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Total 9651 results found since Jan 2013.

A qualitative theory guided analysis of stroke survivors' perceived barriers and facilitators to physical activity.
Conclusions: Stroke survivors perceive several different barriers and facilitators to physical activity. Stroke services need to address barriers to physical activity and to build on facilitators to promote physical activity after stroke. Implications for Rehabilitation Physical activity post stroke can improve physical fitness and function, yet physical activity remains low among stroke survivors. Understanding stroke survivors' perceived barriers and facilitators to physical activity is essential to develop targeted interventions to increase physical activity. Beliefs about capabilities, environmental context and resourc...
Source: Disability and Rehabilitation - December 31, 2013 Category: Rehabilitation Authors: Nicholson SL, Donaghy M, Johnston M, Sniehotta FF, van Wijck F, Johnston D, Greig C, McMurdo ME, Mead G Tags: Disabil Rehabil Source Type: research

A comprehensive assessment of family caregivers of stroke survivors during inpatient rehabilitation.
Conclusions: A comprehensive, systematic caregiver assessment to understand the caregiver's concerns about stroke should be conducted during rehabilitation to help the team to develop a plan to address unmet needs and better prepare family caregivers to take on the caregiving role. Implications for Rehabilitation Stroke is a sudden event that often leaves stroke survivors and their families in crisis. The needs of stroke family caregivers are not often systematically assessed as part of inpatient rehabilitation. Long-term stroke survivor outcomes are dependent upon the commitment, capacity and preparedness of the family ca...
Source: Disability and Rehabilitation - January 28, 2014 Category: Rehabilitation Authors: Young ME, Lutz BJ, Creasy KR, Cox KJ, Martz C Tags: Disabil Rehabil Source Type: research

The development and implementation of the structured training programme for caregivers of inpatients after stroke (TRACS) intervention: The London Stroke Carers Training Course.
CONCLUSION: The adapted London Stroke Carers Training Course provided a training programme that could be delivered in a standardised, structured way in a variety of stroke unit settings throughout the UK. The intervention was well received by stroke unit staff, however, the cascade method of implementation was not as effective as we would have wished. PMID: 25057000 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Forster A, Dickerson J, Melbourn A, Steadman J, Wittink M, Young J, Kalra L, Farrin A, on behalf of the TRACS trial collaboration Tags: Clin Rehabil Source Type: research

Factors associated with community reintegration in the first year after stroke: a qualitative meta-synthesis.
Conclusions: This review suggests that an individual's perseverance, adaptability and ability to overcome emotional challenges can facilitate reintegration into the community despite persisting effects of their stroke. Appropriate support from family, friends, the broader community and healthcare professionals is important. Therapeutic activities should relate to meaningful activities and should be tailored to the individual stroke survivor. Implications for Rehabilitation: Stroke survivors feel that rehabilitation in familiar environments and therapeutic activities that reflect real-life could help their community re-inte...
Source: Disability and Rehabilitation - November 10, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF Tags: Disabil Rehabil Source Type: research

Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists.
Conclusions: Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has ...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Hayes S, Donnellan C, Stokes E Tags: Disabil Rehabil Source Type: research

Community re-integration and long-term need in the first five years after stroke: results from a national survey.
Conclusions: Stroke had a personal, social and economic impact. Emotional distress and fatigue were common and satisfaction with the help available for these problems was poor. Implications for Rehabilitation Professionals should recognise that family members provide high levels of support post-stroke while dealing with changes to personal relationships. Emotional, concentration and fatigue problems post-stroke require recognition by health professionals. A greater focus on return-to-work as part of stroke rehabilitation may be of value for patients of working age. PMID: 25391817 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF 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

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study.
CONCLUSIONS: This study provides preliminary support for the implementation of an EE within a typical stroke rehabilitation setting from a patient perspective. Reported benefits included (1) increased motor, cognitive and sensory stimulation, (2) increased social interaction, (3) alleviation of degree of boredom and (4) increased feelings of personal control. However, participants also identified a number of barriers affecting implementation of the EE. We have previously published findings on perceptions of nursing staff working with stroke survivors in this enriched rehabilitation environment who identified that patients ...
Source: Disability and Rehabilitation - March 13, 2015 Category: Rehabilitation Authors: White JH, Bartley E, Janssen H, Jordan LA, Spratt N Tags: Disabil Rehabil Source Type: research

Delivery of high quality stroke and vision care: experiences of UK services.
CONCLUSIONS: Practical elements for improved stroke and vision care provision are highlighted which can be implemented with relatively little financial inputs. Implications for Rehabilitation Integrated vision services within stroke units can improve the detection of visual problems in stroke survivors leading to earlier visual rehabilitation. Orthoptists within core stroke teams are beneficial to the delivery of a high quality service. This study illustrates clear practical elements to support the provision of high quality integrated stroke and vision services. Relatively little financial inputs are required to fund such ...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Rowe F, Walker M, Rockliffe J, Pollock A, Noonan C, Howard C, Currie J Tags: Disabil Rehabil Source Type: research

Healthcare circuits and functional outcomes 3 and 12 months after a stroke in a population-based cohort of 929 patients
In this study, carried out with an exhaustive population within a region and a one-year follow-up with few missing data, the results show a morbi-mortality after stroke higher than the one reported in previous studies. The results also confirm the better prognosis of IS.
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research

Long-term functional outcomes of patients with very mild stroke: does a NIHSS score of 0 mean no disability? An interim analysis of the KOSCO study.
CONCLUSIONS: Many acute stroke patients with mild stroke severity as assessed by the NIHSS had impairments in various functional domains, and could have been easily overlooked for intensive rehabilitation therapy. Candidates for comprehensive rehabilitation therapy might be better identified by the functional assessment battery. Implications for rehabilitation Many acute stroke patients with mild stroke severity assessed by NIHSS could be easily overlooked for intensive rehabilitation therapy. Candidates for comprehensive rehabilitation therapy should be evaluated using a functional assessment battery rather than the NIHSS...
Source: Disability and Rehabilitation - May 19, 2016 Category: Rehabilitation Authors: Chang WH, Sohn MK, Lee J, Kim DY, Lee SG, Shin YI, Oh GJ, Lee YS, Joo MC, Han EY, Kim MS, Jang SY, Kim JH, Kim YH Tags: Disabil Rehabil Source Type: research

Mapping the rehabilitation interventions of a community stroke team to the extended International Classification of Functioning, Disability and Health Core Set for Stroke.
CONCLUSIONS: The results support the use of the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in New Zealand and demonstrates its use as a quality assurance tool that can evaluate the scope and practice of a rehabilitation service. Implications for Rehabilitation The Extended International Classification of Functioning Disability and Health Core Set for Stroke appears to represent the stroke interventions of a community stroke rehabilitation team in New Zealand. As a result, researchers and clinicians may have increased confidence to use this core set in research and clinic...
Source: Disability and Rehabilitation - November 19, 2016 Category: Rehabilitation Authors: Evans M, Hocking C, Kersten P Tags: Disabil Rehabil Source Type: research

Self-management and self-efficacy in stroke survivors: validation of the Italian version of the stroke self-efficacy questionnaire.
CONCLUSIONS: The findings supported the validity of the Italian version of the Stroke Self-efficacy questionnaire. It measures two dimensions of self-efficacy, activity and self-management, strongly related to independence and recovery after stroke and therefore it represents a useful tool to assess self-efficacy. CLINICAL REHABILITATION IMPACT: The Italian version of the Stroke Self-efficacy questionnaire is a valid and reliable measure of self-efficacy. Clinicians can use this instrument to target rehabilitation interventions according to patients' individual confidence in their functional and self-management capaci...
Source: European Journal of Physical and Rehabilitation Medicine - December 18, 2016 Category: Rehabilitation Authors: Dallolio L, Messina R, Calugi S, Fugazzaro S, Bardelli R, Rucci P, Fantini MP, Cavalli E, Taricco M, Look After Yourself Project Tags: Eur J Phys Rehabil Med Source Type: research

Reduction in retained activity participation is associated with depressive symptoms 3 months after mild stroke: An observational cohort study.
CONCLUSION: The findings of this study establish the association of depressive symptoms with retained activity participation 3 months post-stroke in stroke survivors with mild neurological stroke severity. Clinical rehabilitation recommendations to enhance activity participation need to account for those with even mild depressive symptoms post-stroke. PMID: 28121336 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - January 26, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

The Nottingham Fatigue after Stroke (NotFAST) study: factors associated with severity of fatigue in stroke patients without depression.
CONCLUSIONS: Pre-stroke fatigue, lower mood, and poorer mobility were associated with post-stroke fatigue. PMID: 28933604 [PubMed - in process]
Source: Clinical Rehabilitation - September 22, 2017 Category: Rehabilitation Authors: Drummond A, Hawkins L, Sprigg N, Ward NS, Mistri A, Tyrrell P, Mead GE, Worthington E, Lincoln NB Tags: Clin Rehabil Source Type: research