Trends in outpatient rehabilitation use for stroke survivors

Olasoji, Esther; Uhm, Daniel K.; Awosika, Oluwole O.; Doré, Sylvain; Geis, Carolyn; Simpkins, Alexis N

doi:10.1016/j.jns.2022.120383

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…Persons living with stroke frequently face persistent limitations in various domains, such as motor function and cognition, influencing daily life activities and participation [ 1 ]. Therefore, a considerable proportion of these individuals require long-term outpatient and home-based therapeutic interventions [ 2 ]. Previous research highlights that the use of technology-based tools at home can serve as a means to complement non–technology-based therapy in stroke rehabilitation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Technology Use for Home-Based Stroke Rehabilitation in Switzerland From the Perspectives of Persons Living With Stroke, Informal Caregivers, and Therapists: Qualitative Interview and Focus Group Study

Sauerzopf,

Luft,

Maeusli

et al. 2024

JMIR Rehabil Assist Technol

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Background Stroke is a leading cause for long-term disability, requiring both inpatient and outpatient rehabilitation and self-training in the home environment. Technology-based tools are gradually gaining acceptance as additional and suitable options for extending the rehabilitation process. While the experiences of persons living with stroke, therapists, and informal caregivers with respect to technology use have already been investigated in other countries, this topic is underexplored in the Swiss context. Objective We aimed to explore the experiences and needs of persons living with stroke, informal caregivers, and therapists in using technology-based tools in a home environment for stroke rehabilitation in Switzerland. Methods This study followed a qualitative descriptive methodology, including semistructured interviews and focus group discussions. We applied a deductive template analysis alongside the accessibility, adaptability, accountability, and engagement framework to analyze the qualitative data sets for technology-assisted solutions for poststroke rehabilitation. Results We collected the experiences and needs of persons living with stroke (7/23, 30%), informal caregivers (4/23, 17%), and therapists (occupational and physical therapists; 12/23, 52%). The 4 categories we used to organize the analysis and results were accessibility to quality rehabilitation, adaptability to patient differences, accountability or compliance with rehabilitation, and engagement with rehabilitation. Persons living with stroke stated that they use various tools within their rehabilitation process depending on their specific needs. They felt that there is a plethora of tools available but sometimes felt overwhelmed with the selection process. Informal caregivers indicated that they generally felt underserved and insufficiently informed throughout the rehabilitation process. They reported that they use technology-based tools to support their relatives affected by stroke in becoming more independent. Therapists appreciate the numerous possible applications of technology-based tools in rehabilitation. At the same time, however, they express dissatisfaction with the lack of clarity in Switzerland regarding cost coverage, recommendations, and training opportunities. Conclusions Persons living with stroke, informal caregivers, and therapists in Switzerland reported varied and unique experiences and needs with the use of technology-based tools in outpatient stroke rehabilitation. Written recommendations, the assumption of financial costs, and the provision of information and education could foster increased confidence in the use of technology-based tools for patients and therapists.

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Section: Introductionmentioning

confidence: 99%

Technology Use for Home-Based Stroke Rehabilitation in Switzerland From the Perspectives of Persons Living With Stroke, Informal Caregivers, and Therapists: Qualitative Interview and Focus Group Study

Sauerzopf,

Luft,

Maeusli

et al. 2024

JMIR Rehabil Assist Technol

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“…For patients, post-stroke rehabilitation encompasses physical therapy, electrotherapy, massage, hydrotherapy, thermotherapy, occupational therapy, immersive or augmented virtual reality therapy, robotic training, speech therapy, and psychotherapy. The main goal of rehabilitation post stroke is to restore motor capacity for ambulation, activities of daily living (ADLs), and social and professional reintegration (23)(24)(25)(26).…”

mentioning

confidence: 99%

Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENSvs. Ultrasoundvs. Paraffin

Roman

Miclăuş

Necula

et al. 2023

In Vivo

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Background/Aim: Post-stroke spasticity is a significant debilitating condition with negative consequences on individual functional independence and quality of life. This study aimed to identify the differences between transcutaneous electrical stimulation (TENS), ultrasound therapy and paraffin procedures on post-stroke upper extremity spasticity and dexterity. Patients and Methods: Twenty-six patients were enrolled in the study, divided into three therapy groups: TENS (n=9), paraffin (n=10) and ultrasound therapy (n=7). For 10 days, the patients received specific group therapy and conventional physical therapy exercises for upper extremities. Modified Ashworth Scale, Functional Independence Measure, Functional Coefficient, Stroke Specific Quality of Life Scale, Activities of Daily Living score and ABILHAND questionnaire were used to assess the participants before and after therapy. Results: The results of the group comparisons by analysis of variance showed no significant difference between outcomes by the applied treatments. In contrast, one-way analysis of variance suggested significant improvements in patients in all three groups after therapy. Step-wise regression results on functional independence measure and quality-of-life scales suggested that functional range of motion values for elbow and wrist influence individual independence and quality of life. Conclusion: TENS, ultrasound, and paraffin therapy bring equal benefits in the management of post-stroke spasticity.

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“…Big Data analysis has been studied to provide prediction models to improve management and coordination of post-acute care. Resource utilization post stroke and needs can vary in patients after hospital discharge, and best practices for managing stroke recovery can change over time ( 13 ). Prediction models can be used to determine which patient characteristics are the most associated with likelihood of hospital re-admission within 30 days ( Chen Y.-C. et al ), which can used to better allocate resources and services for patients.…”

mentioning

confidence: 99%

Editorial: Big Data analytics to advance stroke and cerebrovascular disease: a tool to bridge translational and clinical research

Simpkins,

Indupuru,

Savitz

2023

Front. Neurol.

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Trends in outpatient rehabilitation use for stroke survivors

Cited by 8 publications

References 18 publications

Technology Use for Home-Based Stroke Rehabilitation in Switzerland From the Perspectives of Persons Living With Stroke, Informal Caregivers, and Therapists: Qualitative Interview and Focus Group Study

Technology Use for Home-Based Stroke Rehabilitation in Switzerland From the Perspectives of Persons Living With Stroke, Informal Caregivers, and Therapists: Qualitative Interview and Focus Group Study

Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENSvs. Ultrasoundvs. Paraffin

Editorial: Big Data analytics to advance stroke and cerebrovascular disease: a tool to bridge translational and clinical research

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