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Challenges in applying evidence-based practice in stroke rehabilitation: a qualitative description of health professional experience in low, middle, and high-income countries
Conclusion: A global approach is needed to share knowledge about EBP, especially scientific evidence and innovative thinking about its application to clinical practice. Implications for rehabilitationRehabilitation professional groups should contribute to a global network to improve informal knowledge sharing and training around evidence-based practice.Support for training in evidence-based practice and its application needs to be developed and accessible in all countries, including low and middle-income countries.It is imperative that policymakers prioritise practical, evidence-based solutions for rehabilitation research ...
Source: Disability and Rehabilitation - September 4, 2023 Category: Rehabilitation Authors: Kimberley E Watkins William M M Levack Farooq A Rathore E Jean C Hay-Smith Source Type: research

Diagnostic accuracy of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) to estimate disability after stroke
CONCLUSION: WHODAS 2.0 demonstrated acceptable diagnostic capacity and the cutoff point of 39.62 proved suitable for distinguishing individuals with moderate/severe disability from those with no or mild disability after stroke.Implications for rehabilitationWHODAS 2.0 demonstrated acceptable diagnostic capacity.The WHODAS 2.0 cut-off point of >39.62 allows stratification of post-stroke disability into two different levels (no/mild disability versus moderate/severe disability).These results facilitate clinical decision-making by rehabilitation professionals.PMID:35672154 | DOI:10.1080/09638288.2022.2080876
Source: Disability and Rehabilitation - June 7, 2022 Category: Rehabilitation Authors: Heyriane Martins Dos Santos Gabriela Santos Pereira Leia Cordeiro de Oliveira Paula Karina da Silva Michael Gon çalves Lima Victor Hugo Alexandre de Amorim Feliz Christina Danielli Coelho de Morais Faria Soraia Micaela Silva Source Type: research

Development and validation of the World Health Organization disability Assessment Schedule 2.0 (WHODAS 2.0) Indonesian version in stroke survivors
CONCLUSIONS: The WHODAS 2.0 was adapted for use in Indonesia and showed good results for all six domains. Therefore, the Indonesian version of the WHODAS 2.0 can be applied to assess disability in Indonesian stroke survivors.Implications for rehabilitationThe WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) was developed as a single, generic instrument for assessing the health status and disability in different cultures and settings.In this study, we adapted and validated an Indonesian version of the WHODAS 2.0 for stroke survivors in Indonesia.The WHODAS 2.0 was adapted for use in Indonesia and showed good results for ...
Source: Disability and Rehabilitation - March 22, 2021 Category: Rehabilitation Authors: Sri Yuliana Muhammad Muslih Jenny Sim Amelia Nur Vidyanti Ageng Brahmadhi Hsiu Ting Tsai Source Type: research

Health system challenges affecting rehabilitation services in South Africa.
This article presents challenges and solutions to ensure that South Africa can meet WHO 2030 Rehabilitation Goals for equitable provision of effective public rehabilitation services using the WHO's health system building block framework. IMPLICATIONS FOR REHABILITATION To meet the challenge of providing rehabilitation for those in need requires country-specific, strategic, evidence-informed, and planned decisions in terms of best investment for highest return. Whilst there is sound international evidence for best-practice rehabilitation care, country-specific strategies are required to identify and address local barriers t...
Source: Disability and Rehabilitation - August 2, 2019 Category: Rehabilitation Authors: Morris LD, Grimmer KA, Twizeyemariya A, Coetzee M, Leibbrandt DC, Louw QA Tags: Disabil Rehabil Source Type: research

Activities and participation after stroke: validity and reliability of the Turkish version of IMPACT-S questionnaire.
CONCLUSION: The Turkish version of the IMPACT-S is a valid and reliable questionnaire for evaluating activities and participation in patients with stroke. Implications for rehabilitation Patients with stroke experience difficulties across multiple participation domains, such as major life areas and community life. The screener part of the IMpact on Participation and ACTivities (IMPACT-S) questionnaire is the only measure that accurately reflects The International Classification of Functioning, Disability and Health (ICF) sections and appears a promising outcome measure in rehabilitation research. The Turkish version of the...
Source: Disability and Rehabilitation - January 17, 2019 Category: Rehabilitation Authors: Aşkın A, Atar E, Tosun A, Demirdal Ü, Koca Ö Tags: Disabil Rehabil Source Type: research

Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa.
CONCLUSION: The findings suggest focusing stroke rehabilitation on important factors such as mobility, cognition, life activities and risk factors to advance patients' participation. It also emphasizes giving specific consideration to key factors specific for gender and age of stroke survivors. Implications for Rehabilitation Community participation in the general population of stroke survivors' is largely determined by their mobility function. Determinants of community participation among stroke survivors essentially vary according to age and gender. Clinically, this study suggests that focusing on specific determinants o...
Source: Disability and Rehabilitation - May 29, 2018 Category: Rehabilitation Authors: Elloker T, Rhoda A, Arowoiya A, Lawal IU Tags: Disabil Rehabil Source Type: research

The measurement of functioning using the International Classification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments.
CONCLUSIONS: The findings of this study provide supporting evidence for the use of the professionally rated categories and associated qualifiers to measure functioning. Implication for Rehabilitation This study provides evidence that functioning data can be collected directly with the International Classification of Functioning, Disability and Health (ICF) by using the ICF categories as items and the ICF qualifiers as rating scale. The findings of this study show the aggregated ratings of ICF categories from the chapters d4 Mobility, d5 Self-care, and d6 Domestic life capture a broader spectrum of the construct than the co...
Source: Disability and Rehabilitation - October 8, 2017 Category: Rehabilitation Authors: Prodinger B, Stucki G, Coenen M, Tennant A, ; on behalf of the ICF INFO Network Tags: Disabil Rehabil Source Type: research

Prevalence and impact of disability and sexual dysfunction on Health-Related Quality of Life of Nigerian stroke survivors.
CONCLUSION: Although sexual dysfunction and global disability are prevalent among Nigerian SSv, their low HRQoL is determined by their disability and not by SF. Hence, effort at reducing global disability should be the focus of rehabilitation after stroke. Implication for Rehabilitation Global functional and sexual deficiencies abound in stroke survivors and they impact negatively on their overall quality of life. Sexual dysfunction correlates negatively on physical and psychosocial wellbeing of stroke survivors. Rehabilitation goal(s) should focus disability reduction and improvement of sexual functioning to enhance quali...
Source: Disability and Rehabilitation - August 21, 2016 Category: Rehabilitation Authors: Oyewole OO, Ogunlana MO, Gbiri CA, Oritogun KS Tags: Disabil Rehabil Source Type: research

Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions.
CONCLUSIONS: Spasticity is associated with worse health status, however its relationship with overall QOL is not established. The relationship between spasticity and QOL is confounded by other impairments and requires multivariate analysis. Implications for Rehabilitation Effective management of spasticity may result in significant improvements in HRQOL. It is important to address multiple factors in the management of spasticity including pain, bladder problems, fatigue and sleep, as the interplay of these may have significant negative effects on HRQOL. Clinician-administered methods for measuring spasticity, such as the A...
Source: Disability and Rehabilitation - December 29, 2015 Category: Rehabilitation Authors: Milinis K, Young CA, Trajectories of Outcome in Neurological Conditions (TONiC) study Tags: Disabil Rehabil Source Type: research

Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors.
CONCLUSIONS: A range of impacts was identified, some of which (such as use of information technology and alienation from the upper limb) are not addressed in current assessment instruments. They should be considered in post-stroke assessments. Blogs may help in the development of more comprehensive assessments. Implications for Rehabilitation A comprehensive assessment of the upper limb following stroke should include the impact of upper limb problems on social participation, as well as associated emotional, cognitive and behavioural changes. Using personalised assessment instruments alongside standardised measures may hel...
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Poltawski L, Allison R, Briscoe S, Freeman J, Kilbride C, Neal D, Turton AJ, Dean S Tags: Disabil Rehabil Source Type: research