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Home programs for upper extremity recovery post-stroke: a survey of occupational therapy practitioners.
CONCLUSIONS: Occupational therapy practitioners often provide home programs for individuals post-stroke focusing on upper extremity function. Future research that aims to understand stakeholders' perspectives on home programs and determine effective strategies for ensuring adherence is needed. PMID: 28885102 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 8, 2017 Category: Neurology Authors: Donoso Brown EV, Fichter R Tags: Top Stroke Rehabil Source Type: research

Medication Self-Administration after Stroke (P5.181)
Conclusion: Stroke patients performed poorly on the HMS, and though performance improved after medication education, this may be related to spontaneous stroke recovery. MSA problems, assessed by HMS performance, may strongly predict post-acute care needs. Funded by: NJ Brain Injury Commission and Kessler FoundationDisclosure: Dr. Oyawusi has nothing to disclose. Dr. Levy has nothing to disclose. Dr. Gentile has nothing to disclose. Dr. March has nothing to disclose. Dr. Hreha has received personal compensation for activities with Kessler Institute for Rehabilitation. Dr. Pagaoa-Cruz has nothing to disclose. Dr. Masmela has...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Oyawusi, M., Levy, B., Gentile, A., March, G., Hreha, K., Pagaoa-Cruz, G., Masmela, J., Galletta, E., Holman, S., McKenna, C., Zhang, J., Barrett, A. Tags: Neuro-rehabilitation: Stroke Source Type: research

What Are the Classifications of Perinatal Stroke?
Discussion Perinatal stroke occurs in about 1:1000 live births and is a “focal vascular injury from the fetal period to 28 days postnatal age.” Perinatal stroke is the most common cause of hemiparetic cerebral palsy and causes other significant morbidity including cognitive deficits, learning disabilities, motor problems, sensory problems including visual and hearing disorders, epilepsy, and behavioral and psychological problems. Family members are also affected because of the potential anxiety and guilt feelings that having a child with a stroke presents, along with the care that may be needed over the child&#...
Source: PediatricEducation.org - May 1, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Occupational performance coaching for stroke survivors: a pilot randomized controlled trial protocol.
This study will explore the potential efficacy of OPC-Stroke and the feasibility of the research methods for use in a larger trial. METHOD: A pilot randomized controlled trial will be undertaken. Participants will be randomly assigned to receive 10 sessions of OPC-Stroke or usual care. Participation, perceived goal performance, satisfaction and self-efficacy, emotional well-being, and cognition will be measured at three time points. IMPLICATIONS: This research will test the potential usefulness of OPC-Stroke as well as the study methods, and thereby inform the continuing development of OPC-Stroke and further stud...
Source: Canadian Journal of Occupational Therapy - December 1, 2014 Category: Occupational Health Authors: Kessler DE, Egan MY, Dubouloz CJ, Graham FP, McEwen SE Tags: Can J Occup Ther Source Type: research

Somatosensory assessment and treatment after stroke: An evidence‐practice gap
ConclusionsMost therapists perceived somatosensory assessment and treatment as important. However, frequently utilised methods lack a sound theoretical or empirical basis. Despite published evidence regarding somatosensory assessment and treatment, an evidence‐practice gap exists.
Source: Australian Occupational Therapy Journal - December 1, 2014 Category: Occupational Health Authors: Lloyd U. Pumpa, Liana S. Cahill, Leeanne M. Carey Tags: Research Article Source Type: research

Effectiveness of interventions for adults with psychological or emotional impairment after stroke: an evidence-based review.
Abstract This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health-related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from we...
Source: The American Journal of Occupational Therapy - January 1, 2015 Category: Occupational Health Authors: Hildebrand MW Tags: Am J Occup Ther Source Type: research

Shifting gears: An inpatient medical record audit and post ‐discharge survey of return‐to‐driving following stroke/transient ischaemic attack
ConclusionsInconsistencies exist in the documentation of return‐to‐driving management after acute stroke or TIA and it is unknown whether patients who lack documentation in their medical records were provided with education or not.
Source: Australian Occupational Therapy Journal - January 31, 2017 Category: Occupational Health Authors: Janet Frith, Helen Warren ‐Forward, Isobel Hubbard, Carole James Tags: Research Article Source Type: research

Method for the evidence-based reviews on occupational therapy and stroke.
We describe the four questions that served as the focus for the evidence-based reviews of the effectiveness of occupational therapy interventions for adults with stroke. The questions include occupation- and activity-based interventions to improve occupational performance and social participation after stroke, as well as interventions for motor, cognitive, and psychological and emotional impairments after stroke. We include the background for the reviews; the process followed for addressing each question, including search terms and search strategy; the databases searched; and the methods used to summarize and critically ap...
Source: The American Journal of Occupational Therapy - January 1, 2015 Category: Occupational Health Authors: Arbesman M, Lieberman D, Berlanstein DR Tags: Am J Occup Ther Source Type: research

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial.
CONCLUSIONS: This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies.Trial registration Current Controlled ...
Source: Cancer Control - February 8, 2015 Category: Cancer & Oncology Authors: Sackley CM, Walker MF, Burton CR, Watkins CL, Mant J, Roalfe AK, Wheatley K, Sheehan B, Sharp L, Stant KE, Fletcher-Smith J, Steel K, Wilde K, Irvine L, Peryer G, OTCH trial investigators Tags: BMJ Source Type: research

Home-based constraint-induced movement therapy for patients with upper limb dysfunction after stroke (HOMECIMT): a cluster-randomised, controlled trial
Publication date: Available online 28 July 2015 Source:The Lancet Neurology Author(s): Anne Barzel, Gesche Ketels, Anne Stark, Britta Tetzlaff, Anne Daubmann, Karl Wegscheider, Hendrik van den Bussche, Martin Scherer Background Constraint-induced movement therapy (CIMT) is recommended for patients with upper limb dysfunction after stroke, yet evidence to support the implementation of CIMT in ambulatory care is insufficient. We assessed the efficacy of home CIMT, a modified form of CIMT that trains arm use in daily activities within the home environment. Methods In this parallel, cluster-randomised controlled tri...
Source: The Lancet Neurology - July 30, 2015 Category: Neurology Source Type: research

Superhero Joey: Five-year-old fights moyamoya disease
It’s been said that not all heroes wear capes — but Joey Gallagher owns several. The five-year-old has already amassed a collection of superhero gear, from a Superman Halloween costume to a t-shirt emblazoned with the Batman logo. Yet even the most diehard comic book fan would likely admit that feats like flying, leaping tall buildings and fighting bad guys don’t hold a candle to the challenges this little boy has already surmounted. Just last June, Joey was out of town with his family when he had what his parents, Leila and Scott, feared was a seizure. Clinicians in the emergency department dismissed the event as he...
Source: Thrive, Children's Hospital Boston - April 4, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories childhood stroke Dr. Edward Smith Dr. Michael Scott moyamoya Moyamoya Disease Program Source Type: news

Attributes of evidence-based occupational therapists in stroke rehabilitation.
Abstract BACKGROUND.: A better understanding of the features characterizing expert evidence-based occupational therapists in stroke rehabilitation is needed to inform the design of educational and knowledge translation interventions aimed at addressing research-practice gaps. PURPOSE.: The study aimed to identify the attributes of evidence-based occupational therapy stroke rehabilitation experts from the perspective of their peers. METHOD.: Forty-six occupational therapy clinicians and managers completed an online questionnaire asking them to nominate "outstanding" and "expert evidence-based" occupationa...
Source: Canadian Journal of Occupational Therapy - November 19, 2018 Category: Occupational Health Authors: Hallé MC, Mylopoulos M, Rochette A, Vachon B, Menon A, McCluskey A, Amari F, Thomas A Tags: Can J Occup Ther Source Type: research

The experience of urinary incontinence in stroke survivors: a follow-up qualitative study.
Abstract BACKGROUND: No previous qualitative exploration of urinary incontinence (UI) or post-stroke urinary incontinence (PSUI) has been undertaken in an Australian population. PURPOSE: The purpose of this study is to explore the experiences of community-dwelling stroke survivors who were living with UI/PSUI and understand how context shaped those experiences. METHODS: A pragmatic approach using thematic analysis was employed for this study. FINDINGS: Four themes emerged from the data: "I've got to go": onset and daily experience of UI; "No one ever mentioned it": lack of advice and information fro...
Source: Canadian Journal of Occupational Therapy - April 1, 2014 Category: Occupational Health Authors: White JH, Patterson K, Jordan LA, Magin P, Attia J, Sturm JW Tags: Can J Occup Ther Source Type: research

“A Lot of Things Passed Me by”: Rural Stroke Survivors’ and Caregivers’ Experience of Receiving Education From Health Care Providers
ConclusionsUnderstanding the experience of receiving education for survivors and caregivers will help practitioners provide the right education, to the right people, at the right time, and in the right way to better support underserved groups. Improving patient and caregiver education is paramount to supporting health behavior change to optimize life poststroke and prevent future strokes. Our results suggest the need for improved access to educational providers, proactive identification of informational needs by providers, greater inclusion of caregivers in education, enhanced communication with information provision, and ...
Source: The Journal of Rural Health - April 1, 2015 Category: Rural Health Authors: Megan M. Danzl, Anne Harrison, Elizabeth G. Hunter, Janice Kuperstein, Violet Sylvia, Katherine Maddy, Sarah Campbell Tags: ORIGINAL ARTICLE Source Type: research

Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus
Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
Source: BMJ Open - January 6, 2022 Category: General Medicine Authors: Mahmood, A., Deshmukh, A., Natarajan, M., Marsden, D., Vyslysel, G., Padickaparambil, S., TS, S., Direito, A., Kumaran, S., N, G., Sachdev, H., Kumar Veluswamy, S., Karthikbabu, S., Unnikrishnan, B., English, C., Solomon, J. M. Tags: Open access, Neurology Source Type: research

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