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Specialty: Rehabilitation
Source: Archives of Physical Medicine and Rehabilitation
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Total 1508 results found since Jan 2013.
Hospital to Home Transition for Patients with Stroke under Bundled Payments
Bundled payments are one of the promising Alternative Payment Models for reducing costs and improving the coordination of post-acute stroke care. Yet there is limited evidence supporting the effectiveness of bundled payments for stroke. This may be due to the lack of effective strategies to address the complex needs of stroke survivors. In this article, we describe COMprehensive Post-Acute Stroke Services (COMPASS), a comprehensive transitional care intervention, focused on discharge from the acute care setting to home.
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Yucheng Hou, Cheryl D. Bushnell, Pamela W. Duncan, Anna M. Kucharska-Newton, Jacqueline R. Halladay, Janet K. Freburger, Justin G. Trogdon Source Type: research
Incentives for Uptake of and Adherence to Outpatient Stroke Rehabilitation Services: A Three-Arm Randomized Controlled Trial
Objective: To determine if rehabilitation uptake and adherence can be increased by providing coordinated transportation (increased convenience) and eliminating out-of-pocket costs (reduced expense).Design: Three-arm randomized controlled trialSetting: Stroke units of two Singapore tertiary hospitalsParticipants: Singaporeans or permanent residents aged ≥21 years who were diagnosed with stroke and discharged home with physician's recommendation to continue outpatient rehabilitation.Interventions: A Transportation Incentives arm (T), which provides free transportation services, a Transportation& Sessions Incentives arm (T&...
Source: Archives of Physical Medicine and Rehabilitation - September 10, 2021 Category: Rehabilitation Authors: David Bruce Matchar, Sherry Hsueh Yi Young, Rita Sim, Christine Jia Ying Yu, Xiaoxi Yan, Deidre Anne De Silva, Bibhas Chakraborty Source Type: research
Approaches to promote reduction in sedentary behavior in patients with minor ischemic stroke: a randomized controlled trial.
The recurrence rate of ischemic stroke is high, with approximately 80% of strokes being ischemic, and 11.0 –28.3% of patients with ischemic stroke have been reported to experience relapse.1-5 The recurrence rate of ischemic stroke in patients with minor ischemic stroke (MIS) is 6.9% at one year after onset.6 Furthermore, since the cumulative recurrence rate increases yearly, it is necessary to establis h measures to prevent recurrence.7,8
Source: Archives of Physical Medicine and Rehabilitation - September 22, 2021 Category: Rehabilitation Authors: Ryota Ashizawa, Hiroya Honda, Koki Take, Kohei Yoshizawa, Yoshihiro Ooba, Yuto Kameyama, Yoshinobu Yoshimoto Source Type: research
Using Machine Learning to develop a short-form measure assessing 5 functions in patients with stroke
This study aimed to develop and validate a machine learning based short measure (the ML-5F) to assess 5 functions (activities of daily living (ADL), balance, upper extremity (UE) and lower extremity (LE) motor function, and mobility) in patients with stroke.Design: Secondary data from a previous study. A follow-up study assessed patients with stroke using the Barthel Index (BI), Postural Assessment Scale for Stroke (PASS), and Stroke Rehabilitation Assessment of Movement (STREAM) at hospital admission and discharge.
Source: Archives of Physical Medicine and Rehabilitation - December 30, 2021 Category: Rehabilitation Authors: Gong-Hong Lin, Chih-Ying Li, Ching-Fan Sheu, Chien-Yu Huang, Shih-Chieh Lee, Yu-Hui Huang, Ching-Lin Hsieh Source Type: research
Maintenance of cardiorespiratory fitness in people with stroke: A systematic review and meta-analysis
Reduced cardiorespiratory fitness and physical inactivity are known risk factors for recurrent stroke.1-3 People after stroke are often deconditioned, predisposed to sedentary lifestyles, and have reduced tolerance to simple daily tasks.2 Cardiorespiratory fitness in people with stroke is 25-45% less than age- and sex-matched healthy adults,4,5 does not spontaneously recover, and combined with post-stroke fatigue, muscle atrophy and an elevated energy cost of movement, may result in reduced mobility and sedentary behaviours.
Source: Archives of Physical Medicine and Rehabilitation - February 13, 2022 Category: Rehabilitation Authors: Natasha Machado, Matthew Wingfield, Sharon Kramer, John Olver, Gavin Williams, Liam Johnson Source Type: research
Assessment of V ̇o2peak and Exercise Capacity After Stroke: A Validity Study of the Human Activity Profile Questionnaire
Stroke has a high prevalence1 and is a leading cause of disability worldwide.2 Reduction of cardiorespiratory fitness after stroke has an important effect on the health and quality of life of these individuals.3 Furthermore, low cardiorespiratory fitness is associated with a decline of exercise capacity after stroke.4 The reduction of cardiorespiratory fitness and exercise capacity are important modifiable risk factors for recurrent stroke and other cardiovascular diseases.5 Therefore, these outcomes should be assessed in these individuals.
Source: Archives of Physical Medicine and Rehabilitation - January 27, 2022 Category: Rehabilitation Authors: Sherindan Ayessa Ferreira de Brito, Larissa Tavares Aguiar, Ludmylla Ferreira Quintino, Giane Amorim Ribeiro-Samora, Raquel Rodrigues Britto, Christina Danielli Coelho de Morais Faria Tags: ORIGINAL RESEARCH Source Type: research
Letter to the Editor on “Chronic Phase Survival Rate in Stroke Patients With Severe Functional Limitations According to the Frequency of Rehabilitation Treatment”
We have read with great interest the article by Park et al1 entitled “Chronic Phase Survival Rate in Stroke Patients with Severe Functional Limitations According to the Frequency of Rehabilitation Treatment.”1 They investigated the chronic phase survival rate (from 24 to 120 months after the onset) of stroke patients with severe functional limitations, according to the frequency of rehabilitation treatment from the stroke onset to 24 months after the stroke. For the study, data on 593 patients were collected from the Korea National Health Insurance Database from 2007 to 2018.
Source: Archives of Physical Medicine and Rehabilitation - March 27, 2023 Category: Rehabilitation Authors: Min Cheol Chang, Donghwi Park Tags: LETTER TO THE EDITOR Source Type: research
Position-Dependent, Hyperexcitable Patellar Reflex Dynamics in Chronic Stroke
Abstract: Objectives: To quantify tendon tap response (TTR) properties and their position dependence using multiple neuromechanical parameters, and to analyze correlations among neuromechanical and clinical measures.Design: Hyperexcitable dynamics of TTR were investigated in a case-control manner. An instrumented hammer was used to induce the patellar deep tendon reflex (DTR), with reflex-mediated electromyography and torque responses measured across a range of knee flexion.Setting: Research laboratory in a rehabilitation hospital.Participants: Chronic hemiplegic stroke survivors (n=9) and healthy subjects (n=13).Intervent...
Source: Archives of Physical Medicine and Rehabilitation - October 12, 2012 Category: Rehabilitation Authors: Chung-Yong Yang, Xin Guo, Yupeng Ren, Sang Hoon Kang, Li-Qun Zhang Tags: Original Articles Source Type: research
Does Postacute Care Site Matter? A Longitudinal Study Assessing Functional Recovery After a Stroke
Conclusions: Patients with stroke may make more functional gains if their postacute care includes an IRF. This finding may have important implications as postacute care delivery is reshaped through health care reform.
Source: Archives of Physical Medicine and Rehabilitation - November 5, 2012 Category: Rehabilitation Authors: Leighton Chan, M. Elizabeth Sandel, Alan M. Jette, Jed Appelman, Diane E. Brandt, Pengfei Cheng, Marian TeSelle, Richard Delmonico, Joseph F. Terdiman, Elizabeth K. Rasch Tags: Journal-Based CME Article Source Type: research
Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients
Conclusions: Examining the decrement of spatial gait characteristics (stride length and paretic and nonparetic step length) during a DT addressing working memory can identify fall-prone subacute stroke patients.
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Tina Baetens, Alexandra De Kegel, Tanneke Palmans, Kristine Oostra, Guy Vanderstraeten, Dirk Cambier Tags: Original Articles Source Type: research
Motor Recovery of the Ipsilesional Upper Limb in Subacute Stroke
Conclusions: Our findings provide evidence that ipsilesional motor capacities remain impaired at least 3 months after stroke, even if clinical tests fail to detect the impairment. Focusing on this lasting ipsilesional impairment through a more detailed kinematic analysis could be of interest to understand the specific neural network underlying ipsilesional upper-limb impairment.
Source: Archives of Physical Medicine and Rehabilitation - June 24, 2013 Category: Rehabilitation Authors: Julien Metrot, Jerome Froger, Isabelle Hauret, Denis Mottet, Liesjet van Dokkum, Isabelle Laffont Tags: Original Articles Source Type: research
Factors Influencing Receipt of Early Rehabilitation After Stroke
Abstract: Objective: To identify patient-level characteristics associated with rehabilitation during the acute poststroke phase.Design: Retrospective cohort. Generalized estimating equations modeled the likelihood of rehabilitation during the index hospitalization to account for patient clusters.Setting: Rehabilitation facilities.Participants: Sample included veterans (N=9681; average age, 68.7y; 97.4% men) diagnosed with new stroke discharged from Veterans Affairs hospitals between October 1, 2006, and September 30, 2008.Interventions: Not applicable.Main Outcome Measure: Receipt of rehabilitation services.Results: Of th...
Source: Archives of Physical Medicine and Rehabilitation - August 6, 2013 Category: Rehabilitation Authors: Barbara E. Bates, Pui L. Kwong, Dawei Xie, Ali Valimahomed, Diane Cowper Ripley, Jibby E. Kurichi, Margaret G. Stineman Tags: Original Articles Source Type: research
Scaling Properties of the Subjective Index of Physical and Social Outcome After Stroke in a Study Population Unselected by Age
Abstract: Objective: To investigate the scaling properties of the Subjective Index of Physical and Social Outcome (SIPSO) after stroke in survivors to hospital discharge, unselected by age.Design: Factor, Mokken, and Rasch analyses of the SIPSO using data from a prospective observational cohort study.Setting: Three acute care hospitals.Participants: Consecutive admissions (N=312) with acute stroke, unselected by age.Interventions: Not applicable.Main Outcome Measures: Patient- or proxy-reported SIPSO, collected by postal survey 6 months after stroke.Results: Complete SIPSO questionnaires were returned by 166 of 268 survivo...
Source: Archives of Physical Medicine and Rehabilitation - September 12, 2013 Category: Rehabilitation Authors: Elizabeth A. Teale, Theresa M. Munyombwe, John B. Young Tags: Original Articles Source Type: research
Examination of Sustained Gait Speed During Extended Walking in Individuals With Chronic Stroke
Conclusions: Predicting community ambulation potential based on the discrete gait speed from the 10MWT and endurance based on the average from the 6MWT might be incomplete if gait speed sustainability is not also assessed.
Source: Archives of Physical Medicine and Rehabilitation - July 1, 2013 Category: Rehabilitation Authors: Peter A. Altenburger, Tracy A. Dierks, Kristine K. Miller, Stephanie A. Combs, Marieke Van Puymbroeck, Arlene A. Schmid Tags: Original Articles Source Type: research
Regional Variation in Stroke Rehabilitation Outcomes
Conclusions: Rehabilitation outcomes for persons with stroke varied across CMS regions. Substantial variation in discharge destination and LOS remained after adjusting for demographic and clinical characteristics.
Source: Archives of Physical Medicine and Rehabilitation - August 5, 2013 Category: Rehabilitation Authors: Timothy A. Reistetter, Amol M. Karmarkar, James E. Graham, Karl Eschbach, Yong-Fang Kuo, Carl V. Granger, Jean Freeman, Kenneth J. Ottenbacher Tags: Original Articles Source Type: research
