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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Stroke survivors' views on their priorities for upper-limb recovery and the availability of therapy services after stroke: a longitudinal, phenomenological study
CONCLUSION: Therapy services should recognize stroke survivors' changing priorities and work with them as active partners in upper-limb recovery. Intermittent access to review and advice should be included in service design.Implications for rehabilitationStroke survivors' priorities may change over time from recovery of walking toward upper-limb recovery.Post-stroke services can be perceived as insufficient to meet the needs of stroke survivors who want to participate actively in rehabilitation of their upper limb.Stroke survivors may prefer services that are more flexible to provide regular review of their progress, acces...
Source: Disability and Rehabilitation - September 16, 2022 Category: Rehabilitation Authors: Judy Purton Julius Sim Susan M Hunter Source Type: research

Patient, carer and health worker perspectives of stroke care in New Zealand: a mixed methods survey
CONCLUSIONS: Perceptions of stroke care differed between consumers and health workers, highlighting the importance of involving both in service co-design. Improving communication, post-hospital follow-up, and geographic equity are key areas for improvement.Implications for rehabilitationProvision of detailed information on stroke recovery and available services in the community is recommended.Improvements in the delivery of post-hospital stroke care are required to optimise stroke care, with options including routine phone follow up appointments and wider development of early supported discharge services.Stroke rehabilitat...
Source: Disability and Rehabilitation - September 5, 2022 Category: Rehabilitation Authors: Stephanie Thompson William Levack Jeroen Douwes Jackie Girvan Ginny Abernethy P Alan Barber John Fink John Gommans Alan Davis Matire Harwood Dominique A Cadilhac Harry McNaughton Valery Feigin Andrew Wilson Hayley Denison Marine Corbin Joosup Kim Annemare Source Type: research

Intra- and inter-rater reliability of the Italian Fugl-Meyer assessment of upper and lower extremity
CONCLUSIONS: The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes.Implications for rehabilitationThe FMA is the gold standard for assessing stroke patients' sensorimotor impairment worldwide.The Italian Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) is substantially reliable within and between two raters at the item, subtotal, and total score level in patients with sub-acute stroke.The use of FMA in the Italian context will provide an opportunity for international comparisons and research collaborations.PMID:36...
Source: Disability and Rehabilitation - August 29, 2022 Category: Rehabilitation Authors: Ines Hochleitner Leonardo Pellicciari Chiara Castagnoli Anita Paperini Angela Maria Politi Silvia Campagnini Silvia Pancani Benedetta Basagni Filippo Gerli Maria Chiara Carrozza Claudio Macchi Margit Alt Murphy Francesca Cecchi Source Type: research

Footwear characteristics and foot problems in community dwelling people with stroke: a cross-sectional observational study
CONCLUSIONS: Many community-dwelling people with stroke wore poorly fitting shoes; all had foot problems. Foot problems were linked to reduced mobility. Finding more effective pathways to support people with stroke to select supportive, well-fitting indoor and outdoor footwear is indicated.Implications for rehabilitationPeople with stroke often wear unsupportive ill-fitting shoes and experience foot problems.Assessment of foot problems and footwear advice should be considered during stroke rehabilitation particularly when interventions target fall prevention or improvements in balance and mobility.Information on appropriat...
Source: Disability and Rehabilitation - August 15, 2022 Category: Rehabilitation Authors: Dorit Kunkel Louis Mamode Malcolm Burnett Ruth Pickering Dan Bader Margaret Donovan-Hall Mark Cole Ann Ashburn Catherine Bowen Source Type: research

The longitudinal association between movement behavior patterns and the course of participation up to one year after stroke
CONCLUSIONS: The course of participation after stroke differs across distinct movement behavior patterns after discharge to the home setting. Highly sedentary and inactive people with stroke are at risk for restrictions in participation over time.Implications for rehabilitationThe course of participation in people with a first-ever stroke up to one year after discharge to the home setting differed based on three distinct movement behavior patterns, i.e., sedentary exercisers, sedentary movers and sedentary prolongers.Early identification of highly sedentary and inactive people with stroke after discharge to the home settin...
Source: Disability and Rehabilitation - August 9, 2022 Category: Rehabilitation Authors: Joris A de Graaf Roderick Wondergem Eline C M Kooijmans Martijn F Pisters Vera P M Schepers Cindy Veenhof Johanna M A Visser-Meily Marcel W M Post Source Type: research

Learning to flourish in a new reality: a thematic analysis of couples' experience of participation in a positive psychology intervention post-stroke
CONCLUSIONS: Individuals and couples post-stroke often experience negative mood changes, poor health outcomes, and decreased participation. Implementation of ReStoreD activities in the clinical setting can be a valuable and impactful way to encourage and foster positive experiences and re-engagement post-stroke.Implications for RehabilitationThrough dyadic positive psychology intervention activities, rehabilitation professionals can build upon existing strengths and resources to encourage couples to increase their awareness and development of positive coping strategies as individuals and couples.Positive psychology interve...
Source: Disability and Rehabilitation - August 1, 2022 Category: Rehabilitation Authors: Jackie Einerson Lauren K Lundstrom Brieanna K Allen Artemis Sefandonakis Alexandra L Terrill Source Type: research

A qualitative study exploring how stroke survivors' expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service
CONCLUSIONS: Ensuring stroke survivors are fully informed about ESD and what to expect, optimises engagement with the services, improves experience and could enhance outcomes.IMPLICATIONS FOR REHABILITATIONInforming stroke survivors about what to expect from ESD services could optimise engagement and improve their experience.The provision of personalised and target focussed therapy at home improves stroke survivors' experience and could potentially accelerate recovery.Preparing stroke survivors early for discharge from ESD can reduce anxiety and enhance engagement with the service.PMID:35895746 | DOI:10.1080/09638288.2022.2102251
Source: Disability and Rehabilitation - July 27, 2022 Category: Rehabilitation Authors: Trudi M Cameron Kristina Koller Adrian Byrne Niki Chouliara Thompson Robinson Peter Langhorne Marion Walker Rebecca J Fisher Source Type: research