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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

Stroke-Specific Quality of Life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study.
Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATIONThe stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clin...
Source: Disability and Rehabilitation - April 30, 2020 Category: Rehabilitation Authors: Pedersen SG, Friborg O, Heiberg GA, Arntzen C, Stabel HH, Thrane G, Nielsen JF, Anke A Tags: Disabil Rehabil Source Type: research

The Nottingham Fatigue after Stroke (NotFAST) study: factors associated with severity of fatigue in stroke patients without depression.
CONCLUSIONS: Pre-stroke fatigue, lower mood, and poorer mobility were associated with post-stroke fatigue. PMID: 28933604 [PubMed - in process]
Source: Clinical Rehabilitation - September 22, 2017 Category: Rehabilitation Authors: Drummond A, Hawkins L, Sprigg N, Ward NS, Mistri A, Tyrrell P, Mead GE, Worthington E, Lincoln NB Tags: Clin Rehabil Source Type: research

Relationship between pre-stroke physical activity and symptoms of post-stroke anxiety and depression: An observational study.
CONCLUSION: In this group of patients with mild symptoms of emotional distress, it seems that pre-stroke physical activity might be protective against post-stroke depression, but not anxiety. Many patients with mild-to-moderate stroke report being equally active before and after the stroke. PMID: 31565752 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - October 1, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

The course of depressive symptoms in the first 12 months post-stroke and its association with unmet needs
CONCLUSIONS: Depressive symptoms three months post-stroke were likely to persist or recur during the first 12 months post-stroke. Depressive symptoms are associated with unmet needs. These results suggest that routine monitoring of depressive symptoms and unmet needs should be considered post-stroke.Implications for rehabilitationPatients with depressive symptoms three months post-stroke have a high risk of developing persistent or recurrent depressive symptoms during the first 12 months post-stroke.Unmet needs are associated with both non-consistent and persistent depressive symptoms post-stroke.These results suggest that...
Source: Disability and Rehabilitation - February 7, 2022 Category: Rehabilitation Authors: Desi C M Stokman-Meiland Iris F Groeneveld Henk J Arwert St éphanie L van der Pas Jorit J L Meesters Radha D Rambaran Mishre Thea P M Vliet Vlieland Paulien H Goossens Source Type: research

A qualitative study exploring how stroke survivors' expectations and understanding of stroke Early Supported Discharge shaped their experience and engagement with the service
CONCLUSIONS: Ensuring stroke survivors are fully informed about ESD and what to expect, optimises engagement with the services, improves experience and could enhance outcomes.IMPLICATIONS FOR REHABILITATIONInforming stroke survivors about what to expect from ESD services could optimise engagement and improve their experience.The provision of personalised and target focussed therapy at home improves stroke survivors' experience and could potentially accelerate recovery.Preparing stroke survivors early for discharge from ESD can reduce anxiety and enhance engagement with the service.PMID:35895746 | DOI:10.1080/09638288.2022.2102251
Source: Disability and Rehabilitation - July 27, 2022 Category: Rehabilitation Authors: Trudi M Cameron Kristina Koller Adrian Byrne Niki Chouliara Thompson Robinson Peter Langhorne Marion Walker Rebecca J Fisher Source Type: research

Factors associated with community ambulation in chronic stroke.
CONCLUSION: Balance self-efficacy may be a significant determinant in the attainment of independent community ambulation post-stroke. This suggests that physical aspects such as gait speed and walking balance should not be considered in isolation when addressing community ambulation post-stroke. Implications for Rehabilitation Balance self-efficacy may play a significant role in the attainment of independent community ambulation in a chronic stroke population. Physiotherapy interventions addressing community ambulation post-stroke should consider methods for improving balance self-efficacy in chronic stroke, such as self m...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Durcan S, Flavin E, Horgan F Tags: Disabil Rehabil Source Type: research

The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onwards....
Source: Disability and Rehabilitation - August 30, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA Tags: Disabil Rehabil Source Type: research

Comparing the Course of Mental Health over the First Year after Stroke with Healthy Controls in Colombia, South America
Conclusions This is the first study to examine the course of mental health over the first year post-stroke in Latin America, specifically in Ibague, Colombia. Despite the improvements in anxiety and depression over the first year post-stroke, patient anxiety and depression were still worse in comparison to healthy controls. The current findings indicate a need for rehabilitation services in Colombia, especially targeting mental health issues.
Source: PMandR - July 10, 2016 Category: Rehabilitation Source Type: research

Training in positivity for stroke? A qualitative study of acceptability of use of Positive Mental Training (PosMT) as a tool to assist stroke survivors with post-stroke psychological problems and in coping with rehabilitation.
CONCLUSIONS: The PosMT shows potential as a tool for coping with rehabilitation and overcoming post-stroke psychological problems including anxiety and depression. PMID: 28106572 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - January 22, 2017 Category: Rehabilitation Tags: NeuroRehabilitation 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

Temporal evolution and predictors of subjective cognitive complaints up to 4 years after stroke
CONCLUSION: Post-stroke subjective cognitive complaints increase over time and can be predicted by the extent of subjective cognitive complaints and the presence of adaptive and maladaptive psychological factors in the early phases after stroke.PMID:33948672 | DOI:10.2340/16501977-2840
Source: Journal of Rehabilitation Medicine - May 5, 2021 Category: Rehabilitation Authors: Britta Nijsse Daan P J Verberne Johanna M A Visser-Meily Marcel W M Post Paul L M de Kort Caroline M van Heugten Source Type: research

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