Increased work and social engagement is associated with increased stroke specific quality of life in stroke survivors at 3 months and 12 months post-stroke: a longitudinal study of an Australian stroke cohort

Tse, Tamara; Yusoff, Siti Zubaidah; Чурилов, Леонид; Ma, Henry; Davis, Stephen M.; Donnan, Geoffrey A.; Carey, Leeanne M.

doi:10.1080/10749357.2017.1318339

Cited by 40 publications

(33 citation statements)

References 50 publications

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“…Naess et al also used the SF-36 to assess health-related quality of life after stroke in young patients and showed that, in all items, scores were reduced in the group that screened positive for depression ( 38 ). Tse et al also found that patients with mild symptoms, in this case mRS median 1, continued to have significant reduction in quality of life and in work and social engagement ( 39 ). These studies did not evaluate for differences in baseline NIHSS or neurologic symptoms between groups.…”

Section: Discussionmentioning

confidence: 93%

“…A prior study by Tse et al found that 56% of patients who were employed pre-stroke returned to paid employment post-stroke. This study did not look at the relationship between return to work and depression, but did note that returning to work and social activities was found to be independently associated with increased quality of life in multiple domains whereas depression was linked with decreased quality of life ( 39 ).…”

Section: Discussionmentioning

confidence: 96%

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Association Between Anxiety, Depression, and Post-traumatic Stress Disorder and Outcomes After Ischemic Stroke

et al. 2018

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Background: Stroke patients are known to be at risk of developing anxiety, depression, and post-traumatic stress disorder (PTSD).Objective: To determine the overlap between anxiety, depression, and PTSD in patients after stroke and to determine the association between these disorders and quality of life, functional status, healthcare utilization, and return to work.Methods: A cross-sectional telephone survey was conducted to assess for depression, anxiety, PTSD, and health-related outcomes 6–12 months after first ischemic stroke in patients without prior psychiatric disease at a single stroke center.Results: Of 352 eligible subjects, 55 (16%) completed surveys. Seven subjects (13%) met criteria for probable anxiety, 6 (11%) for PTSD, and 11 for depression (20%). Of the 13 subjects (24%) who met criteria for any of these disorders, 6 (46%) met criteria for more than one, and 5 (39%) met criteria for all three. There were no significant differences in baseline characteristics, including stroke severity or neurologic symptoms, between those with or without any of these disorders. Those who had any of these disorders were less likely to be independent in their activities of daily living (ADLs) (54 vs. 95%, p < 0.001) and reported significantly worse quality of life (score of 0–100, median score of 50 vs. 80, p < 0.001) compared to those with none of these disorders.Conclusions: Anxiety, depression, and PTSD are common after stroke, have a high degree of co-occurrence, and are associated with worse outcomes, including quality of life and functional status.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 96%

Association Between Anxiety, Depression, and Post-traumatic Stress Disorder and Outcomes After Ischemic Stroke

et al. 2018

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“…29,30 People after stroke also value the inclusion of a social element to programmes they participate in. 31,32 Research into the use of these different strategies is warranted to verify the effectiveness and suitability for at-risk populations. 28 Apart from the effects on physical and functional impairments resulting from participating in stroke-specific multifactorial falls prevention programmes, the effects on mental, emotional and social domains of well-being in stroke survivors remain unclear.…”

Section: Introductionmentioning

confidence: 99%

<p>Evaluating a Novel Multifactorial Falls Prevention Activity Programme for Community-Dwelling Older People After Stroke: A Mixed-Method Feasibility Study</p>

Koh

Hill

Etherton‐Beer

et al. 2020

CIA

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Purpose: The overall purpose of this study was to explore participants' and physiotherapists' experiences regarding the acceptability, implementation, and practicality of a novel group-based multifactorial falls prevention activity programme for community-dwelling older people after stroke. Specifically, the purpose was to explore if and how participating could impact on the participants' health-related quality of life (HRQoL) in terms of their daily lived experience regarding physical, mental, emotional and social well-being. A secondary purpose was to explore whether participating in the programme could positively influence participants' balance, strength, falls efficacy, mobility and motor impairment of the trunk. Materials and Methods: This was an exploratory mixed-method Phase I feasibility study. A convenience sample of five older community-dwelling people after stroke participated in a novel eight-week multifactorial activity programme which included falls education, a mix of individually tailored and group-based strength and balance exercises, exploring limits of stability and safe landing techniques and a social element. Qualitative data from post-intervention interview transcripts with the participants and the physiotherapists who delivered the programme were thematically analysed using both deductive and inductive approaches to explore the participants' and therapists' experiences with the programme. Quantitative outcomes included balance, strength, falls efficacy, mobility and motor impairment of the trunk. Results: The programme was deemed feasible in terms of acceptability, implementation and practicality by the participants as well as the physiotherapists delivering the programme. The overarching theme regarding HRQoL identified that participating in the programme was perceived to empower the participants living with stroke and positively influenced their daily physical, mental, emotional and social well-being. Participant outcomes showed a change in the direction of improvements in balance, strength, mobility, motor impairment of the trunk and reduced concerns about falling. Subjectively, participants only reported perceived improvements in balance and strength. Conclusion: Running a novel multifactorial falls prevention activity programme for older community-dwelling people after stroke was feasible. Participating in the programme helped participants to perceive improved balance, strength and empower them to make meaningful changes, improving their daily lived experiences. A future fully powered study could build on these results to investigate physical improvements, prevention of falls and improvements to domains of HRQoOL.

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“…However, on average, patients who survived after a stroke recover no more than 70% of their total motor functional [Langhorne et al, 2011;Tse et al, 2017]. At the same time, at least 40% of survivors after a stroke show moderate impairment and 15-30% -serious impairment, which in the future require special help and care [Carod-Artal and Egido, 2009].…”

Section: Introductionmentioning

confidence: 99%

Brain-computer interface for post-stroke rehabilitation

Grubov

Badarin

Schukovsky

et al. 2019

CAP

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In the paper we proposed the approach for increasing of quality of neurorehabilitation of post-stroke patients based on wavelet analysis of EEG signals recoded during motor imagery. Also we proposed brain-computer interface based on the method. We determined all necessary procedures required to find motor imagery type (kinesthetic or visual) for each individual patient and described subsequent rehabilitation process. We tested developed brain-computer interface on 20 participants with post-stroke motor impairment. We believe that developed system can be used not only in laboratory experimental conditions, but also in clinical ones.

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Increased work and social engagement is associated with increased stroke specific quality of life in stroke survivors at 3 months and 12 months post-stroke: a longitudinal study of an Australian stroke cohort

Abstract: START-PrePARE Australian New Zealand Clinical Trials, www.anzctr.org.au , Registry number: ACTRN12610000987066. EXTEND ClinicalTrial.gov identifier: NCT00887328.

Cited by 40 publications

References 50 publications

Association Between Anxiety, Depression, and Post-traumatic Stress Disorder and Outcomes After Ischemic Stroke

Association Between Anxiety, Depression, and Post-traumatic Stress Disorder and Outcomes After Ischemic Stroke

<p>Evaluating a Novel Multifactorial Falls Prevention Activity Programme for Community-Dwelling Older People After Stroke: A Mixed-Method Feasibility Study</p>

Brain-computer interface for post-stroke rehabilitation

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