Article
Geriatrics & Gerontology
Tom P. M. M. Vluggen, Jolanda C. M. van Haastregt, Frans E. Tan, Jeanine A. Verbunt, Caroline M. van Heugten, Jos M. G. A. Schols
Summary: The integrated multidisciplinary rehabilitation programme did not have an impact on daily activity of older stroke patients. However, patients participating in the programme had a higher level of perceived autonomy in outdoor activities, and their informal caregivers perceived a lower care burden. The programme may show promise in providing adequate (after) care, but further adaptation is recommended to increase feasibility and improve outcomes.
Article
Medicine, General & Internal
Elizabeth Taylor, Gianpaolo Fusari, Ara Darzi, Fiona Jones
Summary: The OnTrack program aims to enhance arm and hand recovery poststroke, and the findings from the process evaluation showed that participants found it beneficial, with a strong emphasis on the coaching role and the motivational aspect of activity tracking. These findings will inform future research and delivery.
Article
Rehabilitation
Bhasker Amatya, Alaeldin Elmalik, Su Yi Lee, Krystal Song, Mary P. Galea, Fary Khan
Summary: The modified Post-Stroke Checklist (mPSC) is a feasible tool in inpatient rehabilitation settings to identify stroke-related problems and facilitate targeted intervention. In this study, the mPSC was administered at hospital discharge and 3 months post-discharge, and it successfully identified the majority of stroke-related problems. Participants showed improvement in function after targeted interventions such as physiotherapy and occupational therapy.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Article
Medicine, General & Internal
Mariska Vielvoye, Christa S. Nanninga, Wilco P. Achterberg, Monique A. A. Caljouw
Summary: This study investigated an informal caregiver program for caregivers of older stroke patients, which included skills training and education, and its impact on caregiver burden. Semi-structured interviews were conducted with individual caregivers at different stages, and the program consisted of meetings, walk-in days, psychoeducation, and weekend leave. The findings showed that the program provided caregivers with better insight into the functioning of stroke patients, improved skills in guiding them, and enhanced communication with the care team. Caregivers expressed positive attitudes towards the future after discharge, though they found combining care tasks with daily tasks challenging. Offering a tailored program and effective communication during rehabilitation can help reduce caregiver burden in the post-discharge phase.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
David Clarke, Karolina Gombert-Waldron, Stephanie Honey, Geoffrey Cloud, Ruth Harris, Alastair Macdonald, Christopher McKevitt, Glenn Robert, Fiona Jones
Summary: The study found that participants valued their involvement in EBCD/AEBCD, feeling they were equal partners in co-design. Staff also engaged in the process, finding it valuable for improving activity opportunities. Researcher facilitation of EBCD/AEBCD supported cognitive participation, collective action, and reflexive monitoring, which were crucial in implementing and sustaining co-design activities.
Article
Medicine, General & Internal
Rachel Skoss, Jane White, Mandy J. Stanley, Melanie Robinson, Sandra Thompson, Elizabeth Armstrong, Judith M. Katzenellenbogen
Summary: The Aboriginal people in Australia face health challenges due to lack of culturally secure services, impacting their participation in healthcare. In order to improve rehabilitation and health outcomes for Aboriginal people with brain injuries, a randomized control trial called 'Healing Right Way' is being conducted, with a process evaluation included to assess implementation processes.
Article
Rehabilitation
Michael W. O'Dell, Abhishek Jaywant, Megan Frantz, Ruchi Patel, Erica Kwong, Karen Wen, Michael Taub, Marc Campo, Joan Toglia
Summary: This study aimed to describe functional changes after inpatient stroke rehabilitation using the AM-PAC, which showed significant group differences in functional changes across the first year post-discharge, with substantial heterogeneity at an individual level. It underscores the need to consider individual-level outcomes when evaluating progress or outcomes in stroke rehabilitation.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Multidisciplinary Sciences
Ana Rojo, Arantxa Castrillo, Cristina Lopez, Luis Perea, Fady Alnajjar, Juan C. Moreno, Rafael Raya
Summary: The aim of this study is to verify whether the developed virtual reality system for pedaling exercise is accepted and could be safety, useful and motivating for adults with neuromotor disorders and elderly people. The outcomes suggest that PedaleoVR is a credible, usable and motivational tool for adults with neuromotor disorders to perform cycling exercise, and it does not generate negative effects related to cybersickness while being positively evaluated by the geriatric population.
Article
Clinical Neurology
Gerard Fluet, Qinyin Qiu, Jigna Patel, Ashley Mont, Amanda Cronce, Mathew Yarossi, Alma Merians, Sergei Adamovich
Summary: The anatomical and physiological heterogeneity of strokes and persons with stroke, along with the findings of non-inferiority in virtual rehabilitation studies, suggest the need for alternative treatment modalities. By identifying patient populations, treatment settings, and training schedules, virtual rehabilitation's strengths can be leveraged to aid stroke patients in hand function recovery according to their level of impairment and stage of recovery. Home-based equipment, which is cheaper and more accessible, appears to be a promising alternative to clinic-based treatment, supporting continued optimism and study in this field.
FRONTIERS IN NEUROLOGY
(2021)
Article
Geriatrics & Gerontology
Martine S. Bosma, Monique A. A. Caljouw, Wilco P. Achterberg, Tanja C. W. Nijboer
Summary: This study investigated the prevalence of visuospatial neglect (VSN) in stroke patients during geriatric rehabilitation (GR) and its associations with population characteristics, functioning, length of stay, and discharge destination. The results showed a high prevalence of VSN in the GR stroke population and its significant impact on daily activities and rehabilitation process.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Medicine, General & Internal
Marte Orud Lindstad, Aud Uhlen Obstfelder, Unni Sveen, Linda Stigen
Summary: This study describes a protocol for a clinical trial investigating the effectiveness of the PRPP intervention in community-based rehabilitation for older adults with cognitive challenges after ABI. The study will use a non-concurrent multiple baseline design with systematic replications, and the PRPP intervention will be delivered by trained occupational therapists in two rehabilitation units. The outcomes will be measured through repeated assessments of everyday tasks, and data analysis will include visual inspection, clinical significance, and descriptive statistics.
Article
Chemistry, Analytical
Anne Schwarz, Adib Al-Haj Husain, Lorenzo Einaudi, Eva Thurlimann, Julia Laderach, Chris Awai Easthope, Jeremia P. O. Held, Andreas R. Luft
Summary: The study aims to investigate the reliability and validity of a sensor-based gait analysis system in stroke survivors. The results show that the system has good test-retest reliability and correlates with clinical assessment tools, indicating its applicability in gait rehabilitation for stroke patients.
Article
Chemistry, Analytical
Ashley MontJohnson, Amanda Cronce, Qinyin Qiu, Jigna Patel, Mee Eriksson, Alma Merians, Sergei Adamovich, Gerard Fluet
Summary: We have developed the NJIT-HoVRS to facilitate intensive, hand-focused rehabilitation in the home and provide richer information for remote assessments. This paper presents the results of reliability testing and validity testing of kinematic measures collected with NJIT-HoVRS for persons with upper extremity impairments due to chronic stroke.
Article
Rehabilitation
Ingrid Lindgren, Helene Pessah-Rasmussen, Gunvor Gard, Christina Brogardh
Summary: This study examines the perception of work situation and work ability among stroke survivors who returned to work within one year after their stroke. The results suggest that most participants are satisfied with their work and perceive their work ability as sufficient, indicating the importance of support and appreciation in maintaining a sustainable work situation.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Article
Medicine, General & Internal
Kathryn A. Radford, Christopher McKevitt, Sara Clarke, Katie Powers, Julie Phillips, Kristelle Craven, Caroline Watkins, Amanda Farrin, Jain Holmes, Rachel Cripps, Vicki McLellan, Tracey Sach, Richard Brindle, Ivana Holloway, Suzanne Hartley, Audrey Bowen, Rory J. O'Connor, Judith Stevens, Marion Walker, John Murray, Angela Shone, David Clarke
Summary: This study aims to evaluate the fidelity to the intervention and understand the social and structural context of its delivery by using mixed-method process evaluation. It also aims to identify the barriers and facilitators to intervention implementation. The study will observe the intervention training for therapists and analyze the use of remote mentor support. It will also assess fidelity through participant questionnaires and therapy record analysis. The study will conduct longitudinal case studies and interviews to understand the experiences of stroke survivors, carers, therapists, mentors, service managers, and employers. The qualitative and quantitative data will be independently analyzed and then synthesized to compare and integrate the findings. The study's results will be disseminated through various channels including journal publications and meetings with clinical leads.