survivors in different regions and/or care facilities.Education and training pertaining to stroke-related vision conditions for strok...
Source: Disability and Rehabilitation - May 25, 2023 Category: Rehabilitation Authors: Shanelle Sorbello Kathryn Rose Amanda French Fiona Rowe Sonia Lau Source Type: research
Developing stroke-specific vocational rehabilitation: a soft systems analysis of current service provision.
Conclusions: Stroke-specific VR should be delivered by an integrated, cross-sector multi-disciplinary team and integrated commissioning between health and other sectors is necessary. Although early intervention is important, support later on in the recovery process is also necessary. Service providers need adequate training to meet the needs of stroke survivors wishing to return to work and better awareness of best practice guidelines. Business cases which demonstrate the efficacy and cost-effectiveness of VR are vital. Implications for Rehabilitation The timeliness of a vocational rehabilitation (VR) intervention is compl...
Source: Disability and Rehabilitation - May 21, 2013 Category: Rehabilitation Authors: Sinclair E, Radford K, Grant M, Terry J Tags: Disabil Rehabil Source Type: research
Sensitivity and responsiveness of the health-related quality of life in stroke patients-40 (HRQOLISP-40) scale.
Conclusion: The HRQOLISP-40 is a sensitive and responsive stroke-specific quality of life measure that can be used to evaluate the outcome of stroke rehabilitation. Implications for Rehabilitation Enhancing the health-related quality of life (HRQOL) of stroke survivors can be regarded as the ultimate goal of stroke rehabilitation. Sensitive and responsive stroke-specific HRQOL measures are required for use in evaluative studies, and clinical trials and practice. The Health-Related Quality of Life in Stroke Patients-40 (HRQOLISP-40) is a sensitive and responsive stroke-specific scale.
PMID: 23962190 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - August 20, 2013 Category: Rehabilitation Authors: Vincent-Onabajo GO, Owolabi MO, Hamzat TK Tags: Disabil Rehabil Source Type: research
A qualitative theory guided analysis of stroke survivors' perceived barriers and facilitators to physical activity.
Conclusions: Stroke survivors perceive several different barriers and facilitators to physical activity. Stroke services need to address barriers to physical activity and to build on facilitators to promote physical activity after stroke. Implications for Rehabilitation Physical activity post stroke can improve physical fitness and function, yet physical activity remains low among stroke survivors. Understanding stroke survivors' perceived barriers and facilitators to physical activity is essential to develop targeted interventions to increase physical activity. Beliefs about capabilities, environmental context and resourc...
Source: Disability and Rehabilitation - December 31, 2013 Category: Rehabilitation Authors: Nicholson SL, Donaghy M, Johnston M, Sniehotta FF, van Wijck F, Johnston D, Greig C, McMurdo ME, Mead G Tags: Disabil Rehabil Source Type: research
