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314 résultat(s) recherche sur le mot-clé 'Stroke' 



Stroke survivors experiences of somatosensory impairment after stroke: An Interpretative Phenomenological Analysis / Louise A. Connell in Physiotherapy, 2014/2 (2014)
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Titre : Stroke survivors experiences of somatosensory impairment after stroke: An Interpretative Phenomenological Analysis Type de document : Article Auteurs : Louise A. Connell ; Naoimh E. McMahon ; Nicola Adams Année de publication : 2014 Article en page(s) : pp. 150-155 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC)Mots-clés : Stroke Somatosensory Disorders Troubles somatosensoriels Résumé : Background
Somatosensory ability is commonly impaired after stroke. Despite the growing recognition for the need to understand service users experiences and perspectives in health services provision, the experiences of stroke survivors living with somatosensory impairment have yet to be reported.
Objective
To gain an insight into how stroke survivors experience somatosensory impairment after stroke.
Design
A qualitative study design was used with data analysed using Interpretative Phenomenological Analysis.
Methods
Semi-structured in-depth interviews were carried out with purposively selected community dwelling stroke survivors who had somatosensory impairment.
Results
Five stroke survivors were interviewed in this study. Data analysis resulted in the emergence of three superordinate themes (i) making sense of somatosensory impairment, (ii) interplay of somatosensory impairment and motor control for executing tasks and (iii) perseverance versus learned non-use. The stroke survivors in this study were aware that their somatosensory ability was affected as a result of their stroke, but had difficulty in articulating their experiences of sensation and the impact of the impairment on functional ability. Most often somatosensory impairment was described in terms of difficulties with executing specific tasks, particularly by the upper limb.
Conclusion
It is important to be aware that somatosensory impairment is of concern to stroke survivors. Further research is needed to develop evidence-based and practice-appropriate clinical assessment tools and treatment strategies for somatosensory rehabilitation after stroke.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134173
in Physiotherapy > 2014/2 (2014) . - pp. 150-155[article]State of the science in inflammation and stroke recovery: A systematic review / Christine Couch ; Khalil Mallah ; Davis M. Borucki ; Heather Shaw Bonilha ; Stephen Tomlinson in Annals of Physical and Rehabilitation Medicine, Vol. 65, n° 2 (March 2022)
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Titre : State of the science in inflammation and stroke recovery: A systematic review Type de document : Article Auteurs : Christine Couch ; Khalil Mallah ; Davis M. Borucki ; Heather Shaw Bonilha ; Stephen Tomlinson Année de publication : 2022 Article en page(s) : 7 p. Note générale : https://doi.org/10.1016/j.rehab.2021.101546 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Inflammation ; Réadaptation ; Récupération fonctionnelle ; Revue systématiqueMots-clés : Stroke Inflammatory markers Functional recovery Résumé : Stroke is a major cause of mortality worldwide, and survivors often have major life-changing disabilities. Annually in the United States, an estimated 795,000 people experience a new or recurrent stroke. All types of stroke involve an inflammatory reaction that follows the initial phase of incidence. However, investigations into any links between inflammatory markers and recovery processes in the context of post-stroke rehabilitation are lacking. In this systematic review, we searched the literature in PubMed, SCOPUS, and CINAHL databases to gather information on inflammatory biomarkers related to stroke and their association with rehabilitation outcomes, according to PRISMA guidelines. Eleven articles (n=1.773 stroke patients) were selected. Immune markers (interleukin 6 [IL-6], C-reactive protein, IL-1?, tumor necrosis factor ?, soluble intercellular adhesion molecule 1) and functional status assessments (Modified Rankin Score, National Institutes of Health Stroke Scale, Functional Independence Measure, etc.) were the primary measures used in the reviewed studies. We found preliminary evidence for the evaluation of inflammatory biomarkers post-stroke, including the role of inflammation in functional recovery and the influence of rehabilitation on inflammation. This is the first systematic review of the topic. The review identifies several gaps in the literature that are critical for understanding the potential use of inflammatory markers to improve post-stroke outcomes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294423
in Annals of Physical and Rehabilitation Medicine > Vol. 65, n° 2 (March 2022) . - 7 p.[article]Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors / M.A. Urbin in Archives of Physical Medicine and Rehabilitation, 2015/5 (2015)
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Titre : Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors Type de document : Article Auteurs : M.A. Urbin ; Kimberly J. Waddell ; Catherine E. Lang Année de publication : 2015 Article en page(s) : p. 854-861 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Neurologie ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Neurology Paresis Parésie Stroke Résumé : Objectives
To (1) determine whether acceleration metrics derived from monitoring outside of treatment are responsive to change in upper extremity (UE) function; and secondarily to (2) compare metric values during task-specific training and while in the free-living environment, and (3) establish metric associations with an in-clinic measure of movement capabilities.
Design
Before-after observational study.
Setting
Inpatient hospital (primary purpose); outpatient hospital (secondary purpose).
Participants
Individuals (n=8) with UE hemiparesis Intervention
The inpatient sample was evaluated for UE movement capabilities and monitored with wrist-worn accelerometers for 22 hours outside of treatment before and after multiple sessions of task-specific training. The outpatient sample was evaluated for UE movement capabilities and monitored during a single session of task-specific training and the subsequent 22 hours outside clinical settings.
Main Outcome Measures
Action Research Arm Test (ARAT) and acceleration metrics quantified from accelerometer recordings.
Results
Five metrics improved in the inpatient sample, along with UE function as measured on the ARAT: use ratio, magnitude ratio, variation ratio, median paretic UE acceleration magnitude, and paretic UE acceleration variability. Metric values were greater during task-specific training than in the free-living environment, and each metric was strongly associated with ARAT score.
Conclusions
Multiple metrics that characterize different aspects of UE movement are responsive to change in function. Metric values are different during training than in the free-living environment, providing further evidence that what the paretic UE does in the clinic may not generalize to what it does in everyday life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118436
in Archives of Physical Medicine and Rehabilitation > 2015/5 (2015) . - p. 854-861[article]Accelerometer and Global Positioning System Measurement of Recovery of Community Ambulation Across the First 6 Months After Stroke: An Exploratory Prospective Study / Niruthikha Mahendran in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)
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Titre : Accelerometer and Global Positioning System Measurement of Recovery of Community Ambulation Across the First 6 Months After Stroke: An Exploratory Prospective Study Type de document : Article Auteurs : Niruthikha Mahendran ; Suzanne S. Kuys ; Sandra G. Brauer Année de publication : 2016 Article en page(s) : pp. 14651472 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Community integration Intégration communautaire Stroke Walking Marche à pied Résumé : Objective
To characterize community ambulation and determine if it changes across the first 6 months after discharge from hospital after stroke.
Design
Prospective, observational study.
Setting
Community setting.
Participants
Subacute stroke survivors with no cognitive impairment or conditions limiting mobility prior to stroke (N=34).
Interventions
Not applicable.
Main Outcome Measures
Community ambulation was measured by an accelerometer, Global Positioning System, and activity diary. Measures included the following: volume (step count; time spent in the community, lying/sitting, standing, and walking), frequency (number of community trips; number of and time in short-, medium-, long-duration bouts), intensity (number of and time at low-, moderate-, high-intensity bouts), and trip type at 1, 3, and 6 months after hospital discharge.
Results
At 1 month participants took on average 1 trip per day in the community, lasting 137+113 minutes. Overall, most community ambulation was spread across long-duration bouts (>300 steps) lasting 11.3 to 14.1min/d and moderate-intensity bouts (3080 steps per minute). There was no change in community ambulation trip type (P<.302 or ambulation characteristics over time except for a greater number of and spent in long bouts at months only> Conclusions
Total volume and intensity of community ambulation did not change over the first 6 months postdischarge after stroke. However, at 6 months, survivors spent more time in long-duration ambulation bouts. Review of stroke survivors at 6 months after hospital discharge is suggested because this is when changes in community ambulation may first be observed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117954
in Archives of Physical Medicine and Rehabilitation > 2016/9 (2016) . - pp. 14651472[article]Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators / Shilpa Tyagi in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)
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Titre : Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators Type de document : Article Auteurs : Shilpa Tyagi ; Daniel S.Y. Lim ; Wilbert H.H. Ho Année de publication : 2018 Article en page(s) : p. 2472-2477 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Patients ; Recherche qualitative ; Rééducation et réadaptation ; TéléréadaptationMots-clés : Caregivers Qualitative research Stroke Telerehabilitation Résumé : Objective
To explore the perceived barriers and facilitators of tele-rehabilitation (TR) by stroke patients, caregivers and rehabilitation therapists in an Asian setting.
Design
Qualitative study involving semi-structured in-depth interviews and focus group discussions.
Setting
General community.
Participants
Participants (N=37) including stroke patients, their caregivers, and tele-therapists selected by purposive sampling.
Interventions
Singapore Tele-technology Aided Rehabilitation in Stroke trial.
Main Outcome Measures
Perceived barriers and facilitators for TR uptake, as reported by patients, their caregivers, and tele-therapists.
Results
Thematic analysis was used to inductively identify the following themes: facilitators identified by patients were affordability and accessibility; by tele-therapists, was filling a service gap and common to both was unexpected benefits such as detection of uncontrolled hypertension. Barriers identified by patients were equipment setuprelated difficulties and limited scope of exercises; barriers identified by tele-therapists were patient assessments, interface problems and limited scope of exercises; and common to both were connectivity barriers. Patient characteristics like age, stroke severity, caregiver support, and cultural influence modified patient perceptions and choice of rehabilitation.
Conclusions
Patient attributes and context are significant determinants in adoption and compliance of stroke patients to technology driven interventions like TR. Policy recommendations from our work are inclusion of introductory videos in TR programs, provision of technical support to older patients, longer FaceTime sessions as re-enforcement for severely disabled stroke patients, and training of tele-therapists in assessment methods suitable for virtual platforms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119105
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2472-2477[article]Activity Limitations Experienced by People With Stroke Who Receive Inpatient Rehabilitation: Differences Between 2001, 2005, and 2011 / Suzanne S. Kuys in Archives of Physical Medicine and Rehabilitation, 2014/4 (2014)
PermalinkAddressing the Evidence Gap in Stroke Rehabilitation for Complex Patients: A Preliminary Research Agenda / Michelle L. Nelson in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 6 (2018)
PermalinkAdherence to Clinical Guidelines Improves Patient Outcomes in Australian Audit of Stroke Rehabilitation Practice / Isobel Hubbard in Archives of Physical Medicine and Rehabilitation, 2012/6 (2012)
PermalinkAerobic Stimulus Induced by Virtual Reality Games in Stroke Survivors / Julio Cesar Silva de Sousa in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 5 (2018)
PermalinkAgreement Between Responses From Community-Dwelling Persons With Stroke and Their Proxies on the NIH Neurological Quality of Life (Neuro-QoL) Short Forms / Allan J. Kozlowski in Archives of Physical Medicine and Rehabilitation, 2015/11 (2015)
PermalinkAnxiety and Depression Associated With Caregiver Burden in Caregivers of Stroke Survivors With Spasticity / Melissa Denno in Archives of Physical Medicine and Rehabilitation, 2013/9 (2013)
PermalinkApathy and Health-Related Quality of Life in Stroke / Wai-Kwong Tang in Archives of Physical Medicine and Rehabilitation, 2014/5 (2014)
PermalinkAssessing Locomotion Ability in West African Stroke Patients: Validation of ABILOCO-Benin Scale / Emmanuel Sègnon Sogbossi in Archives of Physical Medicine and Rehabilitation, 2014/8 (2014)
PermalinkAssessing Stroke Patients for Rehabilitation During the Acute Hospitalization / Janet A. Prvu Bettger in Archives of Physical Medicine and Rehabilitation, 2013/1 (2013)
PermalinkAssessment of Inter-Hemispheric Imbalance Using Imaging and Noninvasive Brain Stimulation in Patients With Chronic Stroke / David A. Cunningham in Archives of Physical Medicine and Rehabilitation, 2015/4 suppl. (2015)
PermalinkAssociation Between 2 Measures of Cognitive Instrumental Activities of Daily Living and Their Relation to the Montreal Cognitive Assessment in Persons With Stroke / Joan Toglia in Archives of Physical Medicine and Rehabilitation, 2017/11 (2017)
PermalinkAssociations of Proactive Coping and Self-Efficacy With Psychosocial Outcomes in Individuals After Stroke / Nienke S. Tielemans in Archives of Physical Medicine and Rehabilitation, 2015/8 (2015)
PermalinkAttentional focus of feedback for improving performance of reach-to-grasp after stroke: a randomised crossover study / K.F. Durham in Physiotherapy, 2014/2 (2014)
PermalinkBalance and Balance Self-Efficacy Are Associated With Activity and Participation After Stroke: A Cross-Sectional Study in People With Chronic Stroke / Arlène A. Schmid in Archives of Physical Medicine and Rehabilitation, 2012/6 (2012)
PermalinkBalance Confidence: A Predictor of Perceived Physical Function, Perceived Mobility, and Perceived Recovery 1 Year After Inpatient Stroke Rehabilitation / Caryne Torkia in Archives of Physical Medicine and Rehabilitation, 2016/7 (2016)
PermalinkBarriers to Activity and Participation for Stroke Survivors in Rural China / Lifang Zhang in Archives of Physical Medicine and Rehabilitation, 2015/7 (2015)
PermalinkBehavioral Intention to Use a Virtual Instrumental Activities of Daily Living System Among People With Stroke / Allison ELLINGTON in American journal of occupational therapy, Vol. 69, n° 3 (May/June 2015)
PermalinkBest Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke / Nam G. Lee in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 11 (2018)
PermalinkBest practice for arm recovery post stroke: an international application / S.L. Wolf in Physiotherapy, 2016/1 (2016)
PermalinkCan Lowering the Guidance Force of Robot-Assisted Gait Training Induce a Sufficient Metabolic Demand in Subacute Dependent Ambulatory Patients With Stroke? / So Young Lee in Archives of Physical Medicine and Rehabilitation, 2017/4 (2017)
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