scholarly journals Review of Rehabilitation of Ischaemic Stroke Patients

1970 ◽  
Vol 18 (2) ◽  
pp. 169-173
Author(s):  
K Mahmood ◽  
MS Hossain ◽  
S Rahman
Keyword(s):  
Stroke Patient ◽  
Stroke Rehabilitation ◽  
Holistic Approach ◽  
Major Theme ◽  
Stroke Patients ◽  
Rehabilitation Team ◽  
Positive Effects ◽  
Comprehensive Rehabilitation ◽  
Rehabilitation Activity

Rehabilitation of stroke patient is a continuum, starting within days of onset and ending only when it no longer produces any positive effects. Although rehabilitation intervention is important during the acute phase of care, it is secondary to the activities involved in diagnosis and acute medical treatment. However, when a patient has a persisting major continuing impairment, such as hemiplegia with disabilities, the rehabilitation components of care quickly become the main focus of management. Stroke rehabilitation is always done by the patient, rather than to the patient .The major theme of rehabilitation is the enhancement of quality of life of stroke patient. The comprehensive rehabilitation management programme is characterized by a holistic approach and understanding the rehabilitation of the patients who sustain stroke. It is important because it involves virtually all elements of rehabilitation activity and all members of the rehabilitation team. In this article we aim to provide an overview of the area of rehabilitation in the management of ischemic stroke to improve the quality of service for the stroke patients. Key words: Stroke; rehabilitation. DOI: 10.3329/jdmc.v18i2.6281 J Dhaka Med Coll. 2009; 18(2) : 169-173

scholarly journals Adherence to Post-Acute Rehabilitation Guidelines Improves Functional Recovery in Stroke

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 333-333
Author(s):  
Pamela W Duncan ◽  
Ronnie D Horner ◽  
Dean M Reker ◽  
VA Medical Ctr ◽  
Kansas City ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Acute Stroke ◽  
Functional Recovery ◽  
Stroke Rehabilitation ◽  
Functional Independence ◽  
Case Mix ◽  
Stroke Patients ◽  
Sf 36 ◽  
Acute Rehabilitation

97 Purpose & Methods: To assess if compliance with post-stroke rehabilitation guidelines improves functional recovery. The design of the study was an inception cohort of stroke patients followed prospectively for 6 months. The setting was eleven Department of Veteran Affairs Medical Centers providing care to stroke patients. The subjects included 288 selected patients with stroke admitted between January 1998 - March 1999. Data were abstracted from medical records and telephone interviews. Primary outcome was the Functional Independence Motor Score (FIM). Secondary outcomes included Instrumental Activities of Daily Living (IADL), SF-36 physical functioning, and the Stroke Impact Scale (SIS). Acute and post-acute rehabilitation composite compliance scores (range 0–100) were derived from an algorithm. All outcomes were adjusted for case mix. Results: Average compliance scores in acute and post acute care settings were 68.2% (+ 14) and 69.5% (+ 14.4), respectively. After case-mix adjustment, level of compliance with post-acute rehabilitation guidelines was significantly associated with FIM motor, IADL, and the SIS physical domain scores. SF-36 physical function scores and mortality were not affected by compliance with post-acute rehabilitation guidelines. Level of compliance with rehabilitation guidelines in acute settings was unrelated to any of the outcome measures. Conclusion: Process of care in post-acute stroke rehabilitation affects 6-month functional recovery. Our findings support the use of guidelines as means of assessing quality of care and improving outcomes. These quality indicators are needed to ensure that quality of care is not comprised with new organizational and funding changes involving post-acute stroke care.

scholarly journals Technology-assisted toilets: Improving independence and hygiene in stroke rehabilitation

2017 ◽  
Vol 4 ◽  
pp. 205566831772568 ◽  
Author(s):  
David Yachnin ◽  
Georges Gharib ◽  
Jeffrey Jutai ◽  
Hillel Finestone
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Stroke Rehabilitation ◽  
Bowel Movement ◽  
Assistive Devices ◽  
Stroke Patients ◽  
Rehabilitation Unit ◽  
Full Protocol ◽  
Perineal Region

Background and Purpose Dependence on assistance for toileting is a widespread problem for persons receiving healthcare. Technology-assisted toilets, which hygienically wash and dry the perineal region, are devices that could improve toileting independence in a variety of patients. The objective was to investigate whether technology-assisted toilets improve toileting independence, quality of life, and whether technology-assisted toilets can provide sufficient toileting hygiene in stroke rehabilitation. Methods This pilot study was carried out in a stroke rehabilitation unit. Thirty participants were recruited. Participants had a bowel movement and cleaned themselves using the technology-assisted toilet on one to three occasions. Participants rated their toileting before using the technology-assisted toilet and after each technology-assisted toilet use with the Psychosocial Impact of Assistive Devices Scale (PIADS). After each session, participants were rated for cleanliness. Results PIADS scores were analyzed from eight individual participants, five of whom completed the full protocol. PIADS scores were significantly higher with the technology-assisted toilet than with the participants’ regular toileting routine (p < 0.05). Technology-assisted toilets cleaned effectively in 73% of cases (16/22, p < 0.05). Conclusion Technology-assisted toilets improved stroke patients’ psychosocial outcomes compared to standard toileting and completely cleaned participants in the majority of cases. A larger study should confirm technology-assisted toilet’s benefit in stroke rehabilitation through improved independence and hygiene.

scholarly journals QUALITY OF LIFE OF STROKE PATIENT CAREGIVERS AT SRINAGARIND HOSPITAL, KHON KAEN PROVINCE, THAILAND

2015 ◽  
Vol 6 (3) ◽  
pp. 1123-1133
Author(s):  
Lertchai Charerntanyarak ◽  
Karnchanasri Singhpoo ◽  
Roongtiwa Chobchuen ◽  
Chananya Kasinpila ◽  
Ratchada Ngamroop ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Stroke Patient ◽  
Assessment Instrument ◽  
Life Assessment ◽  
Sources Of Information ◽  
Physical And Mental Health ◽  
Stroke Patients ◽  
Khon Kaen

Stroke is a chronic disease requiring patients to be treated for a long period of time. Patients need to been given close and attentive care, and this has an impacton the health and daily lives of caregivers. The aim of this cross-sectional descriptive study was to investigate the quality of life of stroke patient caregivers at Srinagarind Hospital, Khon Kaen Province, Thailand. The subjects were 166 caregivers of all stroke patients who received treatment at Srinagarind Hospital during the period 1 July 10 September, 2011. The research tool was a questionnaire which was intwo parts: Part 1 was designed to collect baseline data about the patients and their caregivers, and Part 2 was the Thai version of the brief WHO quality of life assessment instrument (WHOQOL-BREF-THAI). Data were collected from the patients medical histories and from interviews conducted by the researchers and were analyzed using descriptive statistics. The results showed that the overall quality of life of caregivers was at a moderate level with a mean score of92.5. In terms of each component domain of the quality of lifeinstrument, the mean scores for physical health, mental health, social relationships, and the environment were24.1, 21.3, 10.7, and 29.3 points, respectively.Even though the quality of life of caregivers was moderatelyhigh, medical professionals who provide care for stroke patients should assist and support caregivers in various ways by, for example, giving advice on sources of information which are useful to the caregivers themselves and for the physical and mental health care of the patients in. They should also provide assistance to families when they require help in continuing to care for the patients in their own homes.

scholarly journals EFFECT OF NEURAL MOBILIZATION ON BALANCE, FLEXIBILITY, STRENGTH AND GAIT IN STROKE PATIENTS

2020 ◽  
pp. 1-5
Author(s):  
Rosimere de Lima Souza ◽  
Karine Rocha Moriz ◽  
Francisca Deyze Reis Teixiera ◽  
Adriano Araújo Fernandes ◽  
Sinval Souza da Costa Neto ◽  
...  
Keyword(s):  
Muscular Strength ◽  
Hemorrhagic Stroke ◽  
Muscular Endurance ◽  
Stroke Patients ◽  
Homogeneous Sample ◽  
Neurological Sequelae ◽  
Positive Effects ◽  
Normal Individuals ◽  
Neurological Patients

Background: Neural mobilization is characterized by the neurodynamics of the nervous system with the objectives of: reducing musculoskeletal tension and pain and increasing muscular endurance and strength. Stroke is a worldwide health problem due to the impacts on quality of life, and makes the physical capacity of individuals after stroke about 40% lower of normal individuals of the same age. Objective: To verify the efficacy of neural mobilization in patients with stroke. Methods: This is a blinded randomized clinical trial performed in 12 volunteers, aged between 20 and 80 years, with a diagnosis of ischemic or hemorrhagic stroke. It was performed five mobilizations of 60 seconds in the bilateral sciatic nerve. The degree of balance and gait of the volunteers was verified, as well as the muscular strength and flexibility of the quadriceps and hamstrings muscles pre-mobilization, immediately after and after 10 sessions performed three times a week. Results: Neural mobilization on neurological patients showed positive effects in relation to flexibility, lower limb muscle strength, gait and balance. Conclusion: The present study demonstrated that the technique of neural mobilization can present good results in neurological patients with stroke sequelae. However, it is suggested that more studies be done with a larger number of volunteers and with a homogeneous sample on the approach of this technique in patients with neurological sequelae.

The Effectiveness of Mental Practice Interventions on Psychological Health in Stroke Patients: A Systematic Review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Vera Storm ◽  
Till Utesch
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Psychological Health ◽  
Randomized Clinical Trials ◽  
Mental Practice ◽  
Systematic Research ◽  
Stroke Patients ◽  
Positive Effects ◽  
Intervention Protocol

Abstract Objective Motor impairments after stroke can lead to limitations in functional performance and mental health. Previous systematic reviews and meta-analyses have mainly assessed randomized clinical trials of mental practice interventions (MPI) among stroke patients, focusing on physical outcomes. However, mentally rehearsing a motor movement might increase a patient’s self-confidence within the recovery process and thus also lead to positive effects on psychological outcomes. Therefore, we aim to investigate the effectiveness of MPI on psychological health outcomes. Methods We performed a systematic review of RCTs according to PRISMA guidelines. 16.125 records were identified through PubMed, Web of Science, Science Direct, and Cochrane resulting in 8.573 documents after duplicates were removed. After excluding 8.507 documents during title and abstract screening, 64 could be full-text screened. All clinical and randomized controlled trials designed to investigate the effects of mental practice on psychological health in adult patients after stroke were considered eligible. Results Six studies met the eligibility criteria and were included in the qualitative analysis. The six included studies partly showed positive effects of MPI on psychological health such as quality of life, stroke-specific quality of life, fall-related self-efficacy, positive and negative affect but not on anxiety and depression. Overall, the methodological power is lacking. The included studies differ substantially regarding study design, sample size, intervention protocol and psychological health operationalization. Conclusions The results show inconsistent effects of MPI on psychological health. More systematic research is needed to investigate the effects of MPI on psychological health and give several recommendations for future research.

scholarly journals Improving the Development, Monitoring and Reporting of Stroke Rehabilitation Research: Consensus-Based Core Recommendations from the Stroke Recovery and Rehabilitation Roundtable

2017 ◽  
Vol 31 (10-11) ◽  
pp. 877-884 ◽  
Author(s):  
Marion F. Walker ◽  
Tammy C. Hoffmann ◽  
Marian C. Brady ◽  
Catherine M. Dean ◽  
Janice J. Eng ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Clinical Care ◽  
Research Community ◽  
Stroke Recovery ◽  
Evidence Based ◽  
Stroke Patients ◽  
International Partnership ◽  
Rehabilitation Research ◽  
Complete Reporting

Recent reviews have demonstrated that the quality of stroke rehabilitation research has continued to improve over the last four decades but despite this progress, there are still many barriers in moving the field forward. Rigorous development, monitoring and complete reporting of interventions in stroke trials are essential in providing rehabilitation evidence that is robust, meaningful and implementable. An international partnership of stroke rehabilitation experts committed to develop consensus-based core recommendations with a remit of addressing the issues identified as limiting stroke rehabilitation research in the areas of developing, monitoring and reporting stroke rehabilitation interventions. Work exploring each of the three areas took place via multiple teleconferences and a two-day meeting in Philadelphia in May 2016. A total of 15 recommendations were made. To validate the need for the recommendations, the group reviewed all stroke rehabilitation trials published in 2015 (n=182 papers). Our review highlighted that the majority of publications did not clearly describe how interventions were developed or monitored during the trial. In particular, under-reporting of the theoretical rationale for the intervention and the components of the intervention call into question many interventions that have been evaluated for efficacy. More trials were found to have addressed the reporting of interventions recommendations than those related to development or monitoring. Nonetheless, the majority of reporting recommendations were still not adequately described. To progress the field of stroke rehabilitation research and to ensure stroke patients receive optimal evidence-based clinical care, we urge the research community to endorse and adopt our recommendations.

scholarly journals Evaluation of Perceived Stress in Family Members of Stroke Patients

2021 ◽  
Vol 11 (8) ◽  
pp. 131-136
Author(s):  
Gayatri T. Batkulwar ◽  
Gaurav C. Mhaske
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Perceived Stress ◽  
Stroke Patient ◽  
Chronic Condition ◽  
Online Survey ◽  
Family Members ◽  
High Morbidity ◽  
Stroke Patients

Background - Family members play important role in recovery of stroke patient. As stroke is a common, chronic condition with high morbidity, mortality and disability. The aim of study was to estimate stress level in family members of stroke patients. Method - It was an observational study, done on 100 caregivers of stroke patients, by using PSS-10 scale to assess level of stress in family members. Online survey was done by making Google forms. Result - 57% of family members of stroke patient perceived moderate level of stress, this affects the mental health and quality of life of caregivers. Conclusion - This study concludes that the stress was more in wives, sons, daughters in first relation whereas in second relation stress was more in daughter in law. Some interventions should be structured to reduce the level of stress in family members. Key words: Stress, stroke, caregivers, perceived, PSS.

scholarly journals Quality of Stroke Patient Information Applied in Randomized Controlled Trials—Literature Review

2020 ◽  
Vol 11 ◽  
Author(s):  
Anna C. Alegiani ◽  
Anne C. Rahn ◽  
Anke Steckelberg ◽  
Götz Thomalla ◽  
Christoph Heesen ◽  
...  
Keyword(s):  
Decision Making ◽  
Randomized Controlled Trials ◽  
Stroke Patient ◽  
Patient Information ◽  
Quality Criteria ◽  
Controlled Trials ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Information Materials

Background: Strokes have a huge impact on patients' quality of life. Although there are potentially effective secondary preventions and treatment options for stroke patients, adherence is mostly low. Low disease and treatment-related knowledge and, consequently, a lack of informed decision-making in stroke patients may contribute to this problem. However, stroke patient information did not seem to have relevant effects on patients' knowledge in randomized controlled trials. One contributing factor may be the lack of thoroughly developed patient information materials.Methods: We aimed to evaluate the quality of patient information materials for stroke patients by using randomized controlled trials, applying quality criteria for evidence-based patient information (EBPI). We conducted a literature search (MEDLINE, Embase, CINAHL, PsycINFO, and CENTRAL). To be included in the review, research had to be randomized controlled trials that provided stroke patient information, were published in English, and had knowledge assessed as the primary endpoint. Authors of primary studies were contacted and asked for information materials applied.Results: We screened 15,507 hits and identified 30 eligible studies. Information materials were available for only eight studies. Analyses revealed that all available materials had important shortcomings concerning EBPI quality criteria [concerning, for example, structural information (e.g., reporting conflicts of interest), content information (e.g., reporting sources of information), or comprehensive descriptions of treatment effects and side effects]. Frequently, treatment effects were reported only narratively without providing absolute numbers, values, or frequencies.Conclusion: Quality of materials differed, but none sufficiently fulfilled EBPI quality criteria. Unsatisfactory trial results concerning patient knowledge and patient involvement in decision-making may at least partially be explained by limitations of the provided materials. Future patient information should consider EBPI quality criteria.

scholarly journals Function and quality of life following stroke rehabilitation: have our stroke patients gained optimum recovery?

2012 ◽  
Vol 12 (S2) ◽  
Author(s):  
Nor Azlin Mohd Nordin ◽  
Noor Azah Aziz ◽  
Saperi Sulong ◽  
Syed Mohamed Aljunid
Keyword(s):  
Quality Of Life ◽  
Stroke Rehabilitation ◽  
Stroke Patients ◽  
Optimum Recovery

scholarly journals Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

2021 ◽  
Vol 11 (3) ◽  
pp. 338
Author(s):  
Piotr Gerreth ◽  
Karolina Gerreth ◽  
Mateusz Maciejczyk ◽  
Anna Zalewska ◽  
Katarzyna Hojan
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Functional Independence ◽  
Oral Health Status ◽  
World Health ◽  
Functional Improvement ◽  
Patient Specific ◽  
Stroke Patients ◽  
Rehabilitation Team ◽  
Comprehensive Rehabilitation

The study’s aim was a clinical observation concerning the influence of oral health on functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III (ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria, and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant improvement in many functional scales was noticed. However, important differences in most dental parameters without relevant changes in GI and PlI after the study were not observed. Reverse interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI results, and most dental parameters correlated with ACE III. Using multivariate regression analysis, we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05). The present research revealed that poor oral health status in patients after stroke might be associated with inpatient rehabilitation results.

Sign in / Sign up

Export Citation Format

Share Document