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A comparison of acute ischemic stroke patients discharged to inpatient rehabilitation versus a skilled nursing facility: the Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Source Type: research

A Comparison of Acute Ischemic Stroke Patients Discharged to Inpatient Rehabilitation vs a Skilled Nursing Facility: The Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Tags: ORIGINAL RESEARCH Source Type: research

Is Pain Associated With Suicidality in Stroke?
Conclusions: These findings should alert clinicians that the early identification and treatment of pain may reduce suicide risk in patients with stroke.
Source: Archives of Physical Medicine and Rehabilitation - December 20, 2012 Category: Rehabilitation Authors: Wai Kwong Tang, Huajun Liang, Vincent Mok, Gabor S. Ungvari, Ka-Sing Wong Tags: Original Articles Source Type: research

Young Stroke: Resources for Patients, Their Families, and Caregivers for Long-Term Community Living
Approximately 1 in 10 strokes occurs in adults younger than 50 years of age (young stroke).1 In the United States, hospitalizations resulting from to ischemic stroke (most common type of stroke) among young adults are increasing.2,3 Although having a stroke at any age can result in lifelong physical, visual, emotional, and thinking changes that significantly affect the lives of the survivors, their families, and caregivers, young stroke survivors experience additional challenges. Young stroke survivors often still have to take care of their families, work to ensure their financial security, and be active members of their social communities.
Source: Archives of Physical Medicine and Rehabilitation - November 23, 2020 Category: Rehabilitation Authors: Abiodun Akinwuntan, Xiaolei Hu, Alexandra L. Terrill, Suzanne Perea Burns, Catherine Cooper Hay, Samir R. Belagaje Tags: Information/Education Page Source Type: research

Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research

Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
Abstract: Objective: To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.Design: A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Setting: Referral medical center.Participants: Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Interventions: Not applicable.Main Outcome Measure: Stroke-related mortality.Results: During the median foll...
Source: Archives of Physical Medicine and Rehabilitation - September 9, 2013 Category: Rehabilitation Authors: Gwo-Chi Hu, Chia-Yu Hsu, Hui-Kung Yu, Jiann-Perng Chen, Yu-Ju Chang, Kuo-Liong Chien Tags: Original Articles Source Type: research

Reducing Robotic Guidance During Robot-Assisted Gait Training Improves Gait Function: A Case Report on a Stroke Survivor
Conclusions: The findings from this case study suggest that cooperative control robotic training is superior to conventional robotic training and is a feasible option to restoring locomotor function in ambulatory stroke survivors with severe motor impairments. A larger trial is needed to verify the efficacy of this advanced robotic control strategy in facilitating gait recovery after stroke.
Source: Archives of Physical Medicine and Rehabilitation - November 19, 2012 Category: Rehabilitation Authors: Chandramouli Krishnan, Despina Kotsapouikis, Yasin Y. Dhaher, William Z. Rymer Tags: Brief Reports Source Type: research

Approaches to promote reduction in sedentary behavior in patients with minor ischemic stroke: a randomized controlled trial.
The recurrence rate of ischemic stroke is high, with approximately 80% of strokes being ischemic, and 11.0 –28.3% of patients with ischemic stroke have been reported to experience relapse.1-5 The recurrence rate of ischemic stroke in patients with minor ischemic stroke (MIS) is 6.9% at one year after onset.6 Furthermore, since the cumulative recurrence rate increases yearly, it is necessary to establis h measures to prevent recurrence.7,8
Source: Archives of Physical Medicine and Rehabilitation - September 22, 2021 Category: Rehabilitation Authors: Ryota Ashizawa, Hiroya Honda, Koki Take, Kohei Yoshizawa, Yoshihiro Ooba, Yuto Kameyama, Yoshinobu Yoshimoto Source Type: research

Motor Recovery of the Ipsilesional Upper Limb in Subacute Stroke
Conclusions: Our findings provide evidence that ipsilesional motor capacities remain impaired at least 3 months after stroke, even if clinical tests fail to detect the impairment. Focusing on this lasting ipsilesional impairment through a more detailed kinematic analysis could be of interest to understand the specific neural network underlying ipsilesional upper-limb impairment.
Source: Archives of Physical Medicine and Rehabilitation - June 24, 2013 Category: Rehabilitation Authors: Julien Metrot, Jerome Froger, Isabelle Hauret, Denis Mottet, Liesjet van Dokkum, Isabelle Laffont Tags: Original Articles Source Type: research

Status of dysphagia after ischemic stroke: A Korean nationwide study
Post-stroke dysphagia is a common symptom in stroke patients. It is known that 13% to 18% of patients have persistent symptoms of dysphagia until 6 months after onset.1, 2 Dysphagia increases the risks of aspiration, associated complications (e.g., aspiration pneumonia), malnutrition, poor prognostic outcomes,3 and increased mortality.4 Early detection and treatment of dysphagia in stroke patients are crucial to prevent adverse complications, decrease the length of hospital stay, and reduce the health-care costs.
Source: Archives of Physical Medicine and Rehabilitation - August 2, 2021 Category: Rehabilitation Authors: Nayeon Ko, Hyun Haeng Lee, Min Kyun Sohn, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Young-Hoon Lee, Won Hyuk Chang, Soo Mi Choi, Seon kui Lee, Jongmin Lee, Yun-Hee Kim Source Type: research

Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries s Discharged Home following a Stroke: Findings from the COMPASS Trial
Objectives: To examine the effect of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.Design: Cluster randomized pragmatic trialSetting: 41 acute care hospitals in North Carolina.Participants: 2,262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home.
Source: Archives of Physical Medicine and Rehabilitation - November 2, 2021 Category: Rehabilitation Authors: Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones, COMPASS team Source Type: research

Impact of Time on Quality of Motor Control of the Paretic Upper Limb After Stroke
Abstract: Objective: To establish the time course of recovery regarding smoothness of upper limb movements in the first 6 months poststroke.Design: Cohort study with 3-dimensional kinematic measurements in weeks 1, 2, 3, 4, 5, 8, 12, and 26 poststroke.Setting: Onsite 3-dimensional kinematic measurements in stroke units, rehabilitation centers, nursing homes, and patients' homes.Participants: Patients (N=44; 19 women, 25 men; mean age ± SD, 58±12y) with a first-ever unilateral ischemic stroke and incomplete upper limb paresis (27 left sided, 17 right sided) were included.Interventions: Not applicable.Main Outcome Measures...
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2013 Category: Rehabilitation Authors: Joost van Kordelaar, Erwin van Wegen, Gert Kwakkel Tags: Original Articles Source Type: research

Interdisciplinary Cardiovascular and Neurologic Outpatient Rehabilitation in Patients Surviving Transient Ischemic Attack or Stroke With Minor or No Residual Deficits
Abstract: Objective: To evaluate the feasibility and effectiveness of a comprehensive outpatient rehabilitation program combining secondary prevention and neurorehabilitation to improve vascular risk factors, neurologic functions, and health-related quality of life (HRQOL) in patients surviving a transient ischemic attack (TIA) or stroke with minor or no residual deficits.Design: Prospective interventional single-center cohort study.Setting: University hospital.Participants: Consecutive consenting patients having sustained a TIA or stroke with 1 or more vascular risk factors (N=105) were included.Interventions: Three-month...
Source: Archives of Physical Medicine and Rehabilitation - November 4, 2013 Category: Rehabilitation Authors: Christian P. Kamm, Jean-Paul Schmid, René M. Müri, Heinrich P. Mattle, Prisca Eser, Hugo Saner Tags: Original Articles Source Type: research

The Impact of Outpatient Rehabilitation Medicare Reimbursement Caps on Utilization and Cost of Rehabilitation Care after Ischemic Stroke: Do Caps contain costs?
To estimate the proportion of ischemic stroke patients who fall within and above the total outpatient rehabilitation caps before and after the Balanced Budget Act of 1997 (BBA 1997) took effect. In addition, estimate the cost of post-stroke outpatient rehabilitation cost and resource utilization in these patients prior to and after the implementation of the caps.
Source: Archives of Physical Medicine and Rehabilitation - July 28, 2015 Category: Rehabilitation Authors: Annie N. Simpson, Heather S. Bonilha, Abby S. Kazley, James S. Zoller, Kit N. Simpson, Charles Ellis Source Type: research

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