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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Community reintegration post-stroke in New Zealand: understanding the experiences of stroke survivors in the lower South Island.
CONCLUSIONS: Stroke survivors in New Zealand hold many similar perceptions about optimal community reintegration with those living elsewhere. Key to successful community reintegration, irrespective of geography, culture and ethnicity, appears to be involvement in meaningful activities, and reduced reliance on others whilst maintaining or developing good social relationships. These fundamental components are then contextually nuanced by what is meaningful and important to the individual. IMPLICATIONS FOR REHABILITATION Optimal community reintegration post-stroke is arguably the key goal of rehabilitation, and thus should be...
Source: Disability and Rehabilitation - November 2, 2020 Category: Rehabilitation Authors: Becker I, Maleka MD, Stewart A, Jenkins M, Hale L Tags: Disabil Rehabil Source Type: research

The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

Detection of symptoms of late complications after stroke in young survivors with active surveillance versus usual care.
CONCLUSIONS: Active surveillance leads to higher rates of early symptom detection of non-motor LCAS in young stroke survivors. Implications for rehabilitation Young stroke survivors frequently have late complications after stroke (LCAS) that impair return to pre-stroke responsibilities. Active surveillance for LCAS symptoms with a semi-structured interview increases detection of non-motor late complications. A bundled approach to screening for LCAS symptoms is pragmatic as a majority of young stroke survivors have at least one symptom but no single symptom is present in all stroke survivors. PMID: 33605166 [PubMed - a...
Source: Disability and Rehabilitation - February 19, 2021 Category: Rehabilitation Authors: Gans SD, Michaels E, Thaler DE, Leung LY Tags: Disabil Rehabil Source Type: research

Detection of symptoms of late complications after stroke in young survivors with active surveillance versus usual care
CONCLUSIONS: Active surveillance leads to higher rates of early symptom detection of non-motor LCAS in young stroke survivors. Implications for rehabilitation Young stroke survivors frequently have late complications after stroke (LCAS) that impair return to pre-stroke responsibilities. Active surveillance for LCAS symptoms with a semi-structured interview increases detection of non-motor late complications. A bundled approach to screening for LCAS symptoms is pragmatic as a majority of young stroke survivors have at least one symptom but no single symptom is present in all stroke survivors.PMID:33605166 | DOI:10.1080/09638288.2021.1883749
Source: Disability and Rehabilitation - February 19, 2021 Category: Rehabilitation Authors: Sarah D Gans Elena Michaels David E Thaler Lester Y Leung Source Type: research

Recovering is about < em > living my life, as it evolves < /em > : perspectives of stroke survivors in remote northwest Queensland
CONCLUSION: Recovering from stroke from the perspective of stroke survivors in remote NWQ is about living their life, as they want it to be, and as it unfolds within their own context. Technology only has a place when it can support them to recover their way in their world. These findings reinforce the importance of health professionals listening, learning about, and enabling stroke survivors along their recovery journey, within their remote context and support network.Implications for RehabilitationRecovering from the perspective of stroke survivors is about living their life as it evolves.To support stroke survivors from...
Source: Disability and Rehabilitation - February 24, 2021 Category: Rehabilitation Authors: Sarah M Jackson S D Solomon R N Barker Source Type: research

The course of depressive symptoms in the first 12 months post-stroke and its association with unmet needs
CONCLUSIONS: Depressive symptoms three months post-stroke were likely to persist or recur during the first 12 months post-stroke. Depressive symptoms are associated with unmet needs. These results suggest that routine monitoring of depressive symptoms and unmet needs should be considered post-stroke.Implications for rehabilitationPatients with depressive symptoms three months post-stroke have a high risk of developing persistent or recurrent depressive symptoms during the first 12 months post-stroke.Unmet needs are associated with both non-consistent and persistent depressive symptoms post-stroke.These results suggest that...
Source: Disability and Rehabilitation - February 7, 2022 Category: Rehabilitation Authors: Desi C M Stokman-Meiland Iris F Groeneveld Henk J Arwert St éphanie L van der Pas Jorit J L Meesters Radha D Rambaran Mishre Thea P M Vliet Vlieland Paulien H Goossens Source Type: research

Factors guiding therapist decision making in the rehabilitation of physical function after severely disabling stroke - an ethnographic study
CONCLUSIONS: Multiple factors guided therapist decision making after severely disabling stroke. Alternative ways of therapist working should be considered to address the physical needs of severely disabled stroke survivors more fully.Implications for rehabilitationMultiple factors guide therapist decision making after severely disabling stroke, some of which result in the use of interventions that do not fully address stroke survivors' clinical needs.Therapists should critically reflect upon their personal beliefs and attitudes about severely disabling stroke to reduce potential sources of bias on decision making.Therapist...
Source: Disability and Rehabilitation - February 3, 2023 Category: Rehabilitation Authors: Mark P McGlinchey Rachel Faulkner-Gurstein Catherine M Sackley Christopher McKevitt Source Type: research

Social participation post stroke: a meta-ethnographic review of the experiences and views of community-dwelling stroke survivors.
Conclusion: The ability of the person to accept their stroke-related problems and adapt their behaviour and attitude by using active decision-making and self-management skills are central factors to social participation post stroke. This synthesis contributes an important addition to the conceptual understanding of social participation relevant to people with stroke within the UK. Implications for Rehabilitation Social participation post stroke appears to be a dynamic, complex and continuous individual process, and a personalised longer term approach to rehabilitation would be beneficial. Rehabilitation should be focussed ...
Source: Disability and Rehabilitation - March 6, 2014 Category: Rehabilitation Authors: Woodman P, Riazi A, Pereira C, Jones F Tags: Disabil Rehabil Source Type: research

Motivators for uptake and maintenance of exercise: perceptions of long-term stroke survivors and implications for design of exercise programmes.
Conclusions: A range of personal beliefs and attitudes and external factors may affect the motivation to exercise, and these vary between individuals. Addressing these factors in the design of exercise programmes for long-term stroke survivors may enhance their appeal and so encourage greater engagement in exercise. Implications for Rehabilitation Exercise programmes may be more attractive to long-term stroke survivors if the psychological well-being benefits of participation are emphasised in their promotion. Some participants will be more attracted by programmes that are de-medicalised, for example, by being located away...
Source: Disability and Rehabilitation - August 1, 2014 Category: Rehabilitation Authors: Poltawski L, Boddy K, Forster A, Goodwin VA, Pavey AC, Dean S Tags: Disabil Rehabil Source Type: research

Physical activity profiles and sedentary behaviour in people following stroke: a cross-sectional study.
CONCLUSIONS: Community dwelling stroke survivors spent more time sedentary, took fewer steps and walked at a slower self-selected cadence. Interventions to increase walking and reduce sedentary time following stroke are required which may have the added benefit of reducing cardiovascular risk in this group. Implications for Rehabilitation Stroke survivors are predisposed to reduced physical activity and increased cardiovascular risk. This study showed that community dwelling stroke survivors spent more time sedentary, took fewer steps and walked at a slower self-selected cadence. Interventions are required which focus on r...
Source: Disability and Rehabilitation - May 4, 2015 Category: Rehabilitation Authors: Paul L, Brewster S, Wyke S, Gill JM, Alexander G, Dybus A, Rafferty D Tags: Disabil Rehabil Source Type: research

Problematising risk in stroke rehabilitation.
Conclusions Conceptualisation of risk in stroke rehabilitation, while implicit, drives both research and practise in ways that reinforce a focus on impairment and a generic, decontextualised approach to rehabilitation. Implications for rehabilitation Much of stroke rehabilitation practise and research seems to centre implicitly on two risks: risk to the patient of remaining dependent in ADL and risk to the health care system of bankruptcy due to the provision of stroke rehabilitation. The implicit focus on ADL dependence limits the ability of clinicians and researchers to address other goals supportive of a good life follo...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Egan MY, Kessler D, Ceci C, Laliberté-Rudman D, McGrath C, Sikora L, Gardner P Tags: Disabil Rehabil Source Type: research

Fall-related experiences of stroke survivors: a meta-ethnography.
CONCLUSIONS: Stroke survivors' fall-related experiences appear to exist within the context of activity and community participation. Further research is warranted due to the small number of substantive studies available for synthesis. Implications for Rehabilitation Health care professionals should recognize that cognitive and emotional adjustment may berequired for stroke survivors to accept strategies for overcoming falls-risk, including dependenceon carers and assistive devices. Several factors in addition to physical interventions may be needed to minimize falls-risk whileincreasing activity participation. These factors...
Source: Disability and Rehabilitation - March 22, 2016 Category: Rehabilitation Authors: Walsh M, Galvin R, Horgan NF Tags: Disabil Rehabil Source Type: research