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Source: Disability and Rehabilitation
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Total 855 results found since Jan 2013.
Professional reintegration among professionally active Portuguese stroke survivors: a multicentric study
CONCLUSIONS: Professional reintegration and vocational support after stroke, remained below the international goals for community reintegration of stroke survivors. Future studies should explore the impact of professional and social reintegration on the psychological health and quality of life of stroke survivors and the barriers, challenges, and strategies used to overcome them, to allow for effective professional reintegration policies.PMID:37370241 | DOI:10.1080/09638288.2023.2228200
Source: Disability and Rehabilitation - June 28, 2023 Category: Rehabilitation Authors: Joana Matos Ana Moura Filipa Teixeira Ana Henriques Elisabete Alves Source Type: research
What predicts a poor outcome in older stroke survivors? A systematic review of the literature.
Conclusions: The current evidence is insufficient for the development of a clinical prediction tool that is better than physicians' informal predictions. Future research should focus on the selection of optimal screening instruments in multiple domains of functioning, including the timing of assessment. We suggest developing prediction tools stratified by more homogeneous, clinically distinguished stroke subtypes. Implications for Rehabilitation A reliable prognosis soon after a stroke is highly relevant to patients who ultimately have a poor outcome, because it enables early planning of care tailored to their needs. ...
Source: Disability and Rehabilitation - January 25, 2013 Category: Rehabilitation Authors: Almenkerk SV, Smalbrugge M, Depla MF, Eefsting JA, Hertogh CM Tags: Disabil Rehabil Source Type: research
From dictatorship to a reluctant democracy: stroke therapists talking about self-management.
Conclusions: This study illustrates that stroke therapists desire a more participatory approach to rehabilitation. However, obstacles challenged the successful delivery of this goal. If self-management is an appropriate model to develop in post stroke pathways, then serious consideration must be given to how and if these obstacles can be overcome. Implications for Rehabilitation Stroke therapists perceive that self-management is appropriate for encouraging ownership of rehabilitation post stroke. Numerous obstacles were identified as challenging the implementation of self-management post stroke. These included: professiona...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Norris M, Kilbride C Tags: Disabil Rehabil Source Type: research
The daily living self-efficacy scale: a new measure for assessing self-efficacy in stroke survivors.
Conclusion: The DLSES is a psychometrically sound measure of self-efficacy in psychosocial functioning and self-efficacy in activities of daily living appropriate for stroke survivors, regardless of level of physical impairment. Implications for Rehabilitation A key factor that may influence outcome following a stroke is the level of self-efficacy that stroke survivors have in their ability to function in their daily life. The DLSES provides a measure of this ability that may be useful in enhancing preparation for the return to the community. The DLSES assesses self-efficacy in two important areas of daily functioning - ac...
Source: Disability and Rehabilitation - June 19, 2013 Category: Rehabilitation Authors: Maujean A, Davis P, Kendall E, Casey L, Loxton N Tags: Disabil Rehabil Source Type: research
Exploring the experience of facilitating self-management with minority ethnic stroke survivors: a qualitative study of therapists' perceptions.
Conclusions: This study indicates that ethnicity should not be considered a limitation to the use of an individualized stroke specific self-management programme. However, it highlights potential facilitators and barriers, many of which relate to the capacity of the professional to effectively navigate cultural and ethnic differences. Implications for Rehabilitation Stroke therapists suggest that ethnicity should not be considered a barrier to successful engagement with a stroke specific self-management programme. Health, illness and recovery beliefs along with religion and the specific role of the family do however need to...
Source: Disability and Rehabilitation - March 27, 2014 Category: Rehabilitation Authors: Norris M, Jones F, Kilbride C, Victor C Tags: Disabil Rehabil Source Type: research
Impact of first-ever mild stroke on participation at 3 and 6 month post-event: the TABASCO study.
Conclusions: Participants after mild ischemic stroke experienced cognitive and EF difficulties that affect their participation and QoL. Further studies are needed of mild stroke survivors to enhance our understanding of the variables that affect participation. Implications for Rehabilitation The findings of the current study have significant implications for the participation of people after mild stroke in the community. Health care systems in general and rehabilitation programs, in particular, do not consider that these clients need rehabilitation as most of them perform basic daily functions independently. Thus, although...
Source: Disability and Rehabilitation - June 3, 2014 Category: Rehabilitation Authors: Adamit T, Maeir A, Ben Assayag E, Bornstein NM, Korczyn AD, Katz N Tags: Disabil Rehabil Source Type: research
Perceived confidence relates to driving habits post-stroke.
Conclusion: Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life. Implications for Rehabilitation Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively i...
Source: Disability and Rehabilitation - September 9, 2014 Category: Rehabilitation Authors: McNamara A, Walker R, Ratcliffe J, George S Tags: Disabil Rehabil Source Type: research
Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil Source Type: research
Exploring patient and public involvement in stroke research: a qualitative study.
Conclusions: PPI in stroke research benefits stroke survivors and carers and is perceived to benefit the research process. The barriers and facilitators should be considered by professionals intending to engage stroke survivors and carers collaboratively in research. Implications for Rehabilitation This study has implications for PPI in stroke rehabilitation research, which could also be extrapolated to stroke rehabilitation service development and evaluation. Professionals facilitating PPI need to invest in developing supportive relationships in order to maintain ongoing involvement. Professionals need to be aware of how ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Harrison M, Palmer R Tags: Disabil Rehabil Source Type: research
Factors associated with community ambulation in chronic stroke.
CONCLUSION: Balance self-efficacy may be a significant determinant in the attainment of independent community ambulation post-stroke. This suggests that physical aspects such as gait speed and walking balance should not be considered in isolation when addressing community ambulation post-stroke. Implications for Rehabilitation Balance self-efficacy may play a significant role in the attainment of independent community ambulation in a chronic stroke population. Physiotherapy interventions addressing community ambulation post-stroke should consider methods for improving balance self-efficacy in chronic stroke, such as self m...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Durcan S, Flavin E, Horgan F Tags: Disabil Rehabil Source Type: research
The inclination for conscious motor control after stroke: validating the Movement-Specific Reinvestment Scale for use in inpatient stroke patients.
CONCLUSIONS: The MSRS is a valid and reliable tool and suitable to assess the relationship between reinvestment and motor recovery in the first months post-stroke. Eventually, this may help therapists to individualize motor learning interventions based on patients' reinvestment preferences. Implications for rehabilitation This study showed that the Movement-Specific Reinvestment Scale (MSRS) is a valid and reliable tool to objectify stroke patients' inclination for conscious motor control. The MSRS may be used to identify stroke patients who are strongly inclined to consciously control their movements, as this disposition ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Kal E, Houdijk H, Van Der Wurff P, Groet E, Van Bennekom C, Scherder E, Van der Kamp J Tags: Disabil Rehabil Source Type: research
Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments.
CONCLUSIONS: Long-term stroke survivors have a high activity level in daily life, though individual variation is considerable. The structure provided by linking instruments to the ICF core set for stroke can be used for more fine-tuned descriptions of activity. Implications for Rehabilitation Since most long-term stroke survivors are independent in ADL but may have limitations in other activity domains such as social and leisure activities, these aspects should be considered in the rehabilitation process. Older stroke survivors deserve special attention due to their higher risk of long-term inactivity. The Barthel Index an...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Norlander A, Jönsson AC, Ståhl A, Lindgren A, Iwarsson S Tags: Disabil Rehabil Source Type: research
Auditory rehabilitation after stroke: treatment of auditory processing disorders in stroke patients with personal frequency-modulated (FM) systems.
CONCLUSIONS: Personal FM systems may substantially improve speech-in-noise deficits in stroke patients who are not eligible for conventional hearing aids. FMs are feasible in stroke patients and show promise to address impaired AP after stroke. Implications for Rehabilitation This is the first study to investigate the benefits of personal frequency-modulated (FM) systems in stroke patients with disordered AP. All cases significantly improved speech perception in noise with the FM systems, when noise was spatially separated from the speech signal by 90° compared with unaided listening. Personal FM systems are feasible in s...
Source: Disability and Rehabilitation - March 22, 2016 Category: Rehabilitation Authors: Koohi N, Vickers D, Chandrashekar H, Tsang B, Werring D, Bamiou DE Tags: Disabil Rehabil Source Type: research
Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 20, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research
