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Total 6683 results found since Jan 2013.

Community ambulation of stroke survivors at 6 months follow-up: an observational study on sociodemographic and sub-acute clinical indicators.
CONCLUSIONS: The presence of risk factors and clinical complications delay significantly the walking ability restoration and return to social life. Such status consistently with the patient's compliance must not postpone the rehabilitation relatively, rehabilitation must be facilitated with targeted programs taking care particularly of people with negative indicators for recovery of community ambulation 6 months post-stroke. CLINICAL REHABILITATION IMPACT: Early indicators are considerable in order to predict a targeted prognosis and better provide a tailored rehabilitation program. PMID: 30543267 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - December 13, 2018 Category: Rehabilitation Authors: Pornajaf S, Goffredo M, Agosti M, Massucci M, Ferro S, Franceschini M, Italian Study Group on Implementation of Stroke Care (ISC Study) Tags: Eur J Phys Rehabil Med Source Type: research

Cognitive-Motor Interference During Functional Mobility After Stroke: State of the Science and Implications for Future Research
Abstract: Cognitive-motor interference (CMI) is evident when simultaneous performance of a cognitive task and a motor task results in deterioration in performance in one or both of the tasks, relative to performance of each task separately. The purpose of this review is to present a framework for categorizing patterns of CMI and to examine the specific patterns of CMI evident in published studies comparing single-task and dual-task performance of cognitive and motor tasks during gait and balance activities after stroke. We also examine the literature for associations between patterns of CMI and a history of falls, as well ...
Source: Archives of Physical Medicine and Rehabilitation - August 22, 2013 Category: Rehabilitation Authors: Prudence Plummer, Gail Eskes, Sarah Wallace, Clare Giuffrida, Michael Fraas, Grace Campbell, KerryLee Clifton, Elizabeth R. Skidmore, American Congress of Rehabilitation Medicine Stroke Networking Group Cognition Task Force Tags: Special Communication Source Type: research

The trajectory of pain and pain intensity in the upper extremity after stroke over time: a prospective study in a rehabilitation population
CONCLUSIONS: The proportion of patients reporting upper extremity pain after stroke was considerable, despite a significant decrease in 2.5 years. In patients reporting persistent pain, the intensity did not change over time.PMID:36628499 | DOI:10.1080/09638288.2022.2164801
Source: Disability and Rehabilitation - January 11, 2023 Category: Rehabilitation Authors: Winke van Meijeren-Pont Henk Arwert Gerard Volker Marta Fiocco Wilco P Achterberg Thea P M Vliet Vlieland Daniella M Oosterveer Stroke Cohort Outcomes of REhabilitation (SCORE) Study Group Source Type: research

Impact on rehabilitation programs during Covid-19 containment for children with pediatric and perinatal stroke.
PMID: 32519529 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - June 8, 2020 Category: Rehabilitation Authors: Bertamino M, Cornaglia S, Zanetti A, Di Rocco A, Ronchetti A, Signa S, Severino M, Moretti P, "Gaslini Stroke Study Group" Tags: Eur J Phys Rehabil Med 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

Longitudinal changes in activity participation in the first year post-stroke and association with depressive symptoms.
CONCLUSIONS: Activity participation improves during the first year of recovery post-stroke in stroke survivors with mild neurological stroke severity and is associated with depressive symptoms over time and at 12-months post-stroke. Implications for rehabilitation Improvements in participation occur in the first 3-months post-stroke and continue to a lesser degree in the first year after stroke. Depressive symptoms are associated with lower participation at 12-months. A multidimensional approach targeting depressive symptoms and increasing participation in the early months post-stroke and throughout the first-year after st...
Source: Disability and Rehabilitation - June 11, 2018 Category: Rehabilitation Authors: Tse T, Linden T, Churilov L, Davis S, Donnan G, Carey LM Tags: Disabil Rehabil Source Type: research

Understandings stroke in rural Malaysia: ethnographic insights.
Conclusion: Lack of knowledge about stroke and its symptoms was evident in participants' account. Findings emphasize the importance of knowledge based health interventions, especially in health education strategies for stroke survivors to reduce delays to diagnosis and potentially improve health outcomes post-stroke. Implications for rehabilitation Stroke survivors often form explanatory models of stroke that draw from both biomedical and traditional explanations of stroke. Understanding how people derive lay understandings of stroke can contribute towards developing the goals and activities that facilitate recovery and re...
Source: Disability and Rehabilitation - June 5, 2019 Category: Rehabilitation Authors: Yap KH, Warren N, Allotey P, Reidpath DD Tags: Disabil Rehabil Source Type: research

A systematic review of studies investigating the care of stroke survivors in long-term care facilities.
CONCLUSIONS: The care of stroke survivors in LTC facilities is lacking in rehabilitation, stroke specific care and secondary stroke prevention. This needs to be addressed through conducting further research to build a strong body of evidence to influence change in the care of this vulnerable group of patients. Implications for Rehabilitation Care of stroke survivors in long-term care facilities Stroke survivors make up almost a quarter of residents in long-term care facilities. They suffer from functional impairments and many other disabilities as a result of more severe stroke, precluding them from living in their own hom...
Source: Disability and Rehabilitation - June 24, 2015 Category: Rehabilitation Authors: Teo K, Slark J Tags: Disabil Rehabil Source Type: research

Falls and fear of falling after stroke: a case-control study
Conclusions Compared to non-stroke individuals, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in stroke were not explained by any of the outcome measures used, while fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factor with which to devise future prevention strategies for falls in stroke patients.
Source: PMandR - June 3, 2016 Category: Rehabilitation Source Type: research

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study.
CONCLUSION: Despite experiencing some barriers, stroke survivors adopted lifestyle changes transitioning through different stages of change. Stroke prevention education and interventions from experts would be helpful later in the rehabilitation phase (once at home) and adopting a patient-family centered approach may assist stroke survivors and their caregivers in the uptake of secondary stroke prevention activities. Implications for rehabilitation Stroke is perceived as a soul searching experience by stroke survivors and their caregivers motivating them to enquire its causes and adopting lifestyle changes to prevent a futu...
Source: Disability and Rehabilitation - January 22, 2019 Category: Rehabilitation Authors: Parappilly BP, Mortenson WB, Field TS, Eng JJ Tags: Disabil Rehabil Source Type: research

Perceived challenges in delivering comprehensive care for patients following stroke: a qualitative study of stroke care providers in Guangdong Province, China.
Conclusions: While comprehensive stroke care has become a priority in China, our study highlights some important gaps in the current provision of stroke care.IMPLICATIONS FOR REHABILITATIONComprehensive integrated stroke care is essential to maximize the effectiveness of stroke services and in China it needs to be further improved.Multidisciplinary stroke care systems should strengthen collaborations across all relevant disciplines and should include a clear role for registered nurses.Follow-up care after discharge needs more engagement with family caregivers. PMID: 32343635 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - April 27, 2020 Category: Rehabilitation Authors: Wu C, Zou G, Chen M, Wan L, Kielmann K, McCormack B Tags: Disabil Rehabil Source Type: research

Sexuality after stroke: patient counseling preferences.
Conclusions: Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Preferences regarding the timing of such counseling vary, creating challenges for optimizing the delivery of this care. Implications for Stroke Rehabilitation Sexual dysfunction is common after stroke, but is frequently not addressed by healthcare providers. Many stroke survivors experience sexual dysfunction and indicate a desire for additional information and counseling from healthcare providers. Most stroke survivors identify sexuality as an important issue ...
Source: Disability and Rehabilitation - January 22, 2013 Category: Rehabilitation Authors: Stein J, Hillinger M, Clancy C, Bishop L Tags: Disabil Rehabil Source Type: research

'Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors'.
Conclusions: Participation in the Masterstroke program for community dwelling stroke survivors resulted in significant improvements in knowledge, functional balance, dietary behaviours and quality of life. Qualitative interviews support the participants' implementation of lifestyle changes essential for reducing risks of secondary stroke. Results support the utilisation of this model and warrants rigorous investigation regarding long-term impacts of an education and exercise program on community dwelling stroke survivors. [Box: see text]. PMID: 23641954 [PubMed - in process]
Source: Disability and Rehabilitation - May 26, 2013 Category: Rehabilitation Authors: White JH, Bynon BL, Marquez J, Sweetapple A, Pollack M Tags: Disabil Rehabil Source Type: research

Exploring the experience of psychological morbidity and service access in community dwelling stroke survivors: a follow-up study.
Conclusions: The experience of psychological morbidity persists beyond 12 months post-stroke, having a profound impact on community access, and social participation. Clinical implications are a need for long-term psychological monitoring post-stroke and for ongoing rehabilitation that addresses disability, community participation and social support. Implications for Rehabilitation Psychological distress post-stroke is complex and persists over time, thus requiring longer term monitoring beyond the first 12 months of stroke onset. Longer term access to allied health can play a significant role in providing interventions tha...
Source: Disability and Rehabilitation - January 31, 2014 Category: Rehabilitation Authors: White J, Dickson A, Magin P, Tapley A, Attia J, Sturm J, Carter G Tags: Disabil Rehabil Source Type: research

Changes in the impact of stroke between 3 and 12 months post-stroke, assessed with the Stroke Impact Scale.
CONCLUSION: Both positive and negative clinically meaningful changes related to impact of stroke were found between 3 and 12 months post-stroke. Therefore it is important to pay close attention to patients' perceptions of their everyday life situation during rehabilitation and at discharge. PMID: 25188837 [PubMed - in process]
Source: Journal of Rehabilitation Medicine - November 14, 2014 Category: Rehabilitation Tags: J Rehabil Med Source Type: research