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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Characteristics of peer-based interventions for individuals with neurological conditions: a scoping review
CONCLUSION: Various peer-based interventions exist, each with its own definition of what it means to be a peer. Research using rigorous methodology is needed to determine the most effective interventions. Clear definitions of each program component are needed to better understand the outcomes and mechanism of action within each intervention.IMPLICATIONS FOR REHABILITATIONRehabilitation services can draw on various peer support interventions to add experiential knowledge and support based on shared experience to enhance outcomes.Fulfilling the role of peer mentor may be beneficial and could be encouraged as part of the reha...
Source: Disability and Rehabilitation - January 27, 2022 Category: Rehabilitation Authors: Sarah Aterman Setareh Ghahari Dorothy Kessler Source Type: research

Self-management interventions to improve mobility after stroke: an integrative review
CONCLUSION: There is some evidence that self-management interventions help to improve mobility outcomes post-stroke. Heterogeneity of data in the studies made meta-analysis impossible. Most of the identified studies examined the feasibility and fidelity of the interventions and further research is warranted to examine the efficacy of these interventions to improve functional mobility post-stroke.Implications for rehabilitationSelf-management interventions can improve mobility-related outcomes, which are considered a priority goal for many stroke survivors.Survivors valued their participation in self-management integrated c...
Source: Disability and Rehabilitation - January 24, 2022 Category: Rehabilitation Authors: Ahmad Sahely Daniel Giles Carron Sintler Andrew Soundy Sheeba Rosewilliam Source Type: research

Health anxiety in stroke survivors: a cross-sectional study on the prevalence of health anxiety in stroke survivors and its impact on quality of life
CONCLUSIONS: Almost a third of stroke survivors were experiencing clinical levels of health anxiety, with HiHA significantly associated with lower quality of life. Future research should explore the use of existing evidence based psychological interventions for health anxiety in this population.Implications for rehabilitationOur findings suggest almost one in three stroke survivors residing in the community have clinical levels of health anxiety.High health anxiety in stroke survivors was significantly related to lower levels of quality of life.Given this finding, evidence-based treatments for health anxiety may improve qu...
Source: Disability and Rehabilitation - January 6, 2022 Category: Rehabilitation Authors: Peter R Diamond Leon Dysch Jo Daniels Source Type: research

Review of clinical practice guidelines relating to cognitive assessment in stroke
CONCLUSIONS: Although assessment of cognition is a key aspect of stroke care, there is a lack of guidance for clinicians. The limited evidence base, in part, reflects the limited research in the area. A prescriptive approach to cognitive assessment may not be suitable, but more primary research may help inform practice.Implications for rehabilitationCognitive assessment in stroke exhibits substantial variation in practice, clinical practice guidelines rarely give prescriptive recommendations on which approach to take.Where guideline recommendations on cognitive assessment in stroke were made these were based on expert opin...
Source: Disability and Rehabilitation - December 20, 2021 Category: Rehabilitation Authors: David McMahon Clayton Micallef Terence J Quinn Source Type: research

Management of communication disability in the first 90 days after stroke: a scoping review
CONCLUSION: A coordinated, integrated approach to developing and testing acute and subacute interventions for all communication disabilities across all communication-related domains is required.IMPLICATIONS FOR REHABILITATIONInterdisciplinary stroke clinicians need to manage communication disabilities in the first 90 days after stroke to optimise healthcare communication and rehabilitation outcomes.There is some evidence to guide clinicians in aphasia management but less in other disabilities of speech and cognitive functioning.Most interventions to inform clinical practice address communication-related body functions and ...
Source: Disability and Rehabilitation - December 17, 2021 Category: Rehabilitation Authors: Caroline Baker Abby M Foster Sarah D'Souza Erin Godecke Ciara Shiggins Edwina Lamborn Lucette Lanyon Ian Kneebone Miranda L Rose Source Type: research

Accelerometer assessed upper limb activity in people with stroke: a validation study considering ambulatory and non-ambulatory activities
CONCLUSION: The VMR could be used as a sensitive objective marker to measure upper limb function post-stroke during ambulatory and non-ambulatory daily activities.Implications for rehabilitationAccelerometer-based assessment of upper limb function is a sensitive measure of upper limb function post stroke during different activity domains.Accelerometers-based assessment of arm function can detect differences in arm function outside the clinical setting (daily living) over a prolonged period that are not always identified by clinical assessment or perceived ability.PMID:34904504 | DOI:10.1080/09638288.2021.2012838
Source: Disability and Rehabilitation - December 14, 2021 Category: Rehabilitation Authors: Lucian Bezuidenhout Conran Joseph Ulrika Einarsson Charlotte Thurston Maria Hagstr ömer David Moulaee Conradsson Source Type: research

Subjective and objective assessments are associated for physical function but not cognitive function in community-dwelling stroke survivors
CONCLUSIONS: The lack of association between objective and subjective cognitive functioning challenges the conventional assumption that perceived functioning reflects actual performance. We recommend using both objective and subjective measures to accurately identify cognitive and physical impairment following stroke.Implications for RehabilitationSubjective cognitive functioning is not associated with objective cognitive functioning, suggesting that solely relying on stroke patients' reports is inadequate and may inaccurately estimate patients' actual deficits.Both objective and subjective measures should be used to accur...
Source: Disability and Rehabilitation - December 14, 2021 Category: Rehabilitation Authors: Stephen C L Lau Lisa Tabor Connor Carolyn M Baum Source Type: research

The sustainability of upper limb robotic therapy for stroke survivors in an inpatient rehabilitation setting
CONCLUSIONS: RT-UL was in continued and regular use with stroke survivors 2 years after initial implementation within an inpatient rehabilitation setting. RT-UL practice was intensive and used routinely with patients.IMPLICATIONS FOR REHABILITATIONRT-UL is a sustainable and intensive intervention for stroke survivors within an inpatient rehabilitative setting.The cost-benefits of RT-UL should be evaluated from the perspective of the whole rehabilitation service not just at an individual patient level.RT-UL may be considered a "bridging" form of UL practice for those with more limited active UL movement until there is suffi...
Source: Disability and Rehabilitation - December 14, 2021 Category: Rehabilitation Authors: Nicholas Flynn Elspeth Froude Deirdre Cooke Jessica Dennis Suzanne Kuys Source Type: research