‘Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors’

White, Jennifer; Bynon, Bridget L.; Marquez, Jodie; Sweetapple, Anne; Pollack, Michael

doi:10.3109/09638288.2012.717578

Cited by 24 publications

(76 citation statements)

References 25 publications

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“…Our findings show that early prediction of the need for long-term care allows careful preparation for discharge, and efficient healthcare planning and financial management, to facilitate early discharge with sufficient care to allow patients to maintain and improve their ADL and functional abilities. The need for a coordinated and organized approach is underpinned by evidence that patients within the LTCI system are less likely to require increased levels of care after discharge [21], and that programs to improve understanding of stroke rehabilitation by patients and their families [22], and social support provided by stroke care networks can reduce the risk of further stroke [23][24][25]. Within the LTCI scheme, patients can request additional care services after consultation with healthcare managers, including community-based services such as home help, visiting rehabilitation, and respite admissions to or longer-term placements in nursing homes.…”

Section: Discussionmentioning

confidence: 99%

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Saji

Kimura

Ohsaka

et al. 2014

Disability and Rehabilitation

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FIM scores on admission after stroke can independently predict later care requirements. Early prediction of LTCI care levels may contribute to the early supported discharge and improve the efficiency of healthcare planning. Implications for Rehabilitation There is a clear relationship between Functional Independence Measure (FIM) scores and the care levels certified by the Long-Term Care Insurance (LTCI) system, a national healthcare and insurance system in Japan. FIM scores on admission can predict future LTCI care levels required for patients after acute stroke. Early prediction of LTCI care levels may contribute to early supported discharge, improve the efficiency of stroke management and assist healthcare planning.

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Section: Discussionmentioning

confidence: 99%

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Saji

Kimura

Ohsaka

et al. 2014

Disability and Rehabilitation

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“…Thirty‐four reports, representing 33 studies (Batcho, Stoquart, & Thonnard, ; Chang, Kim, Huh, Lee, & Kim, ; Cho, Park, Lee, Park, & Kim, ; Dean et al., ; Demers & McKinley, ; Franceschini et al., ; Hesse, Bardeleben, Werner, & Waldner, ; Hesse, Bertelt, Schaffrin, Malezic, & Mauritz, ; Hesse, Waldner, & Tomelleri, ; Hesse et al., ; Husemann, Muller, Krewer, Heller, & Koenig, ; Lennon, Carey, Gaffney, Stephenson, & Blake, ; Leroux, ; Mayr et al., ; Mehrholz, Rutte, & Pohl, ; Morone et al., ; Ng, Tong, & Li, ; Ochi, Wada, Saeki, & Hachisuka, ; Plummer et al., ; Potempa et al., ; Richards et al., ; Rosendahl et al., ; Shea & Moriello, ; Stoller et al., ; Teixeira da Cunha Filho et al., , ; Tong, Ng, & Li, ; Tsaih, Shih, & Hu, ; Vidoni, Tull, & Kluding, ; Wang, Wang, Fan, Lu, & Wang, ; Wang, Wang, Fan, Wenjun, et al., ; White, Bynon, Marquez, Sweetapple, & Pollack, ; Yagura, Hatakenaka, & Miyai, ; Yang et al., ), were included in the review (Figure ).…”

Section: Resultsmentioning

confidence: 99%

“…White et al. () used a mixed‐methods design. Demers & McKinley () presented their study as a descriptive qualitative study; however, review authors felt the inclusion of quantitative data rendered this a mixed‐methods cohort design.…”

Section: Resultsmentioning

confidence: 99%

Physical fitness interventions for nonambulatory stroke survivors: A mixed‐methods systematic review and meta‐analysis

et al. 2018

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IntroductionPhysical fitness training after stroke is recommended in guidelines across the world, but evidence pertains mainly to ambulatory stroke survivors. Nonambulatory stroke survivors (FAC score ≤2) are at increased risk of recurrent stroke due to limited physical activity. This systematic review aimed to synthesize evidence regarding case fatality, effects, experiences, and feasibility of fitness training for nonambulatory stroke survivors.MethodsEight major databases were searched for any type of study design. Two independent reviewers selected studies, extracted data, and assessed study quality, using published tools. Random‐effects meta‐analysis was used. Following their separate analysis, qualitative and quantitative data were synthesized using a published framework.ResultsOf 13,614 records, 33 studies involving 910 nonambulatory participants met inclusion criteria. Most studies were of moderate quality. Interventions comprised assisted walking (25 studies), cycle ergometer training (5 studies), and other training (3 studies), mainly in acute settings. Case fatality did not differ between intervention (1.75%) and control (0.88%) groups (95% CI 0.13–3.78, p = 0.67). Compared with control interventions, assisted walking significantly improved: fat mass, peak heart rate, peak oxygen uptake and walking endurance, maximum walking speed, and mobility at intervention end, and walking endurance, balance, mobility, and independent walking at follow‐up. Cycle ergometry significantly improved peak heart rate, work load, peak ventilation, peak carbon dioxide production, HDL cholesterol, fasting insulin and fasting glucose, and independence at intervention end. Effectiveness of other training could not be established. There were insufficient qualitative data to draw conclusions about participants' experiences, but those reported were positive. There were few intervention‐related adverse events, and dropout rate ranged from 12 to 20%.ConclusionsFindings suggest safety, effectiveness, and feasibility of adapted fitness training for screened nonambulatory stroke survivors. Further research needs to investigate the clinical and cost‐effectiveness as well as experiences of fitness training—especially for chronic stroke survivors in community settings.

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“…Most studies examining community based programs do not report long term exercise adherence (Salbach et al, 2013;White, Bynon, Marquez, Sweetapple, & Pollack, 2013) and those that do suggest that adherence is more consistent among those who are higher functioning (Tiedemann et al, 2012). Our high long term adherence level at the end of the ten week program may be attributable to the fact we implemented a novel participant-specific transition component, developed by experienced physiotherapists, which prepared and educated participants on how to choose, transfer to, and manipulate equipment in a typical gymnasium/exercise facility.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a novel community exercise transition program for people with moderate to severe neurological disabilities

Ploughman¹,

Shears²,

Harris

et al. 2014

NRE

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PURPOSE: To determine the effectiveness of a community re-integration exercise initiative on function, mood, participation, and exercise adherence for persons with moderate to severe neurological conditions (stroke, multiple sclerosis, etc.). METHODS: We recruited 29 adults (able to walk at least 3 m with assistance) discharged from an outpatient rehabilitation program for the 10 week intervention which was comprised of two components: circuit training and guided transition to a standard gym setting. We evaluated participants before and after the intervention and at four month follow up, including functional balance and mobility using the Timed Up and Go Test, walking endurance using the 6 Minute Walk Test, health related quality of life (HR QoL) using a visual analogue scale, activity and participation using the Frenchay Activities Index and mood using the Hospital Anxiety and Depression Scale. RESULTS: Twenty-seven participants completed the intervention. The only significant improvement was in HR QoL. Forty-four percent of participants continued to exercise after cessation of the program. Those who continued to exercise (Exercisers n = 12) experienced more improvement in HR QoL than Non-Exercisers (n = 15). CONCLUSIONS: This re-integration initiative for people with neurological impairments improved HR QoL and facilitated independent exercise for 44% of participants. The novel component of the program, which facilitated transition to standard gym equipment, likely contributed to improved exercise adherence in the longer term.

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‘Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors’

Cited by 24 publications

References 25 publications

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

Physical fitness interventions for nonambulatory stroke survivors: A mixed‐methods systematic review and meta‐analysis

Effectiveness of a novel community exercise transition program for people with moderate to severe neurological disabilities

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