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Falls and fear of falling after stroke: a case-control study
Conclusions Compared to non-stroke individuals, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in stroke were not explained by any of the outcome measures used, while fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factor with which to devise future prevention strategies for falls in stroke patients.
Source: PMandR - June 3, 2016 Category: Rehabilitation Source Type: research

Management of Fever, Hyperglycemia, and Dysphagia in an Acute Stroke Unit.
CONCLUSIONS: Current practice does not reflect best practice. Barriers to research translation are currently unclear but must be overcome to improve care quality for stroke survivors. Multifaceted interventions to ensure uptake of care protocols are required. CLINICAL RELEVANCE: Consistent provision of evidence-based practice needs to be available to ensure patients are provided with the best nursing care following stroke. PMID: 26463673 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - October 14, 2015 Category: Rehabilitation Authors: Kenny T, Barr C, Laver K Tags: Rehabil Nurs Source Type: research

The prevalence of frailty among acute stroke patients, and evaluation of method of assessment.
CONCLUSION: Frailty is present in around one in four patients with acute stroke; if pre-frailty is included, then a frailty syndrome is seen in three out of four patients. The Frailty Index is a valid measure of frailty in stroke; however, there is little agreement between this scale and other measurements of frailty. PMID: 30971115 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 9, 2019 Category: Rehabilitation Authors: Taylor-Rowan M, Cuthbertson G, Keir R, Shaw R, Drozdowska B, Elliott E, Stott D, Quinn TJ Tags: Clin Rehabil Source Type: research

Adaptation to poststroke fatigue in stroke survivors and their care partners: a scoping review
CONCLUSIONS: Stroke survivors had many types of challenges and strategies for fatigue adaptation. Survivors received family, employer, and colleague support but how care partners help survivors develop new skills is unknown. Stroke survivors expressed that healthcare professionals need to teach survivors and care partners basic knowledge of fatigue that meet their personal needs and provide adaptive interventions for survivors. Implications for rehabilitationThe challenges of poststroke fatigue are multifaceted because fatigue influences stroke survivors' physical, cognitive, mental, and social aspects of recovery.Stroke s...
Source: Disability and Rehabilitation - June 20, 2022 Category: Rehabilitation Authors: Chiao-Hsin Teng Ratchanok Phonyiam Leslie L Davis Ruth A Anderson Source Type: research

Assessing the fidelity of the independently getting up off the floor (IGO) technique as part of the ReTrain pilot feasibility randomised controlled trial for stroke survivors
CONCLUSIONS: IGO was successfully and safely practised by stroke survivors including those with hemiparesis. Trainers should be aware of comorbidities that may impede completion of IGO and modify teaching to accommodate individual need. Further research should assess if IGO can be utilised by individuals who have other disabilities with unilateral impairments and whether IGO has physical, functional and economic benefit.Implications for rehabilitationFalls are common in stroke survivors, and many are unable to get up despite being uninjured, leading to long-lie complications or ambulance call-outs but non-conveyance to hos...
Source: Disability and Rehabilitation - November 12, 2021 Category: Rehabilitation Authors: Laura Hollands Raff Calitri Krystal Warmoth Anthony Shepherd Rhoda Allison Sarah Dean ReTrain Trial team Source Type: research

Prognostic factors for discharge destination after acute stroke: a comprehensive literature review.
Conclusion: Patient initial medical care, age and sex, neurological and medical complications and environmental/socio-economic factors should be considered in the decision-making process for discharge destination. [Box: see text]. PMID: 25250810 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Van der Cruyssen K, Vereeck L, Saeys W, Remmen R Tags: Disabil Rehabil Source Type: research

Quasi-experimental evaluation of a home care model for patients with stroke in China.
Conclusions Home care may be associated with higher quality of life and reduced dependency among stroke patients in China. Implications for Rehabilitation Home care can be effective method at improving the physical and psychological well-being of stroke survivors in China. The home care model in this study can improve health outcomes as well as reduce healthcare resources utilisation. Home care models for stroke survivors should be adapted to local healthcare policies and resources. PMID: 26824752 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Chen L, Sit JW, Shen X Tags: Disabil Rehabil Source Type: research

Structuring community-based adapted dance programs for persons post-stroke: a qualitative study.
Conclusion: Recommendations generated from our study can inform the development of community-based dance programs that are practical, optimize health benefits, and meet the needs and interests of people post-stroke.IMPLICATIONS FOR REHABILITATIONDance is an effective way to improve physical, psychosocial, and cognitive function for persons post-stroke while also promoting meaningful social relationships within the community.A dance instructor who is a skilled communicator and is willing to adapt to the needs of the class, is the most important factor for a successful dance class.Creating a safe and inviting environment for...
Source: Disability and Rehabilitation - January 3, 2020 Category: Rehabilitation Authors: Gregor S, Vaughan-Graham J, Wallace A, Walsh H, Patterson KK Tags: Disabil Rehabil Source Type: research

Mental contrasting with implementation intentions (MCII) improves physical activity and weight loss among stroke survivors over one year.
Objective: Stroke is the most common cause of physical impairment, and having already had a stroke dramatically increases the risk of having another one. Although greater physical activity lowers rates of stroke recurrence, patients often fail to act in line with this recommendation. The present intervention tested whether teaching the self-regulation strategy of mental contrasting (MC) with implementation intentions (II; MCII) improves stroke patients’ physical activity and weight loss over 1 year compared with 2 information-only, control interventions. Research Method: Participants were 183 stroke survivors who were ca...
Source: Rehabilitation Psychology - December 21, 2017 Category: Rehabilitation Source Type: research

Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study.
CONCLUSION: It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods. PMID: 25952590 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 7, 2015 Category: Rehabilitation Authors: Rosewilliam S, Sintler C, Pandyan AD, Skelton J, Roskell CA Tags: Clin Rehabil Source Type: research

SAFE Medication Management for Patients with Physical Impairments of Stroke, Part Two.
CONCLUSIONS AND CLINICAL RELEVANCE: The rehabilitation nurse uses observation, skills, and experience to assess stroke patients' needs and develop strategies to assist the patient in managing their medications. Involving patient, family, and caregivers in the teaching of SAFE (Systematic, Accurate, Functional, Effective) medication management increases safety, decreases the number of adverse drug events and prevents hospitalizations. PMID: 27353573 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - June 28, 2016 Category: Rehabilitation Authors: Yetzer E, Blake K, Goetsch N, Shook M, St Paul M Tags: Rehabil Nurs Source Type: research

Effects of the introduction of objective criteria for referral and discharge in physical therapy for ischemic stroke in China: a randomized controlled trial.
CONCLUSION: Introduction of a set of rules for referral and therapy input at different stages of rehabilitation partially improved patients' ADL and quality of life, but did not improve motor function. PMID: 31875687 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 25, 2019 Category: Rehabilitation Authors: Xia N, Reinhardt JD, Liu S, Fu J, Ren C, Wang H, Li J Tags: Clin Rehabil Source Type: research

Feasibility of an iterative rehabilitation intervention for stroke delivered remotely using mobile health technology.
Conclusions: Strategy training can be adapted for delivery using mobile health technology, with careful consideration to methods for training participants on new technology and the intervention delivery. Future research should establish the efficacy and effectiveness of integrating mobile health in delivery of interventions that promote engagement in client-selected activities and community participation. Implications for rehabilitation Translating the strategy training intervention from face-to-face to remote delivery required thoughtful adaptation of the intervention protocol. Strategies for training clients to use mobil...
Source: Disability and Rehabilitation. Assistive Technology. - June 18, 2019 Category: Rehabilitation Authors: Kringle EA, Setiawan IMA, Golias K, Parmanto B, Skidmore ER Tags: Disabil Rehabil Assist Technol Source Type: research

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