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A process evaluation of patient care needs using the Post- Stroke Checklist: a prospective study
CONCLUSION: The mPSC is feasible to implement in an inpatient rehabilitation setting and community. It can identify relevant stroke-related problems, and hence facilitate targeted intervention.PMID:35001136 | DOI:10.2340/jrm.v53.349
Source: Journal of Rehabilitation Medicine - January 10, 2022 Category: Rehabilitation Authors: Bhasker Amatya Alaeldin Elmalik Su Yi Lee Krystal Song Mary Galea Fary Khan Source Type: research

Clinical risk factors for post-stroke urinary incontinence during rehabilitation
Urinary incontinence (UI) is a common problem after stroke. Risk factors for UI seem to be multifactorial. There is still controversy in which risk factors contribute to UI. The aim of this study was to investigate risk factors for UI in stroke patients during rehabilitation. Study investigated 150 participants after the first stroke consecutively admitted to a post-acute inpatient rehabilitation program. They were divided into continence and incontinence group according to continence status on rehabilitation admission. Data about sociodemographic factors, functional status, comorbidities, current medications, type and loc...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research

Urinary and fecal incontinence in stroke survivors followed in general practice: a retrospective cohort study
Conclusion: This study, using data from Germany, suggests that general practitioners should regularly screen for urinary and fecal incontinence in the decade following stroke.
Source: Annals of Physical and Rehabilitation Medicine - January 24, 2020 Category: Rehabilitation Source Type: research

Risk factors for long-term care after hemiplegia from cancer-related brain surgery: a pilot study for new prediction model.
CONCLUSIONS: The model developed by the pilot study allowed correct positive or negative prediction for long-term care need after rehabilitation for 90.6% of the patients suffering from cancer- related hemiplegia. A subsequent study on a larger sample of subjects resulted therefore feasible because overall correct prediction was higher than 85%. CLINICAL REHABILITATION IMPACT: Risk factors for intensive care at home (complete absence of motricity of affected limbs, trunk control deficit, fecal incontinence, dysphagia and comorbidity Charlson Index >3) can be useful to evaluate patients suffering from hemiplegia due...
Source: European Journal of Physical and Rehabilitation Medicine - September 22, 2019 Category: Rehabilitation Authors: Zancan A, Rodigari A, Gigli Berzolari F, Borrelli P Tags: Eur J Phys Rehabil Med Source Type: research

Management of Urinary Incontinence in Older Adults in Rehabilitation Care Settings
AbstractPurpose of ReviewThis review focuses on updates in the management of urinary incontinence occurring in older adult populations living with conditions frequently managed by physical medicine and rehabilitation specialists.Recent FindingsUrinary incontinence is common among older adults who live with neurologic diseases, such as stroke, Parkinson ’s disease, multiple sclerosis, and traumatic brain injury, and may be cared for in outpatient and acute rehabilitation facilities. While the evidence is growing regarding treatment strategies specific to patients with neurogenic bladder, behavioral treatment approaches ma...
Source: Current Physical Medicine and Rehabilitation Reports - May 17, 2019 Category: Rehabilitation Source Type: research

Post-Cerebrovascular Accident Unpredictable Incontinence: A Qualitative Analysis of an Interdisciplinary Rehabilitation Team's Perspective.
CONCLUSION: To overcome this discrepancy in treatment priority, awareness of poststroke urinary incontinence must be improved. CLINICAL RELEVANCE: A key component is communication about urinary incontinence with patients and among team members. PMID: 30830882 [PubMed - in process]
Source: Rehabilitation Nursing - February 28, 2019 Category: Rehabilitation Authors: Kohler M, Mayer H, Kesselring J, Saxer S Tags: Rehabil Nurs Source Type: research

Improvement in overactive bladder symptoms in patients using functional electrical stimulation of the common peroneal nerve for walking.
CONCLUSION: The results of this exploratory study suggest that functional electrical stimulation use does improve overactive bladder symptoms in people with multiple sclerosis. Further exploration is needed to study this association and explore whether the mechanism is similar to that of percutaneous tibial nerve stimulation, a recognized treatment for the overactive bladder. PMID: 29909652 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Hare N, Georgopoulos P, Philips KE, Johnson JE, Seary C, Panicker JN, Stevenson VL Tags: Clin Rehabil Source Type: research

Reliability and validity of the Turkish version of the Danish Prostatic Symptom Score to assess lower urinary tract symptoms in stroke patients.
CONCLUSIONS: We have shown the reliability and validity of the Turkish DAN-PSS, and we think that it will be useful to utilize it in the monitoring of patients with stroke and in clinical studies. PMID: 28946578 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - September 29, 2017 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Effects of Transcutaneous Electrical Nerve Stimulation at Two Frequencies on Urinary Incontinence in Poststroke Patients: A Randomized Controlled Trial
The objective of this study was to compare the effects of two frequencies of transcutaneous electrical nerve stimulation (TENS) on urinary incontinence caused by stroke. Methods: Eighty-one patients with poststroke urinary incontinence were recruited and randomized into the following three groups with a 1:1 ratio: a 20-Hz TENS group, a 75-Hz TENS group, and a no-treatment control group (n = 27 per group). TENS currents were biphasic square waves with pulse durations of 150 μsecs and pulse frequencies of 20 Hz or 75 Hz and were applied for 30 mins once per day for 90 days. The positive electrodes were placed in the region...
Source: American Journal of Physical Medicine and Rehabilitation - February 24, 2016 Category: Rehabilitation Tags: Original Research Article Source Type: research

Post-stroke Cognition, Continence and Transfers on Discharge from Inpatient-Rehabilitation Following Complete Urinary Incontinence on Admission
To analyze rates of recovery of cognition, continence and transfers, and association of these factors with post-acute disposition location on discharge from inpatient-rehabilitation (IR) in post-stroke patients originally having complete urinary incontinence.
Source: Archives of Physical Medicine and Rehabilitation - November 23, 2015 Category: Rehabilitation Authors: David S. Kushner, Kenneth Peters Tags: Research Poster Source Type: research

Caring for continence in stroke care settings: A qualitative study of patients' and staff perspectives on the implementation of a new continence care intervention.
CONCLUSION: Patients (particularly those with severe urinary incontinence) described challenges communicating about and involvement in continence care decisions. In contrast, nurses described improved continence knowledge, attitudes and confidence alongside a shift from containment to rehabilitative approaches. Contextual components including care from point of hospital admission, equipment accessibility and interdisciplinary approaches were perceived as important factors to enhancing continence care. PMID: 26048436 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 4, 2015 Category: Rehabilitation Authors: Brady MC, Jamieson K, Bugge C, Hagen S, McClurg D, Chalmers C, Langhorne P Tags: Clin Rehabil Source Type: research

Pelvic floor muscle training for urinary incontinence in female stroke patients: A randomized, controlled and blinded trial.
CONCLUSIONS: These findings suggest that PFMT is beneficial for the management of urinary incontinence in female stroke patients. PMID: 25862769 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 10, 2015 Category: Rehabilitation Authors: Shin DC, Shin SH, Lee MM, Lee KJ, Song CH Tags: Clin Rehabil Source Type: research

What predicts a poor outcome in older stroke survivors? A systematic review of the literature.
Conclusions: The current evidence is insufficient for the development of a clinical prediction tool that is better than physicians' informal predictions. Future research should focus on the selection of optimal screening instruments in multiple domains of functioning, including the timing of assessment. We suggest developing prediction tools stratified by more homogeneous, clinically distinguished stroke subtypes. Implications for Rehabilitation A reliable prognosis soon after a stroke is highly relevant to patients who ultimately have a poor outcome, because it enables early planning of care tailored to their needs. ...
Source: Disability and Rehabilitation - January 25, 2013 Category: Rehabilitation Authors: Almenkerk SV, Smalbrugge M, Depla MF, Eefsting JA, Hertogh CM Tags: Disabil Rehabil Source Type: research

Hospital-Acquired Symptomatic Urinary Tract Infection in Patients Admitted to an Academic Stroke Center Affects Discharge Disposition
Objective: To test the role of hospital-acquired symptomatic urinary tract infection (SUTI) as an independent predictor of discharge disposition in the acute stroke patient. Study Design: A retrospective study of data collected from a stroke registry service. The registry is maintained by the Specialized Programs of Translational Research in Acute Stroke Data Core. The Specialized Programs of Translational Research in Acute Stroke is a national network of 8 centers that perform early phase clinical projects, share data, and promote new approaches to therapy for acute stroke. Setting: A single university-based hospital...
Source: PM and R - October 29, 2012 Category: Rehabilitation Authors: Nneka L. Ifejika-Jones, Hui Peng, Elizabeth A. Noser, Gerard E. Francisco, James C. Grotta Tags: Original Research Source Type: research