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Patients' perspectives on aerobic exercise early after stroke.
CONCLUSION: Patients with stroke are willing to participate in aerobic exercise within a week after admission to inpatient rehabilitation. However, they perceive a lack of ability to perform aerobic exercise, social support from family and information as barriers. Implications for rehabilitation Aerobic exercise is recognized as part of comprehensive stroke rehabilitation. There is a need to better understand patient perspectives to develop and implement more effective interventions early after stroke. Patients lack confidence in their ability to overcome barriers early after stroke. Patients are concerned with their abili...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Prout EC, Mansfield A, McIlroy WE, Brooks D Tags: Disabil Rehabil Source Type: research

The role of learning in improving functional writing in stroke aphasia.
CONCLUSIONS: These results show that small doses of writing therapy can lead to large gains in specific types of writing. These gains did not extend to improvements in frequency of writing in daily living, nor ecological measures of email writing. There is a need to develop bridging interventions between experimental tasks towards more multi-faceted and ecological everyday writing tasks. Implications for Rehabilitation Acquired dysgraphia can restrict people from participating in social, educational and professional life. This study has shown that copy and recall spelling therapies can improve the spelling of treated words...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Thiel L, Sage K, Conroy P Tags: Disabil Rehabil Source Type: research

'I do the best I can': an in-depth exploration of the aphasia management pathway in the acute hospital setting.
CONCLUSIONS: Findings suggest significant diversity in the pathways of care for people with aphasia and their families in the acute hospital setting. Additional support mechanisms are required in order to support speech pathologists to minimise the evidence-practice gap. Implications for Rehabilitation Significant diversity exists in the current aphasia management pathway for people with acute post-stroke aphasia and their families in the acute hospital setting. Mechanisms that support speech pathologists to minimise the evidence-practice gap, and consequently reduce their sense of professional dissonance, are required. ...
Source: Disability and Rehabilitation - December 17, 2015 Category: Rehabilitation Authors: Foster AM, Worrall LE, Rose ML, O'Halloran R Tags: Disabil Rehabil Source Type: research

Stroke survivors' perspectives on two novel models of inpatient rehabilitation: seven-day a week individual therapy or five-day a week circuit class therapy.
CONCLUSION: In order to provide patient-centred services, novel methods of increased therapy must take into consideration the individual needs and preferences of the people accessing them. One model may not meet all these needs, hence a "menu" of options for therapy sessions (different timing, frequency, duration, content, rest and supervision) may be required to accommodate the diversity of patient needs, preferences and capacities. Implications for Rehabilitation People with stroke have diverse needs and preferences regarding the modes of delivering more therapy during rehabilitation. These diverse needs may not be met b...
Source: Disability and Rehabilitation - November 24, 2015 Category: Rehabilitation Authors: Bennett L, Luker J, English C, Hillier S Tags: Disabil Rehabil Source Type: research

Prognostic factors of return to work after traumatic or non-traumatic acquired brain injury.
CONCLUSIONS: This study confirms earlier findings that after both traumatic and non-traumatic ABI injury related factors in the Emergency Department are not associated with RTW. In addition, it provides further evidence that personal factors after traumatic ABI and activity-related factors after non-traumatic ABI are strongly associated with RTW. Implications for Rehabilitation We found strong evidence for a significant association between RTW and personal factors (education level, unemployment) after traumatic ABI, and activities of daily living (ADL) after non-traumatic ABI. We advise to focus on work-related activities ...
Source: Disability and Rehabilitation - July 3, 2015 Category: Rehabilitation Authors: Donker-Cools BH, Wind H, Frings-Dresen MH Tags: Disabil Rehabil Source Type: research

Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study.
Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes. Implications for Rehabilitation Post-stroke self-management is a learning process with different levels depe...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research

Impact of first-ever mild stroke on participation at 3 and 6 month post-event: the TABASCO study.
Conclusions: Participants after mild ischemic stroke experienced cognitive and EF difficulties that affect their participation and QoL. Further studies are needed of mild stroke survivors to enhance our understanding of the variables that affect participation. Implications for Rehabilitation The findings of the current study have significant implications for the participation of people after mild stroke in the community. Health care systems in general and rehabilitation programs, in particular, do not consider that these clients need rehabilitation as most of them perform basic daily functions independently. Thus, although...
Source: Disability and Rehabilitation - June 3, 2014 Category: Rehabilitation Authors: Adamit T, Maeir A, Ben Assayag E, Bornstein NM, Korczyn AD, Katz N Tags: Disabil Rehabil Source Type: research

Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke - a preliminary study.
Conclusion: Fast speed and self-perceived balance appear to be important characteristics of ICW at 6 months and may be useful early predictors of the potential for patients to achieve this. Further research is needed to ensure the precision of these functional cut-offs. Implications for Rehabilitation Prognostic information is important for people with stroke and health services. The ability to walk faster than 0.42 m/s and a fear of falling on the Falls Efficacy Scale of less than 57 in the first 3 months after stroke predict who will be an independent community walker at 6 months. At 6 months after stroke, people who c...
Source: Disability and Rehabilitation - April 23, 2014 Category: Rehabilitation Authors: Rosa MC, Marques A, Demain S, Metcalf CD Tags: Disabil Rehabil Source Type: research

Referrer and service provider beliefs and attitudes towards rehabilitation in the home; factors related to utilisation of Early Supported Discharge.
Conclusions: This study provides evidence that there was a level of uncertainty amongst referrers and RITH service providers regarding issues directly and indirectly related to patient eligibility and RITH service capability. This uncertainty needs to be explored in future research. Implications for Rehabilitation Differences in views held by referrers and ESD service providers were identified in this study that could lead to inconsistencies in patient selection for, and under-utilization of, ESD services. Improved communication between referrers and ESD service providers, for instance attendance of RITH staff at inpatient...
Source: Disability and Rehabilitation - March 4, 2014 Category: Rehabilitation Authors: Kraut JC, Singer BJ, Singer KP Tags: Disabil Rehabil Source Type: research

Lost in translation: exploring therapists' experiences of providing stroke rehabilitation across a language barrier.
Conclusions: Therapists perceive that rehabilitation is affected by a language barrier. The conceptual model illustrates the interrelationship between factors affecting rehabilitation provision when there is a language barrier. Subtle communication was found to be an important therapeutic tool which was lost across a language barrier, and may have broader relevance to therapeutic relationships in the field of rehabilitation. Further research is needed to gain insights into experiences of individuals receiving rehabilitation across a language barrier and to identify how to enhance the efficacy of rehabilitation for them. Im...
Source: Disability and Rehabilitation - February 25, 2014 Category: Rehabilitation Authors: Taylor E, Jones F Tags: Disabil Rehabil Source Type: research

'Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors'.
Conclusions: Participation in the Masterstroke program for community dwelling stroke survivors resulted in significant improvements in knowledge, functional balance, dietary behaviours and quality of life. Qualitative interviews support the participants' implementation of lifestyle changes essential for reducing risks of secondary stroke. Results support the utilisation of this model and warrants rigorous investigation regarding long-term impacts of an education and exercise program on community dwelling stroke survivors. [Box: see text]. PMID: 23641954 [PubMed - in process]
Source: Disability and Rehabilitation - May 26, 2013 Category: Rehabilitation Authors: White JH, Bynon BL, Marquez J, Sweetapple A, Pollack M Tags: Disabil Rehabil Source Type: research

Match and mismatch between objective and subjective improvements in upper limb function after stroke.
Conclusions: Mismatches between objective and subjective outcomes are relevant for practitioners evaluating rehabilitation goals, and for defining outcome variables in future upper limb rehabilitation trials. Implications for Rehabilitation In upper limb rehabilitation after stroke, a match between capacity and self-perception outcome measures is not self-evident. Regarding these potential mismatches, practitioners and patients should consider carefully which goals to set, and how to evaluate upper limb rehabilitation after stroke; preferably with capacity measures and self-perception measures combined. PMID: 23611500...
Source: Disability and Rehabilitation - April 23, 2013 Category: Rehabilitation Authors: van Delden AL, Peper CL, Beek PJ, Kwakkel G Tags: Disabil Rehabil Source Type: research

Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: a randomized trial.
Conclusions: The home-based intervention was effective in improving self-reported health, coping skills in CG and cognitive functioning in SS. However, the finding that dyads in both groups demonstrated decreased depression and stress suggests that providing repeated doses of relevant, personalized information by mail may result in positive changes. Implications for Rehabilitation A stroke affects both the stroke survivor and the spousal caregiver, so nurses and therapists should use multicomponent strategies to provide education, support, counseling and linkages to community resources to ease the transition from hospital ...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Ostwald SK, Godwin KM, Cron SG, Kelley CP, Hersch G, Davis S Tags: Disabil Rehabil Source Type: research

Sexuality after stroke: patient counseling preferences.
Conclusions: Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Preferences regarding the timing of such counseling vary, creating challenges for optimizing the delivery of this care. Implications for Stroke Rehabilitation Sexual dysfunction is common after stroke, but is frequently not addressed by healthcare providers. Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Most stroke survivors identify sexuality as an important issue ...
Source: Disability and Rehabilitation - January 22, 2013 Category: Rehabilitation Authors: Stein J, Hillinger M, Clancy C, Bishop L Tags: Disabil Rehabil Source Type: research

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