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81. Application of the respiratory "critical care-sub-critical care-rehabilitation integrated management model" in severe stroke associated pneumonia. Full Text available with Trip Pro

Application of the respiratory "critical care-sub-critical care-rehabilitation integrated management model" in severe stroke associated pneumonia. This study aimed to explore the feasibility of applying the respiratory "critical care-sub-critical care-rehabilitation integrated management model" in severe stroke-associated pneumonia and evaluate its effect.From January to September 2018, 24 patients with severe stroke-associated pneumonia, who were admitted to the Respiratory Intensive Care Unit (...) ). The secondary indicators, the average hospitalization days and patient/family member satisfaction scores, were also significantly different between the integration group and control group (P < 0.05). However, the 28-day mortality wasn't significantly different (P > 0.05).For patients with severe stroke-associated pneumonia, it was feasible to implement the respiratory "critical care-sub-critical care-rehabilitation integrated management model", which could significantly improve the treatment effect, shorten

2020 BMC pulmonary medicine

82. Adipose tissue derived stromal vascular fraction as an adjuvant therapy in stroke rehabilitation: Case reports. Full Text available with Trip Pro

Adipose tissue derived stromal vascular fraction as an adjuvant therapy in stroke rehabilitation: Case reports. Stroke often causes residual hemiparesis, and upper extremity motor impairment is usually more disabling than lower extremity in those who are suffering from post-stroke hemiparesis. Cell therapy is one of the promising therapies to reduce post-stroke disability.Three male participants were included in the study to investigate the feasibility and tolerability of autologous adipose (...) tissue derived stromal vascular fraction.All participants had hemiparesis after 1st-ever stroke longer than 6 months previously.Under general anesthesia, liposuction of abdominal subcutaneous fat was performed. Stromal vascular fraction freshly isolated from the adipose tissue extract was injected into the muscles of paretic upper extremity. All participants received inpatient stroke rehabilitation consisted of physical and occupational therapy more than 3 hours a day for 2 months or more.The whole

2020 Medicine

83. Enabling Better Use of Person-Generated Health Data in Stroke Rehabilitation Systems: Systematic Development of Design Heuristics. Full Text available with Trip Pro

Enabling Better Use of Person-Generated Health Data in Stroke Rehabilitation Systems: Systematic Development of Design Heuristics. An established and well-known method for usability assessment of various human-computer interaction technologies is called heuristic evaluation (HE). HE has been adopted for evaluations in a wide variety of specialized contexts and with objectives that go beyond usability. A set of heuristics to evaluate how health information technologies (HITs) incorporate (...) for the design and evaluation of how well remote patient therapeutic technologies enable patients to use PGHD (PGHD enablement). We used the case of Kinect-based stroke rehabilitation systems (K-SRS) in this study.The development of a set of heuristics to enable better use of PGHD was primarily guided by the R3C methodology. Closer inspection of the methodology reveals that neither its development nor its application to a case study were described in detail. Thus, where relevant, each step was grounded

2020 Journal of medical Internet research

84. IMAGINE study protocol of a clinical trial: a multi-center, investigator-blinded, randomized, 36-month, parallel-group to compare the effectiveness of motivational interview in rehabilitation of older stroke survivors. Full Text available with Trip Pro

IMAGINE study protocol of a clinical trial: a multi-center, investigator-blinded, randomized, 36-month, parallel-group to compare the effectiveness of motivational interview in rehabilitation of older stroke survivors. Rehabilitation pathways are crucial to reduce stroke-related disability. Motivational Interviewing (MI), as a person-centered complex intervention, aimed to empower and motivate, and could be a resource to improve rehabilitation outcomes for older stroke survivors. The IMAGINE (...) project aims to assess the impact of MI, as a complement to standard geriatric rehabilitation, on functional improvement at 30 days after admission, compared to standard geriatric rehabilitation alone, in persons admitted to geriatric rehabilitation after a stroke. Secondary objectives include assessing the impact of MI on physical activity and performance, self-efficacy, safety, cost-utility, participants' experiences and functional status at 3 months.We will conduct a multicenter randomized clinical

2020 BMC Geriatrics

85. Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients. Full Text available with Trip Pro

Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients. Stroke is a highly prevalent disease among older people and can have a major impact on daily functioning and quality of life. When community-dwelling older people are hospitalized due to stroke, discharge to an intermediate care facility for geriatric rehabilitation is indicated when return to the previous living situation is expected but not yet possible. However, a substantial (...) proportion is still unable to return home after discharge and has to be admitted to a residential care setting. This study aims to identify which factors are associated with home discharge after inpatient rehabilitation among frail and multimorbid older stroke patients.This study is a longitudinal cohort study among 92 community-dwelling stroke patients aged 65 years or over. All patients were admitted to one of eight participating intermediate care facilities for geriatric rehabilitation, under

2020 BMC Geriatrics

86. Feasibility of an integrated multidisciplinary geriatric rehabilitation programme for older stroke patients: a process evaluation. Full Text available with Trip Pro

Feasibility of an integrated multidisciplinary geriatric rehabilitation programme for older stroke patients: a process evaluation. Almost half of the stroke patients admitted to geriatric rehabilitation has persisting problems after discharge. Currently, there is no evidence based geriatric rehabilitation programme available for older stroke patients, combining inpatient rehabilitation with adequate aftercare aimed at reducing the impact of persisting problems after discharge from a geriatric (...) rehabilitation unit. Therefore, we developed an integrated multidisciplinary rehabilitation programme consisting of inpatient neurorehabilitation treatment using goal attainment scaling, home based self-management training, and group based stroke education for patients and informal caregivers. We performed a process evaluation to assess to what extent this programme was performed according to protocol. Furthermore, we assessed the participation of the patients in the programme, and the opinion of patients

2020 BMC Neurology

87. Acupuncture plus rehabilitation for post-stroke depression: A protocol for systematic review and meta-analysis. Full Text available with Trip Pro

Acupuncture plus rehabilitation for post-stroke depression: A protocol for systematic review and meta-analysis. Post-stroke depression (PSD) is a common stroke complication that is characterized by hopelessness, anxiety, disordered sleep, and lowered responsiveness. Rehabilitation and acupuncture treatments are often combined to treat PSD; however, there has been no meta-analysis on their synergistic effect. Therefore, we aim to perform a systematic review and meta-analysis to estimate (...) the effectiveness of acupuncture and rehabilitation in PSD treatment.We will search the following electronic databases: PubMed, the Cochrane Library, EMBASE, the China National Knowledge Infrastructure, the Chinese Biomedical Literature Database, China Science and Technology Journal Database, and Wan Fang databases. We will include studies published between the database initiation and May 2020. Two reviewers will separately conduct study selection, data extraction, and risk of bias assessment. Disputes

2020 Medicine

88. Effects of Transcranial Direct Current Stimulation With Sensory Modulation on Stroke Motor Rehabilitation: A Randomized Controlled Trial (Abstract)

Effects of Transcranial Direct Current Stimulation With Sensory Modulation on Stroke Motor Rehabilitation: A Randomized Controlled Trial To test whether a multistrategy intervention enhanced recovery immediately and longitudinally in patients with severe to moderate upper extremity (UE) paresis.Double-blind, randomized controlled trial with placebo control.Outpatient department of a local medical center.People (N=25) with chronic stroke were randomly assigned to 1 of 2 groups: a transcranial (...) with the control group, the tDCS-SM group had a trend of a small immediate effect (ηp2=.02-.04) on reducing spasticity, but no long-term effect. A trend of small immediate and long-term effects in favor of tDCS-SM was found on UE function and daily function recovery (ηp2=.02-.09).Accompanied with traditional rehabilitation, tDCS-SM had a nonsignificant trend of having immediate and longitudinal effects on voluntary UE movement recovery in patients with severe to moderate UE paresis after stroke, but its

2018 EvidenceUpdates

89. Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling Full Text available with Trip Pro

Factors Predicting Falls and Mobility Outcomes in Patients With Stroke Returning Home After Rehabilitation Who Are at Risk of Falling To identify factors predicting falls and limited mobility in people with stroke at 12 months after returning home from rehabilitation.Observational cohort study with 12-month follow-up.Community.People with stroke (N=144) and increased falls risk discharged home from rehabilitation.Not applicable.Falls were measured using monthly calendars completed (...) and limited mobility for patients with stroke 12 months after rehabilitation discharge. These results suggest that clinicians should include assessment of falls risk (FROP-Com), physical activity, and dual-task Timed Up and Go test during rehabilitation to identify those most at risk of falling and experiencing limited mobility outcomes at 12 months, and target these areas during inpatient and outpatient rehabilitation to optimize long-term outcomes.Copyright © 2017 American Congress of Rehabilitation

2018 EvidenceUpdates

90. Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial (Abstract)

Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke etiology (ie, ischemic, hemorrhagic).Randomized controlled trial.Hospital facility for intensive rehabilitation.Patients (N=136) within 1 year from onset of a single (...) stroke (ischemic: n=78, hemorrhagic: n=58).The experimental treatment was based on the combination of RFVE with CR, whereas control treatment was based on the same amount of CR. Both treatments lasted 2 hours daily, 5d/wk, for 4 weeks.Fugl-Meyer upper extremity scale (F-M UE) (primary outcome), FIM, National Institutes of Health Stroke Scale (NIHSS), and Edmonton Symptom Assessment Scale (ESAS) (secondary outcomes). Kinematic parameters of requested movements included duration (time), mean linear

2018 EvidenceUpdates

91. Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study (Abstract)

Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study To compare virtual reality (VR) combined with functional electrical stimulation (FES) with cyclic FES for improving upper extremity function and health-related quality of life in patients with chronic stroke.A pilot, randomized, single-blind, controlled trial.Stroke rehabilitation inpatient unit.Participants (N=48 (...) ) with hemiplegia secondary to a unilateral stroke for >3 months and with a hemiplegic wrist extensor Medical Research Council scale score ranging from 1 to 3.FES was applied to the wrist extensors and finger extensors. A VR-based wearable rehabilitation device was used combined with FES and virtual activity-based training for the intervention group. The control group received cyclic FES only. Both groups completed 20 sessions over a 4-week period.Primary outcome measures were changes in Fugl-Meyer Assessment

2018 EvidenceUpdates

92. Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision Support Document 92.

Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision Support Document 92. Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review - Repository of AIHTA GmbH English | Browse - - - Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review Naimer, Ch. and Piso, B. (2015): Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review. Decision (...) to be rated as high. Conclusions: Outpatient neurological rehabilitation supports patients after stroke by improving their participation, self-help capability or re-integration into the work process. We did not aim at comparing different rehabilitation settings. Future studies should aim at the further standardisation of instruments, the randomised allocation of patients to the rehabilitation settings (to avoid a selection bias) and the investigation of patients' expectations and needs. Item Type

2015 Austrian Institute of Health Technology Assessment

93. Rehabilitation for improving automobile driving after stroke. Full Text available with Trip Pro

Rehabilitation for improving automobile driving after stroke. Interventions to improve driving ability after stroke, including driving simulation and retraining visual skills, have limited evaluation of their effectiveness to guide policy and practice.To determine whether any intervention, with the specific aim of maximising driving skills, improves the driving performance of people after stroke.We searched the Cochrane Stroke Group Trials register (August 2013), the Cochrane Central Register (...) for Investigating Practical Fitness to Drive - Belgian version, 95% confidence intervals (CI) 4.56 to 34.56, P value = 0.15, one study, 83 participants).road sign recognition was better in people who underwent training compared with control (mean difference 1.69 points on the Road Sign Recognition Task of the Stroke Driver Screening Assessment, 95% CI 0.51 to 2.87, P value = 0.007, one study, 73 participants). Significant findings were in favour of a simulator-based driving rehabilitation programme (based

2014 Cochrane

94. [Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review]

[Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review] Ambulante neurologische rehabilitation: erreichung der definierten ziele bei schlaganfallpatientInnen. Systematischer review [Outpatient neurological rehabilitation: goal attainment in stroke patients. Systematic review] Ambulante neurologische rehabilitation: erreichung der definierten ziele bei schlaganfallpatientInnen. Systematischer review [Outpatient neurological rehabilitation: goal attainment (...) in stroke patients. Systematic review] Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA). Ambulante neurologische rehabilitation: erreichung der definierten ziele bei schlaganfallpatientInnen. Systematischer

2015 Health Technology Assessment (HTA) Database.

95. [Cognitive rehabilitation in cognitive deficit secondary to stroke]

[Cognitive rehabilitation in cognitive deficit secondary to stroke] Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular [Cognitive rehabilitation in cognitive deficit secondary to stroke] Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular [Cognitive rehabilitation in cognitive deficit secondary to stroke] Ruano Gándara R, Rey-Ares L, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López (...) A Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ruano Gándara R, Rey-Ares L, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A, López A. Rehabilitación cognitiva en déficit cognitivo secundario a accidente cerebrovascular. [Cognitive rehabilitation in cognitive deficit secondary to stroke] Buenos Aires: Institute

2015 Health Technology Assessment (HTA) Database.

96. Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review

Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review Ghazipura M Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation Ghazipura M. Home-based versus centre-based rehabilitation for community-dwelling postacute stroke patients: an economic rapid review. Toronto: Health Quality Ontario (HQO). Economic Rapid Review. 2015 Authors' conclusions Due to the lack of cost-utility studies comparing home-based versus centre-based rehabilitation for community dwelling postacute stroke patients, this study is unable to establish a cost per

2015 Health Technology Assessment (HTA) Database.

97. Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review

Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review Ghazipura Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation Ghazipura. Home-based versus centre-based rehabilitation for community- dwelling postacute stroke patients: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2015 Authors' conclusions On the basis of one SR comparing home-based rehabilitation to centre-based rehabilitation in community dwelling stroke patients, the following conclusions were reached: Low quality evidence indicates that community dwelling stroke patients receiving

2015 Health Technology Assessment (HTA) Database.

98. Eligibility, Enrollment, and Completion of Exercise-Based Cardiac Rehabilitation Following Stroke Rehabilitation: What Are the Barriers? (Abstract)

Eligibility, Enrollment, and Completion of Exercise-Based Cardiac Rehabilitation Following Stroke Rehabilitation: What Are the Barriers? People after stroke benefit from comprehensive programs for the prevention of secondary effects, including cardiac rehabilitation (CR), yet there is little understanding of eligibility for exercise and barriers to use.The aim of this study was to examine eligibility for CR; enrollment, adherence, and completion; and factors affecting use.This was a prospective (...) study of 116 consecutive people enrolled in a single outpatient stroke rehabilitation (OSR) program located in Toronto, Ontario, Canada.Questionnaires were completed by treating physical therapists for consecutive participants receiving OSR and included reasons for CR ineligibility, reasons for declining participation, demographics, and functional level. CR eligibility criteria included the ability to walk ≥100 m (no time restriction) and the ability to exercise at home independently

2019 Physical therapy

99. Post-stroke rehabilitation: Factors predicting discharge to acute versus subacute rehabilitation facilities. Full Text available with Trip Pro

Post-stroke rehabilitation: Factors predicting discharge to acute versus subacute rehabilitation facilities. The aim of this study was to examine predictors of discharge of hospitalized stroke patients to either an acute inpatient rehabilitation facility (IRF) or subacute skilled nursing facility (SNF).A retrospective cohort study was done in a large multicampus urban academic medical center of individuals hospitalized for stroke between January 1, 2015 and December 31, 2015 and who were

2019 Medicine

100. Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke randomised trial. (Abstract)

Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke randomised trial. 31462136 2019 08 29 1758-1109 2019 Aug 28 Journal of telemedicine and telecare J Telemed Telecare Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke randomised trial (...) Service, Durham Veterans Affairs Medical Center, USA. 8 Department of Medicine, Duke University Medical Center, USA. Koh Gerald C GC https://orcid.org/0000-0002-6453-6897 1 National University of Singapore, Saw Swee Hock School of Public Health, Singapore. eng Journal Article 2019 08 28 England J Telemed Telecare 9506702 1357-633X IM Singapore Tele-rehabilitation randomised controlled trial stroke 2019 8 30 6 0 2019 8 30 6 0 2019 8 30 6 0 aheadofprint 31462136 10.1177/1357633X19868905

2019 Journal of telemedicine and telecare Controlled trial quality: uncertain

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