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Developing stroke-specific vocational rehabilitation: a soft systems analysis of current service provision.
Conclusions: Stroke-specific VR should be delivered by an integrated, cross-sector multi-disciplinary team and integrated commissioning between health and other sectors is necessary. Although early intervention is important, support later on in the recovery process is also necessary. Service providers need adequate training to meet the needs of stroke survivors wishing to return to work and better awareness of best practice guidelines. Business cases which demonstrate the efficacy and cost-effectiveness of VR are vital. Implications for Rehabilitation The timeliness of a vocational rehabilitation (VR) intervention is compl...
Source: Disability and Rehabilitation - May 21, 2013 Category: Rehabilitation Authors: Sinclair E, Radford K, Grant M, Terry J Tags: Disabil Rehabil Source Type: research

Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke.
Conclusions: Several demographic and acute phase factors were associated with a more severe PSD course following stroke. Psychosocial support that begins in the acute phase and continues throughout the rehabilitation process may be helpful in improving both physical and psychological outcomes following stroke. Implications for Rehabilitation Depression levels are stable during the first 18 months after first-ever stroke. The course of post-stroke depression is related to the level of physical functioning in the acute phase, whether the stroke survivors live alone and their employment status at the time of stroke. Psycholog...
Source: Disability and Rehabilitation - February 6, 2015 Category: Rehabilitation Authors: Eriksen S, Gay CL, Lerdal A Tags: Disabil Rehabil Source Type: research

Participation in leisure activities after stroke: A survey of community-residing stroke survivors in Nigeria.
CONCLUSIONS: Leisure participation was high in a general sense but marginal in recreational and productive/creative activities. The observed socio-demographic and clinical associations with post-stroke leisure participation may assist in providing effective leisure rehabilitation strategies. PMID: 26889797 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 19, 2016 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Self-rated health and return to work after first-time stroke.
CONCLUSION: Self-rated health 3 months after stroke was strongly associated with return to work and work-stability after stroke. PMID: 26936419 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - March 6, 2016 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 20, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors.
CONCLUSION: Tailored rehabilitation content and a structured stepwise return-to-work process facilitated return to work. Insufficient structure within the healthcare system and lack of support in daily life were perceived barriers to return to work, and need to be improved. These aspects should be considered in the return-to-work process after stroke. PMID: 31468058 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - August 31, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Low gait speed is associated with low physical activity and high sedentary time following stroke.
Conclusions: Physical activity is low following stroke and should be a target for treatment, particularly in those with gait speeds ≤0.8 m/s.Implications for rehabilitationSeventy-three percent of stroke survivors performed ≥30 minutes of moderate to vigorous physical activity throughout the day.Twenty-seven percent of stroke survivors accumulated ≥30 minutes of moderate to vigorous physical activity in 10 minute bouts.Despite relatively good physical ability, daily step count was low in this sample.Those with gait speeds ≤0.8 m/s had lower physical activity levels and higher sedentary time. PMID: 3175...
Source: Disability and Rehabilitation - November 21, 2019 Category: Rehabilitation Authors: Fini NA, Bernhardt J, Holland AE Tags: Disabil Rehabil Source Type: research

Personalized predictions of treatment outcome in patients with post-stroke depressive symptoms.
CONCLUSION: Post-stroke depressive symptoms form a complex and multifactorial problem. Treatment outcome is influenced by the characteristics of the stroke, the patient, and their spouse. The results show that psychological distress is probably no obstacle to attempting to improve participation. The personalized predictions (prognostic index scores) of treatment outcome show promising results, which, after further replication and validation, could aid clinicians with treatment selection. PMID: 32965505 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - September 25, 2020 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Identifying Need for Supported Employment for Working Age Stroke Survivors: A Pilot Study
Determine the return to work rate of working age stroke survivors, who currently constitute nearly 34% of the US stroke patients, at either their same pre-stroke employer or a new employer. Compare whether voluntary versus involuntary termination differs, for employees that fail to maintain post-stroke employment, based on employer type.
Source: Archives of Physical Medicine and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Elizabeth A. Apple, John Joseph Humphreys, Vu Nguyen, Harry James Norton Source Type: research

Changes in life habits affected by mild stroke and their association with depressive symptoms.
CONCLUSION: Systematic screening for depression should be carried out upon discharge from hospital in order to better target individuals who have had a mild stroke and are in further need of rehabilitation. PMID: 25882512 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - April 19, 2015 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Evaluation of a four month rehabilitation program for stroke patients with balance problems and binocular visual dysfunction.
CONCLUSIONS: Although a control group is lacking, the evidence suggests that the positive improvement is a result of the combined visual and balance training. The combination of balance and visual training appears to facilitate changes at a multimodal level affecting several functions important in daily life. PMID: 27061161 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - April 12, 2016 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Development of a 3D, networked multi-user virtual reality environment for home therapy after stroke
Impairment of upper extremity function is a common outcome following stroke, to the detriment of lifestyle and employment opportunities. Yet, access to treatment may be limited due to geographical and transpor...
Source: Journal of NeuroEngineering and Rehabilitation - October 5, 2018 Category: Rehabilitation Authors: Kristen M Triandafilou, Daria Tsoupikova, Alexander J Barry, Kelly N Thielbar, Nikolay Stoykov and Derek G Kamper Tags: Research Source Type: research

Daily Functional Activities in Context After Stroke: A Large-Scale Ecological Momentary Assessment (EMA) Study
To describe where, with whom, and how time was spent daily, to characterize these daily activity patterns as a function of employment, mobility device use, and cognitive functioning, and to validate EMA methods of daily activities and symptoms in people with stroke.
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Quoc Bui, Katherine Kaufman, Vy Pham, Eric Lenze, Jin-Moo Lee, David Mohr, Mandy Fong, Christopher Metts, Stephanie Tomazin, Alex Wong Tags: Research Poster 2184111 Source Type: research

Resumption to work after cerebrovascular accident in Cotonou
Discussion and conclusion Occupational reintegration of patients after stroke is complex and requires the collaboration of several participants such as physiotherapist, social worker, employer, company doctor, family, with the patient in the center.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

A Systematic Scoping Review of Work Interventions for Hospitalised Adults with an Acquired Neurological Impairment
Conclusion Return to work intervention appears to be an important component of neurological rehabilitation. While studies to date have identified enablers for the integration of work interventions into the inpatient hospital setting, there is limited description of specific components of programs, and a lack of studies evaluating program effectiveness.
Source: Journal of Occupational Rehabilitation - December 4, 2018 Category: Rehabilitation Source Type: research

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