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Total 53 results found since Jan 2013.
Hospital-Acquired Symptomatic Urinary Tract Infection in Patients Admitted to an Academic Stroke Center Affects Discharge Disposition
Objective:
To test the role of hospital-acquired symptomatic urinary tract infection (SUTI) as an independent predictor of discharge disposition in the acute stroke patient.
Study Design:
A retrospective study of data collected from a stroke registry service. The registry is maintained by the Specialized Programs of Translational Research in Acute Stroke Data Core. The Specialized Programs of Translational Research in Acute Stroke is a national network of 8 centers that perform early phase clinical projects, share data, and promote new approaches to therapy for acute stroke.
Setting:
A single university-based hospital...
Source: PM and R - October 29, 2012 Category: Rehabilitation Authors: Nneka L. Ifejika-Jones, Hui Peng, Elizabeth A. Noser, Gerard E. Francisco, James C. Grotta Tags: Original Research Source Type: research
Use of Segmental Coordination Analysis of Nonparetic and Paretic Limbs During Obstacle Clearance in Community-Dwelling Persons After Stroke
Conclusions:
The present coordination analysis suggests the preservation of basic control mechanisms in the paretic limb during obstacle clearance after stroke and also reveals its specific motor control compensations. However, a larger study with differing levels of stroke severity must be conducted to understand how the evaluation of intersegmental coordination during walking could guide treatment of specific locomotor control deficits in stroke rehabilitation.
Source: PM and R - February 18, 2013 Category: Rehabilitation Authors: Michael J. MacLellan, Carol L. Richards, Joyce Fung, Bradford J. McFadyen Tags: Commentary Source Type: research
Initial Physical Grades and Cognitive Stages After Acute Stroke: Who Receives Comprehensive Rehabilitation Services?
Conclusions: Patients' physical grades and cognitive stages assessed early after stroke are strong determinants of referral for comprehensive rehabilitation.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Margaret G. Stineman, Barbara E. Bates, Jibby E. Kurichi, Pui L. Kwong, Diane Cowper Ripley, W. Bruce Vogel, Dawei Xie Tags: Original Research Source Type: research
Reliability, Validity, and Sensitivity to Change of the Lower Extremity Functional Scale in Individuals Affected by Stroke
Conclusion: LEFS exhibits good reliability, validity, and sensitivity to change in patients with lower extremity impairments secondary to stroke. Therefore, the LEFS can be a clinically efficient outcome measure in the rehabilitation of patients with subacute stroke. The LAS is shown to be a time-saving and reasonable option to track changes in a patient's functional status.
Source: PM and R - July 22, 2013 Category: Rehabilitation Authors: Joseph L. Verheijde, Fred White, James Tompkins, Peder Dahl, Joseph G. Hentz, Michael T. Lebec, Mark Cornwall Tags: Original Research Source Type: research
Risk Factors for Discharge to an Acute Care Hospital From Inpatient Rehabilitation Among Stroke Patients
Conclusion: Based on this research, we identified specific medical and functional health risk factors in the stroke population that affect the rate of discharge to an acute-care hospital. With active medical and functional management, early identification of these critical components may lead to the prevention of stroke patients from being discharged to an acute-care hospital from the inpatient rehabilitation setting.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Pamela S. Roberts, Margaret A. DiVita, Richard V. Riggs, Paulette Niewczyk, Brittany Bergquist, Carl V. Granger Tags: Original Research Source Type: research
Test-Retest Reliability of the ABILHAND Questionnaire in Persons With Chronic Stroke
Conclusion: The ABILHAND Questionnaire is reliable in persons with chronic stroke and can be recommended to evaluate recovery, rehabilitation interventions, and changes over time in a group of individuals but is less suitable for a single individual.
Source: PM and R - October 9, 2013 Category: Rehabilitation Authors: Elisabeth Ekstrand, Ingrid Lindgren, Jan Lexell, Christina Brogårdh Tags: Original Research Source Type: research
National Institutes of Health Stroke Scale (NIHSS) as an early predictor of post-stroke dysphagia
Despite the availability of multiple comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to best practice. Our prior study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared to a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is routinely administered in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Source Type: research
Designing and Implementing a System for Tracking Functional Status After Stroke: A Feasibility Study
Conclusions:
This study demonstrates the feasibility of implementing a single functional outcome instrument in clinical and community settings to measure rehabilitation functional outcomes of stroke patients. Integrating the AM-PAC measurement system into clinical workflows and the electronic medical record could provide assistance to clinicians for medical decision making, functional prognostication, and discharge planning.
Source: PM and R - November 16, 2012 Category: Rehabilitation Authors: M. Elizabeth Sandel, Alan M. Jette, Jed Appelman, Joseph Terdiman, Marian TeSelle, Richard L. Delmonico, Hua Wang, Michelle Camicia, Elizabeth K. Rasch, Diane E. Brandt, Leighton Chan Tags: Original Research Source Type: research
National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia
Despite the availability of multiple, comprehensive screening methods to detect dysphagia during acute stroke care, consensus is lacking as to the best practice. Our previous study demonstrated favorable sensitivity of the Functional Independence Measure (FIM) compared with a bedside 3-sip test. However, the FIM is challenging to administer during acute stroke care. The National Institutes of Health Stroke Scale (NIHSS) is administered routinely in the emergency department.
Source: PM and R - December 31, 2014 Category: Rehabilitation Authors: Rebecca D. Jeyaseelan, Mary M. Vargo, John Chae Tags: Original Research Source Type: research
Falls and fear of falling after stroke: a case-control study
Falls are common after stroke with potentially serious consequences. Few investigations have included age-matched controls to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population.
Source: PM and R - June 2, 2016 Category: Rehabilitation Authors: Hui-Ting Goh, Mohanasuntharaam Nadarajah, Norhamizan Binti Hamzah, Parimalaganthi Varadan, Maw Pin Tan Source Type: research
Falls and Fear of Falling After Stroke: A Case-Control Study
Falls are common after stroke, with potentially serious consequences. Few investigations have included age-matched control participants to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population.
Source: PM and R - June 2, 2016 Category: Rehabilitation Authors: Hui-Ting Goh, Mohanasuntharaam Nadarajah, Norhamizan Binti Hamzah, Parimalaganthi Varadan, Maw Pin Tan Tags: Original Research Source Type: research
Daily Treatment Time and Functional Gains of Stroke Patients During Inpatient Rehabilitation
Objective:
To study the effects of daily treatment time on functional gain of patients who have had a stroke.
Design:
A retrospective cohort study.
Setting:
An inpatient rehabilitation hospital (IRH) in northern California.
Participants:
Three hundred sixty patients who had a stroke and were discharged from the IRH in 2007.
Interventions:
Average minutes of rehabilitation therapy per day, including physical therapy, occupation therapy, speech and language therapy, and total treatment.
Main Outcome Measures:
Functional gain measured by the Functional Independence Measure, including activities of daily living, mob...
Source: PM and R - November 5, 2012 Category: Rehabilitation Authors: Hua Wang, Michelle Camicia, Joseph Terdiman, Murali K. Mannava, Stephen Sidney, M. Elizabeth Sandel Tags: Original Research Source Type: research
A Comparison of Two Balance Measures to Predict Discharge Performance From Inpatient Stroke Rehabilitation
Objective:
To compare the admission Berg Balance Scale (BBS) and Postural Assessment Scale for Stroke (PASS) in predicting outcomes at discharge from an inpatient rehabilitation unit (IRU). We hypothesized that discharge outcomes would be better predicted by (1) the PASS compared with the BBS, and (2) by the PASS changing position subscore compared with the PASS maintain posture subscore.
Design:
A retrospective study.
Setting:
An IRU in an academic medical center.
Participants:
Fifty-five subjects with stroke and mean (standard deviation [SD]) age of 71.5 ± 13.8 years, admission functional independence measures (F...
Source: PM and R - February 18, 2013 Category: Rehabilitation Authors: Michael W. O'Dell, Jessica Au, Eric Schwabe, Holly Batistick, Paul J. Christos Tags: Commentary Source Type: research
Combined tDCS and Vision Restoration Training in Subacute Stroke Rehabilitation: A Pilot Study
Visual field defects after posterior cerebral artery stroke can be improved by vision restoration training (VRT), but when combined with transcranial direct current stimulation (tDCS) which alters brain excitability, vision recovery can be potentiated in the chronic stage. To date the combination of VRT and tDCS has not been evaluated in post-acute stroke rehabilitation.
Source: PM and R - January 6, 2017 Category: Rehabilitation Authors: Raimund Alber, Hermann Moser, Carolin Gall, Bernhard A. Sabel Source Type: research
Combined Transcranial Direct Current Stimulation and Vision Restoration Training in Subacute Stroke Rehabilitation: A Pilot Study
Visual field defects after posterior cerebral artery stroke can be improved by vision restoration training (VRT), but when combined with transcranial direct current stimulation (tDCS), which alters brain excitability, vision recovery can be potentiated in the chronic stage. To date, the combination of VRT and tDCS has not been evaluated in postacute stroke rehabilitation.
Source: PM and R - January 6, 2017 Category: Rehabilitation Authors: Raimund Alber, Hermann Moser, Carolin Gall, Bernhard A. Sabel Tags: Original Research Source Type: research
