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Source: Disability and Rehabilitation
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Total 855 results found since Jan 2013.
A survey to explore what information, advice and support community-dwelling people with stroke currently receive to manage instability and falls.
CONCLUSIONS: Findings suggest that the majority of people with stroke who have experienced instability and falls did not receive any information and support, with very few referred on to falls clinics. Health professionals play a key role in information provision and facilitating access to falls prevention programs. Further research is required to determine the most effective ways to implement current guidelines to manage instability and falls in this high-risk group. Implications for rehabilitation: Many community-dwelling people with stroke did not receive any information, help or support after experiencing instability a...
Source: Disability and Rehabilitation - September 13, 2017 Category: Rehabilitation Authors: Shovlin E, Kunkel D Tags: Disabil Rehabil Source Type: research
The experience of recurrent fallers in the first year after stroke.
CONCLUSIONS: Stroke survivors' assessment of their own falls-risk and their individual priorities contribute to their decisions around activity participation. "Being careful" could be described as a form of self-managing falls-risk. The inclusion of self-management principles, peer-educators, and education to rise from the floor in falls-management programmes warrants investigation. Not all falls were considered equally important by participants. This could be considered when defining falls-related outcomes. Implications for Rehabilitation Healthcare professionals may be able to offer an increased sense of control to strok...
Source: Disability and Rehabilitation - September 26, 2017 Category: Rehabilitation Authors: Walsh ME, Galvin R, Williams DJP, Harbison JA, Murphy S, Collins R, McCabe DJH, Crowe M, Horgan NF Tags: Disabil Rehabil Source Type: research
Abandoned to the strains of daily life: a qualitative study of the long-term experiences in partners to persons after a mild to moderate stroke.
CONCLUSION: This study shows that the everyday lives of partners to people who have had a stroke are characterised by feelings of strain and anxiety and that they need possibilities for different kinds of long-term support. Our findings may contribute to increased knowledge among health workers and increased readiness to offer support or referral to other meeting places such as peer support groups. Implications for rehabilitation The everyday lives of partners to people who have had a stroke are characterised by feelings of strain and anxiety. Partners to people who have had a stroke need possibilities for different kinds ...
Source: Disability and Rehabilitation - November 13, 2017 Category: Rehabilitation Authors: Ytterberg C, von Koch L, Erikson A Tags: Disabil Rehabil Source Type: research
Predicting fitness-to-drive following stroke using the Occupational Therapy - Driver Off Road Assessment Battery.
CONCLUSION: The three cognitive subtests from the Occupational Therapy - Driver Off Road Assessment Battery and potentially one of the physical tests have good predictive validity for client fitness-to-drive. These tests can be used to screen client suitability for proceeding to an on-road test following stroke. Implications for Rehabilitation: Following stroke, drivers should be counseled (including consideration of local legislation) concerning return to driving. The Occupational Therapy - Driver Off Road Assessment Battery can be used in the clinic to screen people for suitability to undertake on road assessment. Scores...
Source: Disability and Rehabilitation - February 28, 2018 Category: Rehabilitation Authors: Unsworth CA, Baker A, Lannin N, Harries P, Strahan J, Browne M Tags: Disabil Rehabil Source Type: research
Mismatch between observed and perceived upper limb function: an eye-catching phenomenon after stroke.
CONCLUSIONS: In our chronic sample, one in five patients showed good upper limb observed but low perceived function. Measuring both observed and perceived arm and hand function seems warranted together with considering a differential therapy approach for the distinct groups. Implications for rehabilitation A considerable group of patients in the chronic phase post-stroke have good motor function in their affected upper limb, but nevertheless perceive a restricted ability. In order to identify a mismatch in people with chronic stroke, both observed and perceived upper limb motor function should be assessed. Besides common m...
Source: Disability and Rehabilitation - March 22, 2018 Category: Rehabilitation Authors: Essers B, Meyer S, De Bruyn N, Van Gils A, Boccuni L, Tedesco Triccas L, Peeters A, Thijs V, Feys H, Verheyden G Tags: Disabil Rehabil Source Type: research
Valued activities and informal caregiving in stroke: a scoping review.
CONCLUSION: Loss of valued activities is common for stroke caregivers. Although high-level evidence is lacking, our results suggest that sustained activity loss can cause stroke caregivers to experience poor mental health and wellbeing. Suggestions to help caregivers maintain their valued activities are presented. Implications for rehabilitation Not only stroke survivors but also their informal caregivers tend to lose their valued activities, such as their social and leisure activities. Although many caregivers manage to resume their valued activities over time, others suffer from sustained activity loss up to at least two...
Source: Disability and Rehabilitation - April 17, 2018 Category: Rehabilitation Authors: Jellema S, Wijnen MAM, Steultjens EMJ, Nijhuis-van der Sanden MWG, van der Sande R Tags: Disabil Rehabil Source Type: research
Translation and cultural validation of clinical observational scales - the Fugl-Meyer assessment for post stroke sensorimotor function in Colombian Spanish.
CONCLUSIONS: Use of FMA will allow unified description of stroke severity and motor recovery in Spanish speaking countries. This will open up possibility to compare stroke and rehabilitation outcomes with other countries and regions world-wide. Comprehensive methodological procedures provided can facilitate introduction of well-established clinical scales in other languages. Implications for Rehabilitation The Fugl-Meyer Assessment (FMA) of upper and lower extremity is the most used and recommended clinical scale for evaluation of sensorimotor impairment after stroke. The Spanish version of FMA, validated in this study, is...
Source: Disability and Rehabilitation - April 24, 2018 Category: Rehabilitation Authors: Barbosa NE, Forero SM, Galeano CP, Hernández ED, Landinez NS, Sunnerhagen KS, Alt Murphy M Tags: Disabil Rehabil Source Type: research
The prevalence, distribution, and functional importance of lower limb somatosensory impairments in chronic stroke survivors: a cross sectional observational study.
CONCLUSION: Lower limb somatosensory impairments are present in the majority of chronic stroke survivors and differ widely across modalities. Deficits of foot and ankle proprioception are most strongly associated with, but not predictive, of reported falls. The relative contribution of lower limb somatosensory impairments to mobility in chronic stroke survivors appears limited. Further investigation, particularly with regard to community mobility and falls, is warranted. Implications for Rehabilitation Somatosensory impairments in the lower limb were present in approximately half of this cohort of chronic stroke survivors....
Source: Disability and Rehabilitation - May 4, 2018 Category: Rehabilitation Authors: Gorst T, Rogers A, Morrison SC, Cramp M, Paton J, Freeman J, Marsden J Tags: Disabil Rehabil Source Type: research
Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review.
CONCLUSIONS: Some interventions improved physical activity after stroke. However, the interpretability is limited. Implications for rehabilitation Individuals with stroke show low physical activity, which may compromise function and health. The use of interventions aimed at improving and maintaining physical activity of individuals with stroke are recommended. Some interventions, such as aerobic, resistance, and combined home-based training, electrical stimulation during walking, functional task training, and arm robot-assisted therapy, could improve the physical activity after stroke.
PMID: 30451539 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - November 19, 2018 Category: Rehabilitation Authors: Aguiar LT, Nadeau S, Martins JC, Teixeira-Salmela LF, Britto RR, Faria CDCM Tags: Disabil Rehabil Source Type: research
Effect of different operationalizations of sedentary behavior in people with chronic stroke.
CONCLUSIONS: Although it was neither possible nor our aim to investigate the validity of the two-component definition of sedentary behavior, our study shows that the type of operationalization of sedentary behavior significantly influences sedentary behavior outcomes in people with stroke. Implications for Rehabilitation Reliable assessment of sedentary behavior after stroke is important in order to provide adequate physical behavior recommendations for people with stroke. Sedentary behavior can be operationalized in terms of body posture (sitting time) or in terms of movement intensity (time <1.5 MET) or as a combinati...
Source: Disability and Rehabilitation - November 26, 2018 Category: Rehabilitation Authors: Fanchamps MHJ, de Kam D, Sneekes EM, Stam HJ, Weerdesteyn V, Bussmann JBJ Tags: Disabil Rehabil Source Type: research
Loss of selective wrist muscle activation in post-stroke patients.
CONCLUSION: Activation Ratios allow for muscle-specific quantification of selective muscle activation at the wrist in post-stroke patients. Loss of selective muscle activation may be a relevant determinant in assigning and evaluating therapy to improve functional outcome. Implications for Rehabilitation Loss of selective muscle activation after stroke contributes to impaired arm function, is difficult to quantify and is not systematically assessed yet. The ability for selective muscle activation is a relevant determinant in assigning and evaluating therapy to improve functional outcome, e.g., botulinum toxin. Activation Ra...
Source: Disability and Rehabilitation - January 11, 2019 Category: Rehabilitation Authors: van der Krogt H, Kouwijzer I, Klomp A, Meskers CGM, Arendzen JH, de Groot JH Tags: Disabil Rehabil Source Type: research
Energy consumption and cost during walking with different modalities of assistance after stroke: a systematic review and meta-analysis.
CONCLUSIONS: Walking, unassisted and with the use of assistive devices and lower limb orthoses, induces low- to moderate-intensity exercise as recommended by exercise guidelines for stroke survivors. Future studies should explore whether bodyweight-supported or robot-assisted walking can also reach moderate-intensity. Implications for Rehabilitation To induce sufficient cardiorespiratory stress during gait rehabilitation (i.e., moderate-intensity), therapists should train ambulatory patients with stroke without any assistance or if needed with the help of assistive devices or lower limb orthoses. For severely impaired pati...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Lefeber N, De Buyzer S, Dassen N, De Keersmaecker E, Kerckhofs E, Swinnen E Tags: Disabil Rehabil Source Type: research
Influence of low income on return to participation following stroke.
CONCLUSION: This case study demonstrated that even in a universal healthcare system, post-stroke participation for those with low incomes was severely restricted. Changes at the clinical level and at the public policy level could facilitate participation. Implications for rehabilitation Income influenced the experience of return to participation for the low-income stroke survivors by limiting their ability to afford housing, goods, and services. The macro environment, which regulates the healthcare and social service systems, was the strongest influence on return to participation for low income stroke survivors. Findings p...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Sauvé-Schenk KML, Egan MY, Dubouloz-Wilner CJ, Kristjansson E Tags: Disabil Rehabil Source Type: research
The three-dimensional shoulder pain alignment (3D-SPA) mobilization improves pain-free shoulder range, functional reach and sleep following stroke: a pilot randomized control trial.
CONCLUSIONS: The Three-Dimensional Shoulder Pain Alignment mobilization protocol significantly improved pain-free range of motion, functional reach and pain during sleep in shoulders with moderate/severe post-stroke upper-extremity impairment. Implications for rehabilitation Although three-dimensional clavicular/scapular/humeral rotations are an essential component of normal pain-free shoulder range of motion, current guidelines for treatment of post-stroke shoulder pain only includes uni-dimensional mobilizations for joint alignment and pain management. The Three-Dimensional Shoulder Pain Alignment (3D-SPA) mobilization p...
Source: Disability and Rehabilitation - March 22, 2019 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Hebert D, Zabjek K, Richardson D, Agur AMR Tags: Disabil Rehabil Source Type: research
Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke.
CONCLUSIONS: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management among nursing-home residents. Implications for rehabilitation Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases. Spasticity was associated with increased pain and more difficult passive limb care in this population. There is an unmet need for spasticity management among nursing home residents with prior stroke. Efforts should be made...
Source: Disability and Rehabilitation - March 30, 2019 Category: Rehabilitation Authors: Shiner CT, Vratsistas-Curto A, Bramah V, Faux SG, Watanabe Y Tags: Disabil Rehabil Source Type: research
