Perceptions of individuals with stroke regarding the use of a cane for walking: A qualitative study

Nascimento, Lucas Rodrigues; Ada, Louise; Rocha, Gerdeany Mendes da; Teixeira-Salmela, Luci Fuscaldi

doi:10.1016/j.jbmt.2018.02.001

Cited by 14 publications

(7 citation statements)

References 29 publications

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“…Contrary to what was expected, the use of a cane did not result in improved walking confidence. The results of qualitative studies that reported immediate improvements in this outcome, with individuals with chronic stroke, 24,25 were based upon the participants’ perceptions and were not quantitatively measured by a scale, as done in the present study. Another study that investigated the immediate effects of the cane with 144 older individuals found that 76% of the participants reported increased confidence for performing physical activities, such as walking.…”

Section: Discussionmentioning

confidence: 91%

Using a cane for one month does not improve walking or social participation in chronic stroke: An attention-controlled randomized trial

et al. 2021

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Objective: To examine the effects of the provision of a cane, delivered to ambulatory people with chronic stroke, for improving walking and social participation. Design: Two-arm, randomized trial. Setting: Community-based. Participants: Ambulatory individuals with chronic stroke. Interventions: The experimental intervention was the provision of a single-point cane during one month. The control group received a placebo intervention. Outcome measures: Walking speed, step length, cadence, walking capacity, and walking confidence were measured without the cane to examine its rehabilitative effect. Walking speed was also measured with the cane for inclusiveness, and social participation was measured for examining carry over effects. Outcomes were measured at baseline, and after one and two months. Results: Fifty individuals were included. In the experimental group, mean age was 69 years (SD 14), and walking speed was 0.58 m/s (SD 0.17). In the control group, mean age was 68 years (SD 13), and walking speed was 0.63 m/s (SD 0.15). When walking without the cane, after one and after two months, there were no between-group differences in any measures. When walking with the cane, after one month, the experimental group walked 0.14 m/s (95% CI 0.05–0.23) faster than the control group and after two months, they were still walking 0.18 m/s (95% CI 0.06–0.30) faster. Conclusion: Use of a cane improved walking speed, only when participants walked with the cane. Use of cane for one month did not improve walking outcomes, when walking without the cane. People with stroke would need to continue to use the cane to maintain any benefits in walking speed.

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Section: Discussionmentioning

confidence: 91%

Using a cane for one month does not improve walking or social participation in chronic stroke: An attention-controlled randomized trial

et al. 2021

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“…This condition, when associated with fear of falling and lack of confidence to walk, can limit the post-stroke person's participation in the community. This is why walking rehabilitation is important for recovering the individual's social participation (21) . In this research, the participant's referral to physical therapy was essential for strengthening the muscles, exercising balance, among other important aspects for rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Perception of post-stroke patients on case management conducted by nurses

Souza

Mantovani

Mattei³

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify the perception of post-stroke patients on the case management conducted by nurses. Method: Qualitative descriptive study with 13 post-stroke patients, followed-up with case management conducted by a nurse for six months, and interviewed at home one month after the end of the follow-up. The interviews were recorded, transcribed in full and analyzed with the help of a software. Results: Of the 13 participants, 57.14% were men and 50% were between 50 and 59 years. Content analysis resulted in three categories: “Self-management of care”, which addressed changes in attitudes towards treatment, mainly due to concern of recurrence in a short period of time; “Sequelae and late repercussions of the stroke”, which presents participants’ difficulties after the event; and “Support received after a stroke”, which emphasizes the actions and attitudes of the case manager nurse during the follow-up period. Conclusion: Case management was perceived by the participant as a health-promoting tool capable of increasing treatment adherence.

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“…In a longitudinal design Groeneveld and colleagues found illness perceptions in a sample of 184 stroke survivors to be associated with physical and mental health outcomes 12 months post stroke [13]. Beliefs of ambulatory people with stroke about using a cane during walking were found to be predictors of cane use; fast walkers perceived use of a cane negatively and did not chose the instrument due to perceptions of stigma [14].…”

Section: Strokementioning

confidence: 99%

Heart in art: cardiovascular diseases in novels, films, and paintings

Kaptein

Meer

Florijn

et al. 2020

Philos Ethics Humanit Med

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Background: Understanding representations of disease in various art genres provides insights into how patients and health care providers view the diseases. It can also be used to enhance patient care and stimulate patient selfmanagement. Methods: This paper reviews how cardiovascular diseases are represented in novels, films, and paintings: myocardial infarction, aneurysm, hypertension, stroke, heart transplantation, Marfan's disease, congestive heart failure. Various search systems and definitions were used to help identify sources of representations of different cardiovascular diseases. The representations of the different diseases were considered separately. The Common Sense Model was used a theoretical model to outline illness perceptions and self-management in the various identified novels, films, and paintings. Results: Myocardial infarction followed by stroke were the most frequently detailed diseases in all three art genres. This reflects their higher prevalence. Representations ranged from biomedical details through to social and psychological consequences of the diseases. Conclusions: Artistic representations of cardiovascular diseases reflect cognitions, emotions, and images of prevalent disease. These representations shape views and behaviour of ill and healthy persons regarding heart diseases. As these representations are amenable to change, they deserve further research, which may be instrumental in improving the quality of life of persons struck by cardiovascular diseases. Changing illness perceptions appears to be a method to improve self-management and thereby quality of life in patients with various cardiovascular diseases.

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Perceptions of individuals with stroke regarding the use of a cane for walking: A qualitative study

Cited by 14 publications

References 29 publications

Using a cane for one month does not improve walking or social participation in chronic stroke: An attention-controlled randomized trial

Using a cane for one month does not improve walking or social participation in chronic stroke: An attention-controlled randomized trial

Perception of post-stroke patients on case management conducted by nurses

Heart in art: cardiovascular diseases in novels, films, and paintings

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