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Source: Disability and Rehabilitation

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Total 855 results found since Jan 2013.

Three-dimensional assessment of the asymptomatic and post-stroke shoulder: intra-rater test-retest reliability and within-subject repeatability of the palpation and digitization approach.
CONCLUSIONS: This noninvasive, clinically feasible palpation/digitization protocol was reliable and repeatable in asymptomatic shoulders, and in a smaller sample of painful post-stroke shoulders. Implications for Rehabilitation In the clinical setting, a reliable and repeatable noninvasive method for assessment of three-dimensional (3D) clavicular/scapular/humeral joint orientation and range of motion (ROM) is currently required. The established reliability and repeatability of this proposed palpation/digitization protocol will enable comparative 3D ROM studies between asymptomatic and post-stroke shoulders, which will fur...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Richardson D, Zabjek K, Mogk JPM, Agur AMR Tags: Disabil Rehabil Source Type: research

The feasibility, acceptability and preliminary efficacy of a low-cost, virtual-reality based, upper-limb stroke rehabilitation device: a mixed methods study.
CONCLUSIONS: Integrated findings suggested that the system is feasible and acceptable for use with a group of community-dwelling stroke-survivors including those with moderately-severe disability. Implications for rehabilitation To ensure feasibility of use and maintenance of an appropriate level of challenge, gaming technologies for use in upper-limb stroke rehabilitation should be personalised, dependent on individual need. Through the use of hands-free systems and personalisation, stroke survivors with moderate and moderately-severe levels of upper-limb impairment following stroke are able to use gaming technologies as ...
Source: Disability and Rehabilitation - April 12, 2018 Category: Rehabilitation Authors: Warland A, Paraskevopoulos I, Tsekleves E, Ryan J, Nowicky A, Griscti J, Levings H, Kilbride C Tags: Disabil Rehabil Source Type: research

Caregiver burden after stroke: changes over time?
This study aims to describe the course of burden in individual caregivers in the first year after stroke. METHODS: This study is part of the Stroke Cohort Outcomes of REhabilitation study, a multicentre, longitudinal cohort study including consecutive stroke patients admitted to two rehabilitation facilities. Caregivers were asked to complete the Caregiver Strain Index and questions on their sociodemographic characteristics 6 and 12 months post admission. Patients' sociodemographic and clinical characteristics were extracted from medical records. RESULTS: A total of 129 caregivers were included, 72 completed th...
Source: Disability and Rehabilitation - September 20, 2018 Category: Rehabilitation Authors: Pont W, Groeneveld I, Arwert H, Meesters J, Mishre RR, Vliet Vlieland T, Goossens P, SCORE-study group Tags: Disabil Rehabil Source Type: research

Managing the severely impaired arm after stroke: a mixed-methods study with qualitative emphasis.
CONCLUSIONS: These findings extend our understanding about how individuals manage their severely impaired upper limb and can be used to inform a novel stroke self-management intervention. Implications for rehabilitation Stroke survivors' experiences of managing the severely affected upper limb may inform rehabilitation practice to foster self-management. Rehabilitation professionals may actively support stroke survivors in choosing from, and expanding on professionals' advice and guidance. Maintaining a positive and hopeful outlook is important to many stroke survivors. Professionals should be mindful of the potential impa...
Source: Disability and Rehabilitation - November 28, 2018 Category: Rehabilitation Authors: Kulnik ST, Mohapatra S, Gawned S, Jones F Tags: Disabil Rehabil Source Type: research

Return to work predicts perceived participation and autonomy by individuals with stroke.
CONCLUSIONS: Being able to return to work after a stroke seems to be important for self-perceived participation/autonomy. This emphasizes the importance of work-oriented information and rehabilitation after a stroke at working age. Implications for rehabilitation The current study shows that the majority report high self-perceived participation and autonomy in everyday life and 59% are working 5 years after a stroke in working age. To work 5 years after a stroke was a significant predictor for self-perceived participation and autonomy in everyday life. Since stroke is becoming more common among working age persons and work...
Source: Disability and Rehabilitation - May 8, 2019 Category: Rehabilitation Authors: Westerlind E, Persson HC, Törnbom K, Sunnerhagen KS Tags: Disabil Rehabil Source Type: research

A systematic review and meta-analysis of the effects of cardiac rehabilitation interventions on cognitive impairment following stroke.
Conclusions: This review highlights that there are very few studies of delivery of cardiac rehabilitation to stroke patients and that the inclusion of cognitive interventions is even less common, despite the high prevalence of post-stroke cognitive impairment. IMPLICATIONS FOR REHABILITATION The cardiac rehabilitation model has the potential to be expanded to include patients post-stroke given the commonality of secondary prevention needs, thereby becoming a cardiovascular rehabilitation model. Up to half of patients experience cognitive impairment after stroke; suggesting that a post-stroke cardiovascular rehabilitation m...
Source: Disability and Rehabilitation - July 23, 2019 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Rohde D, McLoughlin A, Scally B, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

Factors influencing implementation of aerobic exercise after stroke: a systematic review.
Conclusions: Key factors influencing the implementation of aerobic exercise after stroke included characteristics of the staff and intervention and system-level issues, some of which are modifiable. Further research should evaluate strategies which specifically target these modifiable factors to facilitate implementation in practice.IMPLICATIONS FOR REHABILITATIONAerobic exercise after stroke is an effective intervention but there are challenges to implementation from a staff and system perspective.Any changes to the identified factors should be tailored to suit the staff group and setting.Provision of training and knowled...
Source: Disability and Rehabilitation - December 24, 2019 Category: Rehabilitation Authors: Gaskins NJ, Bray E, Hill JE, Doherty PJ, Harrison A, Connell LA Tags: Disabil Rehabil Source Type: research

From recovery to regaining control of life - the perspectives of people with stroke, their carers and health professionals.
Conclusion: Findings suggest the importance of a dyadic perspective and a gradual increase in people with stroke and carers' active engagement. Professionals' approach throughout rehabilitation should be modified according to people with stroke and carers' changing needs and expectations.IMPLICATIONS FOR REHABILITATIONDivergence in perspectives about priorities and goals between the person with stroke their carers and healthcare professionals can lead to the creation of different agendas within rehabilitation.An open dialogue and decision-making process that involves both the person with stroke and carers is highly recomme...
Source: Disability and Rehabilitation - February 7, 2020 Category: Rehabilitation Authors: Pereira CM, Greenwood N, Jones F Tags: Disabil Rehabil Source Type: research

Early mobilisation post-stroke: a systematic review and meta-analysis of individual participant data.
CONCLUSION: The commencement of mobilisation should only be considered after 24 h post-stroke. Further research is required to identify safe, optimal dose, and timing of EM post-stroke. IMPLICATIONS FOR REHABILITATION Patients who commenced mobilisation early after stroke had worse outcome than usual care. Insufficient detail about mobilisation interventions or usual care in many studies limits any further interpretation. The commencement of mobilisation should only be considered after 24-h post-stroke. PMID: 32673130 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - July 15, 2020 Category: Rehabilitation Authors: Rethnam V, Langhorne P, Churilov L, Hayward KS, Herisson F, Poletto SR, Tong Y, Bernhardt J Tags: Disabil Rehabil Source Type: research

Stroke survivors' perceptions of participating in a high repetition arm training trial early after stroke
CONCLUSION: High repetition arm training early after stroke was acceptable to participants. Study participation was generally viewed as a positive experience, suggesting that early intervention may not only be physically beneficial but also psychologically.Implications for rehabilitationStroke survivors report that high repetition arm training early after stroke is acceptable.Participation in rehabilitation research early after stroke provides stroke survivors with hope and meaning despite the high prevalence of fatigue.Complex information needs to be repeated and provided in a number of formats early after stroke.PMID:343...
Source: Disability and Rehabilitation - August 10, 2021 Category: Rehabilitation Authors: Ulrike Hammerbeck Mary Hargreaves Kristen L Hollands Sarah Tyson Source Type: research

Benefits of an interdisciplinary stroke clinic: addressing a gap in physical therapy at post-stroke neurology follow-up
CONCLUSION: A significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by a neurologic physical therapist in an ISC. The measures that most closely correlated with this in-person clinical evaluation were 10MWT and SF-SIS.IMPLICATIONS FOR REHABILITATIONAn interdisciplinary stroke clinic can improve communication and identify people post-stroke who have not reached their full recovery potential.In a pilot study, a significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by ...
Source: Disability and Rehabilitation - December 6, 2021 Category: Rehabilitation Authors: Nandakumar Nagaraja Alison R Kraus Dorian K Rose Esther B Olasoji Anna Y Khanna Alexis N Simpkins Christina A Wilson Rondalyn R Dickens Vishnumurthy Shushrutha Hedna Carolyn Geis Teddy Youn Michelle M Musalo Source Type: research

Health anxiety in stroke survivors: a cross-sectional study on the prevalence of health anxiety in stroke survivors and its impact on quality of life
CONCLUSIONS: Almost a third of stroke survivors were experiencing clinical levels of health anxiety, with HiHA significantly associated with lower quality of life. Future research should explore the use of existing evidence based psychological interventions for health anxiety in this population.Implications for rehabilitationOur findings suggest almost one in three stroke survivors residing in the community have clinical levels of health anxiety.High health anxiety in stroke survivors was significantly related to lower levels of quality of life.Given this finding, evidence-based treatments for health anxiety may improve qu...
Source: Disability and Rehabilitation - January 6, 2022 Category: Rehabilitation Authors: Peter R Diamond Leon Dysch Jo Daniels Source Type: research