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Total 9651 results found since Jan 2013.

Return to work after stroke: The KOSCO Study.
CONCLUSION: Many stroke patients did not return to work despite functional independence at 6 months after stroke. Based on the results of this study, we suggest providing appropriate vocational rehabilitation for stroke patients and proper education for employers to increase the rate of early return to work in stroke patients. PMID: 26843361 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - February 9, 2016 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Correlates of depressive symptoms in individuals attending outpatient stroke clinics.
Conclusions High levels of depressive symptoms are common in the chronic phase post-stroke and were partially related to cognition, pain, therapy enrollment and lifestyle factors. Implications for Rehabilitation Stroke patients who report cognitive deficits, pain, tobacco use or being enrolled in therapy may experience increased depressive symptoms. A holistic perspective of disease and lifestyle factors should be considered while assessing risk of depressive symptoms in stroke patients. Patients at risk for depressive symptoms should be monitored at subsequent outpatient visits. PMID: 26883012 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - February 17, 2016 Category: Rehabilitation Authors: Vermeer J, Rice D, McIntyre A, Viana R, Macaluso S, Teasell R Tags: Disabil Rehabil Source Type: research

Establishing equivalence of a Chinese version of the stroke specific quality of life measure for stroke survivors.
DISCUSSION: The results suggest SSQOL-C is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. More studies are needed to confirm the 11-factor model of the scale. Implications for rehabilitation The translated Chinese version of the Stroke Specific Quality of Life Scale is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. An 11-factor model in contrast to the 12-factor model for the original scale with six new factors emerging and five original factors retained. PMID: 27216634 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - May 22, 2016 Category: Rehabilitation Authors: Lo SH, Chang AM, Chau JP Tags: Disabil Rehabil Source Type: research

Comparing the Course of Mental Health over the First Year after Stroke with Healthy Controls in Colombia, South America
Conclusions This is the first study to examine the course of mental health over the first year post-stroke in Latin America, specifically in Ibague, Colombia. Despite the improvements in anxiety and depression over the first year post-stroke, patient anxiety and depression were still worse in comparison to healthy controls. The current findings indicate a need for rehabilitation services in Colombia, especially targeting mental health issues.
Source: PMandR - July 10, 2016 Category: Rehabilitation Source Type: research

The impact of stroke on female sexuality.
CONCLUSION: Stroke impacts on female sexuality through bodily alterations and their consequences and because sexuality is important to female stroke survivors, it should be addressed as part of person-centred rehabilitation. Implications for Rehabilitation Sexuality is about much more than just "having sex" and is important to female stroke survivors. Stroke impacts on female sexuality through bodily alterations and their consequences. Understanding the impact of stroke on female sexuality is a step towards more person-centred rehabilitation. PMID: 27936969 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Lever S, Pryor J Tags: Disabil Rehabil Source Type: research

Training in positivity for stroke? A qualitative study of acceptability of use of Positive Mental Training (PosMT) as a tool to assist stroke survivors with post-stroke psychological problems and in coping with rehabilitation.
CONCLUSIONS: The PosMT shows potential as a tool for coping with rehabilitation and overcoming post-stroke psychological problems including anxiety and depression. PMID: 28106572 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - January 22, 2017 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

Early clinical predictors of motor function in the upper extremity one month post-stroke.
CONCLUSION: Within 3 days post-stroke, severe impairment in motor function in the upper extremity at one month can be predicted using assessment of stroke severity in combination with grip strength, finger extension or shoulder abduction. This may facilitate early planning of rehabilitation for patients with impaired upper extremity in the stroke unit. PMID: 28218334 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - February 23, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Predictors of post-traumatic growth in stroke survivors.
CONCLUSIONS: Post-traumatic growth can develop soon after stroke. Deliberate rumination is a key factor in post-traumatic growth. Both active coping and denial coping were associated with post-traumatic growth demonstrating the psychological complexity of poststroke adjustment. Implications for rehabilitation Therapists can expect stroke survivors to show post-traumatic growth in the first months after stroke. Therapists should look to promote post-traumatic growth and positive adjustment through working with survivors to increase active coping (attempts to deal effectively with the impact of stroke) and rumination (cognit...
Source: Disability and Rehabilitation - August 10, 2017 Category: Rehabilitation Authors: Kelly G, Morris R, Shetty H Tags: Disabil Rehabil Source Type: research

Development of the assisting hand assessment for adults following stroke: a Rasch-built bimanual performance measure.
CONCLUSION: Using two hands together is a critical aspect for performance of most daily life tasks. However, assessments of hand function commonly focus on measuring aspects of unimanual function. The Adult-Assisting Hand Assessment Stroke has the potential to contribute new and clinically important knowledge to stroke rehabilitation by providing an observation-based valid functional measure of bimanual performance. Implications for rehabilitation Hand function assessments commonly focus on unimanual aspects, although the use of two hands together is critical to perform most daily life tasks. The Adult-Assisting Hand Asses...
Source: Disability and Rehabilitation - October 31, 2017 Category: Rehabilitation Authors: Krumlinde-Sundholm L, Lindkvist B, Plantin J, Hoare B Tags: Disabil Rehabil Source Type: research

The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors.
CONCLUSION: The between-subject results suggest that there was no significant difference between those that received problem solving therapy and a waitlist control group between baseline and post-waitlist/post-therapy. The within-subject design suggests that problem solving therapy may be beneficial for younger stroke survivors when they are given some time to learn and implement the skills into their day to day life. However, additional research with a control group is required to investigate this further. This study provides limited evidence for the provision of support groups for younger stroke survivors post stroke, ho...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Chalmers C, Leathem J, Bennett S, McNaughton H, Mahawish K Tags: Disabil Rehabil Source Type: research

Examination of factors related to the effect of improving gait speed with functional electrical stimulation intervention for patients with stroke
Conclusion The factors related to 10mWT showing changes beyond the minimally clinically important difference were found to be patient sex, number of interventions, and active ankle joint dorsiflexion ROM before intervention. When Patients with stroke who are greater active ankle joint ROM in female, use FES positively, they may benefit more from using FES.
Source: PMandR - March 6, 2018 Category: Rehabilitation Source Type: research

Three-dimensional assessment of the asymptomatic and post-stroke shoulder: intra-rater test-retest reliability and within-subject repeatability of the palpation and digitization approach.
CONCLUSIONS: This noninvasive, clinically feasible palpation/digitization protocol was reliable and repeatable in asymptomatic shoulders, and in a smaller sample of painful post-stroke shoulders. Implications for Rehabilitation In the clinical setting, a reliable and repeatable noninvasive method for assessment of three-dimensional (3D) clavicular/scapular/humeral joint orientation and range of motion (ROM) is currently required. The established reliability and repeatability of this proposed palpation/digitization protocol will enable comparative 3D ROM studies between asymptomatic and post-stroke shoulders, which will fur...
Source: Disability and Rehabilitation - March 23, 2018 Category: Rehabilitation Authors: Pain LAM, Baker R, Sohail QZ, Richardson D, Zabjek K, Mogk JPM, Agur AMR Tags: Disabil Rehabil Source Type: research

The feasibility, acceptability and preliminary efficacy of a low-cost, virtual-reality based, upper-limb stroke rehabilitation device: a mixed methods study.
CONCLUSIONS: Integrated findings suggested that the system is feasible and acceptable for use with a group of community-dwelling stroke-survivors including those with moderately-severe disability. Implications for rehabilitation To ensure feasibility of use and maintenance of an appropriate level of challenge, gaming technologies for use in upper-limb stroke rehabilitation should be personalised, dependent on individual need. Through the use of hands-free systems and personalisation, stroke survivors with moderate and moderately-severe levels of upper-limb impairment following stroke are able to use gaming technologies as ...
Source: Disability and Rehabilitation - April 12, 2018 Category: Rehabilitation Authors: Warland A, Paraskevopoulos I, Tsekleves E, Ryan J, Nowicky A, Griscti J, Levings H, Kilbride C Tags: Disabil Rehabil Source Type: research

20 years of researching stroke through audit.
This article records and reviews some questions that have been answered using data from the audit: Is the rate of institutional care after rehabilitation a possible measure of outcome? Does stroke unit care in routine practice give the benefits shown in randomized controlled trials? How is the quality of stroke care affected by a patient's age and the time of their stroke? Do patient-reported measures match those obtained from the professionals recording of processes of care? How do the processes of care after stroke affect mortality? Is thrombolysis safe to use in patients over the age of 80? Do staffing levels matter? Do...
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Rudd AG, Hoffman A, Paley L, Bray B Tags: Clin Rehabil Source Type: research

Moving stroke rehabilitation forward: The need to change research.
CONCLUSIONS: There is an urgent need for high-quality, explanatory trials in the first three months post stroke. These trials should preferably stratify patients based on their initial potential for reactive neurobiological recovery, measure recovery repeatedly at fixed times post stroke, and differentiate in their outcomes between behavioural restitution and compensation of functions. PMID: 30056434 [PubMed - in process]
Source: NeuroRehabilitation - July 31, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research