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Practical guidance on use of TEARS-Q to diagnose post-stroke emotionalism
CONCLUSION: TEARS-Q reliably identifies those who need no further post-stroke emotionalism assessment, those who need further assessment to clarify diagnosis, and those who almost certainly have post-stroke emotionalism and may benefit from intervention.PMID:34134538 | DOI:10.1177/02692155211024801
Source: Clinical Rehabilitation - June 17, 2021 Category: Rehabilitation Authors: Niall M Broomfield Robert West Mark Barber David C Gillespie Allan House Matthew Walters Source Type: research

Biopsychosocial intervention for stroke carers (BISC): results of a feasibility randomised controlled trial and nested qualitative interview study.
CONCLUSIONS: Our results suggest that a biopsychosocial intervention was acceptable to carers and can be delivered in group and one-to-one formats. Timing of approach and mode of intervention delivery is critical and requires tailoring to the carers individual needs. PMID: 32567356 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 20, 2020 Category: Rehabilitation Authors: Walker MF, Birchall S, Cobley C, Condon L, Fisher R, Fletcher-Smith J, Golding-Day MR, Greensmith C, Kontou E, Matias O, Sprigg N, Thomas SA, Whitehead PJ Tags: Clin Rehabil Source Type: research

Effects of an integrated transitional care program for stroke survivors living in a rural community: a randomized controlled trial.
CONCLUSION: The transitional care program has been proven to be feasible and improve health-related outcomes. PMID: 32026701 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 5, 2020 Category: Rehabilitation Authors: Deng A, Yang S, Xiong R Tags: Clin Rehabil Source Type: research

Moving stroke rehabilitation evidence into practice: a systematic review of randomized controlled trials.
CONCLUSION: A large range of interventions are used to facilitate clinical practice change. Education is commonly used, but in isolation is not effective. Multicomponent interventions including facilitation and tailoring to local settings can change clinical practice and are more effective when targeting fewer changes. PMID: 31066289 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 7, 2019 Category: Rehabilitation Authors: Bird ML, Miller T, Connell LA, Eng JJ Tags: Clin Rehabil Source Type: research

Six hours of task-oriented training optimizes walking competency post stroke: a randomized controlled trial in the public health-care system of South Africa.
CONCLUSION: Results support the efficacy of a minimal dose task-oriented circuit training program with caregiver help to enhance locomotor recovery and walking competency in these persons with stroke. PMID: 29529870 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 1, 2018 Category: Rehabilitation Authors: Knox M, Stewart A, Richards CL Tags: Clin Rehabil Source Type: research

Treadmill training to improve mobility for people with sub-acute stroke: a phase II feasibility randomized controlled trial.
CONCLUSION: Treadmill training in sub-acute stroke patients was feasible but showed no significant difference in outcomes when compared to normal gait re-education. A large definitive randomized trial is now required to explore treadmill training in normal clinical practice. PMID: 28730849 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 1, 2017 Category: Rehabilitation Authors: Baer GD, Salisbury LG, Smith MT, Pitman J, Dennis M Tags: Clin Rehabil Source Type: research

What environmental factors influence resumption of valued activities post stroke: A systematic review of qualitative and quantitative findings.
CONCLUSION: A diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted. PMID: 27681480 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 27, 2016 Category: Rehabilitation Authors: Jellema S, van Hees S, Zajec J, van der Sande R, Nijhuis-van der Sanden MW, Steultjens EM Tags: Clin Rehabil Source Type: research

Process evaluation of the Restore4stroke Self-Management intervention 'Plan Ahead!': A stroke-specific self-management intervention.
CONCLUSION: Although the target audience was reached and both participants and therapists were satisfied with the intervention, the proactive action planning tool that distinguishes the current intervention from existing stroke-specific self-management interventions was only partly implemented according to protocol. PMID: 26658332 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 11, 2015 Category: Rehabilitation Authors: Tielemans NS, Schepers VP, Visser-Meily JM, van Haastregt JC, van Veen WJ, van Stralen HE, van Heugten CM Tags: Clin Rehabil Source Type: research

An augmented cognitive behavioural therapy for treating post-stroke depression: description of a treatment protocol.
We present a new psychological intervention designed to reduce depressive complaints after stroke. METHOD OF PROTOCOL DEVELOPMENT: This intervention was based on cognitive behavioural therapy principles and was shown feasible in a pilot study. In order to meet the specific needs of stroke patients (concerning both sensori-motor, cognitive, and behavioural problems), we incorporated motivational interviewing, grief resolution, and psycho-education. We emphasised for each session to take into account the cognitive deficits of the patients (i.e. be concrete, accessible, structured, specific, and repeat information). More...
Source: Clinical Rehabilitation - December 1, 2014 Category: Rehabilitation Authors: Kootker JA, Rasquin SM, Smits P, Geurts AC, van Heugten CM, Fasotti L Tags: Clin Rehabil Source Type: research

The cardiac model of rehabilitation for reducing cardiovascular risk factors post transient ischaemic attack and stroke: a randomized controlled trial.
Conclusion:The results suggest that standard cardiac rehabilitation programmes are a feasible and effective means of reducing the risk of future cardiovascular events for patients after minor stroke and transient ischaemic attack. PMID: 24121497 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 11, 2013 Category: Rehabilitation Authors: Kirk H, Kersten P, Crawford P, Keens A, Ashburn A, Conway J Tags: Clin Rehabil Source Type: research

A qualitative study exploring patients' and carers' experiences of Early Supported Discharge services after stroke.
Conclusions:Accelerated hospital discharge and home-based rehabilitation was perceived positively by service users. The study findings highlight the need for Early Supported Discharge teams to address information and support needs of patients and carers and to monitor their impact on carers in addition to patients, using robust outcome measures. PMID: 23455948 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 1, 2013 Category: Rehabilitation Authors: Cobley CS, Fisher RJ, Chouliara N, Kerr M, Walker MF Tags: Clin Rehabil Source Type: research

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