Subjective well-being one year after stroke

Wyller, Torgeir Bruun; Sveen, Unni; Sødring, Karen Margrethe; Pettersen, Anne Marie; Bautz‐Holter, Erik

doi:10.1177/026921559701100207

Cited by 125 publications

(73 citation statements)

References 21 publications

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“…Problems of praxis foUowing stroke have been found to affect the weUbeing ofthe patient up to one year later (WyUer et al, 1997), However, these problems have not been found to impact on sttain in spouses of stroke patients, ft is often difficuh to distinguish between dyspraxia and disorders of language and communication and many tests require a degree of language and expression in order to complete. Nevertheless, one reason for selecting Kertesz and Ferro' …”

Section: 35mentioning

confidence: 99%

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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Objective: To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability. Design: Postal prospective survey. Setting: Spouses of community-residing patients identified from hospital stroke registers. Method: Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes. Measures: Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL). Results: Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months. Conclusion: Carers at risk of later strain could be identified for further followup. Services to provide emotional support to carers might be effective in the reduction of carer strain.

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Section: 35mentioning

confidence: 99%

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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“…É uma complicação muito freqüente e suas causas e tratamento adequado ainda não estão claramente estabelecidos 26 . Além disso, resulta em grande impacto negativo sobre a recuperação funcional de pacientes que sobrevivem a um AVE [4][5][6][7] . Devido à importância e à necessidade de medidas profiláticas precoces, apontadas por vários autores 1,15,16 , o tratamento fisioterapêutico proposto para esse estudo foi iniciado nas primeiras 48 horas pois, em cerca de 20% dos pacientes, a dor no ombro H/ P pode surgir já na 1 a e 2 a semana pós ictal [8][9][10] .…”

Section: Métodounclassified

Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico

Horn

Fontes

Carvalho

et al. 2003

Arq. Neuro-Psiquiatr.

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Álvaro Nagib Atallah 4a , Marcia Maiumi Fukujima 4a , Gilmar Fernandes do Prado 4a RESUMO -Contexto: Ombro doloroso é freqüente em pacientes com hemiplegia/hemiparesia (H/P) por acidente vascular encefálico (AVE), dificultando a recuperação neuromotora gerando incapacidade funcional. Objetivo: Estudar tratamento fisioterapêutico para a prevenção da dor no ombro com H/P em pacientes com AVE na fase sub-aguda, e analisar desfechos secundários (força muscular do ombro acometido e movimentos funcionais ativos básicos). Método: Estudaram-se 21 pacientes (12 homens, 9 mulheres; idades 26 a 87 anos) com H/P. O tratamento fisioterapêutico consistiu de 30 minutos diários de cinesioterapia, desde as 48 horas após o AVE até a alta hospitalar. Os pacientes foram avaliados antes e após o tratamento em relação à presença ou ausência de dor no ombro H/P, à força dos diversos grupos musculares do ombro e quanto aos movimentos funcionais de transferência e manutenção postural básica. Resultados: Nenhum paciente apresentava dor no ombro H/P na alta (p<0,001). A força muscular aumentou significativamente em relação à elevação, protusão, abdução e flexão do ombro (p<0,001). Houve melhora dos movimentos funcionais: decúbito dorsal para lateral, decúbito lateral para sentado e manter-se sentado (p<0,001). Conclusão: A cinesioterapia na fase aguda do AVE preveniu a dor no ombro H/P e favoreceu a recuperação motora.PALAVRAS-CHAVE: acidente vascular cerebral, fisioterapia, ombro doloroso.Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke ABSTRACT -Background: Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. Purpose: To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. Method: Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. Results: No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral...

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“…Approximately 85 percent of patients with stroke do not regain upper-limb function and remain dependent on caregivers [2][3], with motor impairments accounting for most poststroke disability [4]. Loss of upper-limb function is a major cause of poor perception of well-being following stroke [5].…”

Section: Introductionmentioning

confidence: 99%

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

Hale

Satherley

McMillan

et al. 2012

JRRD

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Abstract-This article reports on the perceptions of 14 adults with chronic stroke who participated in a pilot study to determine the utility, acceptability, and potential efficacy of using an adapted CyWee Z handheld game controller to play a variety of computer games aimed at improving upper-limb function. Four qualitative in-depth interviews and two focus groups explored participant perceptions. Data were thematically analyzed with the general inductive approach. Participants enjoyed playing the computer games with the technology. The perceived benefits included improved upper-limb function, concentration, and balance; however, six participants reported shoulder and/or arm pain or discomfort, which presented while they were engaged in play but appeared to ease during rest. Participants suggested changes to the games and provided opinions on the use of computer games in rehabilitation. Using an adapted CyWee Z controller and computer games in upper-limb rehabilitation for people with chronic stroke is an acceptable and potentially beneficial adjunct to rehabilitation. The development of shoulder pain was a negative side effect for some participants and requires further investigation.

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Subjective well-being one year after stroke

Abstract: Subjective well-being is decreased one year after stroke, and this is mainly attributed to arm motor impairments.

Cited by 125 publications

References 21 publications

Caregiver strain in spouses of stroke patients

Caregiver strain in spouses of stroke patients

Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico

Participant perceptions of use of CyWee Z as adjunct to rehabilitation of upper-limb function following stroke

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