Optimising rehabilitation and recovery after a stroke

Bonifacio, Guendalina B; Ward, Nick; Emsley, Hedley; Cooper, Jon; Bernhardt, Julie

doi:10.1136/practneurol-2021-003004

Cited by 9 publications

(3 citation statements)

References 68 publications

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“…The consequences of exercise preference in stroke survivors are classified into the three categories: (i) patient-related, (ii) rehabilitation provider–related, and (iii) rehabilitation service system–related ( 3 , 34 , 35 ). Patient-related consequences include improved adherence to rehabilitation ( 9 , 13 , 15 ), enhanced the level of physical activity ( 9 , 14 ), promoted motor recovery and quality of life of individuals with stroke ( 9 , 36 , 37 ). Rehabilitation provider–related consequences include providing a personalized regimen ( 9 , 14 , 21 , 26 ), job satisfaction ( 26 ), professional identify ( 27 ), and communication promoting in patients and rehabilitation team ( 26 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

Exercise preference in stroke survivors: a concept analysis

Dai,

Shi,

et al. 2024

Front. Neurol.

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BackgroundExercise preference in stroke survivors is related to their adherence to long-term rehabilitation regimen and functional recovery. Although explored recently, the term exercise preference still lacks a clear definition.ObjectiveThe aim of this study is to conceptualize exercise preference in stroke survivors.MethodsThe Walker and Avant method was applied as a framework for the conceptual analysis of exercise preference. Data from 34 publications were collected using seven databases (PubMed, Web of Science, Embase, CINAHL, CNKI, Wanfang Data, and CBM) and applied in the analysis. The search period was from the inception of the database to April 30, 2023.ResultsExercise preference in stroke survivors was defined according to four attributes: priority of choice, behavioral tendency, affective priming, and patience in adherence. The common antecedents of the concept of exercise preference in stroke survivors were classified into patient-related, therapy-related, and environmental-related categories and the consequences were classified into three categories: patient-related, rehabilitation provider–related, and rehabilitation service system–related.ConclusionExercise preference in stroke survivors refers to the patient’s choice, tendency, affective response, and attitude toward engagement in the recommended rehabilitation regimen. It is beneficial for understanding the essential attributes of exercise preference in stroke survivors by clarifying the concept. In addition, it will facilitate the development of instruments for assessing exercise preference in stroke survivors and the construction of theory-based intervention programs that can improve adherence to exercise rehabilitation.

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Section: Resultsmentioning

confidence: 99%

Exercise preference in stroke survivors: a concept analysis

Dai,

Shi,

et al. 2024

Front. Neurol.

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“…However, in practice, nearly half (45%) of patients with stroke in the UK felt unsupported post-discharge from the hospital. Additionally, another 40% are released from the hospital without any further rehabilitation plans [53]. In Australia, one-third of stroke patients are discharged without a care plan [54].…”

Section: Discussionmentioning

confidence: 99%

Exploring the needs of stroke patients after discharge from rehabilitation centres in Saudi Arabian communities: An IPA qualitative exploratory study design

Temehy,

Soundy,

Sahely

et al. 2023

PLoS ONE

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There are about 29 strokes per 100,000 people, annually, in the Kingdom of Saudi Arabia (KSA). These patients require long-term rehabilitation services to enhance recovery and independence in the community. Currently there are limited long-term rehabilitation services in KSA and research is needed to establish pathways for provision of community-based rehabilitation (CBR). To develop effective new CBR models, understanding the experiences and needs of stroke patients in KSA who have undergone poststroke care services is essential. This study aims to gain insight into stroke patients’ needs after their discharge from rehabilitation centres in Saudi Arabia. An interpretive phenomenological analysis (IPA) study was undertaken using semi-structured interviews. Participants were eligible if they had a stroke, completed their in-hospital rehabilitation sessions and had been discharged within the past three years. Semi-structured interviews were conducted using interview guides. Transcripts were translated and analysed using interpretive phenomenological analysis. Twenty-four (15 males and 9 females) participants were recruited from two hospitals in KSA. The key findings suggested that patients experienced limited community rehabilitation services postdischarge unless they were financially able to pay for private therapy. Coping barriers including Medical, Psychological, Social, and Financial and facilitators including Faith, Recovery, Social support and leisure were identified. Participants suggested strategies to improve services within hospital and community for rehabilitation, needs of staff, access to services and ongoing care. Further work is required to develop, implement and evaluate a community rehabilitation intervention that includes education, and self-management elements to support stroke survivors in the community in KSA.

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“…After a stroke, a person often requires help in mobilizing and exercising. Furthermore, fixed routines in an inpatient ward, such as rounds, can pose a challenge because of the lack of physical therapists outside therapy hours and on weekends ( Bonifacio et al, 2022 ).…”

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confidence: 99%

Enriched Environments in Stroke Units: Defining Characteristics and Limitations

Anåker,

Kevdzija,

Elf

2024

HERD

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Background: Individuals with stroke rehabilitated in an enriched environment (EE) compared to a non-EE are more likely to participate in cognitive and social activities, promoting their rehabilitation and well-being. There is a need for a more comprehensive understanding of methods to implement EEs within complex health systems, particularly in stroke units. Objective: The aim of this systematic review was to compile the concept of an EE in stroke units. Methods: The literature was sourced from CINAHL, Embase, and Medline databases. A detailed screening and sifting process was used to identify relevant literature. Multiple reviewers independently appraised the identified literature using a Mixed-methods Appraisal Tool. After screening 336 studies, 11 were included. Results: This review reveals an EE is challenging to define and almost exclusively about activities based on access to individual and communal equipment. Generally, there are no common descriptions or conceptual agreements. Conclusions: To the best of our knowledge, this is the first study to systematically review the concept of an EE in stroke units and shows that more studies on EEs are needed. The weak definitions and unclear theoretical backgrounds of an EE in the included studies could challenge operationalization. Future research should be based on more precise definitions of an EE and broader interventions that include changes to built and natural environments.

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Optimising rehabilitation and recovery after a stroke

Cited by 9 publications

References 68 publications

Exercise preference in stroke survivors: a concept analysis

Exercise preference in stroke survivors: a concept analysis

Exploring the needs of stroke patients after discharge from rehabilitation centres in Saudi Arabian communities: An IPA qualitative exploratory study design

Enriched Environments in Stroke Units: Defining Characteristics and Limitations

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