Assistive Technologies in Stroke Rehabilitation from a User Perspective

Hass, Ursula; Fredén-Karlsson, Ingrid; Persson, Jan

doi:10.1111/j.1471-6712.1996.tb00315.x

Cited by 14 publications

(9 citation statements)

References 12 publications

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“…More than half of those living in their own houses or apartments had had adjustments made to their homes on discharge from the rehabilitation ward, which is in accordance with earlier studies of stroke victims [7, 8]. In this study, both home adaptation and assistive devices were aimed at facilitating ADL activities and mobility indoors and outdoors, which agrees with two other Swedish studies of elderly people [20, 21]and studies of stroke victims and elderly people [7, 20, 22]. When comparing the use of different kinds of mobility devices in the various accommodations it was found that walking sticks and crutches were more frequently used by people living in the community than by those living in institutions.…”

Section: Discussionsupporting

confidence: 80%

Three Years after In-Patient Stroke Rehabilitation: A Follow-Up Study

et al. 1999

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A 3-year follow-up study was performed aimed at describing the outcome for severely affected stroke survivors who had undergone geriatric in-patient rehabilitation. Living conditions, psychological well-being, and changes in functions were assessed in 55 survivors. Twenty-five people were living in the community, 15 in apartment hotels or homes for the aged and 15 in nursing homes. From discharge to follow-up 11 people had had to move to an accommodation offering more support. Living alone, recurrent strokes and functional decline were associated with moving. Many of those living in the community were supported by relatives or home help services. Home adjustments and assistive devices were common and in most cases were aimed at facilitating transfers and bathroom activities. Motor function had deteriorated from discharge to follow-up, otherwise no statistically significant changes were seen in the survivors’ abilities and functions. Most survivors had in fact been able to maintain their functions or to make further improvements. Also, their psychological well-being seemed quite good. These results should encourage rehabilitation efforts for elderly people severely affected by stroke.

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Section: Discussionsupporting

confidence: 80%

Three Years after In-Patient Stroke Rehabilitation: A Follow-Up Study

et al. 1999

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“…Previous research found that although follow-up is lacking, clients may use ATDs as intended (19). The results from this study confirm that some clients learned to use their ATDs and thus overcame their occupational performance difficulties with minimal assistance from the occupational therapist.…”

Section: Discussionsupporting

confidence: 75%

“…To facilitate client-centred ATD service delivery, the occupational therapist should work in a close and collaborative relationship with the client during all stages of the service delivery process (16)(17)(18). However, clients report that the follow-up for prescribed ATD varies or is lacking (19,20). In one survey, 69% of clients reported that they did not receive any follow-up on the ATD after it had been prescribed (20).…”

Section: Introductionmentioning

confidence: 99%

Older individuals' experiences during the assistive technology device service delivery process

Gramstad

Storli

Hamran

2014

Scandinavian Journal of Occupational Therapy

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However, little is known about older individuals' experiences and needs in the assistive technology device (ATD) service delivery process. The purpose of this study was to investigate older individuals' experiences during the service delivery process of ATDs.Nine older individuals were interviewed three times each throughout the ATD service delivery process. The interviews were analysed within a hermeneutical phenomenological perspective. The results show that the service delivery process could be interpreted as an enigmatic journey and described in four themes: "hope and optimistic expectations", "managing after delivery or needing additional help", "having available help versus being abandoned" and "taking charge or putting up".The results emphasise the need for occupational therapists to maintain an individualised approach toward older clients throughout the service delivery process. The experiences of older individuals were diverse and related to expectations that were not necessarily articulated to the occupational therapist. The situation when the ATD is delivered to the client was highlighted by the clients as an important event with the potential to facilitate a successful service delivery process.

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“…Thus the rollator proves to be a useful device for people with restricted walking ability suggesting that this societal intervention is worthwhile. Furthermore, AT is not costly compared to other rehabilitation interventions 23 indicating that rollators probably are cost-effective. Nearly all users were satisfied with other people's reactions and support, mirroring the fact that rollators have become 'normalized' and that it is not so stigmatising to use one anymore.…”

Section: Discussionmentioning

confidence: 97%