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Total 6683 results found since Jan 2013.

From dictatorship to a reluctant democracy: stroke therapists talking about self-management.
Conclusions: This study illustrates that stroke therapists desire a more participatory approach to rehabilitation. However, obstacles challenged the successful delivery of this goal. If self-management is an appropriate model to develop in post stroke pathways, then serious consideration must be given to how and if these obstacles can be overcome. Implications for Rehabilitation Stroke therapists perceive that self-management is appropriate for encouraging ownership of rehabilitation post stroke. Numerous obstacles were identified as challenging the implementation of self-management post stroke. These included: professiona...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Norris M, Kilbride C Tags: Disabil Rehabil Source Type: research

Content validation of the International Classification of Functioning, Disability and Health Core Set for stroke from gender perspective using a qualitative approach.
Conclusion: This study confirms that the experience of functioning and disability after stroke shows communalities and differences for women and men. The validity of the extended ICF Core Set for stroke could be mostly confirmed, since it does not only include those areas of functioning and disability relevant to both genders but also those exclusively relevant to either women or men. Clinical Rehabilitation Impact. Further research is needed on ICF categories not yet included in the extended ICF Core Set for stroke. PMID: 23867898 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - July 18, 2013 Category: Rehabilitation Authors: Glässel A, Coenen M, Kollerits B, Cieza A Tags: Eur J Phys Rehabil Med Source Type: research

Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology.
Conclusion: The methodological approach has ensured that the interactive technology has been driven by the needs of the stroke survivors and their carers in the context of their journey to both recovery and adaptation. Underpinned by theories of motor relearning, neuroplasticity, self-management and behaviour change, the PSMrS developed in this study has resulted in a personalised system for self-managed rehabilitation, which has the potential to change motor behaviour and promote the achievement of life goals for stroke survivors. Implications for Rehabilitation Radical innovation and the adoption of a self-management par...
Source: Disability and Rehabilitation. Assistive Technology. - October 16, 2013 Category: Rehabilitation Authors: Mawson S, Nasr N, Parker J, Zheng H, Davies R, Mountain G Tags: Disabil Rehabil Assist Technol Source Type: research

Post-stroke rehabilitation in Italy: inconsistencies across regional strategies.
Conclusion: The study highlights the issue that, in Italy, delivery of post-stroke rehabilitation services is not uniform nation-wide and varies substantially across regions. The lack of a comprehensive postacute stroke strategy is a major obstacle to service availability. Clinical Rehabilitation Impact: The study results advocate the need for a consistent and comprehensive strategic planning of post-stroke rehabilitation in Italy. PMID: 24525622 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - February 13, 2014 Category: Rehabilitation Authors: Guidetti D, Spallazzi M, Baldereschi M, Di Carlo A, Ferro S, Rota E, Morelli N, Immovilli P, Toni D, Polizzi BM, Inzitari D Tags: Eur J Phys Rehabil Med Source Type: research

Exploring the experience of facilitating self-management with minority ethnic stroke survivors: a qualitative study of therapists' perceptions.
Conclusions: This study indicates that ethnicity should not be considered a limitation to the use of an individualized stroke specific self-management programme. However, it highlights potential facilitators and barriers, many of which relate to the capacity of the professional to effectively navigate cultural and ethnic differences. Implications for Rehabilitation Stroke therapists suggest that ethnicity should not be considered a barrier to successful engagement with a stroke specific self-management programme. Health, illness and recovery beliefs along with religion and the specific role of the family do however need to...
Source: Disability and Rehabilitation - March 27, 2014 Category: Rehabilitation Authors: Norris M, Jones F, Kilbride C, Victor C Tags: Disabil Rehabil Source Type: research

Timed Up & Go as a measure for longitudinal change in mobility after stroke ¿ Postural Stroke Study in Gothenburg (POSTGOT)
The objectives were to investigate the distribution-based responsiveness of the Timed Up & Go (TUG) during the first three months after a first event of stroke, to measure the longitudinal change in TUG time during the first year after stroke and to establish whether recovery in TUG time differs between different age groups. Methods: Ninety-one patients with first-ever stroke were assessed using the Timed Up & Go at the 1st week and at 3, 6 and 12 months after stroke. The non-parametric sign-test, the parametric t-test and a mixed model approach to linear regression for repeated measurements (Proc mixed) were used for the ...
Source: Journal of NeuroEngineering and Rehabilitation - May 9, 2014 Category: Rehabilitation Authors: Carina PerssonAnna DanielssonKatharina SunnerhagenAnna Grimby-EkmanPer-Olof Hansson Source Type: research

Impact of first-ever mild stroke on participation at 3 and 6 month post-event: the TABASCO study.
Conclusions: Participants after mild ischemic stroke experienced cognitive and EF difficulties that affect their participation and QoL. Further studies are needed of mild stroke survivors to enhance our understanding of the variables that affect participation. Implications for Rehabilitation The findings of the current study have significant implications for the participation of people after mild stroke in the community. Health care systems in general and rehabilitation programs, in particular, do not consider that these clients need rehabilitation as most of them perform basic daily functions independently. Thus, although...
Source: Disability and Rehabilitation - June 3, 2014 Category: Rehabilitation Authors: Adamit T, Maeir A, Ben Assayag E, Bornstein NM, Korczyn AD, Katz N Tags: Disabil Rehabil Source Type: research

Perceived confidence relates to driving habits post-stroke.
Conclusion: Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life. Implications for Rehabilitation Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively i...
Source: Disability and Rehabilitation - September 9, 2014 Category: Rehabilitation Authors: McNamara A, Walker R, Ratcliffe J, George S Tags: Disabil Rehabil Source Type: research

Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil Source Type: research

Stroke management: Informal caregivers’ burdens and strians of caring for stroke survivors
Conclusion and recommendation Caring for stroke survivors put social, emotional, health and financial burdens and strains on the informal caregivers. These burdens and strains increase with duration of stroke, intimacy, smaller number of caregivers and length of daily caregiving. Therefore, informal caregivers should be involved in the rehabilitation plan for stroke patients and their well-being should also be given adequate attention.
Source: Annals of Physical and Rehabilitation Medicine - January 8, 2015 Category: Rehabilitation Source Type: research

Exploring patient and public involvement in stroke research: a qualitative study.
Conclusions: PPI in stroke research benefits stroke survivors and carers and is perceived to benefit the research process. The barriers and facilitators should be considered by professionals intending to engage stroke survivors and carers collaboratively in research. Implications for Rehabilitation This study has implications for PPI in stroke rehabilitation research, which could also be extrapolated to stroke rehabilitation service development and evaluation. Professionals facilitating PPI need to invest in developing supportive relationships in order to maintain ongoing involvement. Professionals need to be aware of how ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Harrison M, Palmer R Tags: Disabil Rehabil 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

Postural Assessment Scale for Stroke Patients Scores as a predictor of stroke patient ambulation at discharge from the rehabilitation ward.
CONCLUSION: Initial static PASS score, dynamic PASS score and rolling can be predictors for independent ambulation of stroke patients after a course of inpatient rehabilitation. PMID: 26667386 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - December 20, 2015 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

The inclination for conscious motor control after stroke: validating the Movement-Specific Reinvestment Scale for use in inpatient stroke patients.
CONCLUSIONS: The MSRS is a valid and reliable tool and suitable to assess the relationship between reinvestment and motor recovery in the first months post-stroke. Eventually, this may help therapists to individualize motor learning interventions based on patients' reinvestment preferences. Implications for rehabilitation This study showed that the Movement-Specific Reinvestment Scale (MSRS) is a valid and reliable tool to objectify stroke patients' inclination for conscious motor control. The MSRS may be used to identify stroke patients who are strongly inclined to consciously control their movements, as this disposition ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Kal E, Houdijk H, Van Der Wurff P, Groet E, Van Bennekom C, Scherder E, Van der Kamp J Tags: Disabil Rehabil Source Type: research

Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments.
CONCLUSIONS: Long-term stroke survivors have a high activity level in daily life, though individual variation is considerable. The structure provided by linking instruments to the ICF core set for stroke can be used for more fine-tuned descriptions of activity. Implications for Rehabilitation Since most long-term stroke survivors are independent in ADL but may have limitations in other activity domains such as social and leisure activities, these aspects should be considered in the rehabilitation process. Older stroke survivors deserve special attention due to their higher risk of long-term inactivity. The Barthel Index an...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Norlander A, Jönsson AC, Ståhl A, Lindgren A, Iwarsson S Tags: Disabil Rehabil Source Type: research