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Total 9651 results found since Jan 2013.

Caregiver burden after stroke: changes over time?
This study aims to describe the course of burden in individual caregivers in the first year after stroke. METHODS: This study is part of the Stroke Cohort Outcomes of REhabilitation study, a multicentre, longitudinal cohort study including consecutive stroke patients admitted to two rehabilitation facilities. Caregivers were asked to complete the Caregiver Strain Index and questions on their sociodemographic characteristics 6 and 12 months post admission. Patients' sociodemographic and clinical characteristics were extracted from medical records. RESULTS: A total of 129 caregivers were included, 72 completed th...
Source: Disability and Rehabilitation - September 20, 2018 Category: Rehabilitation Authors: Pont W, Groeneveld I, Arwert H, Meesters J, Mishre RR, Vliet Vlieland T, Goossens P, SCORE-study group Tags: Disabil Rehabil Source Type: research

Managing the severely impaired arm after stroke: a mixed-methods study with qualitative emphasis.
CONCLUSIONS: These findings extend our understanding about how individuals manage their severely impaired upper limb and can be used to inform a novel stroke self-management intervention. Implications for rehabilitation Stroke survivors' experiences of managing the severely affected upper limb may inform rehabilitation practice to foster self-management. Rehabilitation professionals may actively support stroke survivors in choosing from, and expanding on professionals' advice and guidance. Maintaining a positive and hopeful outlook is important to many stroke survivors. Professionals should be mindful of the potential impa...
Source: Disability and Rehabilitation - November 28, 2018 Category: Rehabilitation Authors: Kulnik ST, Mohapatra S, Gawned S, Jones F Tags: Disabil Rehabil Source Type: research

Factors affecting outcome in participation one year after stroke: a secondary analysis of a randomized controlled trial.
CONCLUSION: In order to increase participation in every-day life for people after stroke it appears to be important to use an enhanced client-centred approach, particularly when working within in-patient rehabilitation and with people with moderate or severe stroke. PMID: 30815706 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - March 4, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Return to work predicts perceived participation and autonomy by individuals with stroke.
CONCLUSIONS: Being able to return to work after a stroke seems to be important for self-perceived participation/autonomy. This emphasizes the importance of work-oriented information and rehabilitation after a stroke at working age. Implications for rehabilitation The current study shows that the majority report high self-perceived participation and autonomy in everyday life and 59% are working 5 years after a stroke in working age. To work 5 years after a stroke was a significant predictor for self-perceived participation and autonomy in everyday life. Since stroke is becoming more common among working age persons and work...
Source: Disability and Rehabilitation - May 8, 2019 Category: Rehabilitation Authors: Westerlind E, Persson HC, Törnbom K, Sunnerhagen KS Tags: Disabil Rehabil Source Type: research

Participation in work and leisure activities after stroke: A national study
Conclusions. Overall, our study indicates that people with a history of stroke report more difficulties in participating in work and leisure activities than those without a history of stroke.
Source: Annals of Physical and Rehabilitation Medicine - May 14, 2019 Category: Rehabilitation Source Type: research

A systematic review and meta-analysis of the effects of cardiac rehabilitation interventions on cognitive impairment following stroke.
Conclusions: This review highlights that there are very few studies of delivery of cardiac rehabilitation to stroke patients and that the inclusion of cognitive interventions is even less common, despite the high prevalence of post-stroke cognitive impairment. IMPLICATIONS FOR REHABILITATION The cardiac rehabilitation model has the potential to be expanded to include patients post-stroke given the commonality of secondary prevention needs, thereby becoming a cardiovascular rehabilitation model. Up to half of patients experience cognitive impairment after stroke; suggesting that a post-stroke cardiovascular rehabilitation m...
Source: Disability and Rehabilitation - July 23, 2019 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Rohde D, McLoughlin A, Scally B, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research

Factors influencing implementation of aerobic exercise after stroke: a systematic review.
Conclusions: Key factors influencing the implementation of aerobic exercise after stroke included characteristics of the staff and intervention and system-level issues, some of which are modifiable. Further research should evaluate strategies which specifically target these modifiable factors to facilitate implementation in practice.IMPLICATIONS FOR REHABILITATIONAerobic exercise after stroke is an effective intervention but there are challenges to implementation from a staff and system perspective.Any changes to the identified factors should be tailored to suit the staff group and setting.Provision of training and knowled...
Source: Disability and Rehabilitation - December 24, 2019 Category: Rehabilitation Authors: Gaskins NJ, Bray E, Hill JE, Doherty PJ, Harrison A, Connell LA Tags: Disabil Rehabil Source Type: research

From recovery to regaining control of life - the perspectives of people with stroke, their carers and health professionals.
Conclusion: Findings suggest the importance of a dyadic perspective and a gradual increase in people with stroke and carers' active engagement. Professionals' approach throughout rehabilitation should be modified according to people with stroke and carers' changing needs and expectations.IMPLICATIONS FOR REHABILITATIONDivergence in perspectives about priorities and goals between the person with stroke their carers and healthcare professionals can lead to the creation of different agendas within rehabilitation.An open dialogue and decision-making process that involves both the person with stroke and carers is highly recomme...
Source: Disability and Rehabilitation - February 7, 2020 Category: Rehabilitation Authors: Pereira CM, Greenwood N, Jones F Tags: Disabil Rehabil Source Type: research

Level of physical activity is positively correlted with perceived impact on life 12 months after stroke: A cross-sectional study.
CONCLUSION: A positive correlation was found between level of physical activity at 12 months post-stroke and levels of strength, participation and stroke recovery. PMID: 32176309 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - March 18, 2020 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Six-month reviews for stroke survivors: a study of the modified Greater Manchester Stroke Assessment Tool with care home residents.
CONCLUSION: The modified GM-SAT provides a feasible means of conducting six-month reviews for stroke survivors in care homes and helps identify important needs. Further modifications have enhanced acceptability. Full implementation into practice requires staff training and organizational changes. PMID: 32202130 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 22, 2020 Category: Rehabilitation Authors: Patchwood E, Woodward-Nutt K, Rothwell K, Perry C, Tyrrell P, Bowen A Tags: Clin Rehabil Source Type: research

The use of shoulder orthoses post-stroke: effects on balance and gait. A systematic review.
CONCLUSIONS: So far no strong evidence is available regarding a potential benefit of wearing an arm sling on balance and gait for stroke patients. However, further research with longer intervention periods, can be useful to determine if stroke patients in the early phases after stroke or with persistent UL paresis might possibly benefit from wearing an arm sling. PMID: 32539311 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - June 15, 2020 Category: Rehabilitation Authors: Van Bladel A, Cambier D, Lefeber N, Oostra K Tags: Eur J Phys Rehabil Med Source Type: research

Early mobilisation post-stroke: a systematic review and meta-analysis of individual participant data.
CONCLUSION: The commencement of mobilisation should only be considered after 24 h post-stroke. Further research is required to identify safe, optimal dose, and timing of EM post-stroke. IMPLICATIONS FOR REHABILITATION Patients who commenced mobilisation early after stroke had worse outcome than usual care. Insufficient detail about mobilisation interventions or usual care in many studies limits any further interpretation. The commencement of mobilisation should only be considered after 24-h post-stroke. PMID: 32673130 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - July 15, 2020 Category: Rehabilitation Authors: Rethnam V, Langhorne P, Churilov L, Hayward KS, Herisson F, Poletto SR, Tong Y, Bernhardt J Tags: Disabil Rehabil Source Type: research

Testing the psychometric properties of the Chinese version of the Neurological Fatigue Index-Stroke
CONCLUSIONS: The C-NFI-Stroke is a reliable and valid tool for clinical and research use on people who have been diagnosed with stroke for a year or more, although its factor structure differs from that of the original English version.PMID:33722084 | DOI:10.1177/02692155211001684
Source: Clinical Rehabilitation - March 16, 2021 Category: Rehabilitation Authors: Lily Yw Ho Claudia Ky Lai Shamay Sm Ng Source Type: research

Predictors for self-reported feeling of depression three months after stroke: A longitudinal cohort study
CONCLUSION: Impaired cognition early after stroke could not predict self-reported feeling of depression 3 months post-stroke. Compared with male patients, female patients had twice the odds of self-reported feeling of depression.PMID:33739435 | DOI:10.2340/16501977-2816
Source: Journal of Rehabilitation Medicine - March 19, 2021 Category: Rehabilitation Authors: Janina Karre Tamar Abzhandadze Katharina S Sunnerhagen Source Type: research