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Total 134 results found since Jan 2013.

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

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

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

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

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

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

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 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

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

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

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

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

The use of augmented reality for rehabilitation after stroke: a narrative review.
CONCLUSION: AR systems are currently being used for stroke rehabilitation in a variety of ways however the technology is in its infancy and warrants further investigation. A consistent definition of AR must be developed and further research is required to determine the possibilities of using AR to promote practice of occupations in a more contextually relevant environment to enhance motor learning and generalisation to other tasks. This could include using AR to bring the home environment into the hospital setting to enhance practice of prioritised occupations before returning home. IMPLICATIONS FOR REHABILITATION There is...
Source: Disability and Rehabilitation. Assistive Technology. - July 13, 2020 Category: Rehabilitation Authors: Gorman C, Gustafsson L Tags: Disabil Rehabil Assist Technol 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