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Supporting post-stroke access to services and resources for individuals with low income: understanding usual care practices in acute care and rehabilitation settings
CONCLUSION: To better support post-stroke access to social services and resource for low-income individuals, a multidisciplinary approach, with actions beginning earlier on and extending throughout the continuum of care, is recommended, in addition to system-level advocacy.PMID:37067052 | DOI:10.1080/09638288.2023.2199462
Source: Disability and Rehabilitation - April 17, 2023 Category: Rehabilitation Authors: Katrine Sauv é-Schenk Patrick Duong Samantha Samonte-Brown Lisa Sheehy Martine Trudelle Jacinthe Savard 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 26, 2019 Category: Rehabilitation Authors: Nott M, Wiseman L, Seymour T, Pike S, Cuming T, Wall G 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 - May 31, 2019 Category: Rehabilitation Authors: Wolf TJ, Doherty M, Boone A, Rios J, Polatajko H, Baum C, McEwen S Tags: Disabil Rehabil Source Type: research

Clinical provision of compensatory visual training after neurological injury: example of a multisite outpatient program.
Conclusions: Our data suggest that visual retraining is feasible in this clinical outpatient setting. Implications for rehabilitation This program of visual retraining was provided to individuals with visual impairment (e.g., hemianopia) and visual perceptual impairment (e.g., unilateral spatial neglect) as a result of neurological injury. In this outpatient program, visual rehabilitation was feasible and appeared to improve outcomes among a heterogeneous clinical population. Fundamental characteristics of visual compensatory training at this program included repetitive practice of adaptive scanning behaviors across multip...
Source: Disability and Rehabilitation - May 22, 2019 Category: Rehabilitation Authors: Metzler MJ, Maiani M, Jamieson B, Dukelow SP 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 10, 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

Influence of low income on return to participation following stroke.
CONCLUSION: This case study demonstrated that even in a universal healthcare system, post-stroke participation for those with low incomes was severely restricted. Changes at the clinical level and at the public policy level could facilitate participation. Implications for rehabilitation Income influenced the experience of return to participation for the low-income stroke survivors by limiting their ability to afford housing, goods, and services. The macro environment, which regulates the healthcare and social service systems, was the strongest influence on return to participation for low income stroke survivors. Findings p...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Sauvé-Schenk KML, Egan MY, Dubouloz-Wilner CJ, Kristjansson E Tags: Disabil Rehabil Source Type: research

Timely access to inpatient rehabilitation after stroke: a qualitative study of perceived barriers and potential solutions in Ontario, Canada.
CONCLUSIONS: The structure of Ontario's health care system presents challenges to early transfer of stroke patients to inpatient rehabilitation, yet the stakeholders consulted in this study felt that these could be addressed with proper planning, improved coordination and targeted investment. Implications for rehabilitation Stroke units are a well-established best practice in stroke care and timely access to rehabilitation is a key component of their effectiveness. Stroke experts in Ontario, Canada recommend transfer of suitable patients to inpatient rehabilitation on day 5 and day 7, on average, after ischemic and hemorrh...
Source: Disability and Rehabilitation - September 18, 2017 Category: Rehabilitation Authors: Meyer MJ, Teasell R, Kelloway L, Meyer SB, Willems D, O'Callaghan C Tags: Disabil Rehabil Source Type: research