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The inclination for conscious motor control after stroke: validating the Movement-Specific Reinvestment Scale for use in inpatient stroke patients.
CONCLUSIONS: The MSRS is a valid and reliable tool and suitable to assess the relationship between reinvestment and motor recovery in the first months post-stroke. Eventually, this may help therapists to individualize motor learning interventions based on patients' reinvestment preferences. Implications for rehabilitation This study showed that the Movement-Specific Reinvestment Scale (MSRS) is a valid and reliable tool to objectify stroke patients' inclination for conscious motor control. The MSRS may be used to identify stroke patients who are strongly inclined to consciously control their movements, as this disposition ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Kal E, Houdijk H, Van Der Wurff P, Groet E, Van Bennekom C, Scherder E, Van der Kamp J Tags: Disabil Rehabil Source Type: research

The role of learning in improving functional writing in stroke aphasia.
CONCLUSIONS: These results show that small doses of writing therapy can lead to large gains in specific types of writing. These gains did not extend to improvements in frequency of writing in daily living, nor ecological measures of email writing. There is a need to develop bridging interventions between experimental tasks towards more multi-faceted and ecological everyday writing tasks. Implications for Rehabilitation Acquired dysgraphia can restrict people from participating in social, educational and professional life. This study has shown that copy and recall spelling therapies can improve the spelling of treated words...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Thiel L, Sage K, Conroy P Tags: Disabil Rehabil Source Type: research

Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists.
Conclusions: Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has ...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Hayes S, Donnellan C, Stokes E Tags: Disabil Rehabil Source Type: research

Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study.
Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes. Implications for Rehabilitation Post-stroke self-management is a learning process with different levels depe...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research

Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil Source Type: research

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

A narrative analysis of a speech pathologist's work with Indigenous Australians with acquired communication disorders.
Conclusions: Individual, detailed narratives are useful in exposing the challenges and clinical reasoning behind culturally sensitive practice. Implications for Rehabilitation Speech pathologists (SPs) can learn from hearing the clinical stories of colleagues with experience of providing rehabilitation in culturally diverse contexts, as well as from ongoing training in culturally competent and safe practices. Such stories help bridge understanding from the general to the particular. SPs working with Indigenous Australians with acquired communication disorders post-stroke and brain injury may find it helpful to consider how...
Source: Disability and Rehabilitation - February 24, 2014 Category: Rehabilitation Authors: Hersh D, Armstrong E, Bourke N Tags: Disabil Rehabil Source Type: research

Experiences of participation in rhythm and movement therapy after stroke.
Conclusions: Participation in RGRM seems to have helped the persons come to terms with their changed bodies, leading to feelings of being connected with their bodies. A feeling of change in competence occurred when an ability to carry out the tasks was simultaneously achieved. Implications for Rehabilitation Stroke may cause considerable functional limitations with needs of rehabilitation services as a consequence. Participation in rhythm and movement activities may help persons who have had a stroke come to terms with their "new" bodies. The rhythm and movement activities were considered demanding and helped return to a m...
Source: Disability and Rehabilitation - January 9, 2014 Category: Rehabilitation Authors: Thornberg K, Josephsson S, Lindquist I Tags: Disabil Rehabil Source Type: research

Body, coping and self-identity. A qualitative 5-year follow-up study of stroke.
Conclusion: Stroke survivors suffered considerable ongoing and changing difficulties in relation to disability, self-perception and to coping with a new life. This continuous process of change could be seen to drain their energy. The study shows that many survivors live a more home-centred life with fewer social relations and less active participation in their community. This can entail the risk of depression and loneliness. The study also shows, however, that adopting an optimistic approach to life can lead to continued learning about abilities and limitations, to the development of new skills and to the fashioning of a n...
Source: Disability and Rehabilitation - April 30, 2013 Category: Rehabilitation Authors: Pallesen H Tags: Disabil Rehabil Source Type: research

The lived experience of engaging in everyday occupations in persons with mild to moderate aphasia.
Conclusion: Aphasia can have a long-term impact on engagement in everyday occupations and participation in society, but conversely, engagement in meaningful occupations can also contribute to adaptation to disability and life changes. Implications for Rehabilitation Aphasia can have a long-term impact on engagement in everyday occupations and participation in society. Health care professionals need to determine what clients with aphasia think about their occupations and life situations in spite of difficulties they may have verbalizing their thoughts. Experiences of engaging in meaningful occupations can help clie...
Source: Disability and Rehabilitation - January 25, 2013 Category: Rehabilitation Authors: Niemi T, Johansson U Tags: Disabil Rehabil Source Type: research

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