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A comparison of acute ischemic stroke patients discharged to inpatient rehabilitation versus a skilled nursing facility: the Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Source Type: research

A Comparison of Acute Ischemic Stroke Patients Discharged to Inpatient Rehabilitation vs a Skilled Nursing Facility: The Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Tags: ORIGINAL RESEARCH Source Type: research

Healthcare circuits and functional outcomes 3 and 12 months after a stroke in a population-based cohort of 929 patients
In this study, carried out with an exhaustive population within a region and a one-year follow-up with few missing data, the results show a morbi-mortality after stroke higher than the one reported in previous studies. The results also confirm the better prognosis of IS.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

20 years of researching stroke through audit.
This article records and reviews some questions that have been answered using data from the audit: Is the rate of institutional care after rehabilitation a possible measure of outcome? Does stroke unit care in routine practice give the benefits shown in randomized controlled trials? How is the quality of stroke care affected by a patient's age and the time of their stroke? Do patient-reported measures match those obtained from the professionals recording of processes of care? How do the processes of care after stroke affect mortality? Is thrombolysis safe to use in patients over the age of 80? Do staffing levels matter? Do...
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Rudd AG, Hoffman A, Paley L, Bray B Tags: Clin Rehabil Source Type: research

Including Patients With Stroke in Cardiac Rehabilitation: BARRIERS AND FACILITATORS.
Abstract More than 13 million cases of stroke are occurring annually worldwide. Approximately a quarter of these strokes are recurrent strokes, and there is compelling evidence of the benefit of supervised exercise and risk factor modification programming in the secondary prevention of these strokes. However, there is insufficient time in inpatient and outpatient stroke rehabilitation for focused exercise interventions. General lifestyle interventions on their own, without guidance and supervision, are insufficient for improving physical activity levels. Cardiac rehabilitation (CR) is a setting where cardiac patie...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 31, 2020 Category: Rehabilitation Authors: Marzolini S Tags: J Cardiopulm Rehabil Prev Source Type: research

Canadian Stroke Best Practice Recommendations: Virtual Stroke Rehabilitation Interim Consensus Statement 2022
The seventh edition of the Canadian Stroke Best Practice Recommendations for Rehabilitation and Recovery following Stroke includes a new section devoted to the provision of virtual stroke rehabilitation. This consensus statement uses Grading of Recommendations, Assessment, Development and Evaluations methodology and Appraisal of Guidelines for Research & Evaluation II principles. A literature search was conducted using PubMed, Embase, and Cochrane databases. An expert writing group reviewed all evidence and developed recommendations, as well as consensus-based clinical considerations where evidence was insufficient for a r...
Source: American Journal of Physical Medicine and Rehabilitation - October 29, 2022 Category: Rehabilitation Tags: Analysis & Perspective Source Type: research

Association Between Spasticity and Functional Impairments During the First Year After Stroke in Korea: The KOSCO Study
Objective The aim of the study was to investigate the correlation between spasticity severity and functional outcomes during the first year after stroke. Design The Korean Stroke Cohort for Functioning and Rehabilitation is a large, multicenter, prospective cohort study of all patients with acute first-ever stroke admitted to participating hospitals in nine Korean areas. To investigate the correlation between spasticity severity and functional status measured by using the Institutes of Health Stroke Scale (NIHSS), Modified Barthel Index (MBI), Functional Independence Measurement (FIM), Fugl-Meyer Assessment (FMA), Fun...
Source: American Journal of Physical Medicine and Rehabilitation - July 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Including Patients With Stroke in Cardiac Rehabilitation: BARRIERS AND FACILITATORS
More than 13 million cases of stroke are occurring annually worldwide. Approximately a quarter of these strokes are recurrent strokes, and there is compelling evidence of the benefit of supervised exercise and risk factor modification programming in the secondary prevention of these strokes. However, there is insufficient time in inpatient and outpatient stroke rehabilitation for focused exercise interventions. General lifestyle interventions on their own, without guidance and supervision, are insufficient for improving physical activity levels. Cardiac rehabilitation (CR) is a setting where cardiac patients, and increasin...
Source: Journal of Cardiopulmonary Rehabilitation - September 1, 2020 Category: Rehabilitation Tags: Invited Review Source Type: research

Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation.
DISCUSSION: Personalized rehabilitation can be considered in comparison to person-centred care principles. The barriers and enablers experienced by patients in this study contribute to the existing knowledge of the patient experience of stroke rehabilitation and may be used to inform clinical practices and future research. Implications for Rehabilitation The surrounding environments can facilitate participation in rehabilitation using strategies to reduce noise and disruption and also by encouraging social interactions among patients. Increasing the frequency and consistency of communication with patients about rehabilitat...
Source: Disability and Rehabilitation - February 11, 2021 Category: Rehabilitation Authors: Last N, Packham TL, Gewurtz RE, Letts LJ, Harris JE Tags: Disabil Rehabil Source Type: research

Current Evidence on the Impact of Medicare Payment Policy on Stroke Rehabilitation in Skilled Nursing Facilities
AbstractPurpose of ReviewPatients recovering from stroke benefit from frequent, multi-disciplinary therapies in skilled nursing facilities (SNFs). As a major driver of spending, rehabilitation in SNFs is vulnerable to scrutiny from payers including Medicare. This review explored impacts of current payment programs (Patient Driven Payment Model, Bundled Payments for Care Improvement Advanced, Accountable Care Organizations, and Medicare Advantage) on access and outcomes of rehabilitation in SNFs after stroke.Recent FindingsThere is minimal SNF payment research specific to stroke. For the general Medicare population, payment...
Source: Current Physical Medicine and Rehabilitation Reports - August 18, 2023 Category: Rehabilitation Source Type: research

Rehabilitation in Geriatric Patients after Ischemic Stroke - A Comparison of 2 Organisational Systems in Germany Using Claims Data of a Statutory Health Insurance Fund.
Abstract Due to historical aspects in some federal states in Germany rehabilitation of geriatric patients is organized in geriatric departments in hospitals (§ 109 SGB V). In other states rehabilitation of these patients is mainly realized in geriatric rehabilitation facilities outside hospital care after approval by the health insurance (§ 111 SGB V). Thus, it is of interest to compare both types of health care with respect to differences in population characteristics, resource utilization and outcome parameters (i. e., excess costs, rehospitalization, fracture risk and mortality) using a common geriatric indic...
Source: Die Rehabilitation - July 3, 2013 Category: Rehabilitation Authors: Abbas S, Ihle P, Hein R, Schubert I Tags: Rehabilitation (Stuttg) Source Type: research

Screening of changes in refractometry after stroke: A retrospective cohort study case control
Discussion There are few available data on refractometry disorders prevalence after stroke, some authors report around 20 to 25% [1]. Despite non-significant results, and because of the important refractometer disorders in stroke patients, expressing few visual impairment, this study suggests the interest of a refractometer PlusoptiX® testing to improve their rehabilitation and quality of life [2].
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Correlates of well-being among caregivers of long-term community-dwelling stroke survivors
Although caregiving for stroke survivors is usually long-term, most studies on caregivers have generally involved only the first year following the event. We assessed and compared the long-term level of well-being measures among stroke survivors and their caregivers at more than 1 year following the stroke event and examined the associations between well-being, survivors’ characteristics, and caregiver burden. We interviewed a convenience sample of 51 community-dwelling stroke survivors, at least 1 year after the last stroke event, and their primary caregivers. Disability of survivors was assessed using the Barthel index...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

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