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Unmet needs in long-term outpatient rehabilitative care: a qualitative and multi-perspective study in Japan
CONCLUSIONS: These findings suggest that in Japanese post-stroke outpatient rehabilitation, there is a need to adopt a comprehensive care approach, enhance the quality of communication, and involve caregivers in the rehabilitation process in limited-resource situations.IMPLICATIONS FOR REHABILITATIONIn long-term outpatient rehabilitation services in the community, stroke patients and their caregivers often face a physical recovery plateau.A comprehensive approach such as enhancing the quality of communication and providing psychological and emotional care -other than physical rehabilitation- is needed, particularly once th...
Source: Disability and Rehabilitation - October 18, 2022 Category: Rehabilitation Authors: Naoki Takashi Patou Masika Musumari Teeranee Techasrivichien S Pilar Suguimoto Masako Ono-Kihara Masahiro Kihara Takeo Nakayama Source Type: research

Longitudinal changes in life-space mobility and the factors influencing it among chronic community-dwelling post-stroke patients
CONCLUSIONS: Life-space mobility may persistently decline, and gait function may be a determinant influencing these changes in community-dwelling chronic post-stroke patients.Implications for RehabilitationLimited life-space mobility leads to less frequent participation in social activities and an increased risk of adverse health outcomes such as hospitalization.Changes in life-space mobility should be considered in the rehabilitation care plan for chronic post-stroke patients.Life-space mobility may decline persistently in stable post-stroke patients, even if they have periodically received day-care rehabilitation service...
Source: Disability and Rehabilitation - December 13, 2021 Category: Rehabilitation Authors: S Tsunoda S Shimizu Y Suzuki A Tsunoda R Yamada R Shimose M Kawabata M Ogura A Matsunaga Source Type: research

Psychometric properties of the TEMPA for the assessment of arm motor activity capacity in hemiparetic Japanese patients after stroke
CONCLUSIONS: The most aspects of the Japanese TEMPA showed acceptable levels of inter-rater reliability and validity in patients with affected upper extremities after stroke.IMPLICATIONS FOR REHABILITATIONThe TEMPA is reliable and valid in measuring activity capacity of upper extremity in patients with stroke.The functional rating score of the TEMPA is recommended to assess activities related to daily living, especially when users need to focus on bimanual activities.The TEMPA may help guide intervention that improve bimanual activity as well as the affected arm activity.PMID:33847186 | DOI:10.1080/09638288.2021.1910352
Source: Disability and Rehabilitation - April 13, 2021 Category: Rehabilitation Authors: Satoru Amano Atsushi Umeji Takashi Takebayashi Kayoko Takahashi Yuki Uchiyama Kazuhisa Domen Source Type: research

Prediction of life-space mobility in patients with stroke 2 months after discharge from rehabilitation: a retrospective cohort study.
CONCLUSIONS: The predictive formula provides an objective measure of life-space mobility for stroke patients after discharge. The clinical application of this formula could help health care professionals working in stroke rehabilitation to prepare patients for discharge and to set concrete goals for in-hospital rehabilitation to improve life-space mobility after discharge. Implications for rehabilitation Accurate prediction of the prognosis for life-space mobility 2 months after discharge is useful in establishing clear goals for community-based rehabilitation. Long-term life-space mobility in the community is not only aff...
Source: Disability and Rehabilitation - January 24, 2019 Category: Rehabilitation Authors: Nakao M, Izumi S, Yokoshima Y, Matsuba Y, Maeno Y Tags: Disabil Rehabil Source Type: research