Article
Multidisciplinary Sciences
Stefanny Guerra, Kate Lambe, Gergana Manolova, Euan Sadler, Katie J. Sheehan
Summary: This study aimed to understand the perceptions of multidisciplinary team healthcare professionals regarding current and optimal provision of acute rehabilitation, as well as perceived barriers and facilitators to implementation, and their implications for patient recovery. The findings highlighted the importance of effective communication and collaborative practices between the multidisciplinary team, patients, and carers in optimizing acute rehabilitation. Supportive management and leadership were identified as central to optimizing these processes.
Article
Clinical Neurology
Bettina Scheffler, Florian Schimboeck, Almut Schoeler, Katrin Roesner, Jacob Spallek, Christian Kopkow
Summary: This study aims to implement the German stroke rehabilitation guidelines and change care provider behavior through a tailored and theory-based intervention. By using a mixed methods approach, it will survey the current physical therapy practice, evaluate the barriers and facilitators of guideline usage, and develop and pilot test an intervention for the benefit of guideline recommendations.
FRONTIERS IN NEUROLOGY
(2022)
Article
Rehabilitation
Veena Jayasree-Krishnan, Shramana Ghosh, Anna Palumbo, Vikram Kapila, Preeti Raghavan
Summary: The study reveals a four-pronged framework, the A3E framework, which stands for Accessibility, Adaptability, Accountability, and Engagement, to comprehensively address existing barriers in providing rehabilitation services. This framework can guide technology developers and clinicians in designing and deploying technology-assisted rehabilitation solutions for poststroke rehabilitation, particularly using telerehabilitation.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Article
Health Care Sciences & Services
Grace M. Turner, Maria Raisa Jessica Aquino, Lou Atkins, Robbie Foy, Jonathan Mant, Melanie Calvert
Summary: This study aimed to explore factors influencing holistic follow-up care after TIA and minor stroke. The results suggest that currently, follow-up care for TIA and minor stroke is not optimal, with limited access to healthcare providers and a lack of understanding of patients' post-TIA/minor stroke needs. The follow-up care is often passive and focused on acute medical management.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Rehabilitation
Heidi Janssen, Marie-Louise Bird, Julie Luker, Annie McCluskey, Jannette Blennerhassett, Louise Ada, Julie Bernhardt, Neil J. Spratt
Summary: Stroke survivors' engagement in activity outside of therapy sessions during inpatient rehabilitation is influenced by individual impairments, ward set-up, and social norms.
CLINICAL REHABILITATION
(2022)
Article
Multidisciplinary Sciences
Amanda Hall, Andrea Pike, Andrea Patey, Sameh Mortazhejri, Samantha Inwood, Shannon Ruzycki, Kyle Kirkham, Krista Mahoney, Jeremy Grimshaw
Summary: This study investigated the perceived barriers and enablers to reducing unnecessary preoperative tests for low-risk surgical procedures in Newfoundland, Canada. The results showed that uncertainty about responsibility, inability to access patient records or consult/communicate with colleagues, worry about surgery delays/cancellation, workplace norms conflicting with guidelines, concerns about missing something serious or litigation were factors influencing test ordering behavior. Clear institutional guidelines, improved communication, and periodic evaluation were identified as enablers to reduce unnecessary preoperative testing.
Article
Nursing
Lisa van Dongen, Thora B. Hafsteinsdottir, Ethna Parker, Ingibjorg Bjartmarz, Ingibjorg Hjaltadottir, Helga Jonsdottir
Summary: This study explored how stroke survivors deal with stroke-related impairments when rebuilding their lives in the community and their experiences of exercising at home. Three main themes were identified: Framing exercise within the context of everyday life, Managing the challenges of physical impairment, and Long-term challenges of everyday life.
Article
Geriatrics & Gerontology
Debra Eagles, Warren J. Cheung, Tanja Avlijas, Krishan Yadav, Robert Ohle, Monica Taljaard, Frank Molnar, Ian G. Stiell
Summary: Background delirium is common but under-recognised in older ED patients. This study identified barriers and facilitators to delirium screening by nurses in this population. The findings highlight issues related to clinical prioritisation, self-perception of knowledge, and hospital culture.
Article
Multidisciplinary Sciences
Nicole Etherington, Joseph K. Burns, Simon Kitto, Jamie C. Brehaut, Meghan Britton, Sukhbir Singh, Sylvain Boet
Summary: This study identified key factors influencing OR teamwork from an interprofessional perspective using a theoretically informed and systematic approach, revealing important targets for future interventions to potentially increase effectiveness in achieving optimal teamwork in the OR.
Article
Medicine, General & Internal
Georgina Hobden, Eugene Tang, Nele Demeyere
Summary: This qualitative study aimed to explore stroke survivors' experiences of poststroke cognitive assessments. The study found that stroke survivors require clear explanations about the purpose and outcomes of cognitive assessments, including constructive feedback, to promote their engagement and protect their psychological wellbeing.
Article
Dentistry, Oral Surgery & Medicine
Koula Asimakopoulou, Nicola West, Maria Davies, Anisha Gupta, Charlie Parkinson, Sasha Scambler
Summary: This qualitative study aimed to understand the barriers and facilitators to discussions about dentine hypersensitivity, a condition that is widespread but not routinely discussed during dental consultations. The results showed an attitude-behavior gap among dental teams, who believed that such discussions were important but faced behavioral barriers such as competing priorities, perceived lack of seriousness, and practical issues like lack of time. The study concluded that systemic and behavioral barriers explain the lack of routine discussions on dentine hypersensitivity.
JOURNAL OF CLINICAL PERIODONTOLOGY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Wiebke Sommerfeldt, Paul Gellert, Anne Mueller, Nirina Goetze, Gerd Goestemeyer
Summary: This study aimed to investigate older patients' perceptions of root caries treatment with SDF and to identify factors that influence their decision process. The main barrier to older patients' acceptance of SDF treatment for visible root caries was permanent discoloration. However, patients appear to accept SDF treatment under certain conditions, including less visible lesions or in comparison to more invasive treatment options.
JOURNAL OF DENTISTRY
(2023)
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)
Review
Medicine, General & Internal
Hu Jiang, Yongxia Mei, Beilei Lin, Wenna Wang, Xiaoxuan Wang, Zhixin Zhao, Zhen-xiang Zhang
Summary: Stroke has a high incidence and disability rate, making it the second-leading cause of mortality worldwide. Cardiac rehabilitation, a proven strategy, might serve as an additional preventative programme. This study aims to systematically combine previous qualitative studies to understand if existing cardiac rehabilitation meets the needs of patients who had a stroke.
Article
Nursing
Ahtisham Younas, Shahzad Inayat, Samuel Masih
Summary: This study aimed to identify the barriers that nurses face in providing person-centred care to complex patients in acute care settings. The results showed that the key barriers were related to the environmental context and resources, social influences, emotions, and knowledge and skills domains. These barriers were intertwined with deep-rooted social and cultural beliefs about nursing, patients' expectations, and families' preference for home remedies over specialised nursing care.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Rehabilitation
Emma L. Karran, Caroline E. Fryer, James W. Middleton, G. Lorimer Moseley
Summary: This study aimed to explore the problem of persistent pain in Australian community-dwelling adults with spinal cord injury (SCI). The results showed that the impact of persistent pain on individuals' lives varied, with some experiencing more disability than physical impairments and feeling isolated and despair. It was also found that community-based pain care mainly focused on medication, and access to expert, comprehensive, and individualized care was frequently reported as inadequate.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Priscilla Tjokrowijoto, Renerus J. Stolwyk, David Ung, Monique F. Kilkenny, Joosup Kim, Lachlan L. Dalli, Dominique A. Cadilhac, Nadine E. Andrew
Summary: This study examined the types of mental health treatment accessed by community-based stroke survivors and the factors associated with treatment access. The results showed that only 30% of stroke survivors with depression/anxiety had accessed mental health services, primarily through government-funded Medicare schemes.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Andrea Sturm, Ian Edwards, Caroline Elizabeth Fryer, Roswith Roth
Summary: This study explores the contextual differences in ethical situations experienced by physiotherapists in their global practice through qualitative analysis of responses to an open question in an international online survey. The findings suggest that different cultures and societal structures influence the ethical experiences of physiotherapists, and identified new ethical issues related to lack of regulation and infrastructure, recognition of physiotherapist roles, economic factors, and political threats.
PHYSIOTHERAPY THEORY AND PRACTICE
(2023)
Article
Health Policy & Services
Joosup Kim, Rohan Grimley, Monique F. Kilkenny, Greg Cadigan, Trisha Johnston, Nadine E. Andrew, Amanda G. Thrift, Natasha A. Lannin, Vijaya Sundararajan, Dominique A. Cadilhac
Summary: This study aimed to describe the costs of hospital care for stroke and transient ischaemic attack (TIA) and investigate factors associated with costs. The results showed that medical and nursing costs were the major expenses for most patients with stroke or TIA and were relatively expensive.
HEALTH INFORMATION MANAGEMENT JOURNAL
(2023)
Article
Clinical Neurology
Seana L. Gall, Valery Feigin, Amanda G. Thrift, Timothy J. Kleinig, Dominique A. Cadilhac, Derrick A. Bennett, Mark R. Nelson, Tara Purvis, Shabnam Jalili-Moghaddam, Gemma Kitsos, Rita Krishnamurthi
Summary: This study aims to reduce stroke risk through a personalized mobile app. The study will compare the difference in modifiable cardiovascular risk scores between a group using the app and a group receiving usual care, and assess various secondary outcomes.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Rehabilitation
T. Thayabaranathan, C. Baker, N. E. Andrew, R. Stolwyk, A. G. Thrift, H. Carter, K. Moss, J. Kim, S. J. Wallace, E. Brogan, R. Grimley, N. A. Lannin, M. L. Rose, D. A. Cadilhac
Summary: People with communication disabilities post-stroke have poorer quality-of-life compared to those without communication disabilities. They are more likely to experience anxiety, depression, pain, difficulties in self-care, limitations in daily activities, and reduced mobility. However, they report less fatigue, poorer cognitive skills, and lower social participation.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Rehabilitation
Stephanie Thompson, William Levack, Jeroen Douwes, Jackie Girvan, Ginny Abernethy, P. Alan Barber, John Fink, John Gommans, Alan Davis, Matire Harwood, Dominique A. Cadilhac, Harry McNaughton, Valery Feigin, Andrew Wilson, Hayley Denison, Marine Corbin, Joosup Kim, Annemarei Ranta
Summary: It is important to understand the perceptions of stroke care services from both consumers (people with stroke/family members/caregivers) and health workers. A survey was conducted among consumers and health workers from across New Zealand to gather their views on stroke care, access barriers, and service centralization. The results indicated differences in perceptions between consumers and health workers, highlighting the need for involving both parties in service co-design. Improving communication, post-hospital follow-up, and geographic equity emerged as key areas for improvement.
DISABILITY AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Kathleen L. Bagot, Tara Purvis, Shaun Hancock, Henry Zhao, Skye Coote, Damien Easton, Bruce C. V. Campbell, Steve M. Davis, Geoff A. Donnan, Shane Foster, Francesca Langenberg, Karen Smith, Michael Stephenson, Stephen Bernard, Sharon McGowan, Bernard Yan, Peter Mitchell, Sandy Middleton, Dominique A. Cadilhac
Summary: A comprehensive implementation evaluation of the first Australian Mobile Stroke Unit (MSU) service identified successes and challenges in the pre- and initial operations. Major themes addressing stakeholders, vehicle, knowledge, training/education, communication, work processes, and working relationships emerged from surveys and interviews.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Neurosciences
Rohan S. Grimley, Taya Collyer, Helen M. Dewey, Nadine Andrew, Dominique A. Cadilhac
Summary: The study aimed to assess the effects of a non-admitted management pathway following ED presentation with suspected TIA on stroke, ED re-presentations, overnight admission, LOS, and costs. The pathway resulted in decreased overnight admissions, reduced LOS, and lower hospital costs but led to an initial increase in recurrent stroke and a sustained rise in ED re-presentation. These findings suggest that although the pathway can reduce hospital use and costs, it may be associated with increased risks of recurrent stroke and ED re-presentations.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)
Review
Clinical Neurology
Dominique A. Cadilhac, Dawn M. Bravata, Janet Prvu Bettger, Robert Mikulik, Bo Norrving, Ezinne O. Uvere, Mayowa Owolabi, Annemarei Ranta, Monique F. Kilkenny
Summary: This research paper aims to summarize the published evidence on the adoption of Learning Health System (LHS) concepts in stroke care. The study highlights the limited examples of LHS implementation in stroke care globally, likely due to the lack of agreed classification terms. The authors hope that this review will encourage the dissemination of related activities and facilitate the identification of evidence-based practices.
Article
Clinical Neurology
Mathew J. Reeves, Bernadette Boden-Albala, Dominique A. Cadilhac
Summary: In many countries, most of a person's recovery from stroke occurs in the community, as the hospital stay after an acute stroke admission is typically short. Care transitions, such as transferring between care settings or providers, pose challenges and vulnerability for stroke patients and caregivers. Underserved and minority populations, due to exposure to poor conditions and discrimination, are particularly susceptible to complicated care transitions, which can negatively impact stroke recovery. Evidence on how to support post-acute stroke care, especially for underserved communities, remains limited.
Article
Rehabilitation
John E. Pierce, Robyn OHalloran, Leanne Togher, Lyndsey Nickels, David Copland, Erin Godecke, Marcus Meinzer, Tapan Rai, Dominique A. Cadilhac, Joosup Kim, Melanie Hurley, Abby Foster, Marcella Carragher, Cassie Wilcox, Gillian Steel, Miranda L. Rose
Summary: This study aimed to explore the feasibility, acceptability, and preliminary efficacy of providing High-intensity Constraint-Induced Aphasia Therapy Plus (CIAT-Plus) and Multi-Modality Aphasia Therapy (M-MAT) at a lower intensity. The results showed that low-moderate intensity CIAT-Plus and M-MAT were feasible and acceptable, and both interventions demonstrated preliminary efficacy at this intensity.
TOPICS IN STROKE REHABILITATION
(2023)
Editorial Material
Clinical Neurology
Janet Prvu Bettger, Dominique A. Cadilhac
Review
Rehabilitation
Neil Tuttle, Susan Hillier
Summary: Touch has long been a key aspect in physiotherapy, but recent evidence questioning its efficacy in exercise prescription and active management has emerged. This article suggests that touch can be a two-way conversation between therapist and client, using tactile communication to enhance patient awareness and improve movement-based behavior.
FRONTIERS IN REHABILITATION SCIENCES
(2023)
Article
Rehabilitation
Sally Zingelman, Sarah J. Wallace, Joosup Kim, Simon Mosalski, Steven G. Faux, Dominique A. Cadilhac, Tara Alexander, Natasha A. Lannin, Muideen T. Olaiya, Ross Clifton, Christine T. Shiner, Susan Starr, Monique F. Kilkenny
Summary: The study found that the majority of stroke patients require communication support during rehabilitation, and communication gains post-stroke are associated with long-term outcomes such as quality of life and mortality. Factors such as aphasia, age, stroke severity, and previous stroke are associated with the need for communication support.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Rehabilitation
Rose Goonan, Edward Mohandoss, Celia Marston, Jaqueline Kay, Anurika Priyanjali De Silva, Andrea B. Maier, Esmee Reijnierse, Marlena Klaic
Summary: This study evaluated the physical and functional outcomes of the 'Ending Pyjama Paralysis' intervention in geriatric rehabilitation patients. The results showed that this intervention did not lead to additional functional and physical benefits in this setting.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Sinikka Kilpikoski, Arja H. Hakkinen, Jussi P. Repo, Kati Kyrola, Juhani Multanen, Markku Kankaanpaa, Aki Vainionpaa, Esa-Pekka Takala, Hannu Kautiainen, Jari Ylinen
Summary: This study aimed to compare the effectiveness of a McKenzie Method intervention with guideline-based patient education in patients with sciatica. The results showed that multiple sessions of McKenzie-based back exercises combined with a patient's educational book had similar long-term effects to guideline-based advice. However, the small sample size and confounding factors limited the power of these results.
CLINICAL REHABILITATION
(2024)
Article
Rehabilitation
Margot W. M. de Waal, Michael Jansen, Loes M. Bakker, Arno J. Doornebosch, Elizabeth M. Wattel, Dennis Visser, Ewout B. Smit
Summary: The Utrecht Scale for Evaluation of Rehabilitation has been shown to be effective in evaluating physical and cognitive functioning in geriatric rehabilitation. A minimal important change of 14.5 points has been established for physical functioning.
CLINICAL REHABILITATION
(2024)
