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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Post-stroke emotionalism (PSE): a qualitative longitudinal study exploring individuals' experience with PSE
CONCLUSION: The results indicate specific psychological aspects of PSE which could be viable targets in psychological interventions such as increasing adaptive coping strategies and challenging negatively held beliefs.IMPLICATIONS FOR REHABILITATIONEmotionalism can cause emotional consequences such as distress, embarrassment and fear.Helping individuals to develop insight into triggers for emotionalism could be beneficial to help gain understanding and awareness whereby post-stroke emotionalism (PSE) has the potential to be anticipated and adapted to psychologically.Potential adaptive responses such as acceptance or contro...
Source: Disability and Rehabilitation - November 17, 2021 Category: Rehabilitation Authors: Sophie Fitzgerald Fergus Gracey Niall Broomfield Source Type: research

Patients' experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach
CONCLUSIONS: While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.PMID:34780322 | DOI:10.1080/09638288.2021.1965226
Source: Disability and Rehabilitation - November 15, 2021 Category: Rehabilitation Authors: Sarah D'Souza Deborah Hersh Erin Godecke Natalie Ciccone Heidi Janssen Elizabeth Armstrong Source Type: research

Assessing the fidelity of the independently getting up off the floor (IGO) technique as part of the ReTrain pilot feasibility randomised controlled trial for stroke survivors
CONCLUSIONS: IGO was successfully and safely practised by stroke survivors including those with hemiparesis. Trainers should be aware of comorbidities that may impede completion of IGO and modify teaching to accommodate individual need. Further research should assess if IGO can be utilised by individuals who have other disabilities with unilateral impairments and whether IGO has physical, functional and economic benefit.Implications for rehabilitationFalls are common in stroke survivors, and many are unable to get up despite being uninjured, leading to long-lie complications or ambulance call-outs but non-conveyance to hos...
Source: Disability and Rehabilitation - November 12, 2021 Category: Rehabilitation Authors: Laura Hollands Raff Calitri Krystal Warmoth Anthony Shepherd Rhoda Allison Sarah Dean ReTrain Trial team Source Type: research

Interventions to promote independent participation among community-dwelling middle-aged adults with long-term physical disabilities: a systematic review
CONCLUSION: Interventions with strong and moderate evidence should be routinely offered for middle-aged PAwLTPD. Future research should focus on developing evidence-based interventions for middle-aged PAwLTPD.IMPLICATIONS FOR REHABILITATIONMiddle-aged PAwLTPD face the same aging-related challenges as people without disabilities but will experience additional difficulties due to compounding effects of long-term health conditions and aging.Current effective interventions to promote participation for middle-aged PAwLTPD have been measured over a wide range of outcomes, and many interventions should be used by clinicians on a ...
Source: Disability and Rehabilitation - November 10, 2021 Category: Rehabilitation Authors: Abigail L Kehrer Brianna Barkocy Britney Downs Susan Rice Szu-Wei Chen Susan Stark Source Type: research

The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis
CONCLUSIONS: Self-management interventions with action-taking components may result in a slight improvement in self-efficacy and rehabilitation of basic activities of daily living. Future research should investigate which core self-management skill, or combination of them, is most effective in improving short-term and long-term outcomes.IMPLICATIONS FOR REHABILITATIONStroke can be a chronic condition as approximately half of stroke survivors suffer from permanent disabilities.Self-management interventions are one form of rehabilitation programmes available to stroke survivors.Self-management interventions with action-takin...
Source: Disability and Rehabilitation - November 10, 2021 Category: Rehabilitation Authors: Hui Xian Oh Deidre Anne De Silva Zheng An Toh Minna Pikkarainen Vivien Xi Wu Hong-Gu He Source Type: research

Interventions to promote independent participation among community-dwelling middle-aged adults with long-term physical disabilities: a systematic review
CONCLUSION: Interventions with strong and moderate evidence should be routinely offered for middle-aged PAwLTPD. Future research should focus on developing evidence-based interventions for middle-aged PAwLTPD.IMPLICATIONS FOR REHABILITATIONMiddle-aged PAwLTPD face the same aging-related challenges as people without disabilities but will experience additional difficulties due to compounding effects of long-term health conditions and aging.Current effective interventions to promote participation for middle-aged PAwLTPD have been measured over a wide range of outcomes, and many interventions should be used by clinicians on a ...
Source: Disability and Rehabilitation - November 10, 2021 Category: Rehabilitation Authors: Abigail L Kehrer Brianna Barkocy Britney Downs Susan Rice Szu-Wei Chen Susan Stark Source Type: research

The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis
CONCLUSIONS: Self-management interventions with action-taking components may result in a slight improvement in self-efficacy and rehabilitation of basic activities of daily living. Future research should investigate which core self-management skill, or combination of them, is most effective in improving short-term and long-term outcomes.IMPLICATIONS FOR REHABILITATIONStroke can be a chronic condition as approximately half of stroke survivors suffer from permanent disabilities.Self-management interventions are one form of rehabilitation programmes available to stroke survivors.Self-management interventions with action-takin...
Source: Disability and Rehabilitation - November 10, 2021 Category: Rehabilitation Authors: Hui Xian Oh Deidre Anne De Silva Zheng An Toh Minna Pikkarainen Vivien Xi Wu Hong-Gu He Source Type: research

Use of the International Classification of Functioning, Disability and Health (ICF) to expand and standardize the assessment of quality-of-life following a stroke: proposal for the use of codes and qualifiers
CONCLUSIONS: The proposal presented in this study allowed qualifying 43 ICF codes related to quality of life after a stroke in a simple, standardized manner, enabling the identification of different levels of impairment on each of the domains of the SS-QOL scale. This coding standardizes the evaluation, facilitates communication between healthcare providers, and systematizes the collection of data and information on health.Implications for rehabilitationProposal for qualifying concepts related to body functions, activity & participation, and environmental factors in a simple, standardized manner.The proposed mathematic...
Source: Disability and Rehabilitation - November 9, 2021 Category: Rehabilitation Authors: Heyriane Martins Dos Santos Leia Cordeiro de Oliveira Sandra Regina Bonif ácio Thayane Correa Pereira Brand ão Wallace Pereira Silva Gabriela Santos Pereira Soraia Micaela Silva Source Type: research

Communication partner perspectives of aphasia self-management and the role of technology: an in-depth qualitative exploration
CONCLUSIONS: Aphasia self-management programs should focus on individual needs, functional communication in daily life, and social interaction. PwA and CPs are central to these programs, assisted by SLPs. Technology should be explored to augment aphasia self-management.Implications for RehabilitationCommunication partners suggest that people with aphasia are already engaging in aspects of self-management and that more formal aphasia-specific self-management approaches may be beneficial.Dedicated aphasia self-management programs should be situated in daily life with a focus on functional communication, life participation, c...
Source: Disability and Rehabilitation - November 8, 2021 Category: Rehabilitation Authors: Leana Nichol Sarah J Wallace Rachelle Pitt Amy D Rodriguez Annie J Hill Source Type: research

Staff and volunteers' perceptions of a Communication Enhanced Environment model in an acute/slow stream rehabilitation and a rehabilitation hospital ward: a qualitative description study within a before-and-after pilot study
CONCLUSIONS: This study provides valuable insights into staff perceptions which may inform the implementation of interventions and future iterations of a CEE model.Implications for RehabilitationA CEE model may promote efficiency and increased patient engagement in stroke rehabilitation.The CEE model information session and aphasia communication partner training, and the provision of resources, may be useful strategies to increase staff confidence in using communication supporting strategies with patients with aphasia.Behaviour change and implementation science strategies may provide a framework to address barriers and pro...
Source: Disability and Rehabilitation - November 5, 2021 Category: Rehabilitation Authors: Sarah D'Souza Natalie Ciccone Deborah Hersh Heidi Janssen Elizabeth Armstrong Erin Godecke Source Type: research

Patients' and therapists' experience and perception of exoskeleton-based physiotherapy during subacute stroke rehabilitation: a qualitative analysis
CONCLUSIONS: Patients with stroke were even more optimistic than therapists toward the experience and benefits of exoskeleton-based gait training during subacute stroke rehabilitation. Future clinical practice should consider the balance between actual and perceived benefits, as well as the potential barriers to integrating an exoskeleton into stroke rehabilitation.IMPLICATIONS FOR REHABILITATIONPowered robotic exoskeletons can be used to provide higher duration and more repetitious walking practice for non-ambulatory patients with stroke.Patients with stroke view exoskeleton-based physiotherapy highly favorably, attributi...
Source: Disability and Rehabilitation - October 25, 2021 Category: Rehabilitation Authors: Dennis R Louie W Ben Mortenson Michelle Lui Melanie Durocher Robert Teasell Jennifer Yao Janice J Eng Source Type: research