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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Social participation following a stroke: an assessment in accordance with the international classification of functioning, disability and health.
CONCLUSIONS: Twenty-four ICF categories were coded and qualified with the use of the SS-QOL, enabling the participation component of the ICF biopsychosocial model to be easily evaluated in clinical practice. Overall, the sample in the present study demonstrated a moderate decline in participation following a stroke and only the "social roles" domain was severely affected. The FIM was the main predictor of participation and the depression was a moderate predictor. Therefore, health professionals involved in the rehabilitation of these patients should focus on the promotion of functional independence and improvements in emot...
Source: Disability and Rehabilitation - December 13, 2017 Category: Rehabilitation Authors: Silva SM, Corrêa JCF, Pereira GS, Corrêa FI Tags: Disabil Rehabil Source Type: research

Racial and ethnic disparities in stroke outcomes: a scoping review of post-stroke disability assessment tools.
CONCLUSIONS: A wide variety of assessments are used to examine disparities in post-stroke disability across the time course of stroke recovery. Several studies have identified disparities through a variety of assessments; however, substantial problems abound from the assessments used including inconsistent use of assessments, lacking evidence on the validity of assessments among racial/ethnic groups, and inadequate representation among all racial/ethnic populations comprising the US. Implications for Rehabilitation An enhanced understanding of racial/ethnic disparities in post-stroke disability outcomes is inherently impor...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Burns SP, White BM, Magwood G, Ellis C, Logan A, Jones Buie JN, Adams RJ Tags: Disabil Rehabil Source Type: research

Opportunities and challenges in secondary stroke prevention: a mixed methods study.
CONCLUSIONS: These findings highlight the ongoing challenges with achieving risk factor control after stroke and the potential to utilise health information technology to engage stroke survivors in self-management of their risk factors. Implications for rehabilitation Clinicians should be knowledgeable of the challenges that stroke survivors face in managing their risk factors after stroke and the role that they can play in providing tailored education. BP continues to be poorly controlled after stroke and there is opportunity for improvement. Stroke survivors and their families are receptive to using health information te...
Source: Disability and Rehabilitation - July 24, 2018 Category: Rehabilitation Authors: White CL, Cantu A, Motz D, Patterson M, Caron JL, Birnbaum LA Tags: Disabil Rehabil Source Type: research

Walking activity in community-dwelling stroke survivors within 1 month after discharge from a rehabilitation setting.
CONCLUSION: Fewer number of bouts is a characteristic pattern of walking activity in stroke survivors. In particular, a low number of medium-distance bouts in stroke survivors results in a low number of daily steps when compared with healthy adults. To facilitate physical activity in stroke survivors, not only the total number of bouts per day but the number of bouts of varying lengths must be considered. Implications for rehabilitation Fewer number of bouts is a characteristic pattern of walking activity in stroke survivors. Low number of bouts, especially medium-distance bouts, in stroke survivors, results in low number ...
Source: Disability and Rehabilitation - October 20, 2018 Category: Rehabilitation Authors: Nakano W, Ohashi Y, Saito Y, Maezawa T, Kohno Y Tags: Disabil Rehabil Source Type: research

What are the perceptions and experiences of falls amongst people with stroke who live in the community?
CONCLUSIONS: This study highlights the perceived negative consequences of falls amongst people with stroke, and the potential contribution of falls to the reduced levels of physical activity often seen following a stroke. Our findings emphasise the need to address falls and balance related self-efficacy alongside strategies to promote safe mobility. A paradigm shift may be needed to highlight potentially modifiable intrinsic risk factors and emphasise the relevance and value of proactive fall prevention to people with stroke. Implications for rehabilitation People with stroke may not report falls or may minimise their sign...
Source: Disability and Rehabilitation - December 4, 2018 Category: Rehabilitation Authors: Munford D, Gunn H Tags: Disabil Rehabil Source Type: research

The trouble with footwear following stroke: a qualitative study of the views and experience of people with stroke.
CONCLUSIONS: Foot problems, as well as gait and balance impairment, have implications for footwear priorities following stroke, but people felt unsupported in making healthy footwear choices. Health care professionals could be trained to routinely deliver footwear assessment and advice and facilitate referrals to podiatrist, when appropriate. Implications for rehabilitation Foot problems, as well as gait and balance impairment, have implications for footwear priorities following stroke. People with stroke perceive a lack of professional advice about footwear and feel unsupported making healthy footwear choices. Health care...
Source: Disability and Rehabilitation - January 8, 2019 Category: Rehabilitation Authors: Donovan-Hall M, Robison J, Cole M, Ashburn A, Bowen C, Burnett M, Mamode L, Pickering R, Bader D, Kunkel D Tags: Disabil Rehabil Source Type: research

Which clinical and sociodemographic determinants are associated with self-perceived manual ability at one year after stroke?
CONCLUSION: In order to understand self-perceived difficulties in manual ability in daily activities in persons with stroke, assessments of UE motor function and activity capacity are recommended. Implications for rehabilitation The ultimate goal of the upper extremity rehabilitation after stroke is to regain ability to use the UE in daily activities that are important to the individual in his or her own environment. This requires a good understanding of factors that are associated with self-perceived manual ability in order to tailor effective rehabilitation interventions. Upper extremity motor function and activity capac...
Source: Disability and Rehabilitation - January 27, 2019 Category: Rehabilitation Authors: Ekstrand E, Alt Murphy M, Persson HC, Lundgren-Nilsson Å, Stibrant Sunnerhagen K Tags: Disabil Rehabil Source Type: research

Stroke survivors' perceptions of their sedentary behaviours three months after stroke.
Conclusions: This information will inform evidence-based sedentary behaviour interventions after stroke.Implications for rehabilitationHigher levels of sedentary behaviours are associated with poor health and stroke survivors are highly sedentary.Stroke survivors have complex reasons for spending time in sedentary behaviours including fatigue, pain, fear of falling and environmental barriers.Future interventions should educate stroke survivors on the health consequences of sedentary behaviours and encourage an increased awareness of time spent sedentary.Supporting stroke survivors to identify enjoyable and achievable activ...
Source: Disability and Rehabilitation - June 25, 2020 Category: Rehabilitation Authors: Fitzsimons CF, Nicholson SL, Morris J, Mead GE, Chastin S, Niven A Tags: Disabil Rehabil Source Type: research

The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onwards....
Source: Disability and Rehabilitation - August 30, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA Tags: Disabil Rehabil Source Type: research

"Factors influencing sedentary time and physical activity early after stroke: a qualitative study".
CONCLUSION: Stroke survivors and their carers need a clearer understanding of the role of physical activity and risks of sedentary time during stroke recovery. Physical activity enablers included consistent communication, building confidence and skills to self-manage activity before discharge. Implications for Rehabilitation Inpatient rehabilitation and early after discharge may be an important time-point to support stroke survivors to establish long term physical activity behaviours before contact with healthcare professionals reduces. To reduce sedentary behaviour, people need to understand the health benefits of breakin...
Source: Disability and Rehabilitation - January 5, 2021 Category: Rehabilitation Authors: Simpson DB, Jose K, English C, Gall SL, Breslin M, Callisaya ML Tags: Disabil Rehabil Source Type: research

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
CONCLUSIONS: Patients with greater stroke severity participate in less active exercise in physiotherapy sessions than those with lesser stroke severity. Reasons for this disparity warrant further investigation.Implications for rehabilitationStroke patients with higher levels of severity engage in less active exercise during rehabilitation.A discrepancy exists between patients' planned physiotherapy session lengths and actual session lengths during stroke rehabilitation.Physiotherapists should be mindful in how to adapt their sessions (particularly with severe stroke patients) to maximise the amount of activity they underta...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others
CONCLUSION: Persevering with practice is multifaceted for stroke survivors. All facets need to be addressed in the design of strategies to enhance stroke survivors' ability to persevere and in turn, enhance their potential for continued upper limb recovery.IMPLICATIONS FOR REHABILITATIONMany stroke survivors do not persevere with long-term home-based upper limb practice despite the belief that high dose practice will promote continued recovery.Therapists need to support stroke survivors to setup individualised goal-based home programs that they can complete independently, or with support, within their everyday life.Stroke ...
Source: Disability and Rehabilitation - May 5, 2023 Category: Rehabilitation Authors: Bridee Neibling Kathryn S Hayward Moira Smith Paul Chapman Ruth N Barker Source Type: research