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Total 9651 results found since Jan 2013.

Benefits of an interdisciplinary stroke clinic: addressing a gap in physical therapy at post-stroke neurology follow-up
CONCLUSION: A significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by a neurologic physical therapist in an ISC. The measures that most closely correlated with this in-person clinical evaluation were 10MWT and SF-SIS.IMPLICATIONS FOR REHABILITATIONAn interdisciplinary stroke clinic can improve communication and identify people post-stroke who have not reached their full recovery potential.In a pilot study, a significant number of post-acute stroke survivors were found to be appropriate for additional rehabilitation when assessed clinically by ...
Source: Disability and Rehabilitation - December 6, 2021 Category: Rehabilitation Authors: Nandakumar Nagaraja Alison R Kraus Dorian K Rose Esther B Olasoji Anna Y Khanna Alexis N Simpkins Christina A Wilson Rondalyn R Dickens Vishnumurthy Shushrutha Hedna Carolyn Geis Teddy Youn Michelle M Musalo Source Type: research

Health anxiety in stroke survivors: a cross-sectional study on the prevalence of health anxiety in stroke survivors and its impact on quality of life
CONCLUSIONS: Almost a third of stroke survivors were experiencing clinical levels of health anxiety, with HiHA significantly associated with lower quality of life. Future research should explore the use of existing evidence based psychological interventions for health anxiety in this population.Implications for rehabilitationOur findings suggest almost one in three stroke survivors residing in the community have clinical levels of health anxiety.High health anxiety in stroke survivors was significantly related to lower levels of quality of life.Given this finding, evidence-based treatments for health anxiety may improve qu...
Source: Disability and Rehabilitation - January 6, 2022 Category: Rehabilitation Authors: Peter R Diamond Leon Dysch Jo Daniels Source Type: research

Co-creation and stroke rehabilitation: a scoping review
CONCLUSIONS: Co-creation in stroke rehabilitation is currently in an expanding and rudimentary phase. This review identified the variability of its application, with future work needed to establish clarity and consistency in terminology and methodologies utilised to operationalise co-creation in stroke rehabilitation.Implications for rehabilitationCo-creation is a contemporary and evolving service improvement approach in stroke rehabilitation, utilised most commonly in the community context.Inconsistent terminology and diverse methodologies are utilised to enact co-creation in stroke rehabilitation.Opportunities exist to a...
Source: Disability and Rehabilitation - February 3, 2022 Category: Rehabilitation Authors: Joshua Dobe Louise Gustafsson Kim Walder Source Type: research

Patient, carer and health worker perspectives of stroke care in New Zealand: a mixed methods survey
CONCLUSIONS: Perceptions of stroke care differed between consumers and health workers, highlighting the importance of involving both in service co-design. Improving communication, post-hospital follow-up, and geographic equity are key areas for improvement.Implications for rehabilitationProvision of detailed information on stroke recovery and available services in the community is recommended.Improvements in the delivery of post-hospital stroke care are required to optimise stroke care, with options including routine phone follow up appointments and wider development of early supported discharge services.Stroke rehabilitat...
Source: Disability and Rehabilitation - September 5, 2022 Category: Rehabilitation Authors: Stephanie Thompson William Levack Jeroen Douwes Jackie Girvan Ginny Abernethy P Alan Barber John Fink John Gommans Alan Davis Matire Harwood Dominique A Cadilhac Harry McNaughton Valery Feigin Andrew Wilson Hayley Denison Marine Corbin Joosup Kim Annemare Source Type: research

Stroke survivors' views on their priorities for upper-limb recovery and the availability of therapy services after stroke: a longitudinal, phenomenological study
CONCLUSION: Therapy services should recognize stroke survivors' changing priorities and work with them as active partners in upper-limb recovery. Intermittent access to review and advice should be included in service design.Implications for rehabilitationStroke survivors' priorities may change over time from recovery of walking toward upper-limb recovery.Post-stroke services can be perceived as insufficient to meet the needs of stroke survivors who want to participate actively in rehabilitation of their upper limb.Stroke survivors may prefer services that are more flexible to provide regular review of their progress, acces...
Source: Disability and Rehabilitation - September 16, 2022 Category: Rehabilitation Authors: Judy Purton Julius Sim Susan M Hunter Source Type: research

Exploring challenges affecting resilience in carers of stroke survivors: a qualitative descriptive study
CONCLUSION: These findings provide direction for a suitable intervention. Further, they suggest that stroke rehabilitation could be improved by adopting a family-centered model of care so that carers can be included as active partners in care process. Protecting carers from the negative impact of caring role on their resilience may sustain their ability to provide long-term care for the stroke survivor.IMPLICATIONS FOR REHABILITATIONThe provision of informal care to stroke survivors can be associated with significant emotional consequences, withdrawal from social activities, and poor quality of life for the carers.The abru...
Source: Disability and Rehabilitation - October 21, 2022 Category: Rehabilitation Authors: Ayesha Qureshi Nicola Swain Daniela Aldabe Leigh Hale Source Type: research

Visual Problems are Associated with Long-Term Fatigue after Stroke
CONCLUSION: Stroke survivors with prominent self-reported visual problems were more likely to experience fatigue. This finding should be verified in further studies. Visual examination and visual rehabilitation may reduce fatigue in selected stroke survivors.PMID:36714984 | DOI:10.2340/jrm.v55.4813
Source: Journal of Rehabilitation Medicine - January 30, 2023 Category: Rehabilitation Authors: Synne Garder Pedersen Mari L økholm Oddgeir Friborg Marianne Berg Halvorsen Marit Kirkevold Guri Heiberg Audny Anke Source Type: research

Patient- and proxy-perceptions on functioning after stroke rehabilitation using the 12-item WHODAS 2.0: a longitudinal cohort study
CONCLUSION: WHODAS showed improvements in SSs' functioning 9-50 months after discharge from subacute stroke rehabilitation. Improvements were in line with proxy-perception and self-reported functional recovery.IMPLICATIONS FOR REHABILITATIONStroke survivors' functioning improved significantly during the 9-50 months follow-up after subacute inpatient stroke rehabilitation.Stroke survivors perceived slightly less difficulties in their functioning compared to evaluations by proxies.Strong correlation between patient- and proxy-perceptions on stroke survivors' functioning strengthened from subacute to chronic phase of stroke r...
Source: Disability and Rehabilitation - February 14, 2023 Category: Rehabilitation Authors: Mia Kilkki Minna Stolt Sunna Rannikko Miko Pasanen Sinikka Tarvonen-Schr öder Source Type: research

Lower-extremity constraint-induced movement therapy improved motor function, mobility, and walking after stroke
CONCLUSIONS: In an outpatient clinic setting, high-intensity LE-CIMT statistically significant improved motor function, functional mobility, and walking ability in middle-aged patients in the sub-acute and chronic post-stroke phases. However, studies with more robust designs need to be conducted to deepen the understanding of the efficacy of LE-CIMT.CLINICAL REHABILITATION IMPACT: High-intensity LE-CIMT may be a feasible and useful treatment option in outpatient clinics to improve post-stroke walking ability.PMID:36892520 | DOI:10.23736/S1973-9087.23.07683-9
Source: European Journal of Physical and Rehabilitation Medicine - March 9, 2023 Category: Rehabilitation Authors: Ingela Marklund Annika Sefastsson Brynjar Fure Maria Kl ässbo Per Liv Britt-Marie St ålnacke Xiaolei Hu Source Type: research