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Dysphagia and Enteral Feeding After Stroke in the Rehabilitation Setting
Physiatrists play a vital role in post-stroke dysphagia management not only by providing guidance on the risks, benefits, and efficacy of various treatment options but also as advocates for patients ’ independence and quality of life. While swallow study results are often discussed broadly by acute stroke clinicians as “pass/fail” findings, physiatrists need a more nuanced working knowledge of dysphagia diagnosis and treatment that encompasses swallow pathophysiology, targeted treatment s trategies, and prognosis for recovery. To that end, this review summarizes current clinical practice guidelines on dysphagia, nutr...
Source: Physical Medicine and Rehabilitation Clinics of North America - August 17, 2023 Category: Rehabilitation Authors: Robynne G. Braun, Jodi Arata, Marlis Gonzalez-Fernandez Source Type: research

Management of post-stroke fatigue: an Australian health professional survey
CONCLUSIONS: Few Australian health professionals formally assess post-stroke fatigue. Management is multidisciplinary and based on evidence from fatigue management in other conditions.Implications for rehabilitationMost health professionals are not routinely using formal assessment tools for fatigue, possibly due to a lack of consensus on best practice in research.Common strategies recommended by health professionals include energy optimisation strategies, education and exercise.Comprehensive guidelines for post-stroke fatigue management are yet to be established.Health professionals should assess post-stroke fatigue using...
Source: Disability and Rehabilitation - November 12, 2022 Category: Rehabilitation Authors: Stewart Blackwell Gary Crowfoot Julie Davey Avril Drummond Coralie English Margaret Galloway Gillian Mason Dawn Simpson Source Type: research

Effects of vitamin C stimulation on rehabilitation of dysphagia after stroke: a randomized trial
CONCLUSION: Vitamin C acid stimulation significantly improves rehabilitation of stroke patients with dysphagia, and ameliorates the nutritional status and immune function of patients.PMID:35362717 | DOI:10.23736/S1973-9087.22.07337-3
Source: European Journal of Physical and Rehabilitation Medicine - April 1, 2022 Category: Rehabilitation Authors: Jiongmei Wang E Chang Yujuan Jiang Source Type: research

Validity of the Controlling Nutritional Status score as a Nutritional Assessment Tool early after stroke
This study investigated the prognostic role of malnutrition, as assessed by the CONUT scoring system. We hypothesized that malnutrition negatively affects outcomes as expressed by Functional Independence Measure (FIM) motor or Berg Balance Scale (BBS) change in stroke patients. This was a retrospective cohort study involving 117 individuals including first-time subacute stroke inpatients from March 2017 to February 2020. All participants were evaluated with BBS and FIM. We used multiple linear regression analysis with backward stepwise selection to examine the association between CONUT and changes during rehabilitation. Af...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Prehabilitation Coming of Age: IMPLICATIONS FOR CARDIAC AND PULMONARY REHABILITATION
While cardiac and pulmonary rehabilitation programs traditionally involve exercise therapy and risk management following an event (eg, myocardial infarction and stroke), or an intervention (eg, coronary artery bypass surgery and percutaneous coronary intervention), prehabilitation involves enhancing functional capacity and optimizing risk profile prior to a scheduled intervention. The concept of prehabilitation is based on the principle that patients with higher functional capabilities will better tolerate an intervention, and will have better pre- and post-surgical outcomes. In addition to improving fitness, prehabilitati...
Source: Journal of Cardiopulmonary Rehabilitation - April 30, 2021 Category: Rehabilitation Tags: Invited Review Source Type: research

Nutritional status as a predictor of comprehensive activities of daily living function and quality of life in patients with stroke
CONCLUSIONS: This study has revealed a relationship between nutritional status, comprehensive ADL function, and QOL among patients with stroke. Patients with stroke with better nutritional status had higher ADL function as well as better QOL. The MNA-SF was useful in predicting comprehensive ADL, whereas, the full MNA could be used to predict QOL. Knowledge and evidence of the association and predictive power of the MNA-SF and full MNA could guide clinicians to choose tools for assessing the nutritional status of patients with stroke more effectively.PMID:33814468 | DOI:10.3233/NRE-201540
Source: NeuroRehabilitation - April 5, 2021 Category: Rehabilitation Authors: Ya-Chen Lee En-Chi Chiu Source Type: research

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