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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Discharge destination of individuals with severe stroke undergoing rehabilitation: a predictive model.
Conclusion: Age, admission FIM® and caregiver availability were significant predictors of post-rehabilitation discharge destination. Results of this study suggest that for individuals with severe stroke, discharge home is unlikely in the absence of an available caregiver. Implications for Rehabilitation Age, stroke severity at admission and the availability of a caregiver play an important role in determining post rehabilitation discharge destination of individuals with severe stroke. These factors must be considered to assist with appropriate goal setting and discharge planning during inpatient rehabilitation. PMID:...
Source: Disability and Rehabilitation - March 24, 2014 Category: Rehabilitation Authors: Pereira S, Foley N, Salter K, McClure JA, Meyer M, Brown J, Speechley M, Teasell R Tags: Disabil Rehabil Source Type: research

Test-retest reliability of the GAITRite walkway system for the spatio-temporal gait parameters while dual-tasking in post-stroke patients.
Conclusions: The results of current study demonstrated that the test-retest reliability of the GAITRite system for measurement of spatio-temporal gait parameters under single- and dual-task conditions was good to very good. Therefore, we suggest that measurement of spatio-temporal gait parameters under a dual-task condition using the GAITRite system would be useful for clinical assessment in post-stroke patients. Implications for Rehabilitation Improvement of walking ability provides opportunities for stroke patients to participate in the community. Our finding, additional cognitive tasks can interfere with the independent...
Source: Disability and Rehabilitation - June 24, 2014 Category: Rehabilitation Authors: Cho KH, Lee HJ, Lee WH Tags: Disabil Rehabil Source Type: research

Factors affecting speech pathologists' implementation of stroke management guidelines: a thematic analysis.
Conclusions: Factors affecting implementation are complex, and are not exclusively barriers or facilitators. Some potential implementation strategies are suggested. Further research is recommended. Implications for Rehabilitation In most Western nations, stroke remains the single greatest cause of disability, including communication and swallowing disabilities. Although adherence to stroke clinical practice guidelines improves stroke patient outcomes, guidelines continue to be underutilised, and the reasons for this are not well understood. This is the first in-depth qualitative study identifying the complex barriers and f...
Source: Disability and Rehabilitation - July 8, 2014 Category: Rehabilitation Authors: Miao M, Power E, O'Halloran R Tags: Disabil Rehabil Source Type: research

Place attachment in stroke rehabilitation: a transdisciplinary encounter between cultural geography, environmental psychology and rehabilitation medicine.
Conclusions: Rehabilitation should put greater effort into supporting stroke survivors and their families in home-making and community reintegration processes, and help them to re-own and renegotiate their disabled bodies and changed identities in real life. Implications for Rehabilitation The experienced self-body split, identity confusion and related mourning process should be foregrounded in the post-discharge phase rather than functional recovery, in order to help stroke survivors understand and come to terms with their changed bodies and selves. In the post-discharge and reintegration phases stroke survivors should be...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Nanninga CS, Meijering L, Schönherr MC, Postema K, Lettinga AT Tags: Disabil Rehabil Source Type: research

A thematic framework of illness narratives produced by stroke patients.
Conclusions: The results suggest that the analysis of non-guided illness narratives can be effectively used to identify the thematic areas important to individual stroke patients. The thematic content analysis of stroke stories can allow health professionals to better understand the patient's state of knowledge related to illness as well as his or her socio-psychological functioning which may be useful in the course of planning further assessment and rehabilitation of patients with stroke. Implications for Rehabilitation Experience of illness and life changes following stroke should be recognized as central to the provisio...
Source: Disability and Rehabilitation - September 8, 2014 Category: Rehabilitation Authors: Pluta A, Ulatowska H, Gawron N, Sobanska M, Lojek E Tags: Disabil Rehabil Source Type: research

Communication disorders after stroke in Aboriginal Australians.
Conclusions: While similar life disruptions were found to those previously reported in the general stroke population, this study highlighted differences, which reflect the particular context of ACD for Aboriginal people and which need to be considered when planning future services. While implications are limited due to small numbers, the findings emphasise the importance of a holistic approach, and integration of communication treatments into community-led social activities. Implications for Rehabilitation Aboriginal Australians frequently experience a range of concurrent and complex co-morbidities and demanding social or ...
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Armstrong E, Hersh D, Hayward C, Fraser J Tags: Disabil Rehabil Source Type: research

How is physical activity monitored in people following stroke?
Conclusions: Physical activity outcomes were variable. Devices allow for unobtrusive, sustained monitoring in free-living environments. Observational methods suit inpatient settings but are time and labour intensive. No single approach appears superior but standardisation of outcomes would improve the field. Implications for Rehabilitation Physical activity measurement is highly variable following stroke and better definition of physical activity outcomes would enhance the field. Accelerometry and behavioural mapping are most commonly used to measure physical activity following stroke, each have advantages and disadvantage...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Fini NA, Holland AE, Keating J, Simek J, Bernhardt J Tags: Disabil Rehabil Source Type: research

Effectiveness of commercial video gaming on fine motor control in chronic stroke within community-level rehabilitation.
Conclusion: Commercial gaming may be a viable resource for those with chronic stroke. Future research should examine the feasibility of this as a rehabilitation tool for this population. Implications for Rehabilitation Stroke survivors often live with lasting effects from their injury, however, those with chronic stroke generally receive little to no rehabilitation due to a perceived motor recovery plateau. Virtual reality in the form of commercial gaming is a novel and motivating way for clients to complete rehabilitation. The Nintendo Wii may be a feasible device to improve both functional ability and perceived quality o...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Paquin K, Ali S, Carr K, Crawley J, McGowan C, Horton S Tags: Disabil Rehabil Source Type: research

Screening and assessment of nutritional status following stroke: results from a national survey of registered dietitians in Canada.
CONCLUSIONS: The results of this national survey suggest that screening and assessment of nutritional status following acute stroke is conducted using tools that have not been validated previously. Implications for Rehabilitation Although the use of valid screening and assessment tools is considered part of evidence-based practice, and recommendations for their adoption are included in several national stroke-specific clinical practice guidelines, the results from an online survey suggest that they are not used in clinical practice by RDs in Canada caring for patients following stroke. There are associated risks with the u...
Source: Disability and Rehabilitation - March 27, 2015 Category: Rehabilitation Authors: Peters L, O'Connor C, Giroux I, Teasell R, Foley N Tags: Disabil Rehabil Source Type: research

Feasibility of a home-based program to improve handwriting after stroke: a pilot study.
CONCLUSIONS: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. Implications for Rehabilitation Handwriting difficulty is common following hemiparesis after stroke, however research addressing handwriting retraining for adults with stroke is lacking. A four-week home-based handwriting program using task-specific practice and feedback was feasible to deliver and appropriate for adults with stroke. Improving handwriting legibility and neatness ac...
Source: Disability and Rehabilitation - June 22, 2015 Category: Rehabilitation Authors: Simpson B, McCluskey A, Lannin N, Cordier R Tags: Disabil Rehabil Source Type: research

Choral singing therapy following stroke or Parkinson's disease: an exploration of participants' experiences.
CONCLUSIONS: Choral singing was perceived by people with stroke and PD to help them self-manage some of the consequences of their condition, including social isolation, low mood and communication difficulties. Implications for Rehabilitation Choral singing therapy (CST) is sought out by people with stroke and PD to help self-manage symptoms of their condition. Participation is perceived as an enjoyable activity which improves mood, voice and language symptoms. CST may enable access to specialist music therapy and speech language therapy protocols within community frameworks. PMID: 26200449 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Fogg-Rogers L, Buetow S, Talmage A, McCann CM, Leão SH, Tippett L, Leung J, McPherson KM, Purdy SC Tags: Disabil Rehabil Source Type: research

Is early rehabilitation a myth? Physical inactivity in the first week after myocardial infarction and stroke.
CONCLUSIONS: This study provides the first objective data on physical activity levels of acute MI patients. While they were more active than acute stroke patients, the difference was largely attributable to walking ability. Implications for rehabilitation In the first week after myocardial infarction, patients spent about half the day physically inactive (even though 81% were able to walk independently). Similar levels of inactivity were seen in a comparable cohort of acute stroke patients, suggesting that environmental factors play an important role. There appears to be wide scope for increasing levels of physical rehabil...
Source: Disability and Rehabilitation - December 18, 2015 Category: Rehabilitation Authors: Lay S, Bernhardt J, West T, Churilov L, Dart A, Hayes K, Cumming TB Tags: Disabil Rehabil Source Type: research

Non-invasive brain stimulation for the lower limb after stroke: what do we know so far and what should we be doing next?
CONCLUSIONS: Future research should systematically assess differences in response with different stimulation parameters, test measures for determining who would be most likely to benefit and assess effectiveness with large samples before NIBS can be considered for use in clinical practice. Implications for Rehabilitation Stroke is a leading cause of disability, often resulting in dependency in activities of daily living and reduced quality of life. Non-invasive brain stimulation has received considerable interest as a potential adjuvant to rehabilitation after stroke and this review summarizes studies targeting the lower l...
Source: Disability and Rehabilitation - March 24, 2016 Category: Rehabilitation Authors: Fleming MK, Pavlou M, Newham DJ, Sztriha L, Teo JT 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

Experiences of using information and communication technology within the first year after stroke - a grounded theory study.
CONCLUSIONS: People with stroke had a strong drive to integrate ICT in order to manage and bring meaning to their everyday lives, although sometimes they needed support and adaptations. It is not only possible but also necessary to start using ICT in rehabilitation in order to support people's recovery and promote participation in everyday life after stroke. Implications for rehabilitation People with stroke have a strong drive for using information and communication technology in their everyday lives, although support and adaptations are needed. The recovery process of people with stroke could benefit from the use of ICT ...
Source: Disability and Rehabilitation - December 14, 2016 Category: Rehabilitation Authors: Gustavsson M, Ytterberg C, Nabsen Marwaa M, Tham K, Guidetti S Tags: Disabil Rehabil Source Type: research