Effectiveness of two rehabilitation strategies provided by nurses for stroke patients in Mexico

Torres-Arreola, Laura del Pilar; Doubova, Svetlana V; Hernández, Sergio Flores; Torres-Valdez, Laura E; Constantino-Casas, Norma P; García-Contreras, F; Torres-Castro, Sara

doi:10.1111/j.1365-2702.2009.02862.x

Cited by 15 publications

(12 citation statements)

References 49 publications

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“…These include participation based therapy ( 290 – 294 ), quality of life centered care ( 240 , 295 – 310 , 345 ), community based rehabilitation ( 311 – 315 ), home based rehabilitation ( 132 , 193 , 316 – 335 ), self-management ( 336 , 337 ), family or care giver-led training ( 340 – 342 , 350 , 353 , 354 ), telerehabilitation ( 317 , 343 , 346 , 349 ), and early therapy/rehabilitation ( 174 , 338 , 339 , 347 , 348 , 351 , 352 , 355 , 356 ).…”

Section: Resultsmentioning

confidence: 99%

Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries—A Systematic Review

et al. 2020

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Background: Given the limited healthcare resources in low and middle income countries (LMICs), effective rehabilitation strategies that can be realistically adopted in such settings are required. Objective: A systematic review of literature was conducted to identify pragmatic solutions and outcomes capable of enhancing stroke recovery and quality of life of stroke survivors for low- and middle- income countries. Methods: PubMed, HINARI, and Directory of Open Access Journals databases were searched for published Randomized Controlled Trials (RCTs) till November 2018. Only completed trials published in English with non-pharmacological interventions on adult stroke survivors were included in the review while published protocols, pilot studies and feasibility analysis of trials were excluded. Obtained data were synthesized thematically and descriptively analyzed. Results: One thousand nine hundred and ninety six studies were identified while 347 (65.22% high quality) RCTs were found to be eligible for the review. The most commonly assessed variables (and outcome measure utility) were activities of daily living [75.79% of the studies, with Barthel Index (37.02%)], motor function [66.57%; with Fugl Meyer scale (71.88%)], and gait [31.12%; with 6 min walk test (38.67%)]. Majority of the innovatively high technology interventions such as robot therapy (95.24%), virtual reality (94.44%), transcranial direct current stimulation (78.95%), transcranial magnetic stimulation (88.0%) and functional electrical stimulation (85.00%) were conducted in high income countries. Several traditional and low-cost interventions such as constraint-induced movement therapy (CIMT), resistant and aerobic exercises (R&AE), task oriented therapy (TOT), body weight supported treadmill training (BWSTT) were reported to significantly contribute to the recovery of motor function, activity, participation, and improvement of quality of life after stroke. Conclusion: Several pragmatic, in terms of affordability, accessibility and utility, stroke rehabilitation solutions, and outcome measures that can be used in resource-limited settings were found to be effective in facilitating and enhancing post-stroke recovery and quality of life.

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Section: Resultsmentioning

confidence: 99%

Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries—A Systematic Review

et al. 2020

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“…Interventions to improve physical function in the upper or lower limbs and activities of daily living have been studied in LMICs. Studies examining physical therapy in Mexico (physiotherapy plus caregiver education in rehabilitation) [87] , Iran (physical therapy on balance, exaggerated muscle tonicity and quality of life) [88] , and China (Problem-Oriented Willed-Movement, Therapy and Neurodevelopmental Treatment) [89] showed that patients improved significantly over time in outcomes including Barthel index (BI), Mini-Mental State Examination (MMSE) and Stroke Rehabilitation Assessment of Movement (STREAM). The research to-date demonstrates interest in examining efficacy and effectiveness of physical rehabilitation and medicine; however, study quality is often low as study limitations are significant [87] , [88] , [89] .…”

Section: Stroke Rehabilitationmentioning

confidence: 99%

Prevention, management, and rehabilitation of stroke in low- and middle-income countries

et al. 2016

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Although stroke incidence in high-income countries (HICs) decreased over the past four decades, it increased dramatically in low- and middle-income countries (LMICs). In this review, we describe the current status of primary prevention, treatment, and management of acute stroke and secondary prevention of and rehabilitation after stroke in LMICs. Although surveillance, screening, and accurate diagnosis are important for stroke prevention, LMICs face challenges in these areas due to lack of resources, awareness, and technical capacity. Maintaining a healthy lifestyle, such as no tobacco use, healthful diet, and physical activity are important strategies for both primary and secondary prevention of stroke. Controlling high blood pressure is also critically important in the general population and in the acute stage of hemorrhagic stroke. Additional primary prevention strategies include community-based education programs, polypill, prevention and management of atrial fibrillation, and digital health technology. For treatment of stroke during the acute stage, specific surgical procedures and medications are recommended, and inpatient stroke care units have been proven to provide high quality care. Patients with a chronic condition like stroke may require lifelong pharmaceutical treatment, lifestyle maintenance and self-management skills, and caregiver and family support, in order to achieve optimal health outcomes. Rehabilitation improves physical, speech, and cognitive functioning of disabled stroke patients. It is expected that home- or community-based services and tele-rehabilitation may hold special promise for stroke patients in LMICs.

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“…2004). Previous studies also showed that early rehabilitation provided by trained nurses could support other specialists and therapists on the management of patients (Torres‐Arreola Ldel et al. 2009).…”

Section: Discussionmentioning

confidence: 96%

Effects of a nurse‐led acupressure programme for stroke patients in China

Yue

Jiang

Wong

2012

Journal of Clinical Nursing

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Effectiveness of two rehabilitation strategies provided by nurses for stroke patients in Mexico

Cited by 15 publications

References 49 publications

Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries—A Systematic Review

Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries—A Systematic Review

Prevention, management, and rehabilitation of stroke in low- and middle-income countries

Effects of a nurse‐led acupressure programme for stroke patients in China

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