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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Insights into the nature of female sexuality from the perspective of female stroke survivors.
CONCLUSIONS: The findings of this study underline the importance of addressing sexuality as part of rehabilitation and provide some guidance about what might be important to address. Implications for Rehabilitation Sexuality should be addressed by clinicians as part of person-centred rehabilitation. Understanding "the being" and "the doing" of female sexuality is a pre-requisite for understanding female sexuality post-stroke. Idealised constructions of being female formulated pre-stroke may continue to be points of reference for self-assessment post-stroke, hence need to be understood when seeking to support a positive sen...
Source: Disability and Rehabilitation - September 6, 2018 Category: Rehabilitation Authors: Pryor J, Lever S Tags: Disabil Rehabil Source Type: research

Significant others' perspectives on person-centred information and communication technology in stroke rehabilitation - a grounded theory study.
CONCLUSION: Information and communication technology has the potential to facilitate participation in everyday life after stroke. It is important, therefore, to start using information and communication technology in the rehabilitation process after stroke, to bring meaning to everyday life and to support both the stroke survivors and their significant others. IMPLICATIONS FOR REHABILITATION Integration of information and communication technology in the rehabilitation process after stroke can accommodate several of the significant othersĀ“ needs. Educating stroke survivors to use information and communication technology as...
Source: Disability and Rehabilitation - January 16, 2019 Category: Rehabilitation Authors: Marwaa MN, Ytterberg C, Guidetti S Tags: Disabil Rehabil Source Type: research

Psychometric properties of the Flemish version of the life balance inventory: a patient-reported outcome measure in the chronic stage after stroke.
CONCLUSION: In a pilot sample, the FL-LBI has satisfactory test-retest reliability, acceptable measurement error and minimal detectable difference and acceptable convergent validity. It can be used in clinical practice and research to assess life balance in chronic community-dwelling stroke survivors. Implications for rehabilitation Life balance can be a useful concept in stroke rehabilitation; it corresponds to individuals' perception of having a satisfying activity pattern tailored to their life circumstances. The Flemish version of the Life Balance Inventory can be used to evaluate life balance in community-dwelling chr...
Source: Disability and Rehabilitation - March 3, 2019 Category: Rehabilitation Authors: Van Gils A, Meyer S, Beyens H, Schillebeeckx F, Verheyden G, Kos D Tags: Disabil Rehabil Source Type: research

Agreement between patients and nurses of neurobehavioral disability following stroke in an inpatient rehabilitation setting.
CONCLUSIONS: Neurobehavioral disability is common in the early recovery phase after stroke and is viewed differently with regards to frequency, type, and impact between patients and their nurses. Research and clinical training in the management of stroke-related neurobehavioral disability is required. Implications for rehabilitation Neurobehavioral disability (NBD) following stroke is commonly seen in the early stages of recovery and requires careful evaluation by stroke survivors and rehabilitation staff. Many patients may disagree with their clinician that they are exhibiting NBD, which may compromise the therapeutic rel...
Source: Disability and Rehabilitation - March 28, 2019 Category: Rehabilitation Authors: O'Connell EL, Lawson DW, New PW, Stolwyk RJ Tags: Disabil Rehabil Source Type: research

Perceived occupational balance in people with stroke.
Conclusion: These results demonstrate the importance of considering occupational balance in the rehabilitation of persons with stroke to support their engagement in a variety of meaningful activities that contribute to health. IMPLICATIONS FOR REHABILITATION Rehabilitation need to support persons with stroke to monitor their entire patterns of activities and perceived balance to support wider engagement in meaningful activities and promote health. Balance between all kinds of activities in daily life besides work, needs to be considered in the later phase of rehabilitation in persons with stroke. A majority of the particip...
Source: Disability and Rehabilitation - July 1, 2019 Category: Rehabilitation Authors: Kassberg AC, Nyman A, Larsson Lund M Tags: Disabil Rehabil Source Type: research

Incidence and potential predictors of early onset of upper-limb contractures after stroke.
Conclusions: Individuals with mild and moderate stroke developed upper-limb contractures three months after the onset of the stroke, with an incidence of 28%. The predictors were the presence of pain and loss of dexterity. These impairments should be earlier targeted during rehabilitation interventions. Implications for rehabilitation The incidence of upper limb contracture 3 months after the stroke is high after mild to moderate stroke. Wrist contractures are the most common upper limb contracture. The presence of pain and loss of dexterity significantly contribute to the development of upper limb contractures. Health pro...
Source: Disability and Rehabilitation - July 21, 2019 Category: Rehabilitation Authors: Matozinho CVO, Teixeira-Salmela LF, Samora GAR, Sant'Anna R, Faria CDCM, Scianni A Tags: Disabil Rehabil Source Type: research

The experience of occupational identity disruption post stroke: a systematic review and meta-ethnography.
Conclusions: Stroke impacts on an individual's occupational identity, compromising the continuity of a stroke survivor's sense of self. However, occupational identity is fluid; this can be used to support individuals to re-invent the occupational self. A conceptual model was developed to support the application of these results in clinical practice. Implications for rehabilitation Occupational identity disruption impacts on stroke survivors' self-value and sense of self continuity. Health care professionals' understanding of stroke survivors experience of occupational identity disruption could contribute to realign stroke ...
Source: Disability and Rehabilitation - August 1, 2019 Category: Rehabilitation Authors: Martin-Saez MM, James N Tags: Disabil Rehabil Source Type: research

Association of formal and informal care with health-related quality of life and depressive symptoms: findings from the Caring for Adults Recovering from the Effects of Stroke study.
Conclusions: Shared care was the most common care configuration for stroke participants, but no significant associations were found between shared care and self-reported outcomes after adjusting for stroke participant characteristics. Further research is needed on the dose of informal and formal care and their coordination to better understand relationships with recovery. IMPLICATIONS FOR REHABILITATION Stroke is one of the leading causes of disability for adults in the USA and ongoing care is needed for survivors. Informal caregivers such as family members play an important role in recovery in addition to formal care prov...
Source: Disability and Rehabilitation - August 10, 2019 Category: Rehabilitation Authors: Liu C, Prvu-Bettger J, Sheehan OC, Huang J, Roth DL Tags: Disabil Rehabil Source Type: research

Impaired force control contributes to car steering dysfunction in chronic stroke.
Conclusion: Stroke impairs the steering ability of the paretic hand. Although grip strength and force control of the paretic hand are diminished after stroke, only grip force control predicts steering accuracy. Deficits in grip force control after stroke contribute to functional limitations in performing skilled tasks with the paretic hand.Implications for rehabilitationDriving is an important goal for independent mobility after stroke that requires motor capability to manipulate hand and foot controls.Two prominent stroke-related motor impairments that may impact precise car steering are reduced grip strength and grip for...
Source: Disability and Rehabilitation - November 5, 2019 Category: Rehabilitation Authors: Patel P, Alam T, Tracy BL, Lodha N Tags: Disabil Rehabil Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research

Identifying key elements to assess patient's acceptability of neurorehabilitation in stroke survivors - a Delphi method
CONCLUSIONS: Patient's acceptance is crucial to developing the appropriate neurorehabilitation interventions. Future clinical trials should consider these items when measuring patient's acceptance of stroke neurorehabilitation interventions during the development and evaluation phases.Implications for rehabilitationAssessing patient acceptability of treatment is a clinical concern in stroke neurorehabilitation.This study has identified nine key elements to assess patient acceptability of stroke neurorehabilitation. These key elements are: Goal setting, Measurable progress, Functional improvement, Challenging, Motivation, I...
Source: Disability and Rehabilitation - August 12, 2021 Category: Rehabilitation Authors: Manonita Ghosh Kaoru Nosaka Lisa Whitehead Kazunori Nosaka Source Type: research

Technologies to improve the participation of stroke patients in their home environment
CONCLUSIONS: Various technologies were identified by experts as having the potential to improve the participation of stroke patients in their homes. Future research may study the influence of these technologies on the actual participation of stroke patients at home.Implications for rehabilitationThe identified technological solutions can support rehabilitation specialists in guiding stroke patients towards technologies that can support a patient's participation at home.Rehabilitation specialists can be champions in introducing, recommending and promoting technologies to stroke patients and their families, as well as in tra...
Source: Disability and Rehabilitation - October 5, 2021 Category: Rehabilitation Authors: Esther M G Willems Joan Vermeulen Jolanda C M van Haastregt G A Rixt Zijlstra Source Type: research