Article
Chemistry, Multidisciplinary
Justin F. Gallagher, Manoj Sivan, Martin Levesley
Summary: This study found that a low-cost rehabilitation robot can be used for stroke rehabilitation at home, with clinical outcome measures correlating well with kinematic data collected by the robot. Early use of kinematic data can detect improvement, and kinematic measures are sensitive enough to capture changes within a four-week period.
APPLIED SCIENCES-BASEL
(2022)
Article
Health Care Sciences & Services
Martijn Scherrenberg, Jobbe P. L. Leenen, Astrid E. van der Velde, Josiane Boyne, Wendy Bruins, Julie Vranken, Hans-Peter Brunner-La Rocca, Ed P. De Kluiver, Paul Dendale
Summary: This study investigates patient-reported satisfaction, usability, and safety of a digital health-supported home hospitalisation intervention for heart failure patients. The findings show high patient satisfaction, reasonable usability scores, and comparable safety outcomes with traditional hospitalisations. Digitally supported home hospitalisation could be an alternative to in-hospital care.
Article
Medicine, General & Internal
Emilia Salvadori, Gioele Papi, Greta Insalata, Valentina Rinnoci, Ida Donnini, Monica Martini, Catuscia Falsini, Bahia Hakiki, Annamaria Romoli, Carmen Barbato, Paola Polcaro, Francesca Casamorata, Claudio Macchi, Francesca Cecchi, Anna Poggesi
Summary: Comparison studies on recovery outcomes in ischemic (IS) and hemorrhagic strokes (HS) have shown mixed results. In a retrospective observational study, it was found that HS patients were younger and had more severe clinical deficits compared to IS patients. However, functional status change at discharge did not significantly differ between the two stroke types, with age and initial stroke severity being main prognostic factors.
Article
Clinical Neurology
Anna Poggesi, Greta Insalata, Gioele Papi, Valentina Rinnoci, Ida Donnini, Monica Martini, Catuscia Falsini, Bahia Hakiki, Annamaria Romoli, Carmen Barbato, Paola Polcaro, Francesca Casamorata, Claudio Macchi, Francesca Cecchi, Emilia Salvadori
Summary: Gender differences in functional recovery after stroke at discharge from an intensive rehabilitation hospital were not significant, with women showing better recovery potential at higher ages.
EUROPEAN JOURNAL OF NEUROLOGY
(2021)
Article
Medicine, General & Internal
Amreen Mahmood, Anagha Deshmukh, Manikandan Natarajan, Dianne Marsden, Glade Vyslysel, Sebastian Padickaparambil, T. S. Shwetha, Artur Direito, Senthil Kumaran, N. Girish, Harpreet Sachdev, Sundar Kumar Veluswamy, Suruliraj Karthikbabu, B. Unnikrishnan, Coralie English, John M. Solomon
Summary: Through a Delphi consensus process involving experts from various fields, a framework of nine strategies to enhance adherence to home-based exercises after stroke was developed. This framework provides practical methods for clinicians to support exercise adherence among stroke survivors in both research and clinical settings.
Article
Rehabilitation
Janet K. Freburger, Aileen Chou, Tracey Euloth, Beth Matcho, Andrew Bilderback
Summary: This study found an inverse relationship between the number of physical and occupational therapist visits received in acute care hospital and the risk of hospital readmission or death for stroke patients. The effects differed by time to the event, discharge location, and mobility limitations on admission.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Clinical Neurology
Steven C. Cramer, Lucy Dodakian, Vu Le, Alison McKenzie, Jill See, Renee Augsburger, Robert J. Zhou, Sophia M. Raefsky, Thalia Nguyen, Benjamin Vanderschelden, Gene Wong, Daniel Bandak, Laila Nazarzai, Amar Dhand, Walt Scacchi, Jutta Heckhausen
Summary: The study evaluated the feasibility of an expanded home-based telerehabilitation program for stroke patients with limb weakness. Results showed good initiation and completion rates of therapy, improvements in certain patient outcomes, and successful implementation of various assessments and features, providing valuable insights for future stroke rehabilitation efforts.
FRONTIERS IN NEUROLOGY
(2021)
Article
Rehabilitation
Yucheng Hou, Cheryl D. Bushnell, Pamela W. Duncan, Anna M. Kucharska-Newton, Jacqueline R. Halladay, Janet K. Freburger, Justin G. Trogdon
Summary: Bundled payments are a promising model to reduce costs and improve postacute stroke care coordination, but there is limited evidence supporting their effectiveness for strokes. The COMPASS care model, focusing on transitional care from acute care to home, aligns with the key components of bundled payments and may serve as a potential strategy for stroke care redesign under bundled payments. Ongoing evaluation will help incorporate COMPASS-like interventions into stroke bundles.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Medicine, General & Internal
Natasha A. Lannin, Lindy Clemson, Avril Drummond, Mandy Stanley, Leonid Churilov, Kate Laver, Sophie O'Keefe, Ian Cameron, Maria Crotty, Tim Usherwood, Nadine E. Andrew, Laura Jolliffe, Dominique A. Cadilhac
Summary: The HOME Rehab trial is a national, multicentre, phase III randomized controlled trial in Australia comparing the enhanced occupational therapy discharge planning intervention with standard in-hospital predischarge planning intervention for stroke survivors aged >= 45 years. The trial aims to determine the effectiveness and cost-effectiveness of the HOME programme, with primary outcome being participation and secondary outcomes including hospital readmission, disability, and quality of life. Ethical approval has been obtained for the study, and results will be disseminated through publication in peer-reviewed journals.
Article
Medicine, General & Internal
Rebecca J. Fisher, Lal Russell, Frances Riley-Bennett, Trudi Cameron, Marion Walker, Cath Sackley
Summary: This study explores the barriers and strategies to overcome them in providing rehabilitation for stroke survivors with severe disability. The results show high levels of need across multiple domains for these individuals. Multiagency collaboration and advocacy are important in optimizing rehabilitation opportunities and addressing existing healthcare inequalities.
Article
Rehabilitation
Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones
Summary: The study aims to examine the impact of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care for stroke patients in the 12 months following discharge home, as well as identify predictors for SNF or IRF admission after discharge home.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Engineering, Biomedical
Sharon Fong Mei Toh, Kenneth N. K. Fong, Pablo Cruz Gonzalez, Yuk Ming Tang
Summary: This review examines the use of wearable technologies in self-directed rehabilitation in the home setting, specifically focusing on stroke rehabilitation. The review identifies interventions such as virtual reality, stimulation-based training, robotic therapy, and activity trackers that utilize wearable technologies. Evidence supports the effectiveness of stimulation-based training and activity trackers for upper limb rehabilitation, but is limited for virtual reality and inconsistent for robotic training. There is a lack of research on wearable technologies for lower limb rehabilitation. The importance of this topic deserves a rating of 8 out of 10.
IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING
(2023)
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
Medicine, General & Internal
Jae-Heon Lim, Hye-Sun Lee, Chiang-Soon Song
Summary: The study found that home-based rehabilitative programs improved postural balance and walking abilities for individuals with chronic hemiparetic stroke, compared to clinic-based exercise programs. The results suggest positive benefits of home-based rehabilitation for chronic stroke patients.
Article
Medicine, General & Internal
Yu-Chung Chen, Willy Chou, Rong-Bin Hong, Jen-Ho Lee, Jer-Hao Chang
Summary: This study compared the satisfaction with life quality in stroke patients who received home-based rehabilitation and hospital-based rehabilitation during the post-acute care (PAC) stage. The results showed that the hospital-based group had better improvement in mobility, self-care, pain/discomfort, and depression/anxiety compared to the home-based group.
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
(2023)
