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Validity of the ActiGraph activity monitor for individuals who walk slowly post-stroke.
Conclusions The AG worn at the unaffected ankle without LFE produced the most accurate step count in people with stroke. We were unable to establish guidelines for LFE use.
PMID: 29557275 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 20, 2018 Category: Neurology Authors: Campos C, DePaul VG, Knorr S, Wong JS, Mansfield A, Patterson KK Tags: Top Stroke Rehabil Source Type: research
Improving Community Stroke Preparedness in the HHS (Hip-Hop Stroke) Randomized Clinical Trial Clinical Sciences
Background and Purpose—Deficiencies in stroke preparedness cause major delays to stroke thrombolysis, particularly among economically disadvantaged minorities. We evaluated the effectiveness of a stroke preparedness intervention delivered to preadolescent urban public school children on the stroke knowledge/preparedness of their parents.Methods—We recruited 3070 fourth through sixth graders and 1144 parents from 22 schools into a cluster randomized trial with schools randomized to the HHS (Hip-Hop Stroke) intervention or attentional control (nutrition classes). HHS is a 3-hour culturally tailored, theory-based, multime...
Source: Stroke - March 26, 2018 Category: Neurology Authors: Olajide Williams, Ellyn Leighton-Herrmann Quinn, Jeanne Teresi, Joseph P. Eimicke, Jian Kong, Gbenga Ogedegbe, James Noble Tags: Primary Prevention, Risk Factors, Cerebrovascular Disease/Stroke, Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research
Parenting after stroke: a systematic review.
Conclusion Findings from this systematic review of the perspectives of stroke survivors actively parenting suggest that residual stroke impairments lead to both activity limitations and participation restrictions. However, the literature available on parenting after stroke is limited and there is a significant opportunity to advance this area of stroke research.
PMID: 29607739 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 2, 2018 Category: Neurology Authors: Harris GM, Prvu Bettger J Tags: Top Stroke Rehabil Source Type: research
Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?
Conclusion Healthcare utilization after stroke can be reliably assessed from Medicare claims, Stroke participant, or Caregiver report for salient events such as hospitalizations and Emergency Room visits. Self-report and caregiver report appear to be less reliable for identifying use of therapy or home health services. Caution should be used when interpreting disparities based on self-report data alone in these areas.
PMID: 30047841 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 26, 2018 Category: Neurology Authors: Sheehan OC, Prvu-Bettger J, Huang J, Haley WE, David Rhodes J, E Judd S, Kilgore ML, Roth DL Tags: Top Stroke Rehabil Source Type: research
The difficulty of studying race-ethnic stroke rehabilitation disparities in a community.
CONCLUSIONS: Initial agreement from rehabilitation providers to participate in research was excellent, but completion of study related data collection forms was sub-optimal suggesting this approach is not feasible for a future population-based stroke rehabilitation study. Further methods to study post-stroke rehabilitation disparities in communities are needed.
PMID: 30187831 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 6, 2018 Category: Neurology Authors: Lisabeth LD, Horn SD, Ifejika NL, Sais E, Fuentes M, Jiang X, Case E, Morgenstern LB Tags: Top Stroke Rehabil Source Type: research
Rasch analysis of the upper-limb subscale of the stroke rehabilitation assessment of movement (STREAM) tool in an acute stroke cohort Rasch analysis of the upper-limb subscale of the STREAM tool in an acute stroke population.
CONCLUSIONS: The study proposes a new scoring method for the upper-limb subscale of the STREAM outcome measure in the acute stroke population.
PMID: 30281415 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 3, 2018 Category: Neurology Authors: Mateen BA, Baker K, Playford ED Tags: Top Stroke Rehabil Source Type: research
The practice and predictors of early mobilization of patients post-acute admission to a specialized stroke center.
CONCLUSIONS: Almost all patients receive active mobilization by 12 h post-admission whereas out-of-bed mobilization is infrequent. In the first 24 h post-admission, clinicians may prioritize passive over out-of-bed mobilization when patients have received tPA, present with severe stroke, and have impaired LOC. This conservative approach is unsurprising given the lack of clear practice recommendations for these situations.
PMID: 30319078 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 15, 2018 Category: Neurology Authors: Ho E, Cheung SH, Denton M, Kim BD, Stephenson F, Ching J, Boyle K, Lyeo S, Salbach NM Tags: Top Stroke Rehabil Source Type: research
A systematic review of the risk of motor vehicle collision after stroke or transient ischemic attack.
CONCLUSIONS: The evidence does not support a robust increase in risk of MVCs. While stroke clearly prevents some patients from driving at all and impairs driving performance in others, individualized assessment and clinical judgment must continue to be used in assessing and advising those stroke patients who return to driving about their MVC risk.
PMID: 30614401 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 5, 2019 Category: Neurology Authors: Rapoport MJ, Plonka SC, Finestone H, Bayley M, Chee JN, Vrkljan B, Koppel S, Linkewich E, Charlton JL, Marshall S, delCampo M, Boulos MI, Swartz RH, Bhangu J, Saposnik G, Comay J, Dow J, Ayotte D, O'Neill D Tags: Top Stroke Rehabil Source Type: research
Tedium vitae in stroke survivors: a comparative cross-sectional study.
CONCLUSIONS: Tedium vitae is a common suicidal experience after stroke and may be among the earliest perceptible pointer to impending poststroke suicide. It is easy to assess and may be less costly to obtain an adequate sample size in studies aiming to understand the phenomenon of suicide in the stroke population.
PMID: 30890043 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 18, 2019 Category: Neurology Authors: Ojagbemi A, Bello T Tags: Top Stroke Rehabil Source Type: research
The use of carer perspectives and expert consensus to define key components of a biopsychosocial support intervention for stroke carers.
Conclusions: Themes from the informal carer focus groups, and ranked priority areas will inform the development of a biopsychosocial support intervention for stroke carers to be tested in a feasibility randomized controlled trial.
PMID: 31170035 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - June 5, 2019 Category: Neurology Authors: Condon L, Benford P, Kontou E, Thomas S, Walker M Tags: Top Stroke Rehabil Source Type: research
Association of renal function with ambulation in mild acute stroke patients.
Conclusion: The eGFR based on creatinine levels of acute stroke patients may be important factor to predict the walking endurance in mild acute stroke patients.
PMID: 31246156 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - June 26, 2019 Category: Neurology Authors: Kubo H, Nozoe M, Kanai M, Yamamoto M, Kamo A, Noguchi M, Mase K, Shimada S Tags: Top Stroke Rehabil Source Type: research
Associations between characteristics of stroke survivors and caregiver depressive symptoms: a critical review.
Conclusions: Health-care providers should be aware that depressive symptoms in one member of a stroke survivor-caregiver dyad may indicate risk for depressive symptoms in the other. Screening both individuals may lead to earlier detection and provide information to guide interventions. Knowing risk factors for stroke caregiver depression may improve prevention/management, but further investigation is needed.
PMID: 31303131 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 13, 2019 Category: Neurology Authors: Hultman MT, Everson-Rose SA, Tracy MF, Lindquist R, Hadidi NN Tags: Top Stroke Rehabil Source Type: research
Impact of transitional care for discharged elderly stroke patients in China: an application of the Integrated Behavioral Model.
Conclusions: This study provided evidence of concurrent self-reported and objective clinical indicators in discharged elderly stroke patients for the impact of the IBM-based 3-month TC intervention, which can be recommended for clinical practice.
PMID: 31369355 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 31, 2019 Category: Neurology Authors: Geng G, He W, Ding L, Klug D, Xiao Y Tags: Top Stroke Rehabil Source Type: research
Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study.
Conclusions: Higher rates of healthcare utilization by SSs with engaged CGs may be driven by greater stroke severity and greater need for services. Interestingly, the presence of an engaged CG did not facilitate more care for the SS after adjusting for stroke severity.
PMID: 31483738 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 3, 2019 Category: Neurology Authors: Liu C, Marino V, Sheehan OC, Huang J, Roth DL, Haley WE Tags: Top Stroke Rehabil Source Type: research
How to identify fatigue in stroke patients: an investigation of the post-stroke fatigue case definition validity.
Conclusions: The case definition was valid and had a substantial inter-rater agreement. A score ≥ 5 using the Fatigue Severity Scale-7 or a score ≥ 12 using the Multidimensional Fatigue Inventory-20 (General Fatigue subscale) may be used to detect potentially debilitating post-stroke fatigue in stroke survivors.
PMID: 31865869 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 20, 2019 Category: Neurology Authors: Poulsen MB, Skovbølling SL, Kruuse C, Overgaard K, Rasmussen RS Tags: Top Stroke Rehabil Source Type: research
