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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

Understanding the facilitators and barriers of stroke survivors' adherence to recovery-oriented self-practice: a thematic synthesis
CONCLUSION: To have a positive effect on adherence to self-practice, clinicians are advised to spend time learning about each individual's life circumstances, so they can tailor proposed exercise programs to patients' personal situations, preferences, and needs.IMPLICATIONS FOR REHABILITATIONThe topic of patient's adherence to self-practice of prescribed exercise is a common concern, often voiced by frustrated rehabilitation health professionals. Bridging the gap between the patient's needs for post-discharge intensive therapy and the inability of healthcare systems to provide it could be filled partly by self-practice.Adh...
Source: Disability and Rehabilitation - August 30, 2021 Category: Rehabilitation Authors: Dor Vadas Kirsten Prest Amadea Turk Stephanie Tierney Source Type: research

User engagement in the development of a home-based virtual multidisciplinary stroke care clinic for stroke survivors and caregivers: a qualitative descriptive study
CONCLUSION: This study provides findings of users' expectations of using telehealth services. Their perspectives on facilitators and barriers may increase the adoption of the newly developed telehealth service.Implications for rehabilitationTo implement telehealth as part of post-stroke care, it is important to ensure that stroke survivors and caregivers have the necessary information and communication technology support and infrastructure to engage in two-way interactions.Stroke survivors and caregivers may be inclined to use telehealth services due to ease of use, having flexibility in scheduling consultation sessions, d...
Source: Disability and Rehabilitation - July 23, 2021 Category: Rehabilitation Authors: Simon Kwun Yu Lam Janita Pak Chun Chau Suzanne Hoi Shan Lo Elaine Kee Chen Siow Vivian Wing Yan Lee Edward Wai Ching Shum Alexander Yuk Lun Lau Source Type: research

Recovering is about < em > living my life, as it evolves < /em > : perspectives of stroke survivors in remote northwest Queensland
CONCLUSION: Recovering from stroke from the perspective of stroke survivors in remote NWQ is about living their life, as they want it to be, and as it unfolds within their own context. Technology only has a place when it can support them to recover their way in their world. These findings reinforce the importance of health professionals listening, learning about, and enabling stroke survivors along their recovery journey, within their remote context and support network.Implications for RehabilitationRecovering from the perspective of stroke survivors is about living their life as it evolves.To support stroke survivors from...
Source: Disability and Rehabilitation - February 24, 2021 Category: Rehabilitation Authors: Sarah M Jackson S D Solomon R N Barker Source Type: research

What are the factors that may influence the implementation of self-managed computer therapy for people with long term aphasia following stroke? A qualitative study of speech and language therapists' experiences in the Big CACTUS trial.
CONCLUSIONS: Personalisation, feedback and volunteer/assistant support were viewed as benefits of this complex intervention. However, the same benefits required resources including therapist time in learning to use software, procuring it, personalising it, working with volunteers/assistants, and building relationships with IT departments which formed barriers to implementation. The discussion highlights the need to consider integration of computer and face-to-face therapy to support implementation and potentially optimise patient outcomes. IMPLICATIONS FOR REHABILITATION Benefits of the self-managed computer approach to wo...
Source: Disability and Rehabilitation - January 17, 2021 Category: Rehabilitation Authors: Burke J, Palmer R, Harrison M Tags: Disabil Rehabil Source Type: research

The role of theory to develop and evaluate a toolkit to increase clinical measurement and interpretation of walking speed and distance in adults post-stroke.
CONCLUSIONS: The approach may help to inform toolkit development to advance other rehabilitation practices of similar complexity. Implications for Rehabilitation Toolkits are an emerging knowledge translation intervention used to support widespread implementation of clinical practice guideline recommendations. Although experts recommend using theory to inform the development of knowledge translation interventions, there is little guidance on a suitable approach. This study describes an approach to using theories, models and frameworks to design a toolkit and implementation strategy, and a process evaluation of toolkit impl...
Source: Disability and Rehabilitation - January 16, 2021 Category: Rehabilitation Authors: Salbach NM, MacKay-Lyons M, Solomon P, Howe JA, McDonald A, Bayley MT, Veitch S, Sivarajah L, Cacoilo J, Mihailidis A Tags: Disabil Rehabil Source Type: research

Recovery after stroke: perspectives of young stroke survivors in Taiwan.
CONCLUSION: These findings provide useful insights for rehabilitation clinicians to develop culturally tailored interventions to improve poststroke recovery outcomes in young stroke survivors. Implications for rehabilitation Rehabilitation clinicians should understand stroke survivors' beliefs and goals of recovery to provide tailored services. Optimizing the goal-setting process and patient-provider communication may help clinicians and survivors examine and adjust their expectations toward recovery during rehabilitation. Interventions will be needed to address personal and environmental supports and barriers, such as mot...
Source: Disability and Rehabilitation - September 14, 2020 Category: Rehabilitation Authors: Chang FH, Lin YN, Liou TH Tags: Disabil Rehabil Source Type: research

Experience of enriched rehabilitation in the chronic phase of stroke.
Conclusion: A therapy program including task-specific training and environmental enrichment may provide late-phase stroke survivors with perceived improvements in functional ability, knowledge insights, perceptions of rehabilitation needs and enriching emotional impacts.Implications for rehabilitationETT is feasible and may lead to perceived improvements in function and a change of mindset, even in the chronic phase after stroke.Trust in the competence of the rehabilitation staff is an important factor in compliance with the high-intensity training in the ETT program.Given the lack of stimulation and socialization among ma...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Vive S, Bunketorp-Käll L, Carlsson G Tags: Disabil Rehabil Source Type: research

Stroke survivors' experiences of occupation in hospital-based stroke rehabilitation: a qualitative exploration.
CONCLUSION: This study provides a preliminary understanding of how stroke survivors experience occupational engagement during rehabilitation. There was an apparent shift in priorities with therapy considered the most important occupation and a strong need expressed for rest and relaxation to be factored into people's days. It appears the increasing activity levels may not always align with people's occupations and that due consideration of this malalignment may further enhance engagement and outcomes. Implications for rehabilitation During hospital-based stroke rehabilitation, stroke survivors prioritized the occupations o...
Source: Disability and Rehabilitation - January 23, 2019 Category: Rehabilitation Authors: Purcell S, Scott P, Gustafsson L, Molineux M Tags: Disabil Rehabil Source Type: research

The key features and role of peer support within group self-management interventions for stroke? A systematic review.
CONCLUSION: Future self-management interventions should be designed to maximize peer support and incorporate techniques which facilitate, knowledge building, goal setting, access to resources, problem solving, and communication. Implications for rehabilitation Group self-management interventions offer a way to provide peer support to stroke survivors and should be utilized in practice. Peer support is seen by stroke survivors as valuable because it can facilitate the sharing of experiences, social comparison, vicarious learning, and increase motivation. Knowledge building, goal setting, problem solving, collaborative skill...
Source: Disability and Rehabilitation - October 16, 2018 Category: Rehabilitation Authors: Clark E, MacCrosain A, Ward NS, Jones F Tags: Disabil Rehabil Source Type: research

The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors.
CONCLUSION: The between-subject results suggest that there was no significant difference between those that received problem solving therapy and a waitlist control group between baseline and post-waitlist/post-therapy. The within-subject design suggests that problem solving therapy may be beneficial for younger stroke survivors when they are given some time to learn and implement the skills into their day to day life. However, additional research with a control group is required to investigate this further. This study provides limited evidence for the provision of support groups for younger stroke survivors post stroke, ho...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Chalmers C, Leathem J, Bennett S, McNaughton H, Mahawish K Tags: Disabil Rehabil Source Type: research

Explicit motor sequence learning with the paretic arm after stroke.
CONCLUSIONS: Stroke survivors can learn a movement sequence with their paretic arm, but demonstrate impairments in sequence specific learning. Implications for Rehabilitation Motor sequence learning is important for recovery of movement after stroke. Stroke survivors were found to be capable of learning a movement sequence with their paretic arm, supporting the concept of repetitive task training for recovery of movement. Stroke survivors showed impaired sequence specific learning in comparison with age-matched controls, indicating that they may need more repetitions of a sequence in order to re-learn movements. Further re...
Source: Disability and Rehabilitation - December 6, 2016 Category: Rehabilitation Authors: Fleming MK, Newham DJ, Rothwell JC Tags: Disabil Rehabil Source Type: research

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