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Source: Disability and Rehabilitation
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Total 40 results found since Jan 2013.

"Wasting time": a qualitative study of stroke survivors' experiences of boredom in non-therapy time during inpatient rehabilitation
CONCLUSION: Creating rehabilitation environments that support autonomy, socialisation and opportunities to participate in activity are clear targets to reduce boredom during non-therapy time, increase meaningful engagement and possibly improve rehabilitation outcomes post-stroke.PMID:37409578 | DOI:10.1080/09638288.2023.2230131
Source: Disability and Rehabilitation - July 6, 2023 Category: Rehabilitation Authors: Katrina Kenah Meredith Tavener Julie Bernhardt Neil J Spratt Heidi Janssen Source Type: research

Six-month outcomes and patterns of recovery for people with lateropulsion following stroke
CONCLUSIONS: Individuals with lateropulsion can recover from lateropulsion and make meaningful functional gains, including some individuals with more severe lateropulsion. Lateropulsion severity is a key indicator of functional outcome post-stroke.IMPLICATIONS FOR REHABILITATIONIndividuals with lateropulsion can make significant gains in terms of mobility and functional abilities by six months post-stroke, learning to compensate for their verticality impairment in standing by loading their non-paretic leg.It is important that stroke survivors with lateropulsion, including those with moderate and severe lateropulsion, are p...
Source: Disability and Rehabilitation - June 14, 2023 Category: Rehabilitation Authors: Melissa Birnbaum Kim Brock Ross Clark Elissa Burton Keith D Hill Source Type: research

From concept to practice: a scoping review of the application of AI to aphasia diagnosis and management
CONCLUSION: Considerable scope remains to align AI technology with aphasia rehabilitation to empower patient-centred, customised rehabilitation and enhanced self-management.IMPLICATIONS FOR REHABILITATIONAphasia is an acquired communication disorder that impacts everyday functioning due to impairments in speech, auditory comprehension, reading, and writing.Given this communication burden, researchers have focused on utilising artificial intelligence (AI) methods for assessment, therapy and self-management.From a conceptualisation era in the early 1940s, the application of AI has evolved with significant developments in AI ...
Source: Disability and Rehabilitation - May 12, 2023 Category: Rehabilitation Authors: Achini Adikari Nelson Hernandez Damminda Alahakoon Miranda L Rose John E Pierce Source Type: research

Integrating an approach to personalised self-management support in stroke and neurorehabilitation service contexts: People1st - a quality improvement initiative
CONCLUSIONS: Bridges was successfully integrated within a wide range of stroke and neurorehabilitation service contexts, enabled by an approach in line with practitioners' values-based motivations. Further work is required to explore sustainability and impact on service users. Implications for rehabilitationPersonalised models of care and support for self-management are advocated for people living with stroke and neurological conditions; this requires practitioners to be supported to change behaviour and practices to adopt and sustain new ways of working.Staff from a wide variety of backgrounds in neurorehabilitation and s...
Source: Disability and Rehabilitation - October 27, 2022 Category: Rehabilitation Authors: Nicola J Hancock Julie Houghton Fiona Jones Source Type: research

Learning to flourish in a new reality: a thematic analysis of couples' experience of participation in a positive psychology intervention post-stroke
CONCLUSIONS: Individuals and couples post-stroke often experience negative mood changes, poor health outcomes, and decreased participation. Implementation of ReStoreD activities in the clinical setting can be a valuable and impactful way to encourage and foster positive experiences and re-engagement post-stroke.Implications for RehabilitationThrough dyadic positive psychology intervention activities, rehabilitation professionals can build upon existing strengths and resources to encourage couples to increase their awareness and development of positive coping strategies as individuals and couples.Positive psychology interve...
Source: Disability and Rehabilitation - August 1, 2022 Category: Rehabilitation Authors: Jackie Einerson Lauren K Lundstrom Brieanna K Allen Artemis Sefandonakis Alexandra L Terrill Source Type: research

Explicit versus implicit lower extremity sensory retraining for post-stroke chronic sensory deficits: a randomized controlled trial
CONCLUSIONS: Sensory rehabilitation treatment by either ESR or IRE led to similar clinically significant changes in the performance of the lower extremity and participation in subjects with sensory loss post-stroke. Both treatment protocols are easy to implement in an outpatient clinic. .CLINICALTRIALS.GOV REGISTRATION: NCT01988220. Implications for rehabilitationStandardized, structured, sensory-focused training can improve balance and gait in subjects with chronic post-stroke sensory impairment.Both explicit and implicit learning-based sensory protocols focused on the lower extremity effectively improved balance, mobilit...
Source: Disability and Rehabilitation - June 1, 2022 Category: Rehabilitation Authors: Hadas Ofek Mordechai Alperin Tsipi Knoll Daphna Livne Yocheved Laufer Source Type: research

The development of a self-management intervention for stroke survivors - My Life After Stroke (MLAS)
CONCLUSIONS: MLAS warrants evaluation in a feasibility study.Implications for rehabilitationMy Life After Stroke(MLAS) has been developed using a systematic process, to address the unmet needs of stroke survivors.This systematic process, involved utilising evidence, theories, patient and public involvement, expertise and guidelines from other long-term conditions. This may further help the development of similar self-management programme within the field of stroke.MLAS warrants further evaluation within a feasibility study.PMID:35112969 | DOI:10.1080/09638288.2022.2029959
Source: Disability and Rehabilitation - February 3, 2022 Category: Rehabilitation Authors: Vicki L Johnson Lindsay Apps Michelle Hadjiconstantinou Marian E Carey Elizabeth Kreit Ricky Mullis Jonathan Mant Melanie J Davies MLAS Development Group Source Type: research

Assessing the fidelity of the independently getting up off the floor (IGO) technique as part of the ReTrain pilot feasibility randomised controlled trial for stroke survivors
CONCLUSIONS: IGO was successfully and safely practised by stroke survivors including those with hemiparesis. Trainers should be aware of comorbidities that may impede completion of IGO and modify teaching to accommodate individual need. Further research should assess if IGO can be utilised by individuals who have other disabilities with unilateral impairments and whether IGO has physical, functional and economic benefit.Implications for rehabilitationFalls are common in stroke survivors, and many are unable to get up despite being uninjured, leading to long-lie complications or ambulance call-outs but non-conveyance to hos...
Source: Disability and Rehabilitation - November 12, 2021 Category: Rehabilitation Authors: Laura Hollands Raff Calitri Krystal Warmoth Anthony Shepherd Rhoda Allison Sarah Dean ReTrain Trial team Source Type: research

Patients' and therapists' experience and perception of exoskeleton-based physiotherapy during subacute stroke rehabilitation: a qualitative analysis
CONCLUSIONS: Patients with stroke were even more optimistic than therapists toward the experience and benefits of exoskeleton-based gait training during subacute stroke rehabilitation. Future clinical practice should consider the balance between actual and perceived benefits, as well as the potential barriers to integrating an exoskeleton into stroke rehabilitation.IMPLICATIONS FOR REHABILITATIONPowered robotic exoskeletons can be used to provide higher duration and more repetitious walking practice for non-ambulatory patients with stroke.Patients with stroke view exoskeleton-based physiotherapy highly favorably, attributi...
Source: Disability and Rehabilitation - October 25, 2021 Category: Rehabilitation Authors: Dennis R Louie W Ben Mortenson Michelle Lui Melanie Durocher Robert Teasell Jennifer Yao Janice J Eng Source Type: research