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Total 6683 results found since Jan 2013.

How is self-management perceived by community living people after a stroke? A focus group study.
Conclusion: Self-management post-stroke is complex. Stroke self-management programmes may be optimised when integrating role and emotional management in addition to medical management. Although readiness to self-manage differs among individuals, support should start as soon as possible and continue post-discharge in people's personal environments. Self-management programmes should not only focus on self-management of stroke survivors but also on co-management with relatives. Implications for Rehabilitation This study suggests that health care professionals should pay attention to the way patients understand the word and co...
Source: Disability and Rehabilitation - May 14, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research

Participation in everyday life and life satisfaction in persons with stroke and their caregivers 3-6 months after onset.
CONCLUSION: Participation in everyday occupations is related to life satisfaction even for caregivers of persons with stroke. The results of this study add to our knowledge about the stroke-caregiver dyad and will help to inform family-centred approaches within stroke rehabilitation. PMID: 25882897 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - April 19, 2015 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

The experiences of everyday activities post-stroke.
CONCLUSIONS: Stroke survivors' lived experiences of pleasure, productivity and restoration in the context of everyday activities yields insight into the survivors' recovery and adjustment processes and into their quality of life. Practitioners should therefore incorporate stroke survivors' experiences as they facilitate goal setting and plan interventions. Implications for Rehabilitation Understanding stroke survivors' lived experiences provides practitioners valuable information to assist with goal setting and intervention planning. A sense of accomplishment may be gained outside of work in home management and high demand...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Atler K Tags: Disabil Rehabil Source Type: research

Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors.
CONCLUSIONS: A range of impacts was identified, some of which (such as use of information technology and alienation from the upper limb) are not addressed in current assessment instruments. They should be considered in post-stroke assessments. Blogs may help in the development of more comprehensive assessments. Implications for Rehabilitation A comprehensive assessment of the upper limb following stroke should include the impact of upper limb problems on social participation, as well as associated emotional, cognitive and behavioural changes. Using personalised assessment instruments alongside standardised measures may hel...
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Poltawski L, Allison R, Briscoe S, Freeman J, Kilbride C, Neal D, Turton AJ, Dean S Tags: Disabil Rehabil Source Type: research

Management of Fever, Hyperglycemia, and Dysphagia in an Acute Stroke Unit.
CONCLUSIONS: Current practice does not reflect best practice. Barriers to research translation are currently unclear but must be overcome to improve care quality for stroke survivors. Multifaceted interventions to ensure uptake of care protocols are required. CLINICAL RELEVANCE: Consistent provision of evidence-based practice needs to be available to ensure patients are provided with the best nursing care following stroke. PMID: 26463673 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - October 14, 2015 Category: Rehabilitation Authors: Kenny T, Barr C, Laver K Tags: Rehabil Nurs Source Type: research

Validation of the Stroke and Aphasia Quality of Life Scale in a multicultural population.
Conclusions Both the SAQOL-39 g and SAQOL-CSg demonstrated good reliability and validity. Our results suggested some influence of ethnicity in self-rating of health status in relation to SAQOL-39 g scores. Further research is warranted to examine its use with stroke survivors with greater stroke severity and over time. Implications for Rehabilitation Validation of SAQOL in Singapore: Both the SAQOL-39g and the SAQOL-CSg may be used to measure the HRQoL of stroke survivors with and without aphasia in Singapore. Further investigation is required to examine use with stroke survivors with greater stroke severity and over t...
Source: Disability and Rehabilitation - February 10, 2016 Category: Rehabilitation Authors: Guo YE, Togher L, Power E, Koh GC Tags: Disabil Rehabil Source Type: research

Functional recovery after stroke in Benin: A six-month follow-up study.
CONCLUSION: The study sample showed significant functional recovery (~50%) during the first 6 months post-stroke. We recommend the integration of group-based brisk walking into a cost-effective rehabilitation programme as a suitable way to increase functional recovery of chronic stroke patients in sub-Saharan Africa after hospital discharge. PMID: 27563697 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - August 27, 2016 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: an observational study.
CONCLUSION: Minimal changes in glenohumeral joint positioning occurs early post-stroke. Clinicians should consider changes in glenohumeral joint position for both non- and hemiparetic sides during the early rehabilitation phase following stroke. Implications for rehabilitation Changes occur in glenohumeral joint centre of rotation (GHJC) position between hemiparetic and non-hemiparetic sides early in people with mild stroke. Clinicians need to be aware of early GHJC positional changes. Early GHJC positional changes may contribute to the development of hemiparetic shoulder pain (HSP), anterior humeral subluxation and glenoh...
Source: Disability and Rehabilitation - November 19, 2016 Category: Rehabilitation Authors: Choolun P, Kuys S, Bisset L Tags: Disabil Rehabil Source Type: research

Patellar tendon vibration reduces the increased facilitation from quadriceps to soleus in post-stroke hemiparetic individuals
Conclusions Patellar tendon vibration can reduce the facilitation between knee and ankle extensors, which suggests effective presynaptic inhibition but decreased post-activation depression in the lower limb of people after chronic hemiparetic stroke. Further studies are warranted to determine whether such vibration could be used to reduce the abnormal extension synergy of knee and ankle extensors in people after hemiparetic stroke.
Source: Annals of Physical and Rehabilitation Medicine - May 19, 2017 Category: Rehabilitation Source Type: research

The World Health Organization Disability Assessment Schedule 2.0 can predict the institutionalization of the patients with stroke.
CONCLUSIONS: WHODAS 2.0 scores, urbanization level, and severity of impairment were positive factors for the institutionalization of patients with stroke in long-term care facilities, whereas the female sex and an age of ≥85 years were negative factors. The cognition and mobility domains and standardized WHODAS 2.0 scores were more accurate for predicting the institutionalization of patients with stroke. CLINICAL REHABILITATION IMPACT: Proper analysis of the functioning status and risk factors, as well as prediction of discharge destination for the patients with stroke can help the healthcare system reduce unnecessa...
Source: European Journal of Physical and Rehabilitation Medicine - June 19, 2017 Category: Rehabilitation Authors: Hu HY, Chi WC, Chang KH, Yen CF, Escorpizo R, Liao HF, Huang SW, Liou TH Tags: Eur J Phys Rehabil Med Source Type: research

Assessing advanced walking ability in people with stroke using the Groningen Meander Walking Test.
CONCLUSION: The Groningen Meander Walking Test is a highly reliable and valid tool for quantifying the advanced walking abilities of people with stroke. Implications for Rehabilitation The Groningen Meander Walking Test completion times demonstrated excellent intrarater, interrater and test-retest reliabilities. The Groningen Meander Walking Test completion times correlates well with Berg Balance Scale scores, comfortable walking and Timed Up and Go test times. The Groningen Meander Walking Test overstep scores correlates significantly to its completion times, Fugl-Myer Assessment-Lower Extremity scores, comfortable walkin...
Source: Disability and Rehabilitation - August 2, 2017 Category: Rehabilitation Authors: Tan IO, Ng JK, Ng SSM Tags: Disabil Rehabil Source Type: research

Adherence of physical therapy with clinical practice guidelines for the rehabilitation of stroke in an active inpatient setting.
CONCLUSION: This audit provides an initial picture of the current adherence of physical therapy assessment and management with the stroke physical therapy guideline at a tertiary rehabilitation hospital in the state of Qatar. An evaluation of the guideline adherence and practice variations helps to fine tune the physical therapy care to a highest possible standard of practice. Implications for Rehabilitation  • An evaluation of the guideline adherence and practice variations helps to fine tune the rehabilitation care to the highest possible standard of practice.     • Proper assessments of the relationshi...
Source: Disability and Rehabilitation - March 9, 2018 Category: Rehabilitation Authors: M S A, Kooven S, Al-Mudahka N Tags: Disabil Rehabil Source Type: research

Assessing the impact of a home-based stroke rehabilitation programme: a cost-effectiveness study.
CONCLUSIONS: The study shows that CSRT model of care is cost-effective, and should be considered when evaluating potential stroke rehabilitation delivery methods. Implications for Rehabilitation Ongoing rehabilitation following stroke is imperative for optimal recovery. Home-based specialised stroke rehabilitation may be an option for individuals for whom ongoing rehabilitation is unavailable or inaccessible. The results of this study demonstrated that home-based rehabilitation is a cost-effective means of providing ongoing rehabilitation to individuals who have experienced a stroke. PMID: 29631453 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - April 10, 2018 Category: Rehabilitation Authors: Allen L, John-Baptiste A, Meyer M, Richardson M, Speechley M, Ure D, Markle-Reid M, Teasell R Tags: Disabil Rehabil Source Type: research

Impact of balance on functional independence after stroke: A cross-sectional study at rehabilitation settings in Nigeria.
CONCLUSION: The goal of attaining functional independence after stroke may depend to a significant extent on good balance function irrespective of the stroke survivor's age, sex and post-stroke duration. PMID: 29660950 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - April 19, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa.
CONCLUSION: The findings suggest focusing stroke rehabilitation on important factors such as mobility, cognition, life activities and risk factors to advance patients' participation. It also emphasizes giving specific consideration to key factors specific for gender and age of stroke survivors. Implications for Rehabilitation Community participation in the general population of stroke survivors' is largely determined by their mobility function. Determinants of community participation among stroke survivors essentially vary according to age and gender. Clinically, this study suggests that focusing on specific determinants o...
Source: Disability and Rehabilitation - May 29, 2018 Category: Rehabilitation Authors: Elloker T, Rhoda A, Arowoiya A, Lawal IU Tags: Disabil Rehabil Source Type: research