International Journal of Stroke; Rehabilitation Edition
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Track Listing
| International Journal of Stroke / Predicting activities after stroke: what is clinically relevant? Gert Kwakkel | 0:11:43 | 64kbps | 44100 | 5.37 MB | |
 | Predicting activities after stroke: what is clinically relevant? Gert Kwakkel keywords: | ||||
| International Journal of Stroke / More outcomes than trials: a call for consistent data collection across stroke | 0:04:23 | 64kbps | 44100 | 2.01 MB | |
| Stroke survivors experience complex combinations of impairments, activity limitations, and participation restrictions. The essential components of stroke rehabilitation remain elusive. Determining efficacy in randomized controlled trials (RCTs) is challenging; there is no commonly agreed primary outcome measure for rehabilitation trials. Clinical guidelines depend on proof of efficacy in RCTs and meta-analyses. However, diverse trial aims, differing methods, inconsistent data collection, and use of multiple assessment tools hinder comparability across trials. Consistent data collection in acute stroke trials has facilitated meta-analyses to inform trial design and clinical practice. keywords: | ||||
| International Journal of Stroke / Stroke, cognitive deficits, and rehabilitation: still an incomplete picture. | 0:09:36 | 64kbps | 44100 | 4.41 MB | |
| Cognitive impairment after stroke is common and can cause disability with major impacts on quality of life and independence. There are also indirect effects of cognitive impairment on functional recovery after stroke through reduced participation in rehabilitation and poor adherence to treatment guidelines. In this article, we attempt to establish the following: ● whether there is a distinct profile of cognitive impairment after stroke; ● whether the type of cognitive deficit can be associated with the features of stroke-related damage; and ● whether interventions can improve poststroke cognitive performance. keywords: | ||||
| International journal of Stroke / Improving quality of life by increasing outings after stroke: study protocol for | 0:05:20 | 64kbps | 44100 | 2.45 MB | |
| Rationale
Almost one-third of Australians need help to travel outdoors after a stroke. Ambulation training and escorted outings are recommended as best practice in Australian clinical guidelines for stroke. Yet fewer than 20% of people with stroke receive enough of these sessions in their local community to change outcomes.
Aims
The Out-and-About trial aims to determine the efficacy and cost effectiveness of an implementation program to change team behavior and increase outings by people with stroke.
Design
A two-group cluster-randomized trial will be conducted using concealed allocation, blinded assessors, and intention-to-treat analysis. Twenty community teams and their stroke clients (n = 300) will be recruited. Teams will be randomized to receive either the Out-and-About program or written guidelines only.
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| International Journal of Stroke / When should rehabilitation begin after stroke? Julie Bernhardt | 0:07:15 | 64kbps | 44100 | 3.33 MB | |
| Early rehabilitation is widely regarded as an important feature of effective stroke care. But what is ‘early’, and what kinds of therapies should, or can, we begin soon after stroke onset? In this interview, some of the barriers and drivers for early rehabilitation research and practice are explored. keywords: | ||||
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| Despite the recent advances in stroke rehabilitation research, the translation of research evidence into practice remains a challenge. The purpose of this article is to communicate practi- cal experience and describe research methodologies used to promote change and implementation of stroke rehabilitation research in three international settings. In England, the devel- opment of an evidence-based consensus document, combined with qualitative and quantitative methods, was used to promote practice change in community-based stroke services. The Canadian research program involved synthesis of evidence, creation of user friendly information, and development of multimodal knowledge transfer strategies to promote change at an individual clinician level. keywords: rehabilitation, stroke, Lahiff-Jenkins | ||||
| International Journal of Stroke / How useful is imaging in predicting outcomes in stroke rehabilitation? | 0:09:11 | 64kbps | 44100 | 4.21 MB | |
| Neuroimaging plays an important role in acute stroke diagnosis and management, but it is not routinely used in rehabilitation settings. Incorporating imaging information in rehabilitation planning may eventually translate to better outcomes after stroke. Here we review the prediction of outcomes after stroke using magnetic resonance imaging. There are clear and specific relationships between the anatomy of the stroke lesion and impairments at the time of scanning, and at later time points in recovery. However, most studies demonstrate these relationships in groups of patients at the chronic stage. keywords: | ||||
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