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Condition: Disability
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Total 30 results found since Jan 2013.

Standardized circuit class group training versus individualized goal-directed group training to improve upper limb function in stroke survivors during in-patient rehabilitation: a pragmatic trial
CONCLUSIONS: A standardized training could reduce the mental workload for therapists, but patients seemed less engaged. A combination of both might be most beneficial.Trial registration: Dutch Trial Register: NL8844 and NL9471IMPLICATIONS FOR REHABILITATIONProviding a standardized training program after stroke reduces therapists' mental workload.Individualized goal-directed group training results in the best achievement of rehabilitation goals.A combination of standardized and individual training would use best of both intervention modalities.Patients should be involved in the co-creation developing process of training pro...
Source: Disability and Rehabilitation - September 20, 2023 Category: Rehabilitation Authors: S G Rozevink C M Beerepoot C K van der Sluis J M Hijmans Source Type: research

Interventions for the uptake of evidence-based recommendations in acute stroke settings
CONCLUSIONS: We are uncertain whether a multifaceted implementation intervention compared to no intervention improves adherence to evidence-based recommendations in acute stroke settings, because the certainty of evidence is very low.PMID:37565934 | PMC:PMC10416310 | DOI:10.1002/14651858.CD012520.pub2
Source: Cochrane Database of Systematic Reviews - August 11, 2023 Category: General Medicine Authors: Elizabeth A Lynch Lemma N Bulto Heilok Cheng Louise Craig Julie A Luker Kathleen L Bagot Tharshanah Thayabaranathan Heidi Janssen Elizabeth McInnes Sandy Middleton Dominique A Cadilhac Source Type: research

Benefit of successful reperfusion achieved by endovascular thrombectomy for patients with ischemic stroke and moderate pre-stroke disability (mRS 3): results from the MR CLEAN Registry
Conclusions Although patients with AIS with pre-stroke mRS 3 comprise a heterogenous group of disability causes, we observed improved outcomes when patients achieved successful reperfusion after EVT.
Source: Journal of NeuroInterventional Surgery - April 13, 2023 Category: Neurosurgery Authors: Benali, F., Kappelhof, M., Ospel, J., Ganesh, A., McDonough, R. V., Postma, A. A., Goldhoorn, R.-J. B., Majoie, C. B. L. M., van den Wijngaard, I., Lingsma, H. F., Vos, J. A., van Oostenbrugge, R. J., van Zwam, W. H., Goyal, M., on behalf of MR CLEAN Regi Tags: Ischemic stroke Source Type: research

Contemporary Review on Craniectomy and Cranioplasty; Part 1: Decompressive Craniectomy
This paper aims to review clinical benefits of decompressive craniectomy (DC) in both adult and paediatric populations; its indications and factors contributing to its postoperative success. The Glasgow Outcome Scale and the Modified Rankin Scale are the most commonly used scales to assess the long-term outcome in patients post DC. In adult traumatic brain injury patients, 2 randomized clinical trials were carried out; DECRA (Decompressive Craniectomy in Diffuse Traumatic Brain Injury) and RESCUEicp (Randomised Evaluation of Surgery with Craniectomy for Uncontrollable Elevation of inter cranial pressure) employing collecti...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research

Depression in Stroke Survivors: Ten-Year Follow-Up. Determinants of the Natural Course of Depressive Symptoms in Stroke Survivors in the Netherlands: The SMART-Medea Study
Stroke is one of the leading causes of mortality and a major cause of disability, due to impairments in functioning, limitations in activities, and restrictions in societal participation.20 Although these consequences vary widely between stroke survivors, the most common consequences are physical impairments, communication disorders, cognitive and emotional problems, and mood disturbances.13,50 Every year 15 million people suffer from stroke,30 in the Netherlands, 40.000 patients have a stroke each year28 Most stroke patients survive the initial illness and the greatest health effect is usually caused by the long-term consequences.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2022 Category: Neurology Authors: A. de Bekker, M.I. Geerlings, I.E. Uitewaal-Poslawsky, J.M. de Man-van Ginkel Source Type: research

Quantified health and cost effects of faster endovascular treatment for large vessel ischemic stroke patients in the Netherlands
Conclusion One-minute faster EVT increases QALYs while cumulative costs remain largely unaffected. Therefore, faster EVT provides better value of care at no extra healthcare costs.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: van Voorst, H., Kunz, W. G., van den Berg, L. A., Kappelhof, M., Pinckaers, F. M. E., Goyal, M., Hunink, M. G. M., Emmer, B. J., Mulder, M. J. H. L., Dippel, D. W. J., Coutinho, J. M., Marquering, H. A., Boogaarts, H. D., van der Lugt, A., van Zwam, W. H. Tags: Open access, Ischemic stroke Source Type: research

Access to stroke care in Europe: results of a vignette approach
ConclusionsWhile stroke related services are formally covered in almost all countries, considerable access problems exist in several countries. Future cross-country surveys of access to stroke care should collect quantitative data related to proportions of patients receiving particular services as well as qualitative data on access barriers.
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Validity of the Utrecht scale for evaluation of rehabilitation-participation restrictions scale in a hospital-based stroke population 3 months after stroke
Conclusions:The USER-P-R shows good measurement properties and provides additional patient-reported information, proving its usefulness as an instrument to evaluate participation after 3 months in a hospital-based stroke population.PMID:34315356 | DOI:10.1080/10749357.2021.1956047
Source: Topics in Stroke Rehabilitation - July 28, 2021 Category: Neurology Authors: Joris A de Graaf Eline J Volkers Vera P M Schepers Johanna M A Visser-Meily Marcel W M Post Source Type: research

Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
Worldwide, stroke is a leading cause of death and disability.1 Although incidence rates are expected to increase over the next few decades, survival rates are expected to improve. Consequently, more stroke survivors will have to learn to live with the consequences. After acute stroke care or rehabilitation, returning home is one of the primary goals for stroke survivors.2 In the Netherlands, 65 % of stroke survivors return home immediately after acute hospital care.3 The remaining 35% continue inpatient rehabilitation in a rehabilitation center (RC) or geriatric rehabilitation center (GRC) before returning home.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Marieke Geerars, Roderick Wondergem, Martijn F. Pisters Source Type: research

How do healthcare professionals experience communication with people with aphasia and what content should communication partner training entail?
CONCLUSIONS: According to HCP, communication difficulties challenge the provision of healthcare activities and lead to negative feelings in HCP. HCP suggest that communication can be improved by providing more time in the healthcare pathway of people with aphasia, adapting healthcare information to the needs of people with aphasia, commitment of physicians and managers, changing the roles of SLTs and improving knowledge and skills of HCP. Implications for rehabilitation Communication between healthcare professionals (HCP) and people with aphasia can be improved by training HCP to use supportive conversation techniques and ...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: van Rijssen MN, Veldkamp M, Bryon E, Remijn L, Visser-Meily JMA, Gerrits E, van Ewijk L Tags: Disabil Rehabil Source Type: research

Comparison between EQ-5D-5L and PROMIS-10 to evaluate health-related quality of life 3 months after stroke: a cross-sectional multicenter study.
CONCLUSIONS: Both EQ-5D-5L and PROMIS-10 prove to be useful instruments to evaluate HRQoL in patients who are living at home 3 months after stroke. CLINICAL REHABILITATION IMPACT: It depends on the setting and underlying goal which patient-reported outcome measure is preferred to evaluate HRQoL 3 months after stroke. The PROMIS-10 should be preferred to detect differences in less affected stroke patients, whereas the EQ-5D-5L provides slightly more information in more affected stroke patients. PMID: 33448750 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 15, 2021 Category: Rehabilitation Authors: de Graaf JA, Visser-Meily JM, Schepers VP, Baars A, Kappelle LJ, Passier PE, Wermer MJ, de Wit DC, Post MW Tags: Eur J Phys Rehabil Med Source Type: research

Counselled Patients with Stroke Still Experience Sexual and Relational Problems 1 –5 Years After Stroke Rehabilitation
AbstractTo describe sexual functioning/satisfaction and relational satisfaction of patients with stroke who received sexual counselling during their rehabilitation 1 –5 years thereafter. All adult patients with stroke admitted to one Dutch Rehabilitation Centre between January 2010 and January 2014 with at least two consultations with a sexologist were invited to participate in this cross-sectional survey study. Patients were asked to complete a questionnaire on sexual functioning, relational satisfaction (Maudsley Marital Questionnaire, 0–80; low–high dissatisfaction), health-related quality of life (HRQoL) short-f...
Source: Sexuality and Disability - April 27, 2020 Category: Disability Source Type: research