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Early diagnosis of heterotopic ossification among patients admitted to a neurological post intensive care rehabilitation unit.
CONCLUSIONS: HO is a sub-acute complication which develops in patients admitted to ICU for severe central nervous system disorders as clinical suspicion or radiological confirmation of diagnosis was made within the first week after admission in neurological PICRU (i.e. 6 to 8 weeks after ICU admission). CLINICAL REHABILITATION IMPACT: As treatment for HO may at least partially improves rehabilitation and quality of life, we recommend a systematic screening in PICRU patients for HO by clinical examination supplemented by imaging in case of suspicion. PMID: 33448758 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - January 15, 2021 Category: Rehabilitation Authors: Carpentier VT, Salga M, Gatin L, GenÊt F, Paquereau J Tags: Eur J Phys Rehabil Med Source Type: research

Disability assessment in stroke: Relationship among the pictorial-based Longshi Scale, the Barthel Index, and the modified Rankin Scale.
CONCLUSION: Using the Barthel Index as reference, the proposed Longshi Scale has better ability than the modified Rankin Scale in differentiating stroke patients' disability, especially for those with higher level of activities of daily living. PMID: 33401949 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - January 5, 2021 Category: Rehabilitation Authors: Gao Y, Wang Y, Li D, Zhao J, Dong Z, Zhou J, Fu G, Zhang J Tags: Clin Rehabil Source Type: research

Effects of the introduction of objective criteria for referral and discharge in physical therapy for ischemic stroke in China: a randomized controlled trial.
CONCLUSION: Introduction of a set of rules for referral and therapy input at different stages of rehabilitation partially improved patients' ADL and quality of life, but did not improve motor function. PMID: 31875687 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 25, 2019 Category: Rehabilitation Authors: Xia N, Reinhardt JD, Liu S, Fu J, Ren C, Wang H, Li J Tags: Clin Rehabil Source Type: research

The prevalence of frailty among acute stroke patients, and evaluation of method of assessment.
CONCLUSION: Frailty is present in around one in four patients with acute stroke; if pre-frailty is included, then a frailty syndrome is seen in three out of four patients. The Frailty Index is a valid measure of frailty in stroke; however, there is little agreement between this scale and other measurements of frailty. PMID: 30971115 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - April 9, 2019 Category: Rehabilitation Authors: Taylor-Rowan M, Cuthbertson G, Keir R, Shaw R, Drozdowska B, Elliott E, Stott D, Quinn TJ Tags: Clin Rehabil Source Type: research

Falls and fear of falling after stroke: a case-control study
Conclusions Compared to non-stroke individuals, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in stroke were not explained by any of the outcome measures used, while fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factor with which to devise future prevention strategies for falls in stroke patients.
Source: PMandR - June 3, 2016 Category: Rehabilitation Source Type: research

Quasi-experimental evaluation of a home care model for patients with stroke in China.
Conclusions Home care may be associated with higher quality of life and reduced dependency among stroke patients in China. Implications for Rehabilitation Home care can be effective method at improving the physical and psychological well-being of stroke survivors in China. The home care model in this study can improve health outcomes as well as reduce healthcare resources utilisation. Home care models for stroke survivors should be adapted to local healthcare policies and resources. PMID: 26824752 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Chen L, Sit JW, Shen X Tags: Disabil Rehabil Source Type: research

Management of Fever, Hyperglycemia, and Dysphagia in an Acute Stroke Unit.
CONCLUSIONS: Current practice does not reflect best practice. Barriers to research translation are currently unclear but must be overcome to improve care quality for stroke survivors. Multifaceted interventions to ensure uptake of care protocols are required. CLINICAL RELEVANCE: Consistent provision of evidence-based practice needs to be available to ensure patients are provided with the best nursing care following stroke. PMID: 26463673 [PubMed - as supplied by publisher]
Source: Rehabilitation Nursing - October 14, 2015 Category: Rehabilitation Authors: Kenny T, Barr C, Laver K Tags: Rehabil Nurs Source Type: research

Is the practice of goal-setting for patients in acute stroke care patient-centred and what factors influence this? A qualitative study.
CONCLUSION: It may be possible to infer that current local practice of goal-setting was inadequately patient-centred. Further research is required to identify strategies to overcome these challenges and to develop patient-centred goal-setting methods. PMID: 25952590 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - May 7, 2015 Category: Rehabilitation Authors: Rosewilliam S, Sintler C, Pandyan AD, Skelton J, Roskell CA Tags: Clin Rehabil Source Type: research

Surface Peroneal Nerve Stimulation in Lower Limb Hemiparesis: Effect on Quantitative Gait Parameters
This study is a randomized controlled clinical trial. Setting: The setting of this study is a teaching hospital of an academic medical center. Participants: One hundred ten chronic stroke survivors (>12 wks poststroke) with unilateral hemiparesis participated in this study. Interventions: The subjects were randomized to a surface peroneal nerve stimulation device or usual care intervention. The subjects were treated for 12 wks and followed up for 6-mo posttreatment. Main Outcome Measures: Spatiotemporal, kinematic, and kinetic parameters of gait were the main outcome measures. Results: Cadence (F3,153 = 5.81, P = 0.012), s...
Source: American Journal of Physical Medicine and Rehabilitation - April 18, 2015 Category: Rehabilitation Tags: Original Research Articles: CME Article . 2015 Series . Number 5 Source Type: research

Prognostic factors for discharge destination after acute stroke: a comprehensive literature review.
Conclusion: Patient initial medical care, age and sex, neurological and medical complications and environmental/socio-economic factors should be considered in the decision-making process for discharge destination. [Box: see text]. PMID: 25250810 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Van der Cruyssen K, Vereeck L, Saeys W, Remmen R Tags: Disabil Rehabil Source Type: research

Randomized Controlled Trial of Surface Peroneal Nerve Stimulation for Motor Relearning in Lower Limb Hemiparesis
Abstract: Objective: To compare the motor relearning effect of a surface peroneal nerve stimulator (PNS) versus usual care on lower limb motor impairment, activity limitation, and quality of life among chronic stroke survivors.Design: Single-blinded randomized controlled trial.Setting: Teaching hospital of academic medical center.Participants: Chronic stroke survivors (N=110;>12wk poststroke) with unilateral hemiparesis and dorsiflexion strength of ≤4/5 on the Medical Research Council scale.Interventions: Subjects were stratified by motor impairment level and then randomly assigned to ambulation training with either a su...
Source: Archives of Physical Medicine and Rehabilitation - February 11, 2013 Category: Rehabilitation Authors: Lynne R. Sheffler, Paul N. Taylor, Douglas D. Gunzler, Jaap H. Buurke, Maarten J. IJzerman, John Chae Tags: Journal-Based CME Article Source Type: research