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Total 289 results found since Jan 2013.

Effects of diagonally aligned sitting training with a tilted surface on sitting balance for low sitting performance in the early phase after stroke: a randomised controlled trial.
Conclusions: Diagonally aligned sitting training on a tilted surface improves sitting balance and modulates the SPV compared with a horizontal surface. PMID: 31714801 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - November 12, 2019 Category: Rehabilitation Authors: Fukata K, Amimoto K, Inoue M, Sekine D, Inoue M, Fujino Y, Makita S, Takahashi H Tags: Disabil Rehabil Source Type: research

Effect of cycling and functional electrical stimulation with linear and interval patterns of timing on gait parameters in patients after stroke: a randomized clinical trial.
Conclusions: The functional electrical stimulation with cycling protocols improved the Functional Ambulation Classification, Timed 10-Meter Walk Test, active range of motion, Timed Up and Go Test, and Modified Modified Ashworth scale. An interval protocol of timing was more effective than the linear protocol in terms of spasticity and active range of motion.Implications for rehabilitationCycling + functional electrical stimulation training with an interval pattern of timing seems superior to cycling + functional electrical stimulation training with a linear pattern.Interval protocol has positive effects on spastici...
Source: Disability and Rehabilitation - November 10, 2019 Category: Rehabilitation Authors: Shariat A, Nakhostin Ansari N, Honarpishe R, Moradi V, Hakakzadeh A, Cleland JA, Kordi R Tags: Disabil Rehabil Source Type: research

"You felt like a prisoner in your own self, trapped": the experiences of Aboriginal people with acquired communication disorders.
Conclusions: An increase in healthcare staff's appreciation of the health and social contexts of Aboriginal people after brain injury is needed in order to improve communication with Aboriginal patients and the ability to offer accessible rehabilitation services. Ongoing support is required, with cultural identity noted as key to ensuring cultural security and ultimately recovery. Involvement of family and other Aboriginal people in recovery processes, as well as access to relevant Aboriginal languages and proximity to ancestral lands is central.Implications for rehabilitationAcknowledgment of cultural identity and strengt...
Source: Disability and Rehabilitation - November 6, 2019 Category: Rehabilitation Authors: Armstrong E, Coffin J, Hersh D, Katzenellenbogen JM, Thompson SC, Ciccone N, Flicker L, Woods D, Hayward C, Dowell C, McAllister M Tags: Disabil Rehabil Source Type: research

Impaired force control contributes to car steering dysfunction in chronic stroke.
Conclusion: Stroke impairs the steering ability of the paretic hand. Although grip strength and force control of the paretic hand are diminished after stroke, only grip force control predicts steering accuracy. Deficits in grip force control after stroke contribute to functional limitations in performing skilled tasks with the paretic hand.Implications for rehabilitationDriving is an important goal for independent mobility after stroke that requires motor capability to manipulate hand and foot controls.Two prominent stroke-related motor impairments that may impact precise car steering are reduced grip strength and grip for...
Source: Disability and Rehabilitation - November 6, 2019 Category: Rehabilitation Authors: Patel P, Alam T, Tracy BL, Lodha N Tags: Disabil Rehabil Source Type: research

The reliability and validity of the Timed Up and Go as a clinical tool in individuals with and without disabilities across a lifespan: a systematic review.
Conclusions: Based on the literature assessed, the Timed Up and Go is clinically applicable and reliable across multiple populations. The Timed Up and Go has a wide variety of clinical use making it a diverse measure that should be considered when choosing an outcome an activity based outcome measure. However, there are some limitations in the validity of the utilization of the Timed Up and Go to some populations due to a lack of data and/or poor choice of comparison outcome measures when assessing validity. Additional research is needed for young to middle aged adults. IMPLICATIONS FOR REHABILITATION Outcome measures are ...
Source: Disability and Rehabilitation - October 26, 2019 Category: Rehabilitation Authors: Christopher A, Kraft E, Olenick H, Kiesling R, Doty A Tags: Disabil Rehabil Source Type: research

Contextual determinants of participation after stroke: a systematic review of quantitative and qualitative studies.
Conclusions: Personal factors, particularly psychological and psychosocial factors, were identified as positively associated with post-stroke participation. Environmental factors such as support, relationships, and positive attitudes towards patients were major facilitators of participation as well as physical environment and accessibility to appropriate services. Most of these factors are modifiable and should be addressed to improve patient participation. Implications for Rehabilitation Psychosocial factors (motivational aspects, acceptance of a new condition, self-esteem) and environmental factors (social support, attit...
Source: Disability and Rehabilitation - October 24, 2019 Category: Rehabilitation Authors: Della Vecchia C, Viprey M, Haesebaert J, Termoz A, Giroudon C, Dima A, Rode G, Préau M, Schott AM Tags: Disabil Rehabil Source Type: research

Stroke Communication Scale based on the International Classification of Functioning, Disability and Health (ICF - SCS).
Conclusion: The Stroke Communication Scale allows a comprehensive clinical evaluation helping in the development of individualized treatment programs in post-stroke in a biopsychosocial approach centered on the patient. IMPLICATIONS FOR REHABILITATION Communication disorders post-stroke can be an important social barrier. An assessment based on the International Classification of Functioning, Disability, and Health offers an integral view of different perspectives of health. The Stroke Communication Scale is a holistic instrument to assess communication, participation, and functioning. The Stroke Communication Scale allows...
Source: Disability and Rehabilitation - October 15, 2019 Category: Rehabilitation Authors: Dallaqua GB, Bahia MM, Min Li L, Chun RYS Tags: Disabil Rehabil Source Type: research

Physiological responses and perceived exertion during robot-assisted treadmill walking in non-ambulatory stroke survivors.
Conclusions: The assistance level that non-ambulatory stroke survivors require at their highest tolerable walking speed seems too high to sufficiently stress the cardiorespiratory system during robot-assisted treadmill walking. Implications for rehabilitation The exercise intensity of 20-minute conventional robot-assisted treadmill walking can be low, and might be too low to challenge the cardiorespiratory system of non-ambulatory stroke survivors. Lowering the level of robotic assistance from 100% to 60% does not seem to increase the exercise intensity of 20-minute robot-assisted treadmill walking. PMID: 31588811 [Pu...
Source: Disability and Rehabilitation - October 7, 2019 Category: Rehabilitation Authors: Lefeber N, De Keersmaecker E, Henderix S, Michielsen M, Tamburella F, Tagliamonte NL, Molinari M, de Geus B, Kerckhofs E, Swinnen E Tags: Disabil Rehabil Source Type: research

Effects of aerobic exercise using cycle ergometry on balance and functional capacity in post-stroke patients: a systematic review and meta-analysis of randomised clinical trials.
Conclusions: The cycle ergometer aerobic exercise did not seem to improve balance or functional capacity in post-stroke patients. IMPLICATIONS FOR REHABILITATION Aerobic exercise with cycle ergometer does not improve balance in patients after chronic stroke, but the results for functional capacity are more promising. Beneficial changes in functional capacity can be seen after 12-4 weeks of training, and are dependent on the initial level of physical fitness of each individual. The use of the cycle-ergometer to improve balance and functional capacity was not superior when compared to conventional physiotherapy; therefore, a...
Source: Disability and Rehabilitation - October 2, 2019 Category: Rehabilitation Authors: Da Campo L, Hauck M, Marcolino MAZ, Pinheiro D, Plentz RDM, Cechetti F Tags: Disabil Rehabil Source Type: research

Stroke self-management and the role of self-efficacy.
Conclusions: Engagement in a stroke-specific self-management program can improve client-perceived occupational performance and satisfaction. Self-efficacy was shown to be a mediating variable to occupational performance improvements. Future research should explore further the facilitatory strategies of self-efficacy during stroke self-management programs to maximize rehabilitation outcomes. Implications for rehabilitation Multi-modal self-management programs are recommended as effective for improving client-perceived occupational performance of people who have experienced stroke. Returning to valued occupations, goal setti...
Source: Disability and Rehabilitation - September 27, 2019 Category: Rehabilitation Authors: Nott M, Wiseman L, Seymour T, Pike S, Cuming T, Wall G Tags: Disabil Rehabil Source Type: research

Systematic review of subjective memory measures to inform assessing memory limitations after stroke and stroke-related aphasia.
Conclusions: This literature domain currently provides an unclear picture as to how memory limitations affect participation in stroke and stroke-related aphasia. IMPLICATIONS FOR REHABILITATION A broad range of subjective memory measures have been used to determine stroke survivors' perceptions of their everyday memory issues. Because of psychometric weaknesses such as inadequate reliability and cross-cultural validity among subjective memory measures, there remains a need to carefully review a given measure's properties to determine if it is appropriate for use with a given stroke survivor. Stroke survivors with aphasia h...
Source: Disability and Rehabilitation - September 27, 2019 Category: Rehabilitation Authors: Salis C, Murray L, Vonk JMJ Tags: Disabil Rehabil Source Type: research

Physical activity on prescription at the time of stroke or transient ischemic attack diagnosis - from a patient perspective.
Conclusion: Individuals need to participate in the prescription process when prescription on physical activity is initiated in acute stroke care and clinicians need to reflect on how the prescription is implemented and followed-up; creating good conditions for long-term effects. IMPLICATIONS FOR REHABILITATION When prescribing physical activity on prescription healthcare providers in acute stroke care need to consider: • The right timing: when and how physical activity on prescription should be given. • How to create opportunities for individuals to participate in the prescription process. • How to create indiv...
Source: Disability and Rehabilitation - September 14, 2019 Category: Rehabilitation Authors: Jansson AB, Carlsson G Tags: Disabil Rehabil Source Type: research

Perceived participation and its determinants among young and middle-aged stroke survivors following acute care one month after discharge.
Conclusions The perceived participation of our respondents is relatively optimistic. Physical health along with mental and social status can affect participation. Tailored strategies should be implemented early in the rehabilitation phase to promote stoke survivors' participation in all the domains. Implications for rehabilitation Although the overall perceived participation of young and middle-aged stroke patients was fair to good, attention should be paid to their family roles. The strategies should be mainly focused on reducing the stroke severity to improve patients' participation. Improving patients' depressive sympto...
Source: Disability and Rehabilitation - August 22, 2019 Category: Rehabilitation Authors: Xiao L, Gao Y, Zeng K, Zhang LL Tags: Disabil Rehabil Source Type: research

Understanding the therapeutic alliance in stroke rehabilitation.
Conclusions: Establishing and maintaining a therapeutic alliance appears to be an individualised and complex process. A clinician's ability to use their personal attributes therapeutically, and professional skills flexibly, appeared integral to relationship quality. IMPLICATIONS FOR REHABILITATION Developing therapeutic relationships requires a person-centred and sometimes family/whānau-centred approach. The judicious use of self-disclosure may achieve emotional proximity and yet maintain professional boundaries. Maintaining relationship health requires a proactive approach to detect and manage relationship disruptions. ...
Source: Disability and Rehabilitation - August 21, 2019 Category: Rehabilitation Authors: Bishop M, Kayes N, McPherson K Tags: Disabil Rehabil Source Type: research

Measurement properties of the Reaching Performance Scale for Stroke.
Conclusions: Reaching Performance Scale for Stroke showed excellent reliability and redundant internal consistency. The construct validity with the Fugl-Meyer scale was strong. Reaching Performance Scale for Stroke was able to discriminate individuals with different levels of upper limb impairment. IMPLICATIONS FOR REHABILITATION Post-stroke individuals develop compensatory strategies to perform reaching movements with the paretic upper limb. The Reaching Performance Scale for Stroke provides a quantitative and qualitative evaluation of the reach-to-grasp movement. The Reaching Performance Scale for Stroke is suitable for ...
Source: Disability and Rehabilitation - August 20, 2019 Category: Rehabilitation Authors: Vianna de Andrade FPP, Padula RS, Binda AC, da Silva ML, Alouche SR Tags: Disabil Rehabil Source Type: research

Key informants' perspectives on implementing caregiver programs in an organized system of stroke care.
Conclusions: This study provides initial insight into the potential barriers and facilitators needed to develop and implement stroke caregiver programs. Further exploration of these topics can inform caregiver program development and their implementation into stroke systems of care. IMPLICATIONS FOR REHABILITATION Rehabilitation research needs to demonstrate that caregivers are a unique group in need of support from the health care system. Rehabilitation research needs to contribute to the evidence that caregiver programs can improve patient, caregiver, and health system outcomes. Researchers can enhance caregiver program ...
Source: Disability and Rehabilitation - August 19, 2019 Category: Rehabilitation Authors: Tseung V, Jaglal SB, Salbach NM, Yoshida K, Cameron JI Tags: Disabil Rehabil Source Type: research

Association of formal and informal care with health-related quality of life and depressive symptoms: findings from the Caring for Adults Recovering from the Effects of Stroke study.
Conclusions: Shared care was the most common care configuration for stroke participants, but no significant associations were found between shared care and self-reported outcomes after adjusting for stroke participant characteristics. Further research is needed on the dose of informal and formal care and their coordination to better understand relationships with recovery. IMPLICATIONS FOR REHABILITATION Stroke is one of the leading causes of disability for adults in the USA and ongoing care is needed for survivors. Informal caregivers such as family members play an important role in recovery in addition to formal care prov...
Source: Disability and Rehabilitation - August 11, 2019 Category: Rehabilitation Authors: Liu C, Prvu-Bettger J, Sheehan OC, Huang J, Roth DL Tags: Disabil Rehabil Source Type: research

The experience of occupational identity disruption post stroke: a systematic review and meta-ethnography.
Conclusions: Stroke impacts on an individual's occupational identity, compromising the continuity of a stroke survivor's sense of self. However, occupational identity is fluid; this can be used to support individuals to re-invent the occupational self. A conceptual model was developed to support the application of these results in clinical practice. Implications for rehabilitation Occupational identity disruption impacts on stroke survivors' self-value and sense of self continuity. Health care professionals' understanding of stroke survivors experience of occupational identity disruption could contribute to realign stroke ...
Source: Disability and Rehabilitation - August 2, 2019 Category: Rehabilitation Authors: Martin-Saez MM, James N Tags: Disabil Rehabil Source Type: research

Measures used to assess impact of providing care among informal caregivers of persons with stroke, spinal cord injury, or amputation: a systematic review.
Conclusions: There is a wide variety of impact of caregiving measures. The present study provided a detailed overview of what is known about clinimetric characteristics of 18 different measures repeatedly used in research. The overview provides clinicians a guidance of appropriate measure selection. PROSPERO registration: CRD42018094796 IMPLICATIONS FOR REHABILITATION Clinicians should be aware that information about measure development and clinimetric properties for most measures used to assess impact of informal caregiving is incomplete. Most supporting evidence was found for the Zarit Burden Interview Short Form, Caregi...
Source: Disability and Rehabilitation - July 31, 2019 Category: Rehabilitation Authors: Scholten EWM, Hillebregt CF, Ketelaar M, Visser-Meily JMA, Post MWM Tags: Disabil Rehabil Source Type: research

A systematic review and meta-analysis of the effects of cardiac rehabilitation interventions on cognitive impairment following stroke.
Conclusions: This review highlights that there are very few studies of delivery of cardiac rehabilitation to stroke patients and that the inclusion of cognitive interventions is even less common, despite the high prevalence of post-stroke cognitive impairment. IMPLICATIONS FOR REHABILITATION The cardiac rehabilitation model has the potential to be expanded to include patients post-stroke given the commonality of secondary prevention needs, thereby becoming a cardiovascular rehabilitation model. Up to half of patients experience cognitive impairment after stroke; suggesting that a post-stroke cardiovascular rehabilitation m...
Source: Disability and Rehabilitation - July 24, 2019 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Rohde D, McLoughlin A, Scally B, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

Effects of hybrid assistive neuromuscular dynamic stimulation therapy for hemiparesis after pediatric stroke: a feasibility trial.
Conclusion: This preliminary study demonstrated the feasibility and effectiveness of HANDS therapy in patients with pediatric stroke. Implications for rehabilitation Pediatric stroke is a very rare disease and patients are forced to live with sequelae in most of the rest of their lives. Hybrid assistive neuromuscular dynamic stimulation therapy is effective for upper limb paralysis of adult stroke. Hybrid assistive neuromuscular dynamic stimulation therapy was adaptable even for children, and improvement of upper limb paralysis was observed even in a relatively short period of intervention. PMID: 31335219 [PubMed - as...
Source: Disability and Rehabilitation - July 23, 2019 Category: Rehabilitation Authors: Oshima O, Kawakami M, Okuyama K, Suda M, Oka A, Liu M Tags: Disabil Rehabil Source Type: research

Incidence and potential predictors of early onset of upper-limb contractures after stroke.
Conclusions: Individuals with mild and moderate stroke developed upper-limb contractures three months after the onset of the stroke, with an incidence of 28%. The predictors were the presence of pain and loss of dexterity. These impairments should be earlier targeted during rehabilitation interventions. Implications for rehabilitation The incidence of upper limb contracture 3 months after the stroke is high after mild to moderate stroke. Wrist contractures are the most common upper limb contracture. The presence of pain and loss of dexterity significantly contribute to the development of upper limb contractures. Health pro...
Source: Disability and Rehabilitation - July 22, 2019 Category: Rehabilitation Authors: Matozinho CVO, Teixeira-Salmela LF, Samora GAR, Sant'Anna R, Faria CDCM, Scianni A Tags: Disabil Rehabil Source Type: research

Dosage and predictors of arm practice during inpatient stroke rehabilitation: an inception cohort study.
Conclusions: The amount of arm practice completed was low. Daily sessions were often not provided as recommended in clinical guidelines. Clinicians should focus on strategies to increase intensity and opportunities for arm practice. Implications for Rehabilitation Dose (repetitions) of arm practice varied greatly during inpatient rehabilitation. Number of arm rehabilitation sessions provided was lower than levels recommended in clinical guidelines. Therapists and researchers should focus on strategies to increase amount of therapy and opportunities for arm practice. PMID: 31311348 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - July 16, 2019 Category: Rehabilitation Authors: Vratsistas-Curto A, Sherrington C, McCluskey A Tags: Disabil Rehabil Source Type: research

Perceived occupational balance in people with stroke.
Conclusion: These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health. IMPLICATIONS FOR REHABILITATION Rehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health. Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke. A majority of the particip...
Source: Disability and Rehabilitation - July 2, 2019 Category: Rehabilitation Authors: Kassberg AC, Nyman A, Larsson Lund M Tags: Disabil Rehabil Source Type: research

Duke Activity Status Index cut-off scores for assessing functional capacity after stroke.
Conclusions: The DASI cut-off value of 31.95 showed to be sensitive and specific to distinguish between chronic stroke individuals, who had poor, from those who had good FC. IMPLICATIONS FOR REHABILITATION The identification of individuals, who have good and poor functional capacity, is important for clinical reasoning and decision-making in stroke rehabilitation. The Duke Activity Status Index (DASI) is a clinically useful tool for the assessment of functional capacity, based upon the performance of common daily living activities. The DASI cut-off of 31.95 points was able to discriminate between individuals with stroke, w...
Source: Disability and Rehabilitation - June 26, 2019 Category: Rehabilitation Authors: Polese J, da Silva S, Faria-Fortini I, Faria C, Teixeira-Salmela L Tags: Disabil Rehabil Source Type: research

Predictors of return to work after stroke: a prospective, observational cohort study with 6  months follow-up.
Conclusions: Less than 50% of stroke survivors returned to work six months after stroke. Among predictors, only the level of dependence in daily activities is a modifiable factor. Interventions aimed at reducing disability after stroke might increase rates of return to work. Implications for rehabilitation In Brazil, less than 50% of stroke survivors returned to work six months after stroke. Clinicians may collect information regarding household income, type of work and dependence in daily activities to estimate chances of returning to work, in developing countries. Being independent at 3 months was the strongest predictor...
Source: Disability and Rehabilitation - June 26, 2019 Category: Rehabilitation Authors: Nascimento LR, Scianni AA, Ada L, Fantauzzi MO, Hirochi TL, Teixeira-Salmela LF Tags: Disabil Rehabil Source Type: research

Stroke health professionals' management of depression after post-stroke aphasia: a qualitative study.
Conclusion: This study demonstrates that health professionals are challenged by and limited in managing depression after post-stroke aphasia. Health professionals have the opportunity to improve services through the translation of evidence-based interventions. The integration of mental health care into stroke rehabilitation may be achieved through policy development, leadership and specialist training. Implications for rehabilitation People with aphasia need routine mood screening using aphasia-specific clinical tools and communication support. Stroke health professionals report a need for communication partner training to...
Source: Disability and Rehabilitation - June 10, 2019 Category: Rehabilitation Authors: Baker C, Worrall L, Rose M, Ryan B Tags: Disabil Rehabil Source Type: research

Perceived barriers to exercise reported by individuals with stroke, who are able to walk in the community.
Conclusions: Fatigue, reduced number of places, and long distances to exercise places were the main reported barriers to exercise. Depressive symptoms and socioeconomic status were the only variables that explained the variance in the Exercise Barrier sub-scale scores. Rehabilitation interventions should include strategies to reduce fatigue during and after exercise, provide guidance regarding both structured and unstructured exercise venues, in addition to screening and managing depressive symptoms. Implications for Rehabilitation Stroke survivors, who are able to walk in the community, should be referred and instructed o...
Source: Disability and Rehabilitation - June 10, 2019 Category: Rehabilitation Authors: Débora Pacheco B, Guimarães Caetano LC, Amorim Samora G, Sant'Ana R, Fuscaldi Teixeira-Salmela L, Scianni AA 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 6, 2019 Category: Rehabilitation Authors: Yap KH, Warren N, Allotey P, Reidpath DD 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 5, 2019 Category: Rehabilitation Authors: Olabarrieta-Landa L, Pugh M, Calderón Chagualá A, Perrin PB, Arango-Lasprilla JC Tags: Disabil Rehabil Source Type: research

Cognitive oriented strategy training augmented rehabilitation (COSTAR) for ischemic stroke: a pilot exploratory randomized controlled study.
Conclusion: Negligible findings may be attributed to an inadvertent treatment group equivalency. Further, the research design did not allow for adequate measurement of the effect of each intervention on participants' ability to generalize learned skills. Implications for rehabilitation Stroke rehabilitation is largely based upon the principles of task-specific training, which is associated with improvements in upper extremity motor performance; however, TST requires a heavy dosage and lacks generalization to untrained activities. Cognitive strategy use has been associated with improved generalization of treatment to untrai...
Source: Disability and Rehabilitation - June 1, 2019 Category: Rehabilitation Authors: Wolf TJ, Doherty M, Boone A, Rios J, Polatajko H, Baum C, McEwen S Tags: Disabil Rehabil Source Type: research

Post-stroke emotionalism: a qualitative investigation.
Conclusions: Earlier recognition of emotionalism in clinical settings is needed as is promoting discussions about emotional reactions after-stroke. This will reduce the likelihood that patients will develop erroneous beliefs about emotionalism and unhelpful coping responses that may lead to adjustment difficulties in the months that follow their stroke. Implications for rehabilitation The unpredictable and uncontrollable nature of emotionalism can be embarrassing and cause social withdrawal or avoidance. Waiting for emotionalism episodes to pass, distraction, humor or optimism and social support are successful means of man...
Source: Disability and Rehabilitation - May 28, 2019 Category: Rehabilitation Authors: McAleese N, Guzman A, O'Rourke SJ, Gillespie DC Tags: Disabil Rehabil Source Type: research

Return to work predicts perceived participation and autonomy by individuals with stroke.
CONCLUSIONS: Being able to return to work after a stroke seems to be important for self-perceived participation/autonomy. This emphasizes the importance of work-oriented information and rehabilitation after a stroke at working age. Implications for rehabilitation The current study shows that the majority report high self-perceived participation and autonomy in everyday life and 59% are working 5 years after a stroke in working age. To work 5 years after a stroke was a significant predictor for self-perceived participation and autonomy in everyday life. Since stroke is becoming more common among working age persons and work...
Source: Disability and Rehabilitation - May 9, 2019 Category: Rehabilitation Authors: Westerlind E, Persson HC, Törnbom K, Sunnerhagen KS Tags: Disabil Rehabil Source Type: research

Despite communication and cognitive impairment - person-centred goal-setting after stroke: a qualitative study.
CONCLUSIONS: These findings offer insights into inclusive person-centred goal-setting practices, based on accounts from a group of experienced rehabilitation clinicians. Implications for rehabilitation The goal-setting process is not rigid, but an evolving and individual practice, and should be individually adapted to the (changing) needs of the client during the continuum of rehabilitation. In practice, strategies tend not to be distinguished into those supporting communication and those supporting cognitive difficulty; but strategies are applied flexibly and in combination, to meet the needs of the individual client. It ...
Source: Disability and Rehabilitation - April 25, 2019 Category: Rehabilitation Authors: Dörfler E, Kulnik ST Tags: Disabil Rehabil Source Type: research

Effectiveness of the Bobath concept in the treatment of stroke: a systematic review.
CONCLUSIONS: The Bobath concept is not superior to other approaches for regaining mobility, motor control of the lower limb and gait, balance and activities of daily living of patients after stroke. There is moderate evidence regarding the superior results of other approaches in terms of the motor control and dexterity of the upper limb. Due to the limitations concerning the methodological quality of the studies, further well-designed studies are needed. Implications for rehabilitation The Bobath concept is not superior to other approaches for patients after stroke. The treatments that incorporate overuse of the affected u...
Source: Disability and Rehabilitation - April 24, 2019 Category: Rehabilitation Authors: Díaz-Arribas MJ, Martín-Casas P, Cano-de-la-Cuerda R, Plaza-Manzano G Tags: Disabil Rehabil Source Type: research

Development of a participatory, tailored behaviour change intervention to increase active practice during inpatient stroke rehabilitation.
CONCLUSIONS: This example of collaborative implementation research can be used and adapted by clinicians and researchers in other rehabilitation services. IMPLICATIONS FOR REHABILITATION Rehabilitation staff can be actively involved in designing behaviour change interventions. Behaviour change interventions should target local barriers to increase activity levels and practice completed by stroke inpatients. The process of co-designing behaviour change interventions has the potential to improve the uptake of a strategy such as ward-based practice books, by more precisely identifying local barriers and possible solutions. ...
Source: Disability and Rehabilitation - April 14, 2019 Category: Rehabilitation Authors: Stewart C, Power E, McCluskey A, Kuys S Tags: Disabil Rehabil Source Type: research

Effectiveness of a manualised group training intervention for memory dysfunction following stroke: a series of single case studies.
CONCLUSION: Frequency of everyday memory complaints reduced for all participants during the six-week post-intervention period. This change was significant for three participants. One of the four participants reported a significant reduction in the frequency of prospective memory failures during the maintenance period. All participants described attaining at least one memory specific goal following intervention. Group participation did not result in meaningful change on neuropsychological measures of memory. Taken together, results provided preliminary support for the effectiveness of group-based compensatory memory rehabil...
Source: Disability and Rehabilitation - April 12, 2019 Category: Rehabilitation Authors: Withiel TD, Stolwyk RJ, Ponsford JL, Cadilhac DA, Wong D Tags: Disabil Rehabil Source Type: research

Examining daily physical activity in community-dwelling adults with stroke using social cognitive theory: an exploratory, qualitative study.
CONCLUSIONS: Participants reported that the investigated Social Cognitive Theory constructs were important psychosocial factors for daily physical activity. Future research and clinical investigations should empirically test the use of strategies to modify these factors for promoting daily physical activity in community-dwelling adults with stroke. Implications for rehabilitation Interventions to increase physical activity after stroke are needed. Outcomes expectations, self-efficacy, self-regulation, and social support were reported by participants as important psychosocial factors underlying daily physical activity. Thes...
Source: Disability and Rehabilitation - April 11, 2019 Category: Rehabilitation Authors: Bailey R Tags: Disabil Rehabil Source Type: research

Lokomat guided gait in hemiparetic stroke patients: the effects of training parameters on muscle activity and temporal symmetry.
CONCLUSIONS: The Lokomat training parameters are generally ineffective in shaping short term muscle activity and step symmetry patients with hemiparetic stroke, as speed is the only parameter that significantly affects muscular amplitude. TRIAL REGISTRATION: d.n.a. IMPLICATIONS FOR REHABILITATION The Lokomat is a commercially available gait trainer that can be used for gait rehabilitation in post-stroke hemiparetic patients. This study shows that muscle amplitude is generally low during Lokomat guided walking, and that treadmill Speed is the main training parameter to influence muscular output in stroke patients durin...
Source: Disability and Rehabilitation - April 11, 2019 Category: Rehabilitation Authors: van Kammen K, Boonstra AM, van der Woude LHV, Visscher C, Reinders-Messelink HA, den Otter R Tags: Disabil Rehabil Source Type: research

The implications of the Canadian Stroke Best Practice Recommendations for design and allocation of rehabilitation after hospital discharge: a problematization.
CONCLUSION: An alternate vision of post-discharge rehabilitation could help resolve this tension. Post-discharge rehabilitation could be envisioned as a self-management intervention. Rather than primarily an expert-driven process of measuring impairment and applying procedures aimed at normalization, rehabilitation would be considered facilitation of self-management with the goal of reengaging in forms of participation that comprise a satisfying life. Implications for Rehabilitation Implicit assumptions within best practice guidelines powerfully influence recommendations. These ideas are difficult to examine because they s...
Source: Disability and Rehabilitation - April 11, 2019 Category: Rehabilitation Authors: Egan MY, Laliberté-Rudman D, Rutkowski N, Lanoix M, Meyer M, McEwen S, Collver M, Linkewich E, Montgomery P, Quant S, Donnelly B, Fearn J 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 11, 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

The volume and timing of upper limb movement in acute stroke rehabilitation: still room for improvement.
CONCLUSIONS: Recognition of the need to improve upper limb outcomes after stroke has not yet translated into changes in the amount of upper limb activity undertaken during sub-acute rehabilitation. Opportunities to rehabilitate the hemiplegic upper limb are not fully realized. The dominance of bilateral movement in the early stages after stroke may provide scope for interventions that maximize this aspect of motor control. IMPLICATIONS FOR REHABILITATION Despite advances in rehabilitation, time spent in upper limb activity following stroke is very low, particularly in the affected arm. Most movement of the affected arm occ...
Source: Disability and Rehabilitation - April 5, 2019 Category: Rehabilitation Authors: McLaren R, Signal N, Lord S, Taylor S, Henderson J, Taylor D Tags: Disabil Rehabil Source Type: research

Contextual factors that shape recovery after stroke in Malaysia.
CONCLUSION: The identification of factors that facilitate the recovery process provides a background in which health care providers can utilise to improve their understanding of the stroke experience. Such understanding could be instrumental in aiding health professionals to offer the most effective help to their clients. Implications for rehabilitation Identification of contextual factors provides a background for the understanding of the stroke experience. Incorporation of religion into rehabilitation could support and maintain hope in recovery for the survivors and aid acceptance. A collaboration of healthcare professio...
Source: Disability and Rehabilitation - April 5, 2019 Category: Rehabilitation Authors: Mairami FF, Warren N, Allotey PA, Reidpath DD Tags: Disabil Rehabil Source Type: research

Effects of mental imagery training combined electromyogram-triggered neuromuscular electrical stimulation on upper limb function and activities of daily living in patients with chronic stroke: a randomized controlled trial.
CONCLUSIONS: These results indicated that both mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation and electromyogram-triggered neuromuscular electrical stimulation are beneficial to improve the upper limb function and activities of daily living of patients with chronic stroke. Implications for Rehabilitation Mental imagery training combined with electromyogram-triggered neuromuscular electrical stimulation might be helpful in improving upper limb function of patients with chronic stroke Improvement of upper limb function induced by mental imagery training combined with elect...
Source: Disability and Rehabilitation - April 4, 2019 Category: Rehabilitation Authors: Park JH Tags: Disabil Rehabil Source Type: research

Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke.
CONCLUSIONS: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management among nursing-home residents. Implications for rehabilitation Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases. Spasticity was associated with increased pain and more difficult passive limb care in this population. There is an unmet need for spasticity management among nursing home residents with prior stroke. Efforts should be made...
Source: Disability and Rehabilitation - March 31, 2019 Category: Rehabilitation Authors: Shiner CT, Vratsistas-Curto A, Bramah V, Faux SG, Watanabe Y Tags: Disabil Rehabil Source Type: research

Agreement between patients and nurses of neurobehavioral disability following stroke in an inpatient rehabilitation setting.
CONCLUSIONS: Neurobehavioral disability is common in the early recovery phase after stroke and is viewed differently with regards to frequency, type, and impact between patients and their nurses. Research and clinical training in the management of stroke-related neurobehavioral disability is required. Implications for rehabilitation Neurobehavioral disability (NBD) following stroke is commonly seen in the early stages of recovery and requires careful evaluation by stroke survivors and rehabilitation staff. Many patients may disagree with their clinician that they are exhibiting NBD, which may compromise the therapeutic rel...
Source: Disability and Rehabilitation - March 29, 2019 Category: Rehabilitation Authors: O'Connell EL, Lawson DW, New PW, Stolwyk RJ Tags: Disabil Rehabil Source Type: research

Promoting Independent Mobility-related Physical ACTivity (IMPACT) in an inpatient stroke rehabilitation unit: a proof-of-concept evaluation of self-management intervention.
Abstract PURPOSE: To establish proof-of-concept of a novel rehabilitation self-management program that aims to optimize walking recovery after stroke through engaging patients in independent walking-related practice outside of supervised physiotherapy sessions. MATERIALS AND METHODS: The Independent Mobility-related Physical ACTivity (IMPACT) Program is a coach-supported intervention that uses self-management strategies to empower patients to engage in additional autonomous walking-related activities after stroke during and after inpatient rehabilitation. The aim of this study was to assess whether implementa...
Source: Disability and Rehabilitation - March 29, 2019 Category: Rehabilitation Authors: DePaul VG, Bosch J, Oczkowski WJ, Wishart L, O'Donnell M, Hart RG Tags: Disabil Rehabil Source Type: research

The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.
CONCLUSIONS: The Three-Dimensional Shoulder Pain Alignment mobilization protocol significantly improved pain-free range of motion, functional reach and pain during sleep in shoulders with moderate/severe post-stroke upper-extremity impairment. Implications for rehabilitation Although three-dimensional clavicular/scapular/humeral rotations are an essential component of normal pain-free shoulder range of motion, current guidelines for treatment of post-stroke shoulder pain only includes uni-dimensional mobilizations for joint alignment and pain management. The Three-Dimensional Shoulder Pain Alignment (3D-SPA) mobilization p...
Source: Disability and Rehabilitation - March 23, 2019 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Hebert D, Zabjek K, Richardson D, Agur AMR Tags: Disabil Rehabil Source Type: research

Adapted dance used in subacute rehabilitation post-stroke: impacts perceived by patients, relatives and rehabilitation therapists.
CONCLUSION: Such an adapted-dance intervention holds promise in subacute rehabilitation post-stroke. Its main strength lies in its perceived positive impact on mental functions, personal factors, and interpersonal and social interactions. Implications for rehabilitation An adapted-dance group intervention could offer an innovative means of contributing to intensive functional rehabilitation post-stroke by potentially generating positive perceived impacts on emotional functions, motivation and self-efficacy, as well as on interpersonal and social interactions. Adapted dance could be added to inpatients' rehabilitation with ...
Source: Disability and Rehabilitation - March 23, 2019 Category: Rehabilitation Authors: Beaudry L, Fortin S, Rochette A Tags: Disabil Rehabil Source Type: research

Lower limb muscle synergies during walking after stroke: a systematic review.
CONCLUSIONS: A consensus regarding the amount and composition of muscle synergies in stroke patients is difficult. The majority observed three to four muscle synergies. The decrease in amount of synergies can be explained by merging of synergies, often seen in hip/knee extensors with plantar flexors and hip/knee extensors with knee flexors. IMPLICATIONS FOR REHABILITATION Muscle synergy analyses are a powerful tool for assessing and classifying neurological deficits. A decreased amount of muscle synergies is related to impaired motor function. Differences in coordinated muscle activity was seen in the paretic and non-paret...
Source: Disability and Rehabilitation - March 23, 2019 Category: Rehabilitation Authors: Van Criekinge T, Vermeulen J, Wagemans K, Schröder J, Embrechts E, Truijen S, Hallemans A, Saeys W Tags: Disabil Rehabil Source Type: research