Stroke rehabilitation: long-term rehabilitation after stroke

Dworzynski, Katharina; Ritchie, Gill; Playford, E Diane

doi:10.7861/clinmedicine.15-5-461

Cited by 53 publications

(43 citation statements)

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“…The hours of therapy vary across different inpatient rehabilitation settings. Generally, most guidelines advocate minimum 45 minutes of each relevant therapy for at least 5 days a week [ 85 , 86 , 93 ]. In United States, inpatient rehabilitation facilities (IRFs) are mandated to provide at least 3 hours of therapy per day for minimum 5 days in a week.…”

Section: Stroke Rehabilitation Units and Practitioners Involvedmentioning

confidence: 99%

Elderly Stroke Rehabilitation: Overcoming the Complications and Its Associated Challenges

Lui

Nguyen

2018

Current Gerontology and Geriatrics Research

112

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There have been many advances in management of cerebrovascular diseases. However, stroke is still one of the leading causes of disabilities and mortality worldwide with significant socioeconomic burden. This review summarizes the consequences of stroke in the elderly, predictors of stroke rehabilitation outcomes, role of rehabilitation in neuronal recovery, importance of stroke rehabilitation units, and types of rehabilitation resources and services available in Singapore. We also present the challenges faced by the elderly stroke survivors in the local setting and propose strategies to overcome the barriers to rehabilitation in this aging population.

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Section: Stroke Rehabilitation Units and Practitioners Involvedmentioning

confidence: 99%

Elderly Stroke Rehabilitation: Overcoming the Complications and Its Associated Challenges

Lui

Nguyen

2018

Current Gerontology and Geriatrics Research

112

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“…It is recommended that rehabilitation after stroke should include a holistic perspective, the active involvement of people with stroke, and the services of a multidisciplinary team [6]. The team should have professional knowledge, skills and experience to work in partnership with people with stroke and their close relations [7]. However, rehabilitation interventions and research in rehabilitation after stroke often focus on the first year of recovery, and there is less knowledge on functioning in everyday life and the needs for rehabilitation and support in the long-term.…”

Section: Introductionmentioning

confidence: 99%

“…Factors that have been reported to be associated with unmet needs for rehabilitation after stroke constitute higher [14] or lower age at stroke onset [15,17], a more severe stroke [11], higher perceived impact of stroke [11], pain [14], depression [14,15,17], fatigue [17] dependency in activities of daily living (ADL) [14,15], greater disability [18][19][20] and not returning to work [7]. Met needs have been reported to be associated with shared decision-making in goalsetting during rehabilitation [12,21], number of rehabilitation contacts during the first 4 months [20], and contact with rehabilitation throughout the first year after stroke [22].…”

Section: Introductionmentioning

confidence: 99%

Factors related to met needs for rehabilitation 6 years after stroke

et al. 2020

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Introduction Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. Aim The aim was to explore the perceived needs for rehabilitation services of people six years after stroke and factors associated with having rehabilitation services needs met. Methods The study was a 6-year follow up of a prospective study on the rehabilitation process after stroke. Data on perceived needs for rehabilitation, personal factors, disease specific factors, and patient-reported disability were collected through face-to-face interviews in the participants' homes. Logistic regression models were created to explore associations between having rehabilitation services needs met in 11 problem areas (dependent variable) and the independent variables: involvement in decisions regarding care and treatment, sex, age, sense of coherence, self-defined level of private financing, stroke severity, frequency of social everyday activities, perceived impact of stroke, and life satisfaction. Results The 121 participants had a mean age of 63 years at stroke onset and 58% were men. In all problem areas the majority (53-88%) reported having needs met at six years after stroke, however 47% reported unmet needs regarding fatigue and 45% regarding mobility. A lower perceived impact on participation was found to be associated with having rehabilitation services needs met in seven problem areas: mobility, falls, pain, fatigue, concentration, memory, and sight. The strongest association for having needs met was found for the independent variable, involvement in care and treatment, within the three problem areas mobility, falls, and speaking.

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“…According to the current guidelines, screening stroke patients on admission and periodically thereafter is strongly encouraged (16, 37, 38). …”

Section: Assessment Of the Nutritional Status In Stroke Patientsmentioning

confidence: 99%