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Source: International Journal of Rehabilitation Research
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Total 144 results found since Jan 2013.
Effects of walking trainings on walking function among stroke survivors: a systematic review
Physical function is often compromised as a result of stroke event. Although interventions propose different strategies that seek to improve stroke survivors’ physical function, a need remains to evaluate walking training studies aimed at improving such physical function. The aim of this review was to assess the available literature that highlights the impact of walking training on enhancing walking for stroke survivors. We performed a systematic literature review of online databases – Google Scholar, PubMed, CINHAL, Cochrane Library, Scopus, and EBSCO – with the following inclusion criteria: manuscript published fro...
Source: International Journal of Rehabilitation Research - February 16, 2018 Category: Rehabilitation Tags: Review article Source Type: research
Clinical risk factors for post-stroke urinary incontinence during rehabilitation
Urinary incontinence (UI) is a common problem after stroke. Risk factors for UI seem to be multifactorial. There is still controversy in which risk factors contribute to UI. The aim of this study was to investigate risk factors for UI in stroke patients during rehabilitation. Study investigated 150 participants after the first stroke consecutively admitted to a post-acute inpatient rehabilitation program. They were divided into continence and incontinence group according to continence status on rehabilitation admission. Data about sociodemographic factors, functional status, comorbidities, current medications, type and loc...
Source: International Journal of Rehabilitation Research - November 12, 2020 Category: Rehabilitation Tags: Original Articles Source Type: research
The optimal timing of supporting patients in health-related behavior change after TIA or ischemic stroke: a prospective cohort study to determinants of health-related intention to change over time
The optimal timing of an intervention to support health-related behavior after transient ischemic attack (TIA) or ischemic stroke is unknown. We aimed to assess determinants of patients’ health-related intention to change over time. We prospectively studied 100 patients with TIA or minor ischemic stroke. Patients completed questionnaires on fear, response-efficacy (belief that lifestyle change reduces risk of recurrent stroke), and self-efficacy (patients’ confidence to carry out lifestyle behavior) for behavior change, at baseline, 6 weeks and at 3 months after their TIA or ischemic stroke. We studied differences betw...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research
Predictors of nasogastric tube removal in patients with stroke and dysphagia
In this study, we developed a model to predict the outcome of dysphagia in patients with stroke. A retrospective study was performed from May 2015 to December 2018. We reviewed the medical charts of all patients with a diagnosis of stroke receiving nasogastric tube feeding. Patients were divided into weaned and nonweaned groups to compare baseline characteristics and functional status. The weaned and nonweaned groups comprised 55 and 65 patients, respectively. In the final logistic regression analysis model, the Barthel index at admission, lip closing status, ability to answer simple questions and functional independence b...
Source: International Journal of Rehabilitation Research - August 13, 2021 Category: Rehabilitation Tags: Original Articles Source Type: research
Cognitive impairment predicts engagement in inpatient stroke rehabilitation
Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke – Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were util...
Source: International Journal of Rehabilitation Research - November 3, 2022 Category: Rehabilitation Tags: Original articles Source Type: research
Validation of the Comprehensive ICF Core Set for stroke by exploring the patient’s perspective on functioning in everyday life: a qualitative study
International Classification of Functioning, Disability and Health (ICF) core sets are short procedures to record and provide information on health. However, further validation is needed. The aim of this study was to validate the Comprehensive ICF Core Set for stroke by exploring the patient’s living at home and receiving outpatient rehabilitation perspective on functioning in everyday life. Qualitative interviews of 22 patients with previous stroke in Finland were analyzed using the content analysis method: functional concepts that described the participants’ perspective on functioning in everyday life were extracted ...
Source: International Journal of Rehabilitation Research - November 4, 2014 Category: Rehabilitation Tags: Original articles Source Type: research
Determinants of disease-specific health-related quality of life in Turkish stroke survivors
In this study, our objective was to identify determinants of disease-specific health-related quality of life in Turkish stroke survivors. A total of 114 consecutive patients who experienced a stroke at least 6 months earlier were studied. Health-related quality of life was measured using Stroke-specific Quality of Life (SS-QoL) consisting of 12 domains. Demographic and clinical data were collected, including age, sex, marital status, years of education, time since stroke, whether the patient received rehabilitation before enrollment, stroke etiology, whether the dominant hand was affected or not, presence of vision defect,...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research
Correlates of well-being among caregivers of long-term community-dwelling stroke survivors
Although caregiving for stroke survivors is usually long-term, most studies on caregivers have generally involved only the first year following the event. We assessed and compared the long-term level of well-being measures among stroke survivors and their caregivers at more than 1 year following the stroke event and examined the associations between well-being, survivors’ characteristics, and caregiver burden. We interviewed a convenience sample of 51 community-dwelling stroke survivors, at least 1 year after the last stroke event, and their primary caregivers. Disability of survivors was assessed using the Barthel index...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research
The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial
The combined effect of task-oriented motor training and electromyography (EMG)-triggered electrical stimulation (ES) has been examined in chronic stroke, but there are no published reports in patients with early stroke. Therefore, the purpose of this study was to determine the short-term and long-term effects of task-oriented EMG-triggered ES on upper limb motor function in acute/subacute stroke. Twenty-seven patients with stroke within the first 3 months after stroke onset were randomly allocated to an experimental group and a control group. Twenty-three patients (12 patients in the experimental group and 11 patients in t...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research
Effects of sling exercise therapy on post-stroke walking impairment: a systematic review and meta-analysis
Walking impairment is a common consequence of stroke, resulting in long-term disability. Trunk muscle strength has been proven to be associated with post-stroke walking performance. As a type of trunk training, sling exercise therapy (SET) has been widely used to improve the trunk function in stroke patients. The purpose of this systematic review was to investigate the efficacy of SET on post-stroke walking impairment. Seven databases were systematically searched for eligible studies from their inception to 1 August 2021. Review Manager 5.3 software was used for this meta-analysis. The overall quality of included studies w...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Review articles Source Type: research
Is robot-assisted gait training intensity a determinant of functional recovery early after stroke? A pragmatic observational study of clinical care
Gait rehabilitation is a critical factor in functional recovery after a stroke. The aim of this pragmatic observational study was to identify the optimal dose and timing of robot-assisted gait training (RAGT) that can lead to a favourable outcome in a sample of subacute stroke survivors. Subacute patients with stroke who underwent a RAGT within a multidisciplinary rehabilitation program were enrolled. A set of clinical (i.e. age, type of stroke and time since stroke) and rehabilitation stay outcomes (length of stay and RAGT number of sessions) were recorded to evaluate their impact on functional outcome measures by functio...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Original Articles Source Type: research
Psychometric properties of the Swedish version of the General Self-Efficacy Scale in stroke survivors
In conclusion, although targeting in relation to skewness and ceiling effects was observed in some items, the GSE was reliable for use in mobile stroke survivors 6–10 months after stroke.
Source: International Journal of Rehabilitation Research - November 4, 2015 Category: Rehabilitation Tags: Original articles Source Type: research
Differences in motor recovery between upper and lower limbs: does stroke subtype make the difference?
Previous studies comparing the patterns of recovery for upper (UL) and lower limbs (LL) reported similar patterns of motor recovery of extremities. However, the influence of clinical stroke subtypes on the difference between recovery of extremities has never been investigated. The aim of this study is to compare the time course of the UL and LL in a sample of patients who have had distinct subtypes of ischemic stroke. A total of 443 consecutive patients following ischemic stroke were assessed at admission, discharge, and 1 month after discharge with the arm and leg motor parts of the Fugl-Meyer scale. Separate analyses wer...
Source: International Journal of Rehabilitation Research - May 3, 2016 Category: Rehabilitation Tags: Brief research reports Source Type: research
Game analysis and clinical use of the Xbox-Kinect for stroke rehabilitation
Whole-body movement is required to interact (play) with Microsoft Xbox with the 3D Kinect sensor (Xbox-Kinect) and, therefore, may be suitable for encouraging and practicing movements as part of stroke rehabilitation. We aimed to describe (i) game analysis, (ii) clinical use, and (iii) to characterize the Xbox-Kinect game experience with individuals with chronic stroke. Four therapists played the Xbox-Kinect games and then carried out a games analysis on the basis of the categories suggested by Deutsch. Eleven participants (age 29–69 years) with chronic stroke and varying motor deficits played Xbox-Kinect games for 4–2...
Source: International Journal of Rehabilitation Research - November 10, 2018 Category: Rehabilitation Tags: Original articles Source Type: research
Cost-effectiveness of a high-intensity rapid access outpatient stroke rehabilitation program
A common strategy to improve cost-effectiveness in healthcare is to offer outpatient care instead of in-hospital care. Toronto Rehabilitation Institute developed an outpatient high-intensity fast-track (FT) stroke rehabilitation program aimed at discharging inpatient stroke rehabilitation patients earlier or bypassing inpatient rehabilitation altogether. This cost-effectiveness analysis compares FT rehabilitation within 1 week of discharge with no FT in a single healthcare payer system. Patient costs and outcomes over a 12-week time horizon were included. Using individual-level FT data from April 2015 to March 2016, increm...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research
