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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

Therapists' perspectives on adapting the Stepping On falls prevention programme for community-dwelling stroke survivors in Singapore.
CONCLUSIONS: Rehabilitation therapists describe challenges in addressing fall prevention within a stroke context, and findings highlight the need for a structured, stroke-specific fall prevention programme rather than a more general approach to education and training. Contextual components identified provide valuable inputs towards the development of a culturally relevant fall prevention programme for stroke survivors in Singapore. Implications for Rehabilitation Stroke survivors living in the community are at a high risk of falls. A structured and culturally relevant fall prevention programme for community-living stroke s...
Source: Disability and Rehabilitation - May 18, 2018 Category: Rehabilitation Authors: Xu T, O'loughlin K, Clemson L, Lannin NA, Koh G, Dean C Tags: Disabil Rehabil Source Type: research

Factors guiding therapist decision making in the rehabilitation of physical function after severely disabling stroke - an ethnographic study
CONCLUSIONS: Multiple factors guided therapist decision making after severely disabling stroke. Alternative ways of therapist working should be considered to address the physical needs of severely disabled stroke survivors more fully.Implications for rehabilitationMultiple factors guide therapist decision making after severely disabling stroke, some of which result in the use of interventions that do not fully address stroke survivors' clinical needs.Therapists should critically reflect upon their personal beliefs and attitudes about severely disabling stroke to reduce potential sources of bias on decision making.Therapist...
Source: Disability and Rehabilitation - February 3, 2023 Category: Rehabilitation Authors: Mark P McGlinchey Rachel Faulkner-Gurstein Catherine M Sackley Christopher McKevitt 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

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 and gait disorders in subacute stroke patients: Lateropulsion is the key
Discussion – conclusion Lateropulsion, which is a sign of biased representation of the vertical, is a primary cause of postural and gait disorders at the subacute phase after right hemisphere stroke, explaining almost 80% of balance and gait disabilities. A greater attention should be focused on the assessment and the rehabilitation of the post-stroke lateropulsion.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research

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

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
CONCLUSIONS: Patients with greater stroke severity participate in less active exercise in physiotherapy sessions than those with lesser stroke severity. Reasons for this disparity warrant further investigation.Implications for rehabilitationStroke patients with higher levels of severity engage in less active exercise during rehabilitation.A discrepancy exists between patients' planned physiotherapy session lengths and actual session lengths during stroke rehabilitation.Physiotherapists should be mindful in how to adapt their sessions (particularly with severe stroke patients) to maximise the amount of activity they underta...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

Functional Principal Component Analysis as a new methodology for the analysis of the impact of two rehabilitation protocols in functional recovery after stroke
Conclusions: FPCA is a method which may be used to provide greater insight into the analysis of the rehabilitation process than that provided by conventional parametric methods. So, by using the whole curves as basic data parameters, subtle differences in the rehabilitation process can be found.FPCA represents a future aid for the fine analysis of similar physiotherapy techniques, when applied in subjects with a huge variability of functional recovery, as in the case of post-stroke patients.
Source: Journal of NeuroEngineering and Rehabilitation - September 10, 2014 Category: Rehabilitation Authors: M Sánchez-SánchezJuan-Manuel Belda-LoisSilvia Mena-del HornoEnrique Viosca-HerreroBeatriz Gisbert-MorantCeledonia Igual-CamachoIgnacio Bermejo-Bosch Source Type: research

Developing and implementing an exercise-based group for stroke survivors and their carers: < em > the Carers Count group < /em >
CONCLUSION: Using multifaceted strategies, a group designed to include carers was implemented on a stroke rehabilitation ward. The intervention provided positive outcomes in terms of increased therapy dose and satisfaction according to participant feedback.CLINICAL TRIALS REGISTRATION NUMBER: ANZCTR12620000708954Implications for rehabilitationIt is possible to develop modes of delivery in rehabilitation that include the carers of stroke survivors and these interventions are considered enjoyable and beneficial.Health professionals should consider interventions that are engaging and fun for stroke survivors and their carers....
Source: Disability and Rehabilitation - March 18, 2021 Category: Rehabilitation Authors: Tamina Levy Maggie Killington Kate Laver Natasha A Lannin Maria Crotty Source Type: research

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