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Total 9651 results found since Jan 2013.

Correlates of participation six months after stroke in an Italian population: results from the RIPS (Post-Stroke Intensive Rehabilitation) Study
CONCLUSIONS: In our cohort of patients addressing postacute stroke rehabilitation, prestroke participation levels were on average good, while they were severely reduced six months after stroke for all the considered items except reading and making trips. Higher FAI at follow-up was independently associated with a higher functional level and no cognitive impairment at follow-up, with lower stroke severity in the postacute phase, as well as a higher anamnestic participation score.CLINICAL REHABILITATION IMPACT: Our results suggest that investigating prestroke participation may be highly relevant to predict, and possibly addr...
Source: European Journal of Physical and Rehabilitation Medicine - February 1, 2023 Category: Rehabilitation Authors: Chiara Castagnoli Silvia Pancani Teresa Barretta Leonardo Pellicciari Silvia Campagnini Benedetta Basagni Camilla Gucci Alessandro Sodero Erika Guolo Bahia Hakiki Antonello Grippo Andrea Mannini Claudio Macchi Francesca Cecchi Source Type: research

Professional reintegration among professionally active Portuguese stroke survivors: a multicentric study
CONCLUSIONS: Professional reintegration and vocational support after stroke, remained below the international goals for community reintegration of stroke survivors. Future studies should explore the impact of professional and social reintegration on the psychological health and quality of life of stroke survivors and the barriers, challenges, and strategies used to overcome them, to allow for effective professional reintegration policies.PMID:37370241 | DOI:10.1080/09638288.2023.2228200
Source: Disability and Rehabilitation - June 28, 2023 Category: Rehabilitation Authors: Joana Matos Ana Moura Filipa Teixeira Ana Henriques Elisabete Alves Source Type: research

What predicts a poor outcome in older stroke survivors? A systematic review of the literature.
Conclusions: The current evidence is insufficient for the development of a clinical prediction tool that is better than physicians' informal predictions. Future research should focus on the selection of optimal screening instruments in multiple domains of functioning, including the timing of assessment. We suggest developing prediction tools stratified by more homogeneous, clinically distinguished stroke subtypes. Implications for Rehabilitation A reliable prognosis soon after a stroke is highly relevant to patients who ultimately have a poor outcome, because it enables early planning of care tailored to their needs. ...
Source: Disability and Rehabilitation - January 25, 2013 Category: Rehabilitation Authors: Almenkerk SV, Smalbrugge M, Depla MF, Eefsting JA, Hertogh CM Tags: Disabil Rehabil Source Type: research

From dictatorship to a reluctant democracy: stroke therapists talking about self-management.
Conclusions: This study illustrates that stroke therapists desire a more participatory approach to rehabilitation. However, obstacles challenged the successful delivery of this goal. If self-management is an appropriate model to develop in post stroke pathways, then serious consideration must be given to how and if these obstacles can be overcome. Implications for Rehabilitation Stroke therapists perceive that self-management is appropriate for encouraging ownership of rehabilitation post stroke. Numerous obstacles were identified as challenging the implementation of self-management post stroke. These included: professiona...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Norris M, Kilbride C Tags: Disabil Rehabil Source Type: research

The daily living self-efficacy scale: a new measure for assessing self-efficacy in stroke survivors.
Conclusion: The DLSES is a psychometrically sound measure of self-efficacy in psychosocial functioning and self-efficacy in activities of daily living appropriate for stroke survivors, regardless of level of physical impairment. Implications for Rehabilitation A key factor that may influence outcome following a stroke is the level of self-efficacy that stroke survivors have in their ability to function in their daily life. The DLSES provides a measure of this ability that may be useful in enhancing preparation for the return to the community. The DLSES assesses self-efficacy in two important areas of daily functioning - ac...
Source: Disability and Rehabilitation - June 19, 2013 Category: Rehabilitation Authors: Maujean A, Davis P, Kendall E, Casey L, Loxton N Tags: Disabil Rehabil Source Type: research

Content validation of the International Classification of Functioning, Disability and Health Core Set for stroke from gender perspective using a qualitative approach.
Conclusion: This study confirms that the experience of functioning and disability after stroke shows communalities and differences for women and men. The validity of the extended ICF Core Set for stroke could be mostly confirmed, since it does not only include those areas of functioning and disability relevant to both genders but also those exclusively relevant to either women or men. Clinical Rehabilitation Impact. Further research is needed on ICF categories not yet included in the extended ICF Core Set for stroke. PMID: 23867898 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - July 18, 2013 Category: Rehabilitation Authors: Glässel A, Coenen M, Kollerits B, Cieza A Tags: Eur J Phys Rehabil Med Source Type: research

Developing a personalised self-management system for post stroke rehabilitation; utilising a user-centred design methodology.
Conclusion: The methodological approach has ensured that the interactive technology has been driven by the needs of the stroke survivors and their carers in the context of their journey to both recovery and adaptation. Underpinned by theories of motor relearning, neuroplasticity, self-management and behaviour change, the PSMrS developed in this study has resulted in a personalised system for self-managed rehabilitation, which has the potential to change motor behaviour and promote the achievement of life goals for stroke survivors. Implications for Rehabilitation Radical innovation and the adoption of a self-management par...
Source: Disability and Rehabilitation. Assistive Technology. - October 16, 2013 Category: Rehabilitation Authors: Mawson S, Nasr N, Parker J, Zheng H, Davies R, Mountain G Tags: Disabil Rehabil Assist Technol Source Type: research

Post-stroke rehabilitation in Italy: inconsistencies across regional strategies.
Conclusion: The study highlights the issue that, in Italy, delivery of post-stroke rehabilitation services is not uniform nation-wide and varies substantially across regions. The lack of a comprehensive postacute stroke strategy is a major obstacle to service availability. Clinical Rehabilitation Impact: The study results advocate the need for a consistent and comprehensive strategic planning of post-stroke rehabilitation in Italy. PMID: 24525622 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - February 13, 2014 Category: Rehabilitation Authors: Guidetti D, Spallazzi M, Baldereschi M, Di Carlo A, Ferro S, Rota E, Morelli N, Immovilli P, Toni D, Polizzi BM, Inzitari D Tags: Eur J Phys Rehabil Med Source Type: research

Exploring the experience of facilitating self-management with minority ethnic stroke survivors: a qualitative study of therapists' perceptions.
Conclusions: This study indicates that ethnicity should not be considered a limitation to the use of an individualized stroke specific self-management programme. However, it highlights potential facilitators and barriers, many of which relate to the capacity of the professional to effectively navigate cultural and ethnic differences. Implications for Rehabilitation Stroke therapists suggest that ethnicity should not be considered a barrier to successful engagement with a stroke specific self-management programme. Health, illness and recovery beliefs along with religion and the specific role of the family do however need to...
Source: Disability and Rehabilitation - March 27, 2014 Category: Rehabilitation Authors: Norris M, Jones F, Kilbride C, Victor C Tags: Disabil Rehabil Source Type: research

Timed Up & Go as a measure for longitudinal change in mobility after stroke ¿ Postural Stroke Study in Gothenburg (POSTGOT)
The objectives were to investigate the distribution-based responsiveness of the Timed Up & Go (TUG) during the first three months after a first event of stroke, to measure the longitudinal change in TUG time during the first year after stroke and to establish whether recovery in TUG time differs between different age groups. Methods: Ninety-one patients with first-ever stroke were assessed using the Timed Up & Go at the 1st week and at 3, 6 and 12 months after stroke. The non-parametric sign-test, the parametric t-test and a mixed model approach to linear regression for repeated measurements (Proc mixed) were used for the ...
Source: Journal of NeuroEngineering and Rehabilitation - May 9, 2014 Category: Rehabilitation Authors: Carina PerssonAnna DanielssonKatharina SunnerhagenAnna Grimby-EkmanPer-Olof Hansson Source Type: research

Impact of first-ever mild stroke on participation at 3 and 6 month post-event: the TABASCO study.
Conclusions: Participants after mild ischemic stroke experienced cognitive and EF difficulties that affect their participation and QoL. Further studies are needed of mild stroke survivors to enhance our understanding of the variables that affect participation. Implications for Rehabilitation The findings of the current study have significant implications for the participation of people after mild stroke in the community. Health care systems in general and rehabilitation programs, in particular, do not consider that these clients need rehabilitation as most of them perform basic daily functions independently. Thus, although...
Source: Disability and Rehabilitation - June 3, 2014 Category: Rehabilitation Authors: Adamit T, Maeir A, Ben Assayag E, Bornstein NM, Korczyn AD, Katz N Tags: Disabil Rehabil Source Type: research

Perceived confidence relates to driving habits post-stroke.
Conclusion: Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life. Implications for Rehabilitation Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively i...
Source: Disability and Rehabilitation - September 9, 2014 Category: Rehabilitation Authors: McNamara A, Walker R, Ratcliffe J, George S Tags: Disabil Rehabil Source Type: research

Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil 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