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Source: Disability and Rehabilitation
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Total 855 results found since Jan 2013.
Co-creation and stroke rehabilitation: a scoping review
CONCLUSIONS: Co-creation in stroke rehabilitation is currently in an expanding and rudimentary phase. This review identified the variability of its application, with future work needed to establish clarity and consistency in terminology and methodologies utilised to operationalise co-creation in stroke rehabilitation.Implications for rehabilitationCo-creation is a contemporary and evolving service improvement approach in stroke rehabilitation, utilised most commonly in the community context.Inconsistent terminology and diverse methodologies are utilised to enact co-creation in stroke rehabilitation.Opportunities exist to a...
Source: Disability and Rehabilitation - February 3, 2022 Category: Rehabilitation Authors: Joshua Dobe Louise Gustafsson Kim Walder Source Type: research
Patient, carer and health worker perspectives of stroke care in New Zealand: a mixed methods survey
CONCLUSIONS: Perceptions of stroke care differed between consumers and health workers, highlighting the importance of involving both in service co-design. Improving communication, post-hospital follow-up, and geographic equity are key areas for improvement.Implications for rehabilitationProvision of detailed information on stroke recovery and available services in the community is recommended.Improvements in the delivery of post-hospital stroke care are required to optimise stroke care, with options including routine phone follow up appointments and wider development of early supported discharge services.Stroke rehabilitat...
Source: Disability and Rehabilitation - September 5, 2022 Category: Rehabilitation Authors: Stephanie Thompson William Levack Jeroen Douwes Jackie Girvan Ginny Abernethy P Alan Barber John Fink John Gommans Alan Davis Matire Harwood Dominique A Cadilhac Harry McNaughton Valery Feigin Andrew Wilson Hayley Denison Marine Corbin Joosup Kim Annemare Source Type: research
Stroke survivors' views on their priorities for upper-limb recovery and the availability of therapy services after stroke: a longitudinal, phenomenological study
CONCLUSION: Therapy services should recognize stroke survivors' changing priorities and work with them as active partners in upper-limb recovery. Intermittent access to review and advice should be included in service design.Implications for rehabilitationStroke survivors' priorities may change over time from recovery of walking toward upper-limb recovery.Post-stroke services can be perceived as insufficient to meet the needs of stroke survivors who want to participate actively in rehabilitation of their upper limb.Stroke survivors may prefer services that are more flexible to provide regular review of their progress, acces...
Source: Disability and Rehabilitation - September 16, 2022 Category: Rehabilitation Authors: Judy Purton Julius Sim Susan M Hunter Source Type: research
Exploring challenges affecting resilience in carers of stroke survivors: a qualitative descriptive study
CONCLUSION: These findings provide direction for a suitable intervention. Further, they suggest that stroke rehabilitation could be improved by adopting a family-centered model of care so that carers can be included as active partners in care process. Protecting carers from the negative impact of caring role on their resilience may sustain their ability to provide long-term care for the stroke survivor.IMPLICATIONS FOR REHABILITATIONThe provision of informal care to stroke survivors can be associated with significant emotional consequences, withdrawal from social activities, and poor quality of life for the carers.The abru...
Source: Disability and Rehabilitation - October 21, 2022 Category: Rehabilitation Authors: Ayesha Qureshi Nicola Swain Daniela Aldabe Leigh Hale Source Type: research
Patient- and proxy-perceptions on functioning after stroke rehabilitation using the 12-item WHODAS 2.0: a longitudinal cohort study
CONCLUSION: WHODAS showed improvements in SSs' functioning 9-50 months after discharge from subacute stroke rehabilitation. Improvements were in line with proxy-perception and self-reported functional recovery.IMPLICATIONS FOR REHABILITATIONStroke survivors' functioning improved significantly during the 9-50 months follow-up after subacute inpatient stroke rehabilitation.Stroke survivors perceived slightly less difficulties in their functioning compared to evaluations by proxies.Strong correlation between patient- and proxy-perceptions on stroke survivors' functioning strengthened from subacute to chronic phase of stroke r...
Source: Disability and Rehabilitation - February 14, 2023 Category: Rehabilitation Authors: Mia Kilkki Minna Stolt Sunna Rannikko Miko Pasanen Sinikka Tarvonen-Schr öder Source Type: research
Transport use limitations and its association with social participation among patients with stroke living in rural India
CONCLUSIONS: Independent use of different modes of transport, particularly public transportation, reduced among rural Indian stroke survivors. These transport limitations are significantly associated with reduced social participation, highlighting the need for interventions to improve accessibility and fostering greater community engagement for stroke survivors in this population.IMPLICATIONS FOR REHABILITATIONLimited transportation access limits social participation for stroke survivors in rural India.Study results show a significant decrease in independent transport use among stroke survivors, affecting their social part...
Source: Disability and Rehabilitation - September 20, 2023 Category: Rehabilitation Authors: Kajal Chavda V Prakash Source Type: research
Long-term prediction of functional outcome after stroke using single items of the Barthel Index at discharge from rehabilitation centre.
Conclusion: Simple assessment of dressing and bathing on discharge from rehabilitation enables therapeutic staff to predict prognosis for long-term independence in personal ADL. This method can be used for early identification of persons with stroke who need intensive follow-up. Implications for Rehabilitation (In)dependence for dressing and bathing at discharge from a rehabilitation centre are significant factors in the prediction of (in)dependence in personal ADL at five years after stroke. This predictive tool can be used for targeting inpatient stroke rehabilitation and early identification of those patients who need i...
Source: Disability and Rehabilitation - May 21, 2013 Category: Rehabilitation Authors: De Wit L, Putman K, Devos H, Brinkmann N, Dejaeger E, De Weerdt W, Jenni W, Lincoln N, Schuback B, Schupp W Tags: Disabil Rehabil Source Type: research
Body, coping and self-identity. A qualitative 5-year follow-up study of stroke.
Conclusion: Stroke survivors suffered considerable ongoing and changing difficulties in relation to disability, self-perception and to coping with a new life. This continuous process of change could be seen to drain their energy. The study shows that many survivors live a more home-centred life with fewer social relations and less active participation in their community. This can entail the risk of depression and loneliness. The study also shows, however, that adopting an optimistic approach to life can lead to continued learning about abilities and limitations, to the development of new skills and to the fashioning of a n...
Source: Disability and Rehabilitation - April 30, 2013 Category: Rehabilitation Authors: Pallesen H Tags: Disabil Rehabil Source Type: research
Treatment components for upper limb rehabilitation after stroke: a survey of UK national practice.
Conclusion: From the treatment components described, the highest number of treatment components was listed for the moderately impaired patient. The treatment components used by the units surveyed are quite consistent with the 2012 Clinical Guidelines for Stroke. Implications for Rehabilitation The survey captured five substantive categories of treatment that describe most active patient participation, moderately active patient participation, non-active patient participation, assistive technology and other. Overall, the treatment components described by the units are quite consistent with the 2012 UK Clinical Guidelines for...
Source: Disability and Rehabilitation - August 20, 2013 Category: Rehabilitation Authors: McHugh G, Swain ID, Jenkinson D Tags: Disabil Rehabil Source Type: research
Absent median somatosensory evoked potential is a predictor of type I complex regional pain syndrome after stroke.
Conclusions: In conclusion, GHS and the absent median SEP at sub-acute phase of stroke were primary predictors of the onset of post-stoke CRPS. Implications for Rehabilitation Recent investigations have suggested that autonomic, motor and somatosensory abnormalities of CRPS are impairments involving the central nervous system (CNS) as well as the peripheral neurogenic inflammatory process. However, the understanding of the pathophysiology of CRPS is still far from complete. The absence of SEP at the sub-acute stage of stroke correlated with the onset of post-stroke CRPS type I. The SEP evaluation at the sub-acute period af...
Source: Disability and Rehabilitation - September 19, 2013 Category: Rehabilitation Authors: Han EY, Jung HY, Kim MO Tags: Disabil Rehabil Source Type: research
