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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

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

Baltes' SOC model of successful ageing as a potential framework for stroke rehabilitation.
Conclusions and recommendations: The Baltes' SOC model may offer further insights, including ageing considerations, for stroke rehabilitation approaches and interventions. It has potential to facilitate some of the necessary complexities of adjustment required in stroke rehabilitation. However, further development in terms of empirical support is required for using the model as a framework to structure stroke rehabilitation intervention. Implications for Rehabilitation There is a scarcity of theoretical frameworks that can facilitate and be inclusive for all the necessary complexities of adjustment, required in stroke reha...
Source: Disability and Rehabilitation - May 23, 2013 Category: Rehabilitation Authors: Donnellan C, O'Neill D Tags: Disabil Rehabil Source Type: research

Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units.
Conclusion: Response rate was modest but included all mainland Scottish regions with active stroke services. Although the majority of responders are assessing cognition and mood there is substantial heterogeneity in measures used and certain commonly used tools are not validated or appropriate for use in stroke. We suggest development of evidence based, standardised assessment protocols. Implications for Rehabilitation Screening stroke survivor's for cognitive and mood issues is recommended but there is little guidance on the preferred assessment strategy Across Scottish stroke services there is a lack of consensus in asse...
Source: Disability and Rehabilitation - May 14, 2013 Category: Rehabilitation Authors: Lees RA, Broomfield NM, Quinn TJ Tags: Disabil Rehabil Source Type: research

The Figure-of-Eight Walk test: reliability and associations with stroke-specific impairments.
Conclusions: The F8W test time is a reliable measurement tool, which is able to differentiate the patients with stroke and healthy elderly subjects and correlated well with stroke-specific impairments and walking tests. The F8W is a reliable measurement tool for assessing the advanced walking performance of subjects with chronic stroke. Implication for Rehabilitation The F8W test times have excellent intra-rater, inter-rater and test-retest reliabilities in patients with chronic stroke. The F8W test times were also found to be significantly associated with FMA-LE, BBS, FTSTST, TUG scores and 10MWT. A F8W test time of 8.2â€...
Source: Disability and Rehabilitation - April 19, 2013 Category: Rehabilitation Authors: Wong SS, Yam MS, Ng SS Tags: Disabil Rehabil Source Type: research

A comprehensive exercise program for a young adult male with Down syndrome who experienced a stroke.
Conclusion: Improved cardiorespiratory fitness, strength, balance and mobility provide preliminary evidence of the trainability of individuals with both DS and stroke. Future studies are warranted to investigate the role of exercise in risk factor reduction for primary and secondary prevention of stroke in people with DS. Implications for Rehabilitation Individuals with Down syndrome (DS) may be at heightened risk of stroke due to a combination of physiological conditions and lifestyle choices which contribute to reduced exercise capacity, accelerated aging patterns, moyamoya syndrome and physical inactivity as well as hig...
Source: Disability and Rehabilitation - September 10, 2013 Category: Rehabilitation Authors: Casey AF, Mackay-Lyons M, Connolly EM, Jennings C, Rasmussen R Tags: Disabil Rehabil Source Type: research

From physical and functional to continuity with pre-stroke self and participation in valued activities: A qualitative exploration of stroke survivors', carers' and physiotherapists' perceptions of physical activity after stroke.
Conclusions: Individualised interventions that account for social and environmental influences on behaviour appear vital to enabling survivors to participate in meaningful physical activities. Such interventions should facilitate development of shared perspectives among physiotherapists, carers and survivors of PA and related outcomes and provide tailored strategies to facilitate PA participation. Implications for Rehabilitation Physical activity after stroke rehabilitation is important for fitness, health, functioning and well-being. Reasons for survivors participating or not in physical activity after stroke are complex ...
Source: Disability and Rehabilitation - April 3, 2014 Category: Rehabilitation Authors: Morris JH, Oliver T, Kroll T, Joice S, Williams B Tags: Disabil Rehabil Source Type: research

Predicting sickness impact profile at six months after stroke: further results from the European multi-center CERISE study.
Conclusions: A combination of variables was found in the prognostic models of the three dimensions of the SIP at six months after stroke. Already from the early beginning of stroke rehabilitation it seems important to focus on personal activities of daily living as well as caregivers' strain. Implications for Rehabilitation Prognostic factors predicting participation, measured by the three dimensions of the Sickness Impact Profile at six months post stroke include demographic variables, post-stroke complications, diagnostic parameters and disability measures. Significant prognostic variables for all three dimensions of the...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Stummer C, Verheyden G, Putman K, Jenni W, Schupp W, De Wit L Tags: Disabil Rehabil Source Type: research

Tablet technology during stroke recovery: a survivor's perspective.
Conclusions: Incorporating tablet technology into the delivery of stroke rehabilitation appears to be feasible and acceptable at a patient level. This process has the potential to improve participation in therapeutic and or leisure; however further evaluation towards the impact of tablet technology on patient outcome and quality of life is required. Implications for Rehabilitation The use of tablet technology provides a platform to increase the variety and intensity of stroke therapy, both in the hospital setting and following discharge from hospital, facilitating physical, cognitive and social activity. Stroke survivors e...
Source: Disability and Rehabilitation - September 12, 2014 Category: Rehabilitation Authors: White J, Janssen H, Jordan L, Pollack M Tags: Disabil Rehabil Source Type: research

Tracking patterns of needs during a telephone follow-up programme for family caregivers of persons with stroke.
CONCLUSIONS: Tracking patterns of needs and skill-building suggest appropriate timing for targeting different types of family caregiver support during stroke rehabilitation. Implications for Rehabilitation Family caregivers of stroke survivors play an essential role in the rehabilitation process of the stroke survivor. Identifying and addressing the priority needs and concerns of stroke caregivers during the early discharge period enables caregivers to provide sustained support for the stroke survivor. Rehabilitation professionals are in a key position to address evolving caregiver needs and concerns as they transition to ...
Source: Disability and Rehabilitation - December 17, 2015 Category: Rehabilitation Authors: Bakas T, Jessup NM, McLennon SM, Habermann B, Weaver MT, Morrison G Tags: Disabil Rehabil Source Type: research

Correlates of depressive symptoms in individuals attending outpatient stroke clinics.
Conclusions High levels of depressive symptoms are common in the chronic phase post-stroke and were partially related to cognition, pain, therapy enrollment and lifestyle factors. Implications for Rehabilitation Stroke patients who report cognitive deficits, pain, tobacco use or being enrolled in therapy may experience increased depressive symptoms. A holistic perspective of disease and lifestyle factors should be considered while assessing risk of depressive symptoms in stroke patients. Patients at risk for depressive symptoms should be monitored at subsequent outpatient visits. PMID: 26883012 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Vermeer J, Rice D, McIntyre A, Viana R, Macaluso S, Teasell R Tags: Disabil Rehabil Source Type: research

Establishing equivalence of a Chinese version of the stroke specific quality of life measure for stroke survivors.
DISCUSSION: The results suggest SSQOL-C is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. More studies are needed to confirm the 11-factor model of the scale. Implications for rehabilitation The translated Chinese version of the Stroke Specific Quality of Life Scale is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. An 11-factor model in contrast to the 12-factor model for the original scale with six new factors emerging and five original factors retained. PMID: 27216634 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - May 22, 2016 Category: Rehabilitation Authors: Lo SH, Chang AM, Chau JP Tags: Disabil Rehabil Source Type: research

The impact of stroke on female sexuality.
CONCLUSION: Stroke impacts on female sexuality through bodily alterations and their consequences and because sexuality is important to female stroke survivors, it should be addressed as part of person-centred rehabilitation. Implications for Rehabilitation Sexuality is about much more than just "having sex" and is important to female stroke survivors. Stroke impacts on female sexuality through bodily alterations and their consequences. Understanding the impact of stroke on female sexuality is a step towards more person-centred rehabilitation. PMID: 27936969 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Lever S, Pryor J Tags: Disabil Rehabil Source Type: research

Predictors of post-traumatic growth in stroke survivors.
CONCLUSIONS: Post-traumatic growth can develop soon after stroke. Deliberate rumination is a key factor in post-traumatic growth. Both active coping and denial coping were associated with post-traumatic growth demonstrating the psychological complexity of poststroke adjustment. Implications for rehabilitation Therapists can expect stroke survivors to show post-traumatic growth in the first months after stroke. Therapists should look to promote post-traumatic growth and positive adjustment through working with survivors to increase active coping (attempts to deal effectively with the impact of stroke) and rumination (cognit...
Source: Disability and Rehabilitation - August 10, 2017 Category: Rehabilitation Authors: Kelly G, Morris R, Shetty H Tags: Disabil Rehabil Source Type: research

Development of the assisting hand assessment for adults following stroke: a Rasch-built bimanual performance measure.
CONCLUSION: Using two hands together is a critical aspect for performance of most daily life tasks. However, assessments of hand function commonly focus on measuring aspects of unimanual function. The Adult-Assisting Hand Assessment Stroke has the potential to contribute new and clinically important knowledge to stroke rehabilitation by providing an observation-based valid functional measure of bimanual performance. Implications for rehabilitation Hand function assessments commonly focus on unimanual aspects, although the use of two hands together is critical to perform most daily life tasks. The Adult-Assisting Hand Asses...
Source: Disability and Rehabilitation - October 31, 2017 Category: Rehabilitation Authors: Krumlinde-Sundholm L, Lindkvist B, Plantin J, Hoare B Tags: Disabil Rehabil Source Type: research

The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors.
CONCLUSION: The between-subject results suggest that there was no significant difference between those that received problem solving therapy and a waitlist control group between baseline and post-waitlist/post-therapy. The within-subject design suggests that problem solving therapy may be beneficial for younger stroke survivors when they are given some time to learn and implement the skills into their day to day life. However, additional research with a control group is required to investigate this further. This study provides limited evidence for the provision of support groups for younger stroke survivors post stroke, ho...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Chalmers C, Leathem J, Bennett S, McNaughton H, Mahawish K Tags: Disabil Rehabil Source Type: research