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Use of a Resting Hand Orthosis for the Hemiparetic Hand After Stroke
A 50-year-old right-handed man has been admitted to your stroke service after sustaining a left middle cerebral artery stroke. This is his first stroke. After an acute hospital stay of 5 days, he was admitted to inpatient rehabilitation. On admission to the rehabilitation unit, he presented with an essentially flaccid right arm, which demonstrated some synergistic movements (Fugl-Meyer, 8/66). Right upper extremity range of motion was well preserved, with no evidence of pain with passive movement. Sensation was diminished throughout the right side, with decreased perception of sharpness and extinction with double simultane...
Source: PM and R - January 27, 2014 Category: Rehabilitation Authors: Nathaniel H. Mayer, Richard L. Harvey, Thomas K. Watanabe Tags: Point/Counterpoint Source Type: research

Patient Centered Goal-setting in a Hospital-based Outpatient Stroke Rehabilitation Center
Goal-setting can positively impact stroke recovery during rehabilitation. Patient participation in goal formulation can ensure that personally relevant goals are set, and could result in greater satisfaction with the rehabilitation experience, and improved recovery of stroke deficits. This, however, not yet been studied in a stroke outpatient rehabilitation setting.
Source: PM and R - January 6, 2017 Category: Rehabilitation Authors: Danielle B. Rice, Amanda McIntyre, Magdalena Mirkowski, Shannon Janzen, Ricardo Viana, Eileen Britt, Robert Teasell Source Type: research

Patient-Centered Goal Setting in a Hospital-Based Outpatient Stroke Rehabilitation Center: Patient
Goal-setting can have a positive impact on stroke recovery during rehabilitation. Patient participation in goal formulation can ensure that personally relevant goals are set, and can result in greater satisfaction with the rehabilitation experience, along with improved recovery of stroke deficits. This, however, not yet been studied in a stroke outpatient rehabilitation setting.
Source: PM and R - January 6, 2017 Category: Rehabilitation Authors: Danielle B. Rice, Amanda McIntyre, Magdalena Mirkowski, Shannon Janzen, Ricardo Viana, Eileen Britt, Robert Teasell Tags: Original Research Source Type: research

Patient-Centered Goal Setting in a Hospital-Based Outpatient Stroke Rehabilitation Center
Goal-setting can have a positive impact on stroke recovery during rehabilitation. Patient participation in goal formulation can ensure that personally relevant goals are set, and can result in greater satisfaction with the rehabilitation experience, along with improved recovery of stroke deficits. This, however, not yet been studied in a stroke outpatient rehabilitation setting.
Source: PM and R - January 6, 2017 Category: Rehabilitation Authors: Danielle B. Rice, Amanda McIntyre, Magdalena Mirkowski, Shannon Janzen, Ricardo Viana, Eileen Britt, Robert Teasell 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

Should This Patient With Global Aphasia After a Left Cerebral Stroke Be Admitted to Your Hospital-Based Inpatient Rehabilitation Unit?
You are the medical director of a very busy, 20-bed, general inpatient rehabilitation unit (IRU) at a community hospital. About 40% of admissions to the unit are persons with moderate and severe stroke from the geographic region, and your census runs very nearly 100% capacity, usually with a waiting list. The neurology service asks you to assess a 60-year-old man with a long history of hypertension and diabetes mellitus who is now 6 days post a large left middle cerebral artery (MCA) ischemic stroke.
Source: PM and R - June 1, 2017 Category: Rehabilitation Authors: Leroy R. Lindsay, Kirk Lercher, Michael W. O ’Dell Tags: Point/Counterpoint Source Type: research