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Total 6683 results found since Jan 2013.
Understanding nursing practice in stroke units: a Q-methodological study.
Conclusions: The contribution that nurses with stroke rehabilitation skills can make to effective stroke care was understood. However, realising the potential of nurses as full partners in stroke rehabilitation is unlikely to occur without introduction of structured competency-based multidisciplinary training in rehabilitation skills. Implications for Rehabilitation Multidisciplinary rehabilitation in stroke units is a cornerstone of effective stroke care. Views of stroke unit team members on nurses' involvement in rehabilitation have not been reported previously. Nurses can routinely incorporate rehabilitation principles ...
Source: Disability and Rehabilitation - November 21, 2014 Category: Rehabilitation Authors: Clarke DJ, Holt J Tags: Disabil Rehabil Source Type: research
Negotiating role management through everyday activities: narratives in action of two stroke survivors and their spouses.
Conclusion The findings add to the current understanding of self-management and role management with regard to how these are situated in everyday activities. Daily activities can help both spouses to reflect and understand about self-management, role management and comanagement in daily life. Moreover, observing stroke survivors in everyday situations provides professionals with concrete pictures of stroke survivors' performance and self-management in interaction with their spouses. Implications for Rehabilitation Self-management is a dynamic process in which individuals actively manage a chronic condition and finally live...
Source: Disability and Rehabilitation - February 8, 2016 Category: Rehabilitation Authors: Satink T, Josephsson S, Zajec J, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research
Developing a falls prevention program for community-dwelling stroke survivors in Singapore: client and caregiver perspectives.
CONCLUSIONS: Reducing the risk of falls in community-dwelling stroke survivors seems to be more important than promoting community participation among caregivers. The study findings highlight that a structured and client-centered fall prevention program targeting stroke survivors and caregivers is needed in Singapore. Implications for rehabilitation Falls after stroke can lead to functional decline in gait and mobility and restricted self-care activities. Community-dwelling stroke survivors develop adaptive safety strategies after a fall and want to be socially connected. However, caregivers see the safety of the stroke su...
Source: Disability and Rehabilitation - December 25, 2017 Category: Rehabilitation Authors: Xu T, O'Loughlin K, Clemson L, Lannin NA, Dean C, Koh G Tags: Disabil Rehabil Source Type: research
How is sexuality after stroke experienced by stroke survivors and partners of stroke survivors? A systematic review of qualitative studies.
CONCLUSION: Stroke has a profound impact on how sexuality is experienced by both stroke survivors and partners of stroke survivors. Despite this, post-stroke sexuality is rarely discussed openly. Stroke survivors and partners value sexuality and may benefit from strategies to support adjustment to post-stroke sexuality.
PMID: 30180769 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 5, 2018 Category: Rehabilitation Authors: McGrath M, Lever S, McCluskey A, Power E Tags: Clin Rehabil Source Type: research
How can stroke care be improved for younger service users? A qualitative study on the unmet needs of younger adults in inpatient and outpatient stroke care in Australia.
CONCLUSIONS: This study provides new insights into the experience of inpatient and outpatient stroke care by younger stroke survivors and outlines possible improvements for clinical practice. Future research should evaluate the effect of targeted strategies to support younger adults after stroke. Implications for rehabilitation Post-stroke rehabilitation might be improved by providing more support for the non-physical effects of stroke (e.g., psycho-emotional support, cognitive rehabilitation). Younger stroke survivors may also benefit from a long-term community care plan and longer-term rehabilitation. Patient-centered re...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Shipley J, Luker J, Thijs V, Bernhardt J Tags: Disabil Rehabil Source Type: research
Stroke Survivor and Family Caregiver Reports of Caregiver Engagement in Stroke Care.
CONCLUSIONS: Stroke survivors and caregivers report significant and impactful caregiver engagement throughout the course of stroke.
CLINICAL RELEVANCE: Clinicians may enhance stroke care by recognizing and facilitating caregiver efforts across all phases of stroke care.
PMID: 31689247 [PubMed - in process]
Source: Rehabilitation Nursing - October 31, 2019 Category: Rehabilitation Authors: Haley WE, Marino VR, Sheehan OC, Rhodes JD, Kissela B, Roth DL Tags: Rehabil Nurs 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
Developing a stroke-vision care pathway: a consensus study.
Conclusions: This new stroke-vision care pathway is a process pathway describing potential options for stroke survivors with visual impairment to access health care and obtain appropriate referral(s) to vision services relevant to their specific vision problem(s).IMPLICATIONS FOR REHABILITATIONVisual impairment is a common consequence of stroke.It is imperative that those who care for stroke survivors are aware of the visual consequences of stroke and make the appropriate referrals for vision and support services.The stroke-vision care pathway is a process pathway that describes the potential options for stroke survivors w...
Source: Disability and Rehabilitation - May 28, 2020 Category: Rehabilitation Authors: Rowe FJ, Hepworth LR, Howard C, Hanna KL, Helliwell B Tags: Disabil Rehabil Source Type: research
Impact of visual impairment following stroke (IVIS study): a prospective clinical profile of central and peripheral visual deficits, eye movement abnormalities and visual perceptual deficits.
CONCLUSIONS: Incidence of impaired central vision, visual field loss, ocular motility disorders and visual inattention was 29.4%, 24.8%, 39.3% and 26.2% respectively. Visual impairment was more likely to occur in more severe stroke and older stroke survivors. Asymptomatic cases raise concerns for acute stroke units where robust specialist vision screening is not routine. Those with partial/no recovery require specialist follow-up and management whilst the wide range of abnormalities highlight the need for specialist visual assessment acutely. Implications for rehabilitation Visual impairment is a common consequence of stro...
Source: Disability and Rehabilitation - December 21, 2020 Category: Rehabilitation Authors: Rowe FJ, Hepworth LR, Howard C, Hanna KL, Currie J Tags: Disabil Rehabil Source Type: research
Comparison between EQ-5D-5L and PROMIS-10 to evaluate health-related quality of life 3 months after stroke: a cross-sectional multicenter study.
CONCLUSIONS: Both EQ-5D-5L and PROMIS-10 prove to be useful instruments to evaluate HRQoL in patients who are living at home 3 months after stroke.
CLINICAL REHABILITATION IMPACT: It depends on the setting and underlying goal which patient-reported outcome measure is preferred to evaluate HRQoL 3 months after stroke. The PROMIS-10 should be preferred to detect differences in less affected stroke patients, whereas the EQ-5D-5L provides slightly more information in more affected stroke patients.
PMID: 33448750 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 15, 2021 Category: Rehabilitation Authors: de Graaf JA, Visser-Meily JM, Schepers VP, Baars A, Kappelle LJ, Passier PE, Wermer MJ, de Wit DC, Post MW Tags: Eur J Phys Rehabil Med Source Type: research
Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research
Early brain imaging predictors of post-stroke spasticity
CONCLUSION: Lesions involving motor network areas are considered to be a precondition of post-stroke spasticity. There is, however, a low risk of developing post-stroke spasticity with < 0.5 cm3 volumes of supratentorial brain lesions involving motor network areas. Larger volume brain lesions involving motor network areas, e.g. > 3 cm3, were significantly more common in patients with post-stroke spasticity. Pure cortical lesions has no risk of post-stroke spasticity in stroke survivors.PMID:33616193 | DOI:10.2340/16501977-2803
Source: Journal of Rehabilitation Medicine - February 22, 2021 Category: Rehabilitation Authors: Songjin Ri Stefanie Glaess-Leistner Kerstin Villringer J örg Wissel Source Type: research
A qualitative study of sedentary behaviours in stroke survivors: non-participant observations and interviews with stroke service staff in stroke units and community services
CONCLUSIONS: Staff are aware of the consequences of prolonged sitting but did not relate to SB. Explicit knowledge of SB was limited. Staff need training to support stroke survivors to reduce SB. Sedentary behaviour in the community was not reported to change markedly, highlighting the need to engage stroke survivors in movement from when capable in hospital, following through to home.Implications for rehabilitationStroke survivor sedentary behaviour is influenced, directly and indirectly, by the actions and instructions of stroke service staff in the inpatient and community setting.The built and social environment, both i...
Source: Disability and Rehabilitation - July 26, 2021 Category: Rehabilitation Authors: Sarah Morton Jennifer Hall Claire Fitzsimons Jessica Hall Coralie English Anne Forster Rebecca Lawton Anita Patel Gillian Mead None David J None Clarke Source Type: research
