Academic literature on the topic 'Patient experience and stroke rehabilitation'
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Journal articles on the topic "Patient experience and stroke rehabilitation"
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Lewinter, M., and S. Mikkelsen. "Patients' experience of rehabilitation after stroke." Disability and Rehabilitation 17, no. 1 (January 1995): 3–9. http://dx.doi.org/10.3109/09638289509166621.
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Tyagi, Shilpa, Daniel Lim, Wilbert Ho, Yun Qing Koh, Vincent Cai, Angela Cheong, Helena Legido-Quigley, and Gerald Choon-Huat Koh. "Stroke Patient-Caregiver Dyads’ Experience and Acceptance of Tele-Rehabilitation." Archives of Physical Medicine and Rehabilitation 100, no. 10 (October 2019): e124. http://dx.doi.org/10.1016/j.apmr.2019.08.370.
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Koroleva, E. S., V. M. Alifirova, A. V. Latypova, S. V. Cheban, V. A. Ott, K. S. Brazovskiy, I. V. Tolmachev, N. G. Brazovskaya, A. A. Semkina, and N. G. Kataeva. "Principles and global experience of applying robotic rehabilitation technologies in patients after stroke." Bulletin of Siberian Medicine 18, no. 2 (August 11, 2019): 223–33. http://dx.doi.org/10.20538/1682-0363-2019-2-223-233.
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This literature review is devoted to the study of recent advances in the field of neurorehabilitation using robotic technologies. Objective: to study best practices of applying robotic rehabilitation technologies in stroke patients, its clinical efficacy and influence on the molecular mechanisms of neuroplasticity. Keywords were searched in the Web of Science, Core Collection, Scopus and PubMed databases.Results.Robotic neurorehabilitation occupies a certain place in the comprehensive rehabilitation of patients with motor deficiency after stroke. An interdisciplinary patient-oriented approach and consistency at all stages of medical rehabilitation are especially important when using rehabilitation methods that implement advances in robotics and information technologies in patients after stroke. Rehabilitation with the use of high-tech computerized rehabilitation systems operating in the biofeedback mode is one of the promising areas and requires further neurophysiological and laboratory studies to create scientifically based methodological approaches. It will have great social significance and tangible economic effects from improving the quality of neurorehabilitation and reducing its duration.
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Palmcrantz, Susanne, and Disa K. Sommerfeld. "Development and validation of the Swedish national stroke register Riksstroke’s questionnaires in patients at 3 and 12 months after stroke: a qualitative study." BMJ Open 8, no. 2 (February 2018): e018702. http://dx.doi.org/10.1136/bmjopen-2017-018702.
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ObjectivesBecause healthcare and community organisations and treatment methods are always changing, continuous changes might also be needed in questionnaires that register patient-reported outcomes (PRO) and patient-reported experiences (PRE) of healthcare interventions and community support. Thus, the aim of this study was to test the content and face validity, including the readability, of two questionnaires used by the Swedish national stroke register Riksstroke to register PRO and PRE at 3 and 12 months poststroke.DesignClinicians’ and patients’ knowledge and experiences of current care, rehabilitation, community support and functioning after stroke as well as comments noted regarding the content and layout of the questionnaires were retrieved in focus-groups with expert clinicians and in patient interviews analysed with content analysis. A workgroup of experts with experience in stroke care, rehabilitation and research repeatedly revised the questionnaires regarding content, layout and consistency throughout the validation process.ParticipantsThe participants included allied healthcare professionals, nurses and physicians with extensive experience of working with stroke care and rehabilitation (expert clinicians) as well as patients who had suffered a stroke 3 or 12 months earlier and who were purposefully selected among those who had completed and returned the 3-month questionnaire.SettingExpert clinicians met at their work place in focus-groups. Patients were interviewed where they resided, that is, in their home or nursing home, including rural, town and city areas in Sweden.ResultsBased on clinical expertise and comments from the patients (n=47), the questionnaires were revised and then found to be valid in terms of content validity and face validity, including readability.ConclusionsThe present evaluation emphasises the need for testing aspects of validity, including readability, of questionnaires addressing PRO and PRE and for the recurrent revision of such questionnaires in order to maintain their validity in a society undergoing constant change.
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Dreyer, Greea, and Matty van Niekerk. "Vocational rehabilitation for young stroke survivors in Gauteng public healthcare: Occupational therapists’ perceptions1." Work 69, no. 1 (May 26, 2021): 91–107. http://dx.doi.org/10.3233/wor-213460.
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BACKGROUND: The prevalence of working-aged stroke survivors is increasing yearly. Stroke is an expensive disease, causing financial burden to the government, the family and caregivers of the patient, thus making it imperative for working-aged stroke survivors to work to remain financially independent. Survivors’ need to work necessitates occupational therapists to shift their focus from basic activities of daily living, to rehabilitating work. OBJECTIVES: This study aimed to determine the perceptions of occupational therapists working with younger stroke survivors in public hospitals and clinics in Gauteng South Africa, about rehabilitating working-aged stroke survivors’ work ability. METHODS: Ethical clearance was obtained. A qualitative research design was used to obtain narrative, descriptive data from six focus groups. Therapists from public healthcare settings, who had more than six months’ experience and had worked in neurological rehabilitation within the six months preceding the focus group, were invited to participate. Focus groups were audio recorded and transcribed. Inductive content analysis was used to identify themes and categories. RESULTS: Few participants are involved in rehabilitating younger stroke survivors’ work ability or facilitating return to work (RTW). The study identified perceived barriers and enablers to rendering OT services that meet working-aged stroke survivors’ needs. CONCLUSIONS: Despite enabling employment equity laws in South Africa, OTs working in the public sector appear to experience a sense of futility when trying to rehabilitate young stoke survivors to RTW. Fragmentation of the public sector and limited resources impede successful RTW for working-aged stroke survivors. Survivors’ employment status and motivation to RTW facilitated rehabilitating work ability.
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Lawrence, Maggie, and Sue Kinn. "Determining the Needs, Priorities, and Desired Rehabilitation Outcomes of Young Adults Who Have Had a Stroke." Rehabilitation Research and Practice 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/963978.
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Background. Guidelines state that young adults' (aged 18–55 years) rehabilitation needs and priorities following stroke are different from older adults'. However, there is a lack of evidence regarding young adults' perspectives of their needs and priorities.Aim. To gain an understanding of young adults' experience of stroke and associated rehabilitation needs, priorities, and desired outcomes.Methods. A qualitative approach was adopted, based on the phenomenology of Merleau-Ponty. Longitudinal data were gathered using unstructured interviews and analysed using phenomenological reduction.Results. Ten young adults took part in up to four interviews over two years. An overarching theme, Embodied Disorientation, and three subthemes: Mortal Body, Situated Body, and Embodied Perception of Difference, described the young adults' experience. A subsequent iterative process enabled tabulation of patient-centred rehabilitation needs, priorities, and outcomes.Conclusion. Rehabilitation professionals can use the evidence-based outcomes table to work with young adults to develop meaningful patient-centred goals and select appropriate interventions which align with identified needs and outcomes throughout the stroke recovery trajectory.
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LaPiana, Nina, Alvin Duong, Alex Lee, Leon Alschitz, Rafael M. L. Silva, Jody Early, Aaron Bunnell, and Pierre Mourad. "Acceptability of a Mobile Phone–Based Augmented Reality Game for Rehabilitation of Patients With Upper Limb Deficits from Stroke: Case Study." JMIR Rehabilitation and Assistive Technologies 7, no. 2 (September 2, 2020): e17822. http://dx.doi.org/10.2196/17822.
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Background Upper limb functional deficits are common after stroke and result from motor weakness, ataxia, spasticity, spatial neglect, and poor stamina. Past studies employing a range of commercial gaming systems to deliver rehabilitation to stroke patients provided short-term efficacy but have not yet demonstrated whether or not those games are acceptable, that is, motivational, comfortable, and engaging, which are all necessary for potential adoption and use by patients. Objective The goal of the study was to assess the acceptability of a smartphone-based augmented reality game as a means of delivering stroke rehabilitation for patients with upper limb motor function loss. Methods Patients aged 50 to 70 years, all of whom experienced motor deficits after acute ischemic stroke, participated in 3 optional therapy sessions using augmented reality therapeutic gaming over the course of 1 week, targeting deficits in upper extremity strength and range of motion. After completion of the game, we administered a 16-item questionnaire to the patients to assess the game’s acceptability; 8 questions were answered by rating on a scale from 1 (very negative experience) to 5 (very positive experience); 8 questions were qualitative. Results Patients (n=5) completed a total of 23 out of 45 scheduled augmented reality game sessions, with patient fatigue as the primary factor for uncompleted sessions. Each patient consented to 9 potential game sessions and completed a mean of 4.6 (SE 1.3) games. Of the 5 patients, 4 (80%) completed the questionnaire at the end of their final gaming session. Of note, patients were motivated to continue to the end of a given gaming session (mean 4.25, 95% CI 3.31-5.19), to try other game-based therapies (mean 3.75, 95% CI 2.81-4.69), to do another session (mean 3.50, 95% CI 2.93-4.07), and to perform other daily rehabilitation exercises (mean 3.25, 95% CI 2.76-3.74). In addition, participants gave mean scores of 4.00 (95% CI 2.87-5.13) for overall experience; 4.25 (95% CI 3.31-5.19) for comfort; 3.25 (95% CI 2.31-4.19) for finding the study fun, enjoyable, and engaging; and 3.50 (95% CI 2.52-4.48) for believing the technology could help them reach their rehabilitation goals. For each of the 4 patients, their reported scores were statistically significantly higher than those generated by a random sampling of values (patient 1: P=.04; patient 2: P=.04; patient 4: P=.004; patient 5: P=.04). Conclusions Based on the questionnaire scores, the patients with upper limb motor deficits following stroke who participated in our case study found our augmented reality game motivating, comfortable, engaging, and tolerable. Improvements in augmented reality technology motivated by this case study may one day allow patients to work with improved versions of this therapy independently in their own home. We therefore anticipate that smartphone-based augmented reality gaming systems may eventually provide useful postdischarge self-treatment as a supplement to professional therapy for patients with upper limb deficiencies from stroke.
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Tanlaka, Eric, Kathryn King-Shier, Theresa Green, Cydnee Seneviratne, and Sean Dukelow. "Sex Differences in Stroke Rehabilitation Care in Alberta." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 47, no. 4 (March 12, 2020): 494–503. http://dx.doi.org/10.1017/cjn.2020.53.
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ABSTRACT:Background:Female stroke patients may experience poorer functional outcomes than males following inpatient rehabilitation.Methods:Data from Alberta inpatient stroke rehabilitation units were examined to determine: (1) the impact of sex on time to inpatient rehabilitation, functional gains (using the Functional Independence Measure (FIM)), length of stay (LOS), and discharge destination; (2) if sex was related to age at the time of stroke, stroke severity, and living arrangement at discharge from rehabilitation; and (3) whether patients’ age and preadmission living arrangement had an influence on LOS in rehabilitation or discharge destination.Results:Two thousand two hundred sixty-six adult stroke patients (1283 males and 983 females) were subcategorized as mild (FIM >80; n = 1155), moderate (FIM 40–80; n = 994), or severe (FIM <40; n = 117). Fifty-five percent of males (45.7% females) had mild stroke; 39.5% of males (49.5% females) had moderate stroke; and 5.5% of males (4.8% females) had severe stroke. Females were significantly older than males (p = 2.4 × 10−4). No sex difference existed in time from acute care to rehabilitation admission (p = 0.73) or in mean FIM change (p = 0.294). Mean LOS was longer for females than males (p=0.018). Males were more likely than females to be discharged home (p = 1.8 × 10−13). Further, male patients (p = 6.4 × 10−7) and those < 65 years (p = 1.4 × 10−23) were more likely to be discharged home without homecare.Conclusion:There are significant sex and age differences in LOS in rehabilitation and discharge destination of stroke patients. These differences may suggest that sex and age of the patient need to be considered in care planning.
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Lee, Minyoung, Sung-Bom Pyun, Jinjoo Chung, Jungjin Kim, Seon-Deok Eun, and BumChul Yoon. "A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke." Physical Therapy 96, no. 10 (October 1, 2016): 1554–64. http://dx.doi.org/10.2522/ptj.20150271.
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AbstractBackgroundVirtual reality (VR)–based rehabilitation is gaining attention as a way to promote early mobilization in patients with acute stroke. However, given the motor weakness and cognitive impairment associated with acute stroke, implementation strategies for overcoming patient-perceived difficulty need to be developed to enhance their motivation for training.ObjectiveThe purpose of this study was to explore patient-perceived difficulty and enjoyment during VR-based rehabilitation and the factors affecting those experiences.DesignAn exploratory mixed-method design was used in this study.MethodsEight individuals with acute stroke participated in 2 training modes of VR-based rehabilitation (ie, workout and game modes) 20 to 30 minutes per day for 5 to 8 sessions. A visual analog scale was used to assess patient-perceived difficulty and enjoyment at every session. Then semistructured interviews were conducted to explore the factors affecting those experiences.ResultsLevels of difficulty and enjoyment varied depending on the training mode and participants' phases of recovery. Five major factors were identified as affecting those varied experiences: (1) ease of following the directions, (2) experience of pain, (3) scores achieved, (4) novelty and immediate feedback, and (5) self-perceived effectiveness.ConclusionsLevels of difficulty and enjoyment during VR-based rehabilitation differed depending on the phases of recovery and training mode. Therefore, graded implementation strategies for VR-based rehabilitation are necessary for overcoming patient-perceived difficulty and enhancing enjoyment. Ease of following the directions might be best considered in the very early stage, whereas multisensory feedback may be more necessary in the later stage. Health professionals also should find a way for patients to avoid pain during training. Feedback, such as knowledge of results and performance, should be used appropriately.
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Arbel, Ifah, Bing Ye, and Alex Mihailidis. "Stroke Patients’ Experiences in an Adaptive Healing Room in a Stroke Rehabilitation Unit." HERD: Health Environments Research & Design Journal 13, no. 2 (October 21, 2019): 170–85. http://dx.doi.org/10.1177/1937586719879060.
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Objectives: This study evaluated the user experiences (UX) of stroke patients residing in the adaptive healing room (AHR) and compared them to the UX of patients residing in standard private rooms (SPRs). Background: Healing environments in healthcare settings can promote patients’ healing processes, outcomes, and psychological well-being. The AHR was designed as a healing environment for stroke patients and has been previously evaluated in laboratory settings. This study was the first to evaluate it in its intended context—a stroke rehabilitation unit. Methods: The UX of 10 patients residing in the AHR and 15 patients residing in SPRs were collected via structured interviews with a set of open-ended questions and analyzed using quantitative and qualitative methods. Results: The AHR design features (orientation screen, skylight, and nature view) were rated positively by most patients. The skylight emerged as the least favorable. Responses to open-ended questions revealed that UX may be further improved if patients have more control over some of the settings (e.g., light intensity and nature views), and if the system allowed for more stimulation for patients at later stages of their recovery. Additionally, the results suggest that patients in the AHR have better UX than patients in the SPRs. Conclusion: The AHR has the potential to improve UX in the stroke rehabilitation unit. Patient feedback can be used to refine the AHR before carrying out clinical trials to assess the effect of the AHR on patient outcomes (e.g., sleep, mood, and length of stay) and stroke recovery.
Dissertations / Theses on the topic "Patient experience and stroke rehabilitation"
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De, la Cornillere Wendy-Lynne. "Participants’ experience of the Bishop Lavis Rehabilitation Centre stroke group." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/1695.
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Thesis (MPhil (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy. Centre for Rehabilitation Studies))--University of Stellenbosch, 2007.Current emphasis for rehabilitation in South Africa remains on individual intervention within the move towards primary health care. Primary health care is the strategy that has been adopted by the South African department of health to bring access and equity in health care services. Even so, the burden of providing effective rehabilitative services with limited resources requires innovative strategies, such as the use of therapeutic groups, to address certain aspects of rehabilitation. These strategies must be proven effective. There is a paucity of literature detailing the uses of group therapy in physical rehabilitation, and particularly the use of interdisciplinary group work in stroke rehabilitation. Furthermore, evidence shows that stroke survivors feel ill equipped to return to their communities despite rehabilitation. Stroke is a major cause of death and disability in South Africa, and is a condition shown to benefit from rehabilitation. These factors led to the selection of the Bishop Lavis Rehabilitation Centre stroke group as the setting for this study, which aims to describe the range of experiences relating to attendance or non-attendance of those referred to this programme. This descriptive study, employing quantitative means (to describe the demographic details of the participants) and qualitative means (to describe the experiences of participants), was conducted with twenty participants. Data was collected by means of an administered questionnaire. Following that, a focus group discussion involving six participants was used to gather in-depth information. Quantitative data was analysed with the assistance of a statistician, utilising the computer program, Statistica. The Chi-Squared, Kruskal-Wallis and ANOVA tests were used, with p>0.05 showing statistical significance. Qualitative data was thematically analysed, whereby data was categorised by means of an inductive approach. The study population consisted of 20 participants, with an average age of 59 years, of whom 15 were female and five male. The stroke group provided meaning to participants on two levels. On a psychosocial level, the phenomena of universality (identifying with others in a similar position), development of socialising techniques, imparting information and cohesiveness emerged strongly. On the level of meaning related to stroke recovery, improvement in ability to execute activities of daily living, mobility and strength were most frequently mentioned. Transportation issues were most commonly mentioned as factors negatively influencing attendance. Staff attitude and activities of the programme were most often cited as positive factors. Given the positive response of study participants, and the programme’s ability to sustain intervention with limited resources, it was concluded that this programme has a valid place within stroke rehabilitation in Bishop Lavis. Recommendations in terms of the group programme included investigating methods of providing transportation, providing childcare facilities and expanding the content of educational sessions. Further recommendations were to maintain the positive attitude of staff and the current activities of the programme. Frequency of group outings should also be increased and compensatory strategies for inclement weather must be explored.
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Essemo, Lorenzen Sara, and Hanna Jarl. "Att återgå till vardagen : En kvalitativ litteraturöversikt om strokedrabbade patienters upplevelser." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-17853.
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Bakgrund: Stroke är en av Sveriges folksjukdomar och den främsta anledningen till att vuxna personer drabbas av funktionsnedsättningar. Sjukdomen innebär en stor omställning för patienten då den medför en förändrad vardag. Det är en av många faktorer som påverkar patientens livskvalitet. Rehabilitering och stöd från interdisciplinärt team och närstående är viktiga delar för snabbare återhämtning. Syfte: Syftet var att beskriva patienters upplevelser av vardagslivet efter stroke. Metod: Metoden var en litteraturöversikt baserad på kvalitativa artiklar som analyserades med kvalitativ innehållsanalys. Resultat: Analysen resulterade i tre huvudkategorier; förändrad tillvaro, förändrad identitet och behov av hjälp framåt. Patienterna upplevde en förändrad vardag på grund av de omständigheter stroke gav. Hemmet och anhöriga var två viktiga faktorer för att patienterna skulle känna trygghet. Fysiska och psykiska förändringar till följd av stroke gjorde att patienterna upplevde sin kropp som främmande. De fick lära sig att tolka sin nya kropp vilket upplevdes påfrestande. De behövde verktyg för att kunna hantera sin nya vardag och den förändrade kroppen vilket de erhöll från det interdisciplinära teamet. Konklusion: Patienternas upplevda livskvalitet påverkades negativt på grund av livsomställningarna efter stroke. Vad som gav mening och sammanhang blev tydligare för patienterna och att återgå till sitt ”gamla jag” var något som patienterna prioriterade högt. Viktigt för återhämtningen var det sociala och professionella stödet. De bildade tillsammans ett säkerhetsnät för patienten och möjliggjorde en meningsfull framtid.Background: Stroke is one of the most common diseases in Sweden and the primary reason why adults get disabilities. Stroke means a great conversion for the patient which leads to a changed everyday life. There are many factors that affects the patients’ quality of life. Rehabilitation and support from the interdisciplinary team and family are important for efficiency of the recovery. Aim: The aim of this study was to describe patients’ experiences of everyday life after stroke. Method: The method was a literature review based on qualitative studies and were analyzed with qualitative content analysis. Results: The analyses resulted in three main catagories; changed living, changed identity and needs of help forward. Patients experienced a changed living because of the circumstances their stroke gave them. Their home and closest family were two main factors for the patients to feel safe. Because of the stroke patients received a new body that meant both physical and psychological changes. The patients got to learn their new body which was experienced as demanding. Patients needed tools to be able to handle their new everyday life and changed body, which they received from the interdisciplinary team. Conclusion: Patients experienced that their quality of life was affected negativly because of the life adjusment after the stroke. What gave the patients meaning and connection became more clear after the stroke, to revert the ”old me” were highly priotitized. The social and profesional support was important for the rehabilitation. Together they created a saftey net for the patient and enabled a meaningful future.
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Kanjou, Sara, and Olivia Hillgren. "Personers egna upplevelser om livet efter en stroke : en litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24008.
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Bakgrund: Stroke är en folksjukdom som drabbar cirka 20 000-25 000 personer i Sverige varje år och leder till syrebrist i hjärnan. De symtom som uppkommer vid en stroke varierar beroende på vilken del av hjärnan som skadas Tiden från första symtom tills att behandling sätts in har en stor inverkan på hur allvarliga skador det blir. De vanligaste symtomen är domning eller förlamning och en lång rehabilitering väntar oftast. Syfte: Syftet med denna litteraturstudie var att beskriva personers upplevelser efter att ha drabbats av en stroke samt att beskriva undersökningsgrupperna i de valda artiklarna. Metod: En beskrivande litteraturstudie som baseras på tolv kvalitativa vetenskapliga artiklar. Databaserna Cinahl och Medline via PubMed användes för att söka artiklarna, via högskolan i Gävle. Huvudresultat: I resultatet presenteras personers upplevelser efter en stroke utifrån deras fysiska och psykiska hälsa, samt det sociala livet. Funktionsnedsättningar var den vanligaste fysiska förändringen i livet som fick dessa personer att uppleva en psykisk påfrestning, bland annat depression, rädsla och förändrad självbild. Det sociala nätverket påverkas genom isolering på grund av den fysiska funktionsnedsättningen och den psykiska påfrestningen. Totala antalet deltagare i studien var 184 personer vars erfarenheter och upplevelser studerades, 53,3% var män och 46,7% var kvinnor. Slutsats: Alla personer som drabbats av en stroke upplevde någon form av förändring i det dagliga livet. Därför krävs det att vårdpersonalen har kunskap om hur olika individer hanterar denna livsförändring. Det kunde vara allt från fysiska, psykiska och sociala förändringar. Stödhjälp ansågs varit en viktig del under rehabiliteringsprocessen för dessa personer.Background: Stroke is a widespread disease in Sweden and it affects approximately 20 000-25 000 persons every year and it leads to oxygen deprivation in the brain. The symptoms that are caused by a stroke very depending on which part of the brain that is damaged. The time between the first symptoms of a Stroke and the first treatment of the disease is another major reason of how serious the damage becomes. The most common symptoms are numbness or paralysis and a long time of rehabilitation waits for the person that suffers from a stroke. Aim: To describe people´s experience after having suffered a stroke and to describe the included articles study-group.. Method: A descriptive literature study based on twelve qualitative scientific articles. The databases Cihnal and PubMed was used to search the articles, through the University of Gävle. Results: People's experiences after a stroke based on their physical and mental health, their social life are being presented in the results. Movement disabilities was the most common physical change in people’s life and also the reason why people experienced psychological distress such as depression, fear and a different view of themselves. Their social network is affected because of their physical movement disabilities and psychological distress. The total amount of people participating in the study was 184 persons whose experiences were studied, 53, 3% were men and 46, 7 % were women. Conclusion: Every person who suffered from a stroke experienced some kind of change in their daily life. Therefore, it requires that health professionals have the knowledge of how individuals manage this life-changing. It could be anything from physical, psychological to social changes in their lives. Supportive help for the affected people has been an important part of the rehabilitation process.
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Kalavina, Reuben. "Exploring the challenges and experiences of stroke patients and their spouses in Blantyre, Malawi." University of the Western Cape, 2014. http://hdl.handle.net/11394/4191.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Stroke is the second leading cause of disability worldwide. Up to 60% of the survivors remain severely disabled. These people experience various challenges in such areas as self-care, mobility, accessing medical and rehabilitation services, transportation and finance. These affect them psychologically, physically and socially predisposing them to complications. Hospital based stroke records report on critical cases, which are not a true reflection of after effects of stroke in a community setting. The impact of stroke on patients and spouses cannot be underestimated considering that it is often sudden, giving no chance to patients or spouse to adjust to the predicament. The aim of this study was, therefore, to explore the challenges stroke patients and their spouses experienced during the rehabilitation process, from diagnosis through to treatment and discharge. The study was based on a qualitative approach, utilising an exploratory design. Data was collected using semi-structured in-depth interviews and focus group discussions. All interviews were tape recorded and transcribed verbatim. A thematic content analysis was used to analyse data. Ethical approval was sought from the University of the Western Cape and the College of Medicine Research Ethics Committee, University of Malawi. Permission was obtained from the General Manager of Malawi Against Physical Disabilities. The results indicates a range of challenges including dependence on spouse for basic self-care activities and activities of daily living, stress due to fear of dependence on their spouses, loss of opportunity for regular interaction with friends and family, limited facilities and accessibility to rehabilitation. Spouses are also burdened by of caregiving responsibilities. In conclusion, this study highlights that the consequences of stroke affect both patients and spouses in the areas of health, finance and social. There is need for rehabilitation professionals to give equal attention to the challenges experienced by spouses when managing stroke patients. The study recommends that accessibility to rehabilitation should be improved by increasing patients’ space at the centre, construction of more centres and expand CBR services to cover all districts in the country.
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Larsén, Henrietta. "Att återvända hem förberedd efter stroke : en litteraturöversikt." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-323582.
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Bakgrund: Stroke är den tredje största dödsorsaken i Sverige och drabbar ca 30 000 människor årligen. Att återvända hem efter en sjukhusvistelse är ofta mycket efterlängtad av strokeöverlevare. Men förhoppningen att återgå till sina normala liv är inte alltid kopplat till verkligheten. Forskning visar att många strokeöverlevare är oförberedda på vad de nya begränsningar och förlorade förmågor innebär för dem i hemmet. Syfte: Att undersöka vilka medgångar och motgångar som strokepatienter mött efter utskrivning från sjukhus till hemmet, för att undersöka hur sjuksköterskan kan hjälpa patienter som drabbats av en stroke att förbereda sig för att klara sig i den dagliga hemmiljön. Metod: Litteraturöversikt baserat på 10 vetenskapliga kvalitativa originalartiklar publicerade i PubMed och Cinahl från 2000. Artiklarna granskades utifrån SBUs kvalitetsgranskningsmall. Resultat: Resultatet visade att flera av de svårigheter som uppkommer i hemmet kunde minskas med insatser att skapa realistiska förväntningar genom praktiska övningar samt att coacha strokeöverlevare inför återkomst till hemmet. Ur de motgångar som framkom skapades kategorierna; rädslan att vara en börda, familjen som ett hinder, livet saktade ner, sjukhus vs hemmet, existentiella och sociala konsekvenser. Interaktionen med sjuksköterskorna var viktigt både innan utskrivning och i hemsjukvården då bemötandet kunde försämra och förbättra deltagarnas förväntningar på rehabilitering. Information, meningsfulla relationer samt att finna mening i det lilla kunde hjälpte deltagarna att hantera vardagen bättre. Slutsats: Hur förberedda strokeöverlevare är inför utskrivning påverkar hur de hanterar de motgångar de möter i sin hemmiljö. Resultaten visar vikten av att de strokedrabbade får stöd att skapa realistiska förväntningar för sin vardag.
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Jansson, Antigona, and Sara Wahlberg. "Sjuksköterskors erfarenheter av att vårda patienter som har insjuknat i stroke : En litteraturstudie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-16718.
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Background: Stroke is a common disease in Sweden and between 25 000–30 000 people fall ill every year. A stroke causes oxygen deficiency and can lead to lifelong disabilities for the patient. Multidisciplinary teams work together where the nurse plays an important role for the care and the process of recovery. Aim: Highlight nurses' experiences of caring for patients who have had a stroke. Method: The design of the study is a literature study with a qualitative approach. The study is based on ten articles and was analyzed using Friberg’s five-step analysis. Results: Two themes and six subthemes emerged. Nurses felt that their care was important for the patient's recovery but wanted further specialized training. Multidisciplinary collaboration was perceived as important both for the development of knowledge and the patient's care. Nurses highlighted relatives' participation in patient care. However, there were daily challenges of, among other things, time pressure and understaffing. Conclusion: The study showed that nurses wish to provide good care for their patients and that their care was important. However, they experience daily challenges. Through organizational changes such as increased staff density and continuing education, the role of the nurse can be strengthened and lead to improved patient care.
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Forssell, Ingrid, and Anette Nyström. "Sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3942.
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Bakgrund Varje år insjuknar 25 000-30 000 personer i Sverige med stroke. Stroke är ett samlingsbegrepp för hjärninfarkt och hjärnblödning som leder till syrebrist eller direkt skada i hjärnan. Hjärnskadorna kan leda till bestående eller övergående funktionsnedsättningar i varierande grad. Patienterna tas om hand av multidisciplinära team där sjuksköterskan ingår i alla leden i vårdkedjan. Sjuksköterskan utför omvårdnad för att stödja patienterna i deras återhämtning, vilket kan bidra till att förbättra prognosen för dessa patienter. Syfte Syftet med litteraturöversikten var att belysa sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke. Metod Studiedesignen var en icke-systematisk litteraturöversikt. Studien baserades på 15 artiklar av både kvalitativ och kvantitativ design. Artikelsökningarna genomfördes i databaserna PubMed och CINAHL. Vidare gjordes en kvalitetsgranskning av de 15 vetenskapliga artiklarnas kvalitet och trovärdighet. Slutligen användes en integrerad översiktsmetod som dataanalysmetod för att färdigställa resultatet. Resultat Litteraturöversikten sammanfattade sjuksköterskans upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke. Betydelsefulla aspekter och förhållningssätt som identifierades var att känna ett yrkesansvar, arbeta i multidisciplinära team, arbeta utifrån personcentrerad vård och sjuksköterskans relation med patientens närstående. Förbättringsområden inom strokevård var enligt sjuksköterskorna mer strokeutbildning, bättre samarbete i det multidisciplinära stroketeamet och med patientens närstående. Återkommande problem var tidsbrist och underbemanning. Slutsats Genom att studera och sammanfatta sjuksköterskors upplevelser och erfarenheter av att vårda patienter som insjuknat i stroke kan betydelsefulla aspekter, förhållningssätt och förbättringsområden inom strokevården förstås.Background Every year 25,000-30,000 people in Sweden take ill with stroke. Stroke is a collective term for cerebral infarction and cerebral hemorrhage that leads to a lack of oxygen or direct damage in the brain. Brain damage can lead to permanent or transient disabilities of varying degrees. Patients are cared for by multidisciplinary teams where the nurse is part of all stages of the care. The nurse performs nursing care to support patients in their recovery and can help improve prognosis for these patients. Aim The purpose of the literature review was to describe the nurse's experiences in caring for patients taken ill with stroke. Method The design of the study was a non-systematic literature review. The study was based on 15 articles of both qualitative and quantitative design. The article searches were made in the databases PubMed and CINAHL. Furthermore, a quality review was made of the quality and credibility of the 15 articles. Finally, an integrated overview was used as a data analysis method to complete the result. Results The literature review summarized the nurse's experiences of caring for stroke patients. Identified significant aspects and attitudes were as follows, to feel a professional responsibility, to work in multidisciplinary teams, to practice person-centered care, and the nurses' relationship with the patient's relatives. According to the nurses, areas for improvement in stroke care were more stroke training, and better collaboration in multidisciplinary stroke teams and with the patient's relatives. Recurring problems were lack of time and understaffing. Conclusions By studying and summarizing the nurse's experiences in caring for patients taken ill with stroke significant aspects, attitudes and areas for improvement in stroke care can be understood.
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Pound, Pandora. "Lives with stroke." Thesis, Royal Holloway, University of London, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387609.
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Maqway, Simon Azaria. "Profile of, and challenges experienced by, stroke patients admitted at Haydom Lutheran hospital, Tanzania." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4501.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Background and aim: Despite the high number of strokes globally, and among people of African origin in particular, there are few available data on stroke in most countries of sub-Saharan African (SSA), including Tanzania. In addition, the profile and challenges affecting stroke patients in these countries has not been adequately explored. The aim of this study was to determine the profile and explore the challenges experienced by stroke patients admitted at Haydom Lutheran Hospital in Tanzania. The objectives of the study were to determine the documented risk factors among the patients admitted to Haydom Lutheran Hospital, to identify the stroke on-set admission interval and length of hospital stay, to identify the process of physiotherapy for the stroke patients, and to explore the challenges experienced by stroke patients discharged from Haydom Lutheran Hospital, Tanzania. Methods: Qualitative and quantitative research designs were used to collect the data. The quantitative design used a retrospective descriptive study, in which medical records of stroke patients were reviewed. The qualitative approach included in-depth interviews to collect information regarding the challenges experienced by stroke patients residing in Haydom, Tanzania. Existing medical records were perused to obtain information related to demographic profile, medical characteristics and rehabilitation data among stroke patients admitted at Haydom Lutheran Hospital. Relevant data was captured on a data information sheet. The SPSS (14.0 version) and Microsoft Excel (2007) were used to analyse quantitative data. Descriptive Statistics were used to determine ranges, percentages, frequencies, means and standard deviations calculate. The qualitative interviews were transcribed verbatim and also translated from Kiswahili to English. Stated concepts were coded, grouped into categories, and reduced into sub-themes and main themes. Prior to conducting this study, final permission was obtained from the Senate Research Grant and Study Leave Committee at the University of the Western Cape as well as the relevant authorities of the Tanzania Ministry of Health, Tanzanian National Institute of Medical Research, and the Administration of Haydom Lutheran Hospital. Written informed consent were obtained from the participants prior to interviews. Results: A total number of 145 stroke patients were admitted to Haydom Hospital between 1st January 2004 and 31st December 2010. However, only 128 of the potential sample participants met the inclusion criteria for the sample. The mean age of the participants was 57.7years, (SD=18.673). Of these, 104 (81.2%) had haemorrhagic stroke and 24(18.7%) had ischemic strokes. HIV infection (78.1%), previous stroke (74.2%), smoking (58.5%) and hypertension (55.4%) were the most common risk factors for stroke. Among the participants, the documented impairments included emotional impairments 42(32.8%), speech impairment 47(36.7%), cognitive impairment 39(30.4%), muscle impairment 36(28.1%), and occurrence of coma 33(25.8%) respectively. The mean time from onset of stroke to admission was 1.2 days with (SD=0.42 days). The mean length of hospital stay was 12.16 days (SD=4.1 days), the majority (61.7%), started physiotherapy within 3 days after admission, mean duration of physiotherapy was 14.1 days (SD=5.79), and the mean number sessions of physiotherapy 3.7days (SD=18.8 days). The challenges that emerged during the qualitative interviews with participants were limitation in walking activities, inability to return to work and to participate in leisure activities as before the onset of stroke, and environmental factors such as physical barriers and attitude of family. Conclusion: The findings of the research reveal that stroke in Tanzanian patients occurs at a relatively young age, and that frequency of intra-cerebral haemorrhage is higher than that reported in developed countries. The clinical presentations and risk factors are similar to those in other studies. The qualitative findings revealed that the stroke patients had problems with limitation of activity, participation restrictions, and environmental challenges. They also expressed uncertainties as a result of a lack of knowledge about stroke and its effects, and discharge challenges relating to rehabilitation. These challenges should be addressed in the process of management of patients with stroke in the research setting.
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Omu, Onutobor. "Life satisfaction, self-efficacy and religious faith in stroke patients living in Kuwait." Thesis, Brunel University, 2010. http://bura.brunel.ac.uk/handle/2438/5080.
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Aims: Life satisfaction and self-efficacy are psychosocial experiences that appear to profoundly influence the rehabilitation of a stroke patient. However, relevant studies have been mostly carried out on Western stroke survivors, with limited reports on stroke experience in the Middle East. Reviewed literature suggests a positive correlation between religious faith and health outcome, however studies investigating relationships among religious faith, self-efficacy and other psychosocial variables in stroke patients are limited. The aims of this study were therefore to (1) explore stroke experience and factors associated with life satisfaction post-stroke in Kuwait, (2) to investigate the relationships between self-efficacy, life satisfaction and religious faith in female stroke patients living in Kuwait, and (3) to identify cultural influences on stroke survivors in Kuwait from the health professionals‘ point of view. Method: The study was carried out in these four phases. 1) Phase 1:- Exploring stroke experience in patients in Kuwait with semi-structured interviews 2) Phase 2:- Client-Centred Adaptation of a Self-Efficacy measure for stroke patients living in Kuwait 3) Phase 3:- Assessing quantitative relationships between the three variables (self-efficacy, life satisfaction and religious faith) with questionnaires 4) Phase 4:- Exploring perceptions of health professionals regarding the world of the stroke patient and effects of culture on recovery and rehabilitation with semi-structured interviews Qualitative data were analysed with thematic analysis. Results: Significant correlations were found between general self-efficacy, and psychosocial adaptation self-efficacy. Self-efficacy (both general and psychosocial adaptation) showed significant correlations with life satisfaction post-stroke. Religious faith was not related to either life satisfaction or self-efficacy. Health professionals‘ interviews identified cultural characteristics specific to stroke patients living in Kuwait. These included family involvement, prevailing attitude towards stroke, dependency and access to maids, religious beliefs, and social stigma. Conclusion: Psychosocial self-efficacy was identified as having the strongest relationship to life satisfaction compared with the other variables tested. This study failed to show any significant relationship between religious faith and self-efficacy or life satisfaction in female stroke patients living in Kuwait. However, results from patient and health professional interviews identified religious beliefs as playing an important role in recovery, behaviour during rehabilitation and in interaction with the health professions. The qualitative aspects of this study, in particular, highlight the importance of taking into consideration religious and cultural influences during the rehabilitation of stroke patients in Kuwait.
Books on the topic "Patient experience and stroke rehabilitation"
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Margaret, Johnstone. Therapy for stroke: Building on experience. Edinburgh: Churchill Livingstone, 1991.
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Robert, Anderson. The aftermath of stroke: The experience of patients and their families. New York: Cambridge University Press, 1992.
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Johnstone, Margaret. The stroke patient: A team approach. 3rd ed. Edinburgh: Churchill Livingstone, 1987.
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Panel, United States Post-Stroke Rehabilitation Guideline. Post-stroke rehabilitation: Assessment, referral, and patient management. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995.
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United States. Post-Stroke Rehabilitation Guideline Panel. Post-stroke rehabilitation: Assessment, referral, and patient management. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995.
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US GOVERNMENT. Post-stroke rehabilitation: Assessment, referral, and patient management. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, 1995.
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United States. Post-Stroke Rehabilitation Guideline Panel. Post-stroke rehabilitation: Assessment, referral, and patient management. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995.
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United States. Post-Stroke Rehabilitation Guideline Panel. Post-stroke rehabilitation: Assessment, referral, and patient management. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995.
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1925-, Toole James F., ed. Stroke: A guide for patient and family. New York, NY: Raven Press, 1987.
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H, Carr Janet, ed. Physical therapy for the stroke patient: Early stage rehabilitation. Stuttgart: Thieme, 2012.
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Huang, Lan-Ling, Hsi-Hsun Yang, Chang-Franw Lee, and Mei-Hsiang Chen. "Improvement Design of the Clinical Upper Extremity Rehabilitation Product for Stroke Patients." In Design, User Experience, and Usability: Novel User Experiences, 597–605. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-40355-7_57.
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Kalra, Lalit. "Stroke Rehabilitation." In Cardiovascular Disease and Health in the Older Patient, 299–328. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118451786.ch12.
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Sayyad, Anjum. "Pain in the Stroke Rehabilitation Patient." In Comprehensive Pain Management in the Rehabilitation Patient, 53–59. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-16784-8_5.
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Tetteroo, Daniel, Lilha Willems, and Panos Markopoulos. "Patient Feedback Design for Stroke Rehabilitation Technology." In Biomedical Engineering Systems and Technologies, 357–71. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-27707-3_22.
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Morganti, Francesca, Paola Sabattini, and Roberto Casale. "Can Motor and Cognitive Rehabilitation Work Together? The Example of Spatial Disorientation Treatment After Stroke." In New Technologies to Improve Patient Rehabilitation, 14–30. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-16785-1_2.
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Babruwad, Sujay, Rahul Avaghan, and Uma Mudenagudi. "A Mobile Augmented Reality Framework for Post-stroke Patient Rehabilitation." In Computer Vision - ACCV 2014 Workshops, 396–406. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-16634-6_29.
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Craig, Paul, Yanhao Jin, and Jie Sun. "A Home-Based Adaptive Collaborative System for Stroke Patient Rehabilitation." In Lecture Notes in Computer Science, 1–10. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-60816-3_1.
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Lassfolk, C., M. Linnavuo, L. Palva, and R. Sepponen. "A Suggestion for a Smart Environment with Potential for Stroke Patient Rehabilitation." In IFMBE Proceedings, 745–48. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-23508-5_194.
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Hung, Yu-Hsiu, Yu-Ching Lin, Wan-Zi Lin, and Pin-Ju Chen. "Assessing Patient Needs for the Enhancement of Stroke Rehabilitation Services: A Customer Value Perspective." In Lecture Notes in Computer Science, 145–57. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-91244-8_12.
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Kaewlee, Thitikorn, and Panrasee Ritthipravat. "Development of Rehabilitation System with Bilateral Upper Extremity Training Robot and Virtual Reality for Stroke Patient." In IFMBE Proceedings, 38–44. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-66169-4_6.
Full textConference papers on the topic "Patient experience and stroke rehabilitation"
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Sarigul-Klijn, Yasemin. "Gait Rehab Adaptive Machine: Design of GRAM, a Walking Linkage Powered Wheelchair for Lower Body Therapy and Assistance." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6816.
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Nearly half of individuals with stroke experience some form of long-term disability and stroke is one of the main causes of wheelchair use in the United States [1]. Early rehabilitation in the acute phase of stroke has been shown critical to promoting motor plasticity and patient outcomes. However, research shows that only 32% of the time during inpatient rehabilitation is spent in active therapy, while the rest of the time is spent on other activities around the ward [2]. For walking impairment, it is especially important for patients to experience similar force loading and practice the patterning of gait in order to recover [3]. However, in a typical therapy session focused on gait rehabilitation patients only will take about 300 steps on average. This is far below what has been thought needed for humans to learn how to walk [4].
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Fischer, Kenneth J., Wen Liu, Clayton Wauneka, Ali Bani-Ahmed, and Patricia Kluding. "Stroke Rehabilitation Enhancement With DVD-Guided Visualization." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14090.
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Stroke is a disorder that affects over 700,000 of people each year, with nearly 500,000 will be left with some sort of long-term disability. While the underlying cause is neurological disability in the region of the brain where the stroke occurred, the functional problem is most often physical disability. Many stroke patients can no longer use their extremities. Lower extremity deficit causes problems with walking and balance, while upper extremity deficit represents significant challenges with common activities of daily living (1). Stoke is considered one of the leading causes of disability in adults (2)! It can also have a tremendous impact on activities of daily living, and may result in dependence on a caregiver. Treatment for stroke has improved, and early detection and treatment can often mitigate the effects and prevent the sequelae of a stroke. Still nearly half a million stroke patients experience some level of physical dysfunction each year. Clearly physical dysfunction due to stroke is an enormous medical problem, and research to improve prevention, treatment and rehabilitation related to stroke is very important.
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Khanicheh, Azadeh, Andrew Muto, Christina Triantafyllou, Brian Weinberg, Loukas Astrakas, Aria Tzika, and Constantinos Mavroidis. "MR Compatible ERF Driven Hand Device for Rehabilitation After Stroke." In ASME 2005 International Mechanical Engineering Congress and Exposition. ASMEDC, 2005. http://dx.doi.org/10.1115/imece2005-82283.
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This paper presents the design, fabrication and testing of a novel, one degree of freedom, magnetic resonance (MR) compatible, computer controlled, variable resistance hand device that will be used in fMRI studies of the brain and motor performance during rehabilitation after stroke. The device consists of four major subsystems: a) the Electro-Rheological Fluid (ERF) resistive element; b) the gearbox; c) the handles and d) the sensors: one optical encoder and one force sensor was implemented into the device design to measure the patient induced motion and force, respectively. A key feature of the device is the use of electro rheological fluids (ERF) to achieve resistive force generation. ERFs are fluids that experience dramatic changes in rheological properties, such as viscosity or yield stress, in the presence of an electric field. Using the electrically controlled rheological properties of ERFs, compact resistive elements with an ability to supply high resistive torques in a controllable and tunable fashion, have been developed. The hand device is designed to resist up to 50% of maximum level of gripping force of a human hand and be controlled in real time. Our study demonstrates that there is neither an effect from MR environment on the ERF properties and performance of the sensors, nor significant degradation on MR images by the introduction of ERF driven hand device in the MR environment. The results are encouraging in combining functional Magnetic Resonance Imaging methods, with MR compatible robotic devices for improved effectiveness of rehabilitation therapy.
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Andrea, Turolla, Agostini Michela, Zucconi Carla, Kiper Pawel, Vendramin Andrea, Tonin Paolo, Mauro Dam, Piron Lamberto, Ventura Laura, and Dalmartello Michela. "10 years experience in the application of the Reinforced Feedback in Virtual Environment (RFVE) for neurorehabilitation: Preliminary results from a retrospective analysis in stroke patients." In 2011 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2011. http://dx.doi.org/10.1109/icvr.2011.5971863.
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Yu, Shuangyue, Hadia Perez, James Barkas, Mohamed Mohamed, Mohamed Eldaly, Tzu-Hao Huang, Xiaolong Yang, Hao Su, Maria del Mar Cortes, and Dylan J. Edwards. "A Soft High Force Hand Exoskeleton for Rehabilitation and Assistance of Spinal Cord Injury and Stroke Individuals." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3268.
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Individuals with spinal cord injury (SCI) and stroke who is lack of manipulation capability have a particular need for robotic hand exoskeletons. Among assistive and rehabilitative medical exoskeletons, there exists a sharp trade-off between device power on the one hand and ergonomics and portability on other, devices that provide stronger grasping assistance do so at the cost of patient comfort. This paper proposes using fin-ray-inspired, cable-driven finger orthoses to generate high fingertip forces without the painful compressive and shear stresses commonly associated with conventional cable-drive exoskeletons. With combination cable-driven transmission and segmented-finger orthoses, the exoskeleton transmitted larger forces and applied torques discretely to the fingers, leading to strong fingertip forces. A prototype of the finger orthoses and associated cable transmission was fabricated, and force transmission tests of the prototype in the finger flexion mode demonstrated a 2:1 input-output ratio between cable tension and fingertip force, with a maximum fingertip force of 22 N. Moreover, the proposed design provides a comfortable experience for wearers thanks to its lightweight and conformal properties to the hands.
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Seo, Na Jin, and Derek G. Kamper. "Excessive Shear Force at the Digits May Contribute to Unstable Grip Following Stroke." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-205696.
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Stroke is a leading cause of long-term disability in the United States and the third most frequent cause of death, following diseases of the heart and cancer [1]. Of the more than 700,000 Americans who experience a stroke each year [1], two-thirds survive [2]. Currently there are more than five million stroke survivors in the U.S. [1], many of whom have long-term motor and sensory impairments, especially in the arm and hand [3]. Studies report that 69% of patients who were admitted to a rehabilitation unit following stroke have mild to severe upper extremity dysfunction [4], and only 14% to 16% of stroke survivors with initial upper extremity hemiparesis regained near-complete motor function [3,4]. Chronic deficits following stroke are especially prevalent in the hand and therefore diminish the capacity to grasp [5]. Hand grasp has great functional importance for performing activities of daily living. The impairment in grasping significantly lowers stroke survivors’ functional independence.
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Borboni, Alberto, Rodolfo Faglia, and Maurizio Mor. "Compliant Device for Hand Rehabilitation of Stroke Patient." In ASME 2014 12th Biennial Conference on Engineering Systems Design and Analysis. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/esda2014-20081.
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A new device for hand rehabilitation of stroke patient is presented. Its main innovative features are: lightness, real safety guaranteed by its structural elasticity, smoothness and easiness of movements. The kinematic behavior of the system hand-plus-rehabilitation-device is analyzed. The device applicability is confirmed by positive testing. Cerebrovascular diseases are the third cause of mortality and the second cause of long term disability in Western countries. The 60% of survived individuals shows a sensitive/motor deficit of one or both hands and must be subjected to a rehabilitative treatment to recover the use of the upper limb. Recent technologies have facilitated the use of robots as assistive tools to patients, providing safe and highly personalized rehabilitation sessions, thus making therapist contribution to recovery much more intensive and effective. We propose in this work a wearable glove with an incorporated compliant mechanical transmission over the hand. The glove is composed by two main modules with well-defined mechanical characteristics. One is the actuator on the upper side of the forearm, close to the wrist (and to the impaired hand) and still separated from it; the other (the transmission) is composed by several elastic transmissions which, moved by the actuator, properly transmit displacements, speed and forces to one or more impaired fingers during a rehabilitation session. While the actuator module has a rigid and defined structure and is fixed to the forearm section of the glove, the “transmission” module has in fact a labile and extended structure as it has to reach all five fingers (one, some, or all might be impaired and in need of rehabilitation) up to their tips and move them in an effective and reliable way. A kinematical characterization of the compliant transmission is proposed to dimension the actuators and to define the correct commanded motion profile at actuator level.
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Ward, Jeffrey A., Sivakumar Balasubramanian, Thomas Sugar, and Jiping He. "Robotic Gait Trainer Reliability and Stroke Patient Case Study." In 2007 IEEE 10th International Conference on Rehabilitation Robotics. IEEE, 2007. http://dx.doi.org/10.1109/icorr.2007.4428480.
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Zaid, Amran Mohd, Tee Chu Chean, Jumadi Abdul Sukor, and Dirman Hanafi. "Development of hand exoskeleton for rehabilitation of post-stroke patient." In THE 2ND INTERNATIONAL CONFERENCE ON APPLIED SCIENCE AND TECHNOLOGY 2017 (ICAST’17). Author(s), 2017. http://dx.doi.org/10.1063/1.5005436.
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Chen, Yinpeng, Weiwei Xu, Hari Sundaram, Thanassis Rikakis, and Sheng-Min Liu. "Media adaptation framework in biofeedback system for stroke patient rehabilitation." In the 15th international conference. New York, New York, USA: ACM Press, 2007. http://dx.doi.org/10.1145/1291233.1291248.
Full textReports on the topic "Patient experience and stroke rehabilitation"
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Treadwell, Jonathan R., James T. Reston, Benjamin Rouse, Joann Fontanarosa, Neha Patel, and Nikhil K. Mull. Automated-Entry Patient-Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes. Agency for Healthcare Research and Quality (AHRQ), March 2021. http://dx.doi.org/10.23970/ahrqepctb38.
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Background. Automated-entry consumer devices that collect and transmit patient-generated health data (PGHD) are being evaluated as potential tools to aid in the management of chronic diseases. The need exists to evaluate the evidence regarding consumer PGHD technologies, particularly for devices that have not gone through Food and Drug Administration evaluation. Purpose. To summarize the research related to automated-entry consumer health technologies that provide PGHD for the prevention or management of 11 chronic diseases. Methods. The project scope was determined through discussions with Key Informants. We searched MEDLINE and EMBASE (via EMBASE.com), In-Process MEDLINE and PubMed unique content (via PubMed.gov), and the Cochrane Database of Systematic Reviews for systematic reviews or controlled trials. We also searched ClinicalTrials.gov for ongoing studies. We assessed risk of bias and extracted data on health outcomes, surrogate outcomes, usability, sustainability, cost-effectiveness outcomes (quantifying the tradeoffs between health effects and cost), process outcomes, and other characteristics related to PGHD technologies. For isolated effects on health outcomes, we classified the results in one of four categories: (1) likely no effect, (2) unclear, (3) possible positive effect, or (4) likely positive effect. When we categorized the data as “unclear” based solely on health outcomes, we then examined and classified surrogate outcomes for that particular clinical condition. Findings. We identified 114 unique studies that met inclusion criteria. The largest number of studies addressed patients with hypertension (51 studies) and obesity (43 studies). Eighty-four trials used a single PGHD device, 23 used 2 PGHD devices, and the other 7 used 3 or more PGHD devices. Pedometers, blood pressure (BP) monitors, and scales were commonly used in the same studies. Overall, we found a “possible positive effect” of PGHD interventions on health outcomes for coronary artery disease, heart failure, and asthma. For obesity, we rated the health outcomes as unclear, and the surrogate outcomes (body mass index/weight) as likely no effect. For hypertension, we rated the health outcomes as unclear, and the surrogate outcomes (systolic BP/diastolic BP) as possible positive effect. For cardiac arrhythmias or conduction abnormalities we rated the health outcomes as unclear and the surrogate outcome (time to arrhythmia detection) as likely positive effect. The findings were “unclear” regarding PGHD interventions for diabetes prevention, sleep apnea, stroke, Parkinson’s disease, and chronic obstructive pulmonary disease. Most studies did not report harms related to PGHD interventions; the relatively few harms reported were minor and transient, with event rates usually comparable to harms in the control groups. Few studies reported cost-effectiveness analyses, and only for PGHD interventions for hypertension, coronary artery disease, and chronic obstructive pulmonary disease; the findings were variable across different chronic conditions and devices. Patient adherence to PGHD interventions was highly variable across studies, but patient acceptance/satisfaction and usability was generally fair to good. However, device engineers independently evaluated consumer wearable and handheld BP monitors and considered the user experience to be poor, while their assessment of smartphone-based electrocardiogram monitors found the user experience to be good. Student volunteers involved in device usability testing of the Weight Watchers Online app found it well-designed and relatively easy to use. Implications. Multiple randomized controlled trials (RCTs) have evaluated some PGHD technologies (e.g., pedometers, scales, BP monitors), particularly for obesity and hypertension, but health outcomes were generally underreported. We found evidence suggesting a possible positive effect of PGHD interventions on health outcomes for four chronic conditions. Lack of reporting of health outcomes and insufficient statistical power to assess these outcomes were the main reasons for “unclear” ratings. The majority of studies on PGHD technologies still focus on non-health-related outcomes. Future RCTs should focus on measurement of health outcomes. Furthermore, future RCTs should be designed to isolate the effect of the PGHD intervention from other components in a multicomponent intervention.