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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

Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others
CONCLUSION: Persevering with practice is multifaceted for stroke survivors. All facets need to be addressed in the design of strategies to enhance stroke survivors' ability to persevere and in turn, enhance their potential for continued upper limb recovery.IMPLICATIONS FOR REHABILITATIONMany stroke survivors do not persevere with long-term home-based upper limb practice despite the belief that high dose practice will promote continued recovery.Therapists need to support stroke survivors to setup individualised goal-based home programs that they can complete independently, or with support, within their everyday life.Stroke ...
Source: Disability and Rehabilitation - May 5, 2023 Category: Rehabilitation Authors: Bridee Neibling Kathryn S Hayward Moira Smith Paul Chapman Ruth N Barker Source Type: research

Management of post-stroke fatigue: an Australian health professional survey
CONCLUSIONS: Few Australian health professionals formally assess post-stroke fatigue. Management is multidisciplinary and based on evidence from fatigue management in other conditions.Implications for rehabilitationMost health professionals are not routinely using formal assessment tools for fatigue, possibly due to a lack of consensus on best practice in research.Common strategies recommended by health professionals include energy optimisation strategies, education and exercise.Comprehensive guidelines for post-stroke fatigue management are yet to be established.Health professionals should assess post-stroke fatigue using...
Source: Disability and Rehabilitation - November 12, 2022 Category: Rehabilitation Authors: Stewart Blackwell Gary Crowfoot Julie Davey Avril Drummond Coralie English Margaret Galloway Gillian Mason Dawn Simpson Source Type: research

Living with stroke during the first year after onset: an instrumental case study exploring the processes that influence adjustment
CONCLUSIONS: Adjustment to stroke necessitated a reconceptualization of self. Relationships and interactions with others emerged as potential facilitators. For health professionals working with people after stroke, knowledge of the adjustment process and attention to practices that affirm personhood and enhance self-efficacy have the potential to facilitate long term outcomes. Processes linked to adjustment are represented visually to guide conceptual understandings and facilitative actions.IMPLICATIONS FOR REHABILITATIONAll interactions with health professionals, including casual or ad hoc interactions, have the potential...
Source: Disability and Rehabilitation - October 12, 2022 Category: Rehabilitation Authors: Kellie Stagg Jacinta Douglas Teresa Iacono Source Type: research

The effect of self-management programs on post-stroke social participation: A systematic review and meta-analysis
CONCLUSION: The self-management programs seem not to be superior to usual care for the improvement on social participation in stroke survivors based on current evidence. Further well-designed investigation considering social participation as the primary outcome is still warranted.PMID:35765234 | DOI:10.1177/02692155221095477
Source: Clinical Rehabilitation - June 29, 2022 Category: Rehabilitation Authors: Xuan Zhou Minxia Du Yan Hu Source Type: research

Stroke survivors' perceptions of the factors that influence engagement in activity outside dedicated therapy sessions in a rehabilitation unit: A qualitative study
CONCLUSION: At the individual level, stroke survivors perceived that their ability to be active outside of dedicated therapy sessions was influenced by their impairments, including mood, and their attitude towards and preference for activity. At the ward level, stroke survivors perceived that their ability to be active was influenced by ward set-up, rules and staff expectations. Visitors were perceived to be important facilitators of activity outside of therapy sessions.PMID:35290136 | DOI:10.1177/02692155221087424
Source: Clinical Rehabilitation - March 15, 2022 Category: Rehabilitation Authors: Heidi Janssen Marie-Louise Bird Julie Luker Annie McCluskey Jannette Blennerhassett Louise Ada Julie Bernhardt Neil J Spratt Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Implementation of the ICF Clinical Functioning Information Tool (ClinFIT) for assessment of functioning in routine clinical practice
CONCLUSION: ClinFIT is feasible to implement in an inpatient rehabilitation setting and can detect changes in functioning overtime, and across different health conditions.PMID:35174870 | DOI:10.2340/jrm.v54.159
Source: Journal of Rehabilitation Medicine - February 17, 2022 Category: Rehabilitation Authors: Bhasker Amatya Alaeldin Elmalik Krystal Song Su Yi Lee Mary Galea Fary Khan Source Type: research

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