Impact of Adapted Physical Activity and Therapeutic Patient Education on Functioning and Quality of Life in Patients With Postacute Strokes

Taricco, Mariangela; Dallolio, Laura; Calugi, Simona; Rucci, Paola; Fugazzaro, Stefania; Stuart, Mary; Pillastrini, Paolo; Fantini, Maria Pia; Investigators,

doi:10.1177/1545968314523837

Cited by 23 publications

(18 citation statements)

References 47 publications

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“…Previous studies emphasized the importance of evaluating the degree of physical fitness (balance, falling, etc.) for the QoL of stroke patients 9 , 10 , 11 ) . However, the activities in these studies are different from community walking in a real environment, and investigations of walking as a physical function are insufficient.…”

Section: Introductionmentioning

confidence: 99%

Comparison of quality of life according to community walking in stroke patients

Hong

2015

J Phys Ther Sci

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[Purpose] The aim of this study was to examine the quality of life of stroke patients according to their degree of community walking. [Subjects] This study utilized raw data from the sixth Korea National Health and Nutrition Examination Survey conducted in 2013 by the Korea Centers for Disease Control and Prevention. The subjects were noninstitutionalized stroke patients (n = 71) diagnosed by a doctor. [Methods] Trained surveyors visited households selected for the sample and conducted face-to-face interviews in conjunction with a structured questionnaire. The content of the interview included demographic data and the EuroQoL; EQ-5D-3L. Inferential statistical analysis took into account the clustering and stratification of the sample survey data as usually done in a complex survey design. A χ2 test was performed to identify the quality of life distribution according to walking days during a typical week. Finally, logistic regression analysis was performed to identify the correlation between quality of life and walking days. [Results] Mobility, usual activities, and anxiety/depression differed significantly according to number of walking days during a normal week. No significant difference was found in the relationship between quality of life and days of walking during a normal week. [Conclusion] This study indicates that community walking every day is better than walking 1–3 days a week or no walking in terms of the effect on quality of life. However, the extent to which community walking is good for improving quality of life is unclear. Further studies need to determine the optimal duration (days) of community walking.

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Section: Introductionmentioning

confidence: 99%

Comparison of quality of life according to community walking in stroke patients

Hong

2015

J Phys Ther Sci

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“…Medicare has statutory caps for outpatient therapies and the exception process for continuing therapies for beneficiaries beyond the statutory caps will end in 2014 unless Congress revises the legislation. 5 The findings of Taricco et al, 6 in this issue, demonstrate a practical strategy that could be used by rehabilitation providers to implement CARF standards and provide a new model for communitybased chronic disease management.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Exercise for Chronic Disease Management

Weinrich

Stuart

Benvenuti

2014

Neurorehabil Neural Repair

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Although only a small proportion of older adults in the United States engage in recommended amounts of physical exercise, the health benefits of exercise for this population and the potential for lowering health care costs are substantial. However, access to regular exercise programs for the frail elderly and individuals with disabilities remains limited. In the context of health reform and emerging opportunities in developing integrated systems of care, the experience in Tuscany in implementing a community-based program of exercise for the elderly should be of interest.

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“…This review analysed one publication, the most recent, from these studies (Aben, et al, 2014;Corsten, et al, 2015;Graven, et al, 2016). There were 23 RCTs (Aben, et al, 2014;Graven, et al, 2016;Bagley, Hudson, Forster, Smith, & Young, 2005;Bakas, Farran, Austin, Given, Johnson, & Williams, 2009;Chang, Zhang, Xia, & Chen, 2011;Cumming, Collier, Thrift, & Bernhardt, 2008;Drummond, et al, 2013;Forster, et al, 2013;Green, Forster, Bogle, & Young, 2002;Hoffmann, McKenna, Worrall, & Read, 2007;Hoffmann, Ownsworth, Eames, & Shum, 2015;Lincoln, Jones, & Mulley, 1985;Mant, Carter, Wade, & Winner, 2000;Mead, et al, 2007;Pfeiffer, et al, 2014;Raglio, et al, 2017;Rudd, Wolfe, Tilling, & Beech, 1997;Sackley, et al, 2015;Sansom, Ng, Zhang, & Khan, 2015;Smith, Egbert, Dellman-Jenkins, Nanna, & Palmieri, 2012;Thomas, et al, 2013;Visser, et al, 2016;Wolfe, Tilling, & Rudd, 2000), and 2 non-randomized controlled trials (Geddes & Chamberlain, 1994;Taricco, et al, 2014). There were 5 single participant experimental designs (Eriksson, Forsgren, Hartelius, & Saldert, 2016a;Eriksson, Hartelius, & Saldert, 2016b;Jones, Mandy, & Partridge, 2009;Murray & Ray, 2001;Rabin, et al, 2012) and 9 case series designs…”

Section: Methodological Quality Of Studiesmentioning

confidence: 99%

“…The highest scores were 9 out of a possible 10 for two studies which fulfilled all criteria except report of blinding therapists to treatment allocation (Graven, et al, 2016;Green, et al, 2002). Eligibility criteria were provided for all studies and all but four studies had similar groups at baseline on key prognostic indicators (Chang, et al, 2011;Pfeiffer, et al, 2014;Geddes & Chamberlain, 1994;Taricco, et al, 2014). Intention to treat analysis was reported in 52% of studies.…”

Section: Table 2-2 Study Design Classification and Level Of Evidencementioning

confidence: 99%

“…The majority of studies (33/42) were stroke rehabilitation interventions that measured depression outcomes with content designed to modify communicative functioning in 11 studies (Corsten, et al, 2015;Lincoln, et al, 1985;Eriksson,, et al, 2016a;Eriksson, et al, 2016b;Murray & Ray, 2001;Brumfitt & Sheeran, 1997;Cunningham & Ward, 2013;Ross, et al, 2006;Saldert, et al, 2013;Wielaert, et al, 2016;Hartke, et al, 2007); psychosocial functioning for individuals with stroke and aphasia in 7 studies (Chang, et al, 2011;Hoffman, et al, 2007;Raglio, et al, 2017;Sansom, et al, 2015;Geddes & Chamberlain, 1994;Jones, et al, 2009;Tamplin, et al, 2013) and for significant others in 2 studies (Forster, et al, 2013;Pound, et al, 2001); physical functioning in 7 studies (Bagley, et al, 2005;Cumming, et al, 2008;Green, et al, 2002;Mead, et al, 2007;Rabin, et al, 2012;Taricco, et al, 2014); multidisciplinary rehabilitation and transition in 5 studies (Drummond, et al, 2013;Rudd, et al, 1997;Sackley, et al, 2015Wolfe, et al, 2000Ekstam, et al, 2007) and cognitive functioning (Aben, et al, 2014…”

Section: Designmentioning

confidence: 99%

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Translating stepped psychological care to aphasia rehabilitation

Baker¹

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Stroke rehabilitation needs more psychological services to address mood changes and depression after aphasia. An evidence-practice gap exists that can be minimised through implementation of stepped psychological care-an evidence-based framework offering multidisciplinary intervention after stroke. However, stepped psychological care has not been adapted for the communication disability associated with aphasia. Further, there is a lack of research exploring the perspectives of key stakeholders in managing depression after post-stroke aphasia. The overarching aim of this research was to describe the evidence-practice gap in managing mood changes and depression after post-stroke aphasia. Chapter one of this thesis comprises: an introduction, including a review of the literature, the aims of the thesis, and an overview of the methodology and the thesis structure. The thesis then reports on three research studies investigating the management of mood changes and depression after poststroke aphasia: 1) a systematic review of rehabilitation interventions to prevent and treat depression after post-stroke aphasia; 2) a description, from the perspective of stroke health professionals, of: a) current practice; and b) the identification of barriers and facilitators to implementing stepped psychological care to clinical practice; and 3) a description, from the perspective of people with aphasia, of: a) experiences of mood changes, depression and current practice; and b) preferences within a stepped psychological care approach. Study 1 systematically reviewed the research evidence for rehabilitation interventions to prevent and treat depression after post-stroke aphasia. It followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 45 studies were eligible for inclusion. It is not clear which interventions may prevent depression. A range of interventions that may enhance mood or treat mild depression after post-stroke aphasia were identified and described within the stepped psychological care framework. Study 2 described, from the perspectives of stroke health professionals: a) current practice for the management of depression after post-stroke aphasia; and b) the barriers and facilitators to implementing stepped psychological care for depression after post-stroke aphasia. Thirty-nine stroke health professionals participated in qualitative focus groups. Five focus groups within acute, rehabilitation and community settings were divided into two parts: 1) a discussion about current practice; and 2) information provision about the stepped psychological care framework, followed by a discussion of the barriers and facilitators to implementing this framework to clinical practice. Four core components of current practice were derived from an interpretive description analysis: 1)

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Impact of Adapted Physical Activity and Therapeutic Patient Education on Functioning and Quality of Life in Patients With Postacute Strokes

Cited by 23 publications

References 47 publications

Comparison of quality of life according to community walking in stroke patients

Comparison of quality of life according to community walking in stroke patients

Community-Based Exercise for Chronic Disease Management

Translating stepped psychological care to aphasia rehabilitation

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