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'Patient unable to express why he was on the floor, he has aphasia.' A content thematic analysis of medical records and incident reports on the falls of hospital patients with communication disability following stroke
CONCLUSIONS & IMPLICATIONS: The medical records and incident reports of patients with communication disability following stroke reveal that hospital staff recognize the impact of communication disability as potential risk factors for falls for this group. It was difficult for staff to report the circumstances of the fall for patients with severe communication disability. Despite the recognition of communication as a potential contributing factor, few medical record entries documented strategies related to communication interventions to improve patients' ability to understand instructions, gain attention or communicate basi...
Source: International Journal of Language and Communication Disorders - June 25, 2023 Category: Speech-Language Pathology Authors: Rebecca Sullivan Bronwyn Hemsley Katherine Harding Ian Skinner Source Type: research

Transcranial direct current stimulation for the treatment of post-stroke depression: A systematic review
ConclusionThis article simply aims at providing a comprehensive overview of the raw data reported in this field to date. Based on the current evidence, tDCS presents promising results for the treatment of PSD. Moreover, tDCS is also effective in PSD patients with aphasia or CPSP. However, an optimal stimulation protocol is needed to formulate. Thus, the development of robustly controlled, randomized, and high-quality clinical trials to further assess the utility of tDCS as a therapeutic tool for the treatment of PSD survivors is encouraged.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php...
Source: Frontiers in Neurology - January 18, 2023 Category: Neurology Source Type: research

Scoping review protocol of the use of codesign methods in stroke intervention development
Introduction Codesign is an emerging research method to enhance intervention development by actively engaging non-researchers (eg, people who have had a stroke, caregivers and clinicians) in research. The involvement of non-researchers in research is becoming increasingly popular within health studies as it may produce more relevant and effective findings. The stroke population commonly exhibits challenges such as aphasia and cognitive changes that may limit their participation in codesign. However, the use of codesign within the stroke literature has not been comprehensively reviewed. This scoping review will determine: (...
Source: BMJ Open - November 21, 2022 Category: General Medicine Authors: Singh, H., Nelson, M. L., Martyniuk, J., Colquhoun, H., Munce, S., Cameron, J. I., Kokorelias, K. M., Pakkal, O., Kuluski, K. Tags: Open access, Health services research Source Type: research

Use of Selective Serotonin Reuptake Inhibitors and Outcomes in Stroke Rehabilitation: A Prospective Observational Pilot Cohort Study
ConclusionSSRI therapy did not improve disability and QOL in multi-ethnic Asian patients with first-ever stroke undergoing rehabilitation.
Source: Drugs in R&D - November 17, 2019 Category: Drugs & Pharmacology Source Type: research

277 Frailty and Early Supported Discharge (ESD) Post-Stroke: Are Frail Patients Referred to ESD and is Frailty Associated with Rehabilitation Outcomes?
ConclusionFrail patients are not routinely referred for ESD post-stroke. Patients who are pre-frail or frail make similar improvements with ESD compared to non-frail patient in functional independence but not quality of life. Comparable levels of physiotherapy and occupational therapy are provided but frail patients require less SLT. Further research is needed to ascertain if frail patients are appropriate for ESD.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
Conclusion Robotic therapy has matured and represents an embodiment of a paradigm shift in neurorehabilitation following a stroke: instead of focusing on compensation, it affords focus in ameliorating the impaired limb in line with concepts of neuroplasticity. This technology-based treatment provides intensity, interactivity, flexibility, and adaptiveness to patient's performance and needs. Furthermore, it increases the productivity of rehabilitation care. Of course, efficiency must be discussed within a local perspective. For example, following the cost containment shown in the VA ROBOTICS study (46), the UK Nati...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Facilitators of and Barriers to Providing Access to Community-Based Exercise Programmes for Adults with Post-Stroke Aphasia from the Perspective of Programme Representatives.
Conclusion: Understanding the common facilitators of and barriers to providing adults with PSA access to CBEPs will assist programme developers to improve the accessibility of CBEPs and facilitate PA in this population. PMID: 30275653 [PubMed]
Source: Physiotherapy Canada - October 4, 2018 Category: Physiotherapy Authors: Fairbairn M, Wicks E, Ait-Ouali S, Drodge O, Brooks D, Huijbregts M, Blonski D Tags: Physiother Can Source Type: research

Motor recovery in post-stroke patients with aphasia: the role of specific linguistic abilities.
CONCLUSIONS: Motor function at admission resulted as the variable that most affects the motor recovery of post-stroke patients with aphasia after rehabilitation. A linguistic test requiring also non-linguistic abilities, including attention and working memory (i.e. Token test) is an independent predictor as well. PMID: 28322130 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 21, 2017 Category: Neurology Authors: Ginex V, Veronelli L, Vanacore N, Lacorte E, Monti A, Corbo M Tags: Top Stroke Rehabil Source Type: research

Characterization of individuals with acquired brain injury in working age
Conclusion: the average age of the individuals of this study is inferior to other national studies; the level of education is low; the previous occupations in relation to the lesion were low financial income and the retirement post-injury rate is high. Neurological sequelae negatively impact on life/health of individuals, and therapeutic resources are incomplete.
Source: Revista CEFAC - November 21, 2016 Category: Speech Therapy Source Type: research

Potentials for research and innovations in allied health professions in Germany.
Authors: Voigt-Radloff S, Lang B, Antes G Abstract In order to address the increasing complexity and continuously changing needs and demands in the German healthcare system, there is a need to strengthen knowledge translation, evidence-based practice and the conduct of clinical trials in the field of allied health professions. An interdisciplinary working group representing the fields of nursing, midwifery, physiotherapy, occupational therapy and speech therapy developed a guide and a concept for seminars to provide potential analyses for research and innovations in the allied health professions in Germany. These p...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 2, 2015 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

P 240. Improvement of language functions in a chronic non-fluent post-stroke aphasic patient following sequential bilateral non-invasive neuromodulation by theta burst magnetic stimulation
Conclusions: Described sequential bilateral physiologically balanced TMS modulation of activation of the language related areas of both hemispheres may result in considerable and rather fast language benefits in chronic nfA patients. Whether this approach is better than usual unilateral stimulation requires further studies.
Source: Clinical Neurophysiology - September 19, 2013 Category: Neuroscience Authors: S. Filipovic, V. Stevanovic, I. Avramovic, M. Jelic, I. Avramovic, A. Jeremic, K. Kacar, S. Milanovic, L. Konstantinovic, J. Vuksanovic Tags: Society Proceedings Source Type: research

P 102. Transcranial direct current stimulation for improving aphasia after stroke. First results of a systematic Cochrane Review
Conclusion: Our review showed that in some studies tDCS might facilitate word retrieval after stroke and hence might improve aphasia. However, it is still unclear if tDCS could improve functional communication. Thus further research seems to be needed.
Source: Clinical Neurophysiology - September 19, 2013 Category: Neuroscience Authors: B. Elsner, J. Kugler, M. Pohl, J. Mehrholz Tags: Society Proceedings Source Type: research

P 240. Improvement of language functions in a chronic non-fluent post-stroke aphasic patient following sequential bilateral non-invasive neuromodulation by theta burst magnetic stimulation
Conclusions: Described sequential bilateral physiologically balanced TMS modulation of activation of the language related areas of both hemispheres may result in considerable and rather fast language benefits in chronic nfA patients. Whether this approach is better than usual unilateral stimulation requires further studies.
Source: Clinical Neurophysiology - September 1, 2013 Category: Neuroscience Authors: S. Filipovic, V. Stevanovic, I. Avramovic, M. Jelic, I. Avramovic, A. Jeremic, K. Kacar, S. Milanovic, L. Konstantinovic, J. Vuksanovic Tags: Society Proceedings Source Type: research

P 102. Transcranial direct current stimulation for improving aphasia after stroke. First results of a systematic Cochrane Review
Conclusion: Our review showed that in some studies tDCS might facilitate word retrieval after stroke and hence might improve aphasia. However, it is still unclear if tDCS could improve functional communication. Thus further research seems to be needed.
Source: Clinical Neurophysiology - September 1, 2013 Category: Neuroscience Authors: B. Elsner, J. Kugler, M. Pohl, J. Mehrholz Tags: Society Proceedings Source Type: research