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Factors influencing the amount of therapy received during inpatient stroke care: an analysis of data from the UK Sentinel Stroke National Audit Programme.
CONCLUSION: The amount of stroke therapy is associated with unmodifiable patient-related characteristics and modifiable organizational factors in that more therapy was associated with higher therapy and nurse staffing levels, specialist stroke rehabilitation services, timely therapy assessments, and the presence of weekend and early discharge services. PMID: 32508132 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 6, 2020 Category: Rehabilitation Authors: Gittins M, Vail A, Bowen A, Lugo-Palacios D, Paley L, Bray B, Gannon B, Tyson S Tags: Clin Rehabil Source Type: research

Benefits of an interdisciplinary stroke clinic: addressing a gap in physical therapy at post-stroke neurology follow-up
CONCLUSION: A significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by a neurologic physical therapist in an ISC. The measures that most closely correlated with this in-person clinical evaluation were 10MWT and SF-SIS.IMPLICATIONS FOR REHABILITATIONAn interdisciplinary stroke clinic can improve communication and identify people post-stroke who have not reached their full recovery potential.In a pilot study, a significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by ...
Source: Disability and Rehabilitation - December 6, 2021 Category: Rehabilitation Authors: Nandakumar Nagaraja Alison R Kraus Dorian K Rose Esther B Olasoji Anna Y Khanna Alexis N Simpkins Christina A Wilson Rondalyn R Dickens Vishnumurthy Shushrutha Hedna Carolyn Geis Teddy Youn Michelle M Musalo Source Type: research

Is early rehabilitation a myth? Physical inactivity in the first week after myocardial infarction and stroke.
CONCLUSIONS: This study provides the first objective data on physical activity levels of acute MI patients. While they were more active than acute stroke patients, the difference was largely attributable to walking ability. Implications for rehabilitation In the first week after myocardial infarction, patients spent about half the day physically inactive (even though 81% were able to walk independently). Similar levels of inactivity were seen in a comparable cohort of acute stroke patients, suggesting that environmental factors play an important role. There appears to be wide scope for increasing levels of physical rehabil...
Source: Disability and Rehabilitation - December 18, 2015 Category: Rehabilitation Authors: Lay S, Bernhardt J, West T, Churilov L, Dart A, Hayes K, Cumming TB Tags: Disabil Rehabil Source Type: research

Pediatric stroke rehabilitation: A review of techniques facilitating motor recovery
Conclusion Rehabilitation of motor deficits following paediatric stroke remains understudied, but a number of promising therapies are emerging.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

Stroke self-management and the role of self-efficacy.
Conclusions: Engagement in a stroke-specific self-management program can improve client-perceived occupational performance and satisfaction. Self-efficacy was shown to be a mediating variable to occupational performance improvements. Future research should explore further the facilitatory strategies of self-efficacy during stroke self-management programs to maximize rehabilitation outcomes. Implications for rehabilitation Multi-modal self-management programs are recommended as effective for improving client-perceived occupational performance of people who have experienced stroke. Returning to valued occupations, goal setti...
Source: Disability and Rehabilitation - September 26, 2019 Category: Rehabilitation Authors: Nott M, Wiseman L, Seymour T, Pike S, Cuming T, Wall G Tags: Disabil Rehabil Source Type: research

Experiences of participating in a client-centred ADL intervention after stroke.
CONCLUSION: The intervention contributed to transparency, which appeared to enable and support the client's sense of ownership of daily activities and rehabilitation after stroke. Implications for rehabiliation A client-centred activities of daily living intervention seems to contribute to transparency, where persons with stroke can discover and understand their new ability and situation after stroke. A client-centred rehabilitation situation seems to enable clients to actively engage in their own rehabilitation process. Inviting clients to participate in goal-setting seems to be important in order to create the experience...
Source: Disability and Rehabilitation - July 1, 2018 Category: Rehabilitation Authors: Ranner M, Guidetti S, von Koch L, Tham K Tags: Disabil Rehabil Source Type: research

Task-based mirror therapy enhances the upper limb motor function in subacute stroke patients: a randomized control trial.
CONCLUSIONS: This study shows that the combination of conventional rehabilitation treatment and TBMT is an effective way to improve the functional recovery in the upper limb stroke patients. CLINICAL REHABILITATION IMPACT: TBMT is a therapeutic technique that can be used in subacute stroke patients with moderate and severe upper limb impairment. PMID: 32214062 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - March 24, 2020 Category: Rehabilitation Authors: Madhoun HY, Tan B, Feng Y, Zhou Y, Zhou C, Yu L Tags: Eur J Phys Rehabil Med Source Type: research

Repetitions, duration and intensity of upper limb practice following the implementation of robot assisted therapy with sub-acute stroke survivors: an observational study.
CONCLUSIONS: This is the first study to have observed an increase in UL practice with the inclusion of RT-UL as part of routine clinical practice. This increase in practice is considered to be due to RT-UL providing highly supportive and expeditious semi-supervised practice. Notably, RT-UL was able to be implemented within the existing organisational structures with only basic training of therapy staff. IMPLICATIONS FOR REHABILITATION Robotics presents as a viable intervention to increase the amount and intensity of upper limb practice performed by stroke survivors in routine clinical practice Robotics were able to be impl...
Source: Disability and Rehabilitation. Assistive Technology. - August 17, 2020 Category: Rehabilitation Authors: Flynn N, Froude E, Cooke D, Kuys S Tags: Disabil Rehabil Assist Technol Source Type: research

Long-Term Rehabilitation Utilization Pattern Among Stroke Patients Under the National Health Insurance Program
Conclusions Besides personal factors, geographic factors such as urban-rural gaps and number of therapists were significantly associated with the utilization of post-stroke rehabilitation care. Furthermore, the influence of certain factors, such as sex, stroke type, and copayment exemption type, changed over time.
Source: American Journal of Physical Medicine and Rehabilitation - January 21, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

To what extent does therapy of chronic stroke patients address participation? A content analysis of ambulatory physical and occupational therapy based on the International Classification of Functioning, Disability, and Health framework.
CONCLUSIONS: Ambulatory therapy of chronic stroke patients is related, in part, to participation. There is potential for an increase in participation by applying therapeutic approaches, which actively involve the patients in goal-setting and therapeutic exercises to specifically address activities and participation. Implications for rehabilitation To realize participation as a major goal in the rehabilitation process ambulatory therapy of chronic stroke patients, one should focus on therapeutic approaches and exercises that specifically address activities and participation. Structured goal-setting, which actively involve p...
Source: Disability and Rehabilitation - November 18, 2018 Category: Rehabilitation Authors: Tetzlaff B, Barzel A, Stark A, Ketels G, Scherer M Tags: Disabil Rehabil Source Type: research

Rehabilitation of the upper arm early after stroke: video games versus conventional rehabilitation. A randomized controlled trial
Conclusion. In general, we cannot conclude that video gaming and conventional OT led to different long-term sensorimotor recovery of the UL after sub-acute stroke. However, when applied within the first month after stroke, video gaming was more efficient than conventional rehabilitation on both sensorimotor recovery and gross grasping function.Trial registration. ClinicalTrials.gov (NCT01554449)
Source: Annals of Physical and Rehabilitation Medicine - December 9, 2019 Category: Rehabilitation Source Type: research

Dose and setting of rehabilitation received after stroke in Queensland, Australia: a prospective cohort study.
CONCLUSION: Amount of therapy varied widely between rehabilitation pathways. Amount of therapy and chance of improvement in function were highest with inpatient rehabilitation. PMID: 32389061 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 10, 2020 Category: Rehabilitation Authors: Grimley RS, Rosbergen IC, Gustafsson L, Horton E, Green T, Cadigan G, Kuys S, Andrew NE, Cadilhac DA Tags: Clin Rehabil Source Type: research

A process evaluation of patient care needs using the Post- Stroke Checklist: a prospective study
CONCLUSION: The mPSC is feasible to implement in an inpatient rehabilitation setting and community. It can identify relevant stroke-related problems, and hence facilitate targeted intervention.PMID:35001136 | DOI:10.2340/jrm.v53.349
Source: Journal of Rehabilitation Medicine - January 10, 2022 Category: Rehabilitation Authors: Bhasker Amatya Alaeldin Elmalik Su Yi Lee Krystal Song Mary Galea Fary Khan Source Type: research

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