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Prevalence of Recurrent Stroke among a Rehabilitation Cohort in Nigeria.
CONCLUSION: Approximately 1 in 3 stroke survivors undergoing rehabilitation had experienced stroke recurrence. The finding of this study buttresses the urgent need to emphasize and aggressively pursue secondary stroke prevention. Further studies are, however, required to explore those potentially modifiable factors that are associated with recurrent stroke, and having more representative samples. PMID: 31536632 [PubMed - in process]
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Continual Long-Term Physiotherapy After Stroke: A Health Technology Assessment.
Conclusions: We did not identify studies that addressed the specific research question. Based on the clinical evidence review, we are unable to determine the benefits of continual long-term compared with short-term physiotherapy after stroke. The cost-effectiveness of continual long-term physiotherapy after stroke in Ontario is unknown. We estimate that publicly funding continual long-term physiotherapy after stroke in Ontario would result in additional costs of between $445,000 and $888,000 annually over the next 5 years. Patients and caregivers who we spoke with felt that patients who have experienced a stroke should be ...
Source: Ontario Health Technology Assessment Series - March 22, 2020 Category: General Medicine Tags: Ont Health Technol Assess Ser Source Type: research

Stroke aftercare : Treatment reality, challenges and future perspectives.
CONCLUSION: Ischemic stroke should be considered as a complex chronic disease and should be treated accordingly after discharge from acute inpatient treatment. Emphasis should be placed on the optimization of interdisciplinary and cross-sectoral cooperation and support for general practitioners in the outpatient post-stroke care. New concepts of post-stroke care have the potential for improvement of the current healthcare structures. PMID: 32361775 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - May 1, 2020 Category: Neurology Authors: Schwarzbach CJ, Eichner FA, Pankert A, Schutzmeier M, Heuschmann PU, Grau AJ Tags: Nervenarzt Source Type: research

The Timing of Stroke Care Processes and Development of Stroke Associated Pneumonia: A National Registry Cohort Study
ConclusionTimes from stroke onset and admission to certain key stroke care processes were associated with SAP. Understanding how timing of these care processes relate to SAP may enable development of preventive interventions to reduce antibiotic use and improve clinical outcomes.
Source: Frontiers in Neurology - April 13, 2022 Category: Neurology Source Type: research

Factors guiding therapist decision making in the rehabilitation of physical function after severely disabling stroke - an ethnographic study
CONCLUSIONS: Multiple factors guided therapist decision making after severely disabling stroke. Alternative ways of therapist working should be considered to address the physical needs of severely disabled stroke survivors more fully.Implications for rehabilitationMultiple factors guide therapist decision making after severely disabling stroke, some of which result in the use of interventions that do not fully address stroke survivors' clinical needs.Therapists should critically reflect upon their personal beliefs and attitudes about severely disabling stroke to reduce potential sources of bias on decision making.Therapist...
Source: Disability and Rehabilitation - February 3, 2023 Category: Rehabilitation Authors: Mark P McGlinchey Rachel Faulkner-Gurstein Catherine M Sackley Christopher McKevitt Source Type: research

Mental practice for treating upper extremity deficits in individuals with hemiparesis after stroke.
CONCLUSIONS: Moderate-certainty evidence shows that MP in addition to other treatment versus the other treatment appears to be beneficial in improving upper extremity activity. Moderate-certainty evidence also shows that MP in addition to other treatment versus the other treatment appears to be beneficial in improving upper extremity impairment after stroke. Low-certainty evidence suggests that ADLs may not be improved with MP in addition to other treatment versus the other treatment. Low-certainty evidence also suggests that MP versus conventional treatment may not improve upper extremity impairment. Further study is requ...
Source: Cochrane Database of Systematic Reviews - May 24, 2020 Category: General Medicine Authors: Barclay RE, Stevenson TJ, Poluha W, Semenko B, Schubert J Tags: Cochrane Database Syst Rev Source Type: research

Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study.
In conclusion, psychosocial self-efficacy was identified as having a stronger relationship to life satisfaction compared with general self-efficacy within this sample of Kuwaiti female patients. Health professionals suggested various strategies for enhancing self-efficacy and thereby life satisfaction post-stroke during the rehabilitation process in Kuwait. Despite the collectivist culture of Kuwait, the findings indicate that the patient's own confidence and sense of responsibility for progress may be relevant to rehabilitation. PMID: 23289959 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - January 4, 2013 Category: Physiotherapy Authors: Omu O, Reynolds F Tags: Physiother Theory Pract Source Type: research

Care for post-stroke patients at Malaysian public health centres: self-reported practices of family medicine specialists
Conclusions: Post discharge stroke care guidelines and access to rehabilitation services at primary care is needed for post stroke patients residing at home in the community.
Source: Epidemiologic Perspectives and Innovations - March 2, 2014 Category: Epidemiology Authors: Aznida F Abdul AzizNor Azlin Mohd NordinNoor Abd AzizSuhazeli AbdullahSaperi SulongSyed M Aljunid Source Type: research

Physical rehabilitation approaches for the recovery of function and mobility following stroke.
CONCLUSIONS: Physical rehabilitation, comprising a selection of components from different approaches, is effective for recovery of function and mobility after stroke. Evidence related to dose of physical therapy is limited by substantial heterogeneity and does not support robust conclusions. No one approach to physical rehabilitation is any more (or less) effective in promoting recovery of function and mobility after stroke. Therefore, evidence indicates that physical rehabilitation should not be limited to compartmentalised, named approaches, but rather should comprise clearly defined, well-described, evidenced-based phys...
Source: Cochrane Database of Systematic Reviews - April 22, 2014 Category: Journals (General) Authors: Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, Pomeroy VM, Langhorne P Tags: Cochrane Database Syst Rev Source Type: research

Difficulties in post-stroke gait improvement caused by post-stroke depression.
CONCLUSIONS: Depression limits gait recovery after stroke. The time of initiation of rehabilitation after stroke onset does not limit the motor recovery after rehabilitation program. PMID: 24890157 [PubMed - in process]
Source: Chinese Medical Journal - June 1, 2014 Category: Journals (General) Authors: Kijowski S Tags: Chin Med J (Engl) Source Type: research

Stroke management: Informal caregivers’ burdens and strians of caring for stroke survivors
Conclusion and recommendation Caring for stroke survivors put social, emotional, health and financial burdens and strains on the informal caregivers. These burdens and strains increase with duration of stroke, intimacy, smaller number of caregivers and length of daily caregiving. Therefore, informal caregivers should be involved in the rehabilitation plan for stroke patients and their well-being should also be given adequate attention.
Source: Annals of Physical and Rehabilitation Medicine - January 8, 2015 Category: Rehabilitation Source Type: research

Factors associated with community ambulation in chronic stroke.
CONCLUSION: Balance self-efficacy may be a significant determinant in the attainment of independent community ambulation post-stroke. This suggests that physical aspects such as gait speed and walking balance should not be considered in isolation when addressing community ambulation post-stroke. Implications for Rehabilitation Balance self-efficacy may play a significant role in the attainment of independent community ambulation in a chronic stroke population. Physiotherapy interventions addressing community ambulation post-stroke should consider methods for improving balance self-efficacy in chronic stroke, such as self m...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Durcan S, Flavin E, Horgan F Tags: Disabil Rehabil Source Type: research

Postural and gait disorders in subacute stroke patients: Lateropulsion is the key
Discussion – conclusion Lateropulsion, which is a sign of biased representation of the vertical, is a primary cause of postural and gait disorders at the subacute phase after right hemisphere stroke, explaining almost 80% of balance and gait disabilities. A greater attention should be focused on the assessment and the rehabilitation of the post-stroke lateropulsion.
Source: Annals of Physical and Rehabilitation Medicine - September 27, 2017 Category: Rehabilitation Source Type: research