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Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
CONCLUSIONS: The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.Implications for RehabilitationA supportive workplace and family, and access to appropriate vocational rehabilitation are important environmental facilitators for RTW in individuals with ABI.Workplaces with a poor understanding of ABI and employment service providers unable to find work for individuals with ABI are environmental barrie...
Source: Disability and Rehabilitation - April 1, 2021 Category: Rehabilitation Authors: Charlotte L Brakenridge Charmaine Kai Ling Leow Melissa Kendall Ben Turner Donna Valiant Ray Quinn Venerina Johnston Source Type: research

Low gait speed is associated with low physical activity and high sedentary time following stroke.
Conclusions: Physical activity is low following stroke and should be a target for treatment, particularly in those with gait speeds ≤0.8 m/s.Implications for rehabilitationSeventy-three percent of stroke survivors performed ≥30 minutes of moderate to vigorous physical activity throughout the day.Twenty-seven percent of stroke survivors accumulated ≥30 minutes of moderate to vigorous physical activity in 10 minute bouts.Despite relatively good physical ability, daily step count was low in this sample.Those with gait speeds ≤0.8 m/s had lower physical activity levels and higher sedentary time. PMID: 3175...
Source: Disability and Rehabilitation - November 21, 2019 Category: Rehabilitation Authors: Fini NA, Bernhardt J, Holland AE Tags: Disabil Rehabil Source Type: research

Perspectives on neurorehabilitation of unilateral impairments through cross-education.
Conclusion: Cross-education may serve as a viable option for those patients presenting severe unilateral weakness who are not able to fully exercise their weaker side directly. However, it should not be recommended straightaway if the training goal is to improve outcomes other than strength. As such, contralateral training may prove as a primer to establish a minimum level of strength that may suffice to sustain direct training, which has been proved to prompt more meaningful functional changes. Implications for rehabilitation Cross-education consists of training the stronger limb to increase strength in the untrained weak...
Source: Disability and Rehabilitation - June 27, 2019 Category: Rehabilitation Authors: Manca A, Deriu F Tags: Disabil Rehabil Source Type: research

Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 20, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research

Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke.
Conclusions: Several demographic and acute phase factors were associated with a more severe PSD course following stroke. Psychosocial support that begins in the acute phase and continues throughout the rehabilitation process may be helpful in improving both physical and psychological outcomes following stroke. Implications for Rehabilitation Depression levels are stable during the first 18 months after first-ever stroke. The course of post-stroke depression is related to the level of physical functioning in the acute phase, whether the stroke survivors live alone and their employment status at the time of stroke. Psycholog...
Source: Disability and Rehabilitation - February 6, 2015 Category: Rehabilitation Authors: Eriksen S, Gay CL, Lerdal A Tags: Disabil Rehabil Source Type: research

Developing stroke-specific vocational rehabilitation: a soft systems analysis of current service provision.
Conclusions: Stroke-specific VR should be delivered by an integrated, cross-sector multi-disciplinary team and integrated commissioning between health and other sectors is necessary. Although early intervention is important, support later on in the recovery process is also necessary. Service providers need adequate training to meet the needs of stroke survivors wishing to return to work and better awareness of best practice guidelines. Business cases which demonstrate the efficacy and cost-effectiveness of VR are vital. Implications for Rehabilitation The timeliness of a vocational rehabilitation (VR) intervention is compl...
Source: Disability and Rehabilitation - May 21, 2013 Category: Rehabilitation Authors: Sinclair E, Radford K, Grant M, Terry J Tags: Disabil Rehabil Source Type: research