Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science

Zheng, Huiru; Cao, Ning; Yang, Yin; Feng, Wuwei

doi:10.1136/svn-2017-000069

Cited by 18 publications

(6 citation statements)

References 48 publications

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“…There were relatively fewer studies on psychosocial, environmental, and cognitive factors in this review. Even literature on stroke rehabilitation, in general, emphasized the physical motor aspects of intervention, with only some focusing on cognitive factors ( 154 ).…”

Section: Discussionmentioning

confidence: 99%

Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Ainuddin

Romli

Hamid

et al. 2021

Front. Public Health

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Background: Research on rehabilitation for falls after stroke is warranted. However, published evidence on fall interventions with stroke survivors is limited and these are mainly international studies that may be less relevant for Southeast Asia.Objective: This review aims to systematically identify literature related to stroke rehabilitation for falls and risk of falls in Southeast Asia.Methods: A scoping review with stakeholders' consultation was implemented. An electronic search was conducted up to December 2020 on 4 databases (Medline, CINAHL, Scopus, ASEAN Citation Index). Only original studies conducted in Southeast Asia were selected.Results: The initial search yielded 3,112 articles, however, only 26 were selected in the final analysis. Most of the articles focused on physical rehabilitation and implemented conventional therapies. While the literature may reflect practice in Southeast Asia, stakeholders perceived that the literature was inadequate to show true practice, was not informative and missed several aspects such as functional, cognitive, and psychological interventions in managing falls. Individual-centric interventions dominated the review while community-based and environmental-focused studies were limited. Majority of the articles were written by physiotherapists while others were from physicians, occupational therapists, and an engineer but few from other healthcare practitioners (i.e., speech therapists, psychologists) or disciplines interested in falls.Conclusions: Falls prevention among stroke survivors has received a lack of attention and is perceived as an indirect goal in stroke rehabilitation in Southeast Asia. More innovative research adopted from falls research with older people is needed to advance falls prevention and intervention practice with stroke survivors.

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Section: Discussionmentioning

confidence: 99%

Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Ainuddin

Romli

Hamid

et al. 2021

Front. Public Health

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“…Common health complications are but not limited to fever, hypoxia and electrolyte imbalance and may impair neural survival within the ischaemic penumbra, 5 high incidences of pneumonia (30%) and urinary tract infections (UTIs) (30%). 6 , 7 , 8 Most fearful of these infections after a stroke is an estimated 20% of mortality and considerable morbidity in stroke patients, 6 , 9 and thus it is advisable to manage the condition effectively.…”

Section: Introductionmentioning

confidence: 99%

“…The primary caregivers (PCGs) of stroke patients are not trained on stroke care and lack mentorship, which compromises the quality of care received by the stroke patients. 8 , 11 The escalating number of complications in stroke cases calls for the establishment of stroke rehabilitation services such as stroke units. However, these services as well as stroke rehabilitation professionals are scarce in Africa.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a job aid: Tool to reduce infections in home-based stroke

Chikanya,

James

2024

African Journal of Primary Health Care & Family Medicine

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Background: Stroke patients who are discharged from hospital because of limited access to rehabilitation facilities are cared for by lay caregivers who at times have limited knowledge of infection prevention and control (IPC). User-friendly educational interventions can help bridge this knowledge gap and enhance safe care of these persons.Aim: To describe the development and validation of educational interventions for home-based stroke patients. The validation process enhanced the reliability and validity of the job aid resulting in standardised quality patient care of stroke patients.Setting: Mutasa district, Manicaland province, Zimbabwe.Methods: The systematic six steps in quality intervention development guided the development of the job aid. Graphic designers assisted with development of diagrams and annotations. A purposively selected eight-member panel of IPC expert reviewers was invited to validate the job aid using a standardised validation tool.Results: The panel agreed that the job aid’s title, target group and media of instruction were adequately explained, and the background could be easily understood during practice. The content was approved with some modifications on the description of instructions to caregivers. Seven reviewers agreed that the materials used ensured understandability, acceptability, practicability and usability of the educational interventions by caregivers, and one reviewer was neutral in commenting effectiveness of the job aid.Conclusion: The developed job aid addressed knowledge barriers in IPC for caregivers, and the reviewers confirmed that the developed job aid was adequate for effective use by lay home-based caregivers.Contribution: Utilisation of this intervention standardises patient care practices.

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“…A huge variety of factors are known to influence patient outcome, including demographic variables, clinical variables, laboratory tests, or comorbidities (2). But predicting the final neurological outcomes is very difficult after the index stroke because most studies presenting contradictory results (3,4).…”

Section: Introductionmentioning

confidence: 99%

QT Interval Dispersion as a Predictor of Clinical Outcome in Acute Ischemic Stroke

et al. 2021

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Background and Purpose: QT dispersion (QTd) abnormalities are widely documented in stroke patients. This study aims to investigate the association between QTd and clinical outcomes in IS patients.Methods: IS patients registered in the Blood Pressure and Clinical Outcome in transient ischemic attack (TIA) or IS (BOSS) registry between 2012 and 2014 within 24 h of onset were analyzed. In this prospective observational study, we identified 1,522 IS cases with adequate electrocardiographic evaluations to assess QTd after the index stroke. Patients were classified into four groups based on the quartile of QTd, with the lowest group as the reference. The primary stroke outcome was defined as a modified Rankin Scale score ≥3 at 1-year. Multiple logistic regressions were utilized to investigate the association between QTd and outcome events.Results: The mean QTd across all cases was 57 ms (40–83). Functional dependency or death was documented in 214 (14.98%) cases at 1 year. After adjusting for confounders, the prevalence of death and major disability (mRS ≥ 3) showed significant differences according to the quartile of QTd, with the risk of death and major disability (mRS ≥ 3) at 1 year being significantly higher for patients in Q4 than for those in Q1 (adjusted OR = 1.626, 95% CI:1.033–2.560). However, there were no significant correlation between QTd and the event outcomes at 1 year.Conclusions: QTd was associated with poor functional outcomes at 1 year. QTd is a useful surrogate marker for adverse functional prognosis, which might help to stratify risk in patients with acute IS.

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Stroke recovery and rehabilitation in 2016: a year in review of basic science and clinical science

Cited by 18 publications

References 48 publications

Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Development and validation of a job aid: Tool to reduce infections in home-based stroke

QT Interval Dispersion as a Predictor of Clinical Outcome in Acute Ischemic Stroke

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