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Specialty: Rehabilitation
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Total 255 results found since Jan 2013.

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

Understandings stroke in rural Malaysia: ethnographic insights.
Conclusion: Lack of knowledge about stroke and its symptoms was evident in participants' account. Findings emphasize the importance of knowledge based health interventions, especially in health education strategies for stroke survivors to reduce delays to diagnosis and potentially improve health outcomes post-stroke. Implications for rehabilitation Stroke survivors often form explanatory models of stroke that draw from both biomedical and traditional explanations of stroke. Understanding how people derive lay understandings of stroke can contribute towards developing the goals and activities that facilitate recovery and re...
Source: Disability and Rehabilitation - June 5, 2019 Category: Rehabilitation Authors: Yap KH, Warren N, Allotey P, Reidpath DD Tags: Disabil Rehabil Source Type: research

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study.
CONCLUSION: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities. Implications for rehabilitation Stroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a futu...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Parappilly BP, Mortenson WB, Field TS, Eng JJ 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

'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

How can stroke care be improved for younger service users? A qualitative study on the unmet needs of younger adults in inpatient and outpatient stroke care in Australia.
CONCLUSIONS: This study provides new insights into the experience of inpatient and outpatient stroke care by younger stroke survivors and outlines possible improvements for clinical practice. Future research should evaluate the effect of targeted strategies to support younger adults after stroke. Implications for rehabilitation Post-stroke rehabilitation might be improved by providing more support for the non-physical effects of stroke (e.g., psycho-emotional support, cognitive rehabilitation). Younger stroke survivors may also benefit from a long-term community care plan and longer-term rehabilitation. Patient-centered re...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Shipley J, Luker J, Thijs V, Bernhardt J Tags: Disabil Rehabil Source Type: research

Disrupted biographies: making sense of minor stroke after hospital discharge.
Conclusions: Although participants had different experiences of minor stroke, there were common elements. The first weeks post-hospital discharge were a time of questioning and reconciling the stroke for many participants. Adjusting to post-stroke impairments and the impact of these on social participation was also prominent. There is a critical need for education about what to expect prior to discharge from hospital with minor stroke and a designated discharge pathway to avoid the development of secondary post-stroke issues in the community.IMPLICATIONS FOR REHABILITATIONPeople with minor stroke may experience ongoing pos...
Source: Disability and Rehabilitation - January 6, 2020 Category: Rehabilitation Authors: Finch E, Foster M, Fleming J Tags: Disabil Rehabil Source Type: research

Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

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

Therapists' perspectives on adapting the Stepping On falls prevention programme for community-dwelling stroke survivors in Singapore.
CONCLUSIONS: Rehabilitation therapists describe challenges in addressing fall prevention within a stroke context, and findings highlight the need for a structured, stroke-specific fall prevention programme rather than a more general approach to education and training. Contextual components identified provide valuable inputs towards the development of a culturally relevant fall prevention programme for stroke survivors in Singapore. Implications for Rehabilitation Stroke survivors living in the community are at a high risk of falls. A structured and culturally relevant fall prevention programme for community-living stroke s...
Source: Disability and Rehabilitation - May 18, 2018 Category: Rehabilitation Authors: Xu T, O'loughlin K, Clemson L, Lannin NA, Koh G, Dean C Tags: Disabil Rehabil Source Type: research

"I'm just not a Sudoku person": analysis of stroke survivor, carer, and healthcare professional perspectives for the design of a cognitive rehabilitation intervention.
CONCLUSIONS: Qualitative work with stroke survivors, carers and healthcare professionals provided vital information for the intervention design. Issues identified by participants as being key to intervention development included: (i) implications of post-stroke cognitive impairment survivors' confidence; (ii) their individual capacity in terms of fatigue and metacognition; and (iii) practical issues such as intervention location. The inclusion of psychoeducation regarding consequences of stroke was recommended. Implications for rehabilitation Stroke survivors, carers, and rehabilitation professionals who provide stroke car...
Source: Disability and Rehabilitation - April 10, 2019 Category: Rehabilitation Authors: Merriman NA, Bruen C, Gorman A, Horgan F, Williams DJ, Pender N, Byrne E, Hickey A Tags: Disabil Rehabil Source Type: research

Trajectories of memory, language, and visuoperceptual problems in people with stroke during the first year and controls in Colombia.
Conclusion: These findings suggest profound disparities in post-stroke cognitive functioning in Colombia compared to other more developed global region and underscore the importance of comprehensive cognitive rehabilitation services for individuals with stroke in Colombia and other similar global regions. Implications for rehabilitation Because this study found only negligible cognitive improvements beyond practice effects over the first year after stroke in Colombia among individuals without access to acute rehabilitation, it is imperative that comprehensive cognitive rehabilitation services be implemented immediately dur...
Source: Disability and Rehabilitation - June 4, 2019 Category: Rehabilitation Authors: Olabarrieta-Landa L, Pugh M, Calderón Chagualá A, Perrin PB, Arango-Lasprilla JC Tags: Disabil Rehabil Source Type: research

Technology for maintaining oral care after stroke: considerations for patient-centered practice.
CONCLUSION: The available device and technologies may help substantially with the accommodations needed for post-stroke oral care, improving the oral health of stroke survivors. Good oral health confers benefit to overall health and well-being and could enhance recovery and rehabilitation outcomes. Nonetheless, more research is necessary to demonstrate the feasibility and effectiveness of technology in stroke contexts. IMPLICATIONS FOR REHABILITATION Oral care may be challenging after stroke due to patient fatigue, hemiparesis, cognitive impairments, and other impaired body functions. Poor oral hygiene may impact stroke re...
Source: Disability and Rehabilitation. Assistive Technology. - September 28, 2020 Category: Rehabilitation Authors: Gurgel-Juarez N, Egan M, Wiseman M, Finestone H, Flowers HL Tags: Disabil Rehabil Assist Technol Source Type: research

The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

Effects of premorbid physical activity on stroke severity and post-stroke functioning.
CONCLUSION: There are significant associations between premorbid walking habits and functional status after first-ever stroke. Weekly light-intensity activity, such as walking for more than 30 min, may have a sustained impact on functioning after stroke. PMID: 26073856 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - June 17, 2015 Category: Rehabilitation Tags: J Rehabil Med Source Type: research