Post-stroke rehabilitation

Whitehead, Shawn N.; Baalbergen, E

doi:10.7196/samj.2019.v109i2.00011

Cited by 44 publications

(36 citation statements)

References 9 publications

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“…[16] In 2010, the SA Stroke Society (SASS) published guidelines on the management of stroke and TIA with the objective of placing recommendations in the current SA context, and grading existing evidence according to the level of scientific rigour. [17]…”

Section: Stroke In South Africamentioning

confidence: 99%

“…Dedicated stroke units were the first step in improving care, with several randomised trials showing that death and handicap could be prevented in 50 patients for every 1 000 admitted. [2,17] Intravenous thrombolysis offered the next step forward, with death and disability prevented in 143 patients for every 1 000 treated with intravenous recombinant tissue plasminogen activator therapy within 3 hours of symptom onset. [18] It was later shown that the 3-hour time window for thrombolysis administration could be increased to 4.5 hours; and, if the trial entry and exclusion criteria were met, up to 30% of all AIS patients could benefit.…”

Section: Stroke Managementmentioning

confidence: 99%

See 1 more Smart Citation

Evolving concepts of stroke and stroke management in South Africa: Quo vadis?

Taylor

Ntusi

2019

S Afr Med J

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Section: Stroke In South Africamentioning

confidence: 99%

Section: Stroke Managementmentioning

confidence: 99%

Evolving concepts of stroke and stroke management in South Africa: Quo vadis?

Taylor

Ntusi

2019

S Afr Med J

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“…Almost a third of patients reflected a complex profile of multimorbidity, which may have contributed to the high mortality rate of the caseload, and the large number requiring further SLT services post-hospital discharge. The latter emphasises the need for stepdown rehabilitation facilities and the provision of outpatient SLT services for optimisation of rehabilitation outcomes (Whitehead & Baalbergen, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa

Stone

Hoosen

Hochfelden

et al. 2020

South African Journal of Communication Disorders

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Background The quadruple burden of disease (BoD) and multimorbidity reflected in South Africa’s public health sector challenges speech-language therapists (SLTs) to optimise patient management in this context. For planning and delivery of appropriate services, it is important to understand the profile of speech-language therapy (SLT) patients and the public healthcare services provided by SLTs. Objectives This study aimed to describe the prevalence of inpatient adult speech, language and swallowing disorders associated with various medical conditions and South Africa’s BoD, in addition to the target areas and duration of SLT interventions provided at a central public hospital. Method A retrospective review was conducted on records of 2549 adult inpatients who received SLT services between January 2014 and December 2015 at Chris Hani Baragwanath Academic Hospital. Data, including demographics, medical and SLT diagnoses, and treatment recommendations, were analysed using descriptive and inferential statistics. Results Non-communicable diseases (NCDs) were most prevalent (77.48%), with multimorbidity of BoD categories in 29.27% of patients. Cerebrovascular disease (CeVD) comprised 52.45% patients, with CeVD, traumatic brain injury, other neurological conditions, cancer and burns comprising 88.74% patients. More than a third of the patients with CeVD were < 56 years ( n = 486; 36.35%). Dysphagia (48.96%), aphasia (30.95%) and dysarthria (23.62%) were the most common, with 44.68% of patients having multiple SLT diagnoses. The number of SLT sessions significantly correlated with SLT comorbidity ( r s = 0.4200; p = 0.0000), but not BoD comorbidity ( r s = 0.0049; p = 0.8058). Conclusion Speech-language therapy patients reflected a heavy NCD burden and multimorbidity. Provision of SLT services should take into consideration a profile of increased complexity of medical conditions and SLT diagnoses.

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“…18 Stroke recovery is heterogeneous, but the importance of early intervention and rehabilitation is supported. 19 Nevertheless, a standard acute stroke rehabilitation programme may need to be customised locally with additional training and task shifting to match the resources available. 15 Nurses can be the best candidates for rehabilitation delivery as they play a vital role and are responsible for patients 24 hours a day.…”

Section: Open Accessmentioning

confidence: 99%

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

et al. 2020

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IntroductionStroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysisWe will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and disseminationThe study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration numberNCT03702452.

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Post-stroke rehabilitation

Cited by 44 publications

References 9 publications

Evolving concepts of stroke and stroke management in South Africa: Quo vadis?

Evolving concepts of stroke and stroke management in South Africa: Quo vadis?

A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

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