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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

Reported use of technology in stroke rehabilitation by physical and occupational therapists.
CONCLUSIONS: The use of technology is not pervasive in the continuum of stroke rehabilitation. Implications for Rehabilitation The patient care experience is a priority in healthcare, so when patients report feeling bored and desiring greater fostering of autonomy in stroke rehabilitation, it is troubling. Research examining the use of technology has shown positive results for improving motor performance and engaging patients through entertainment and use of objective feedback. Physical and occupational therapists do not widely use technology in stroke rehabilitation. Therapists should consider using technology in stroke r...
Source: Disability and Rehabilitation. Assistive Technology. - August 16, 2017 Category: Rehabilitation Authors: Langan J, Subryan H, Nwogu I, Cavuoto L Tags: Disabil Rehabil Assist Technol Source Type: research

What can virtual reality offer to stroke patients? A narrative review of the literature.
CONCLUSION: The studies confirmed the effectiveness of various forms of VR treatment in the alleviation of psychological and behavioral problems and psychiatric disorders. There is a shortage of VR-based technological solutions that would, besides physical rehabilitation, offer stroke patients therapeutic tools to alleviate psychological disturbance and improve the patient's mood and motivation. Such solutions will most likely become a field of intensive research in the coming years. PMID: 32741792 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - August 5, 2020 Category: Rehabilitation Tags: NeuroRehabilitation 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

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

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

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

Assessment of biofeedback rehabilitation in post-stroke patients combining fMRI and gait analysis: a case study
Conclusions: Our findings showed that this methodology allows evaluation of the relationship between alterations in gait and brain activation of a post-stroke patient. Such methodology, if applied on a larger sample subjects, could provide information about the specific motor area involved in a rehabilitation treatment.
Source: Journal of NeuroEngineering and Rehabilitation - April 9, 2014 Category: Rehabilitation Authors: Silvia Del DinAlessandra BertoldoZimi SawachaJohanna JonsdottirMarco RabuffettiClaudio CobelliMaurizio Ferrarin 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 feasibility and acceptability of smart home technology using the Howz system for people with stroke.
CONCLUSIONS: The Howz system was feasible and acceptable for stroke survivors. It gave users and their family an enhanced sense of security and peace of mind that help would be at hand if needed. Implications for rehabilitation Although most stroke survivors are elderly and often suffer physical, visual and cognitive disabilities which are often considered as barriers to using smart home technology, this project has demonstrated the well-developed smart home technology is feasible and acceptable. Users were able and willing to engage with the technology (to varying degrees) and had no concerns about invasion of privacy. Th...
Source: Disability and Rehabilitation. Assistive Technology. - January 21, 2019 Category: Rehabilitation Authors: Rogerson L, Burr J, Tyson S Tags: Disabil Rehabil Assist Technol 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

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

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