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Author: Birgitta Lindmark
Publisher:
ISBN:
Category : Brain
Languages : en
Pages : 52
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Book Description
Author: Birgitta Lindmark
Publisher:
ISBN:
Category : Brain
Languages : en
Pages : 52
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Book Description
Author: Naoichi Chino
Publisher: Springer Science & Business Media
ISBN: 4431684611
Category : Medical
Languages : en
Pages : 167
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Book Description
Stroke is one of the major causes of disability in the world. Consequently, an effective rehabilitation regimen is the goal of specialists working in the field worldwide. The implementation of rehabilitation programs for the stroke patient is broad in scope and requires, first of all, an objective scientific evaluation method. In 1980 the World Health Organization developed the International Classification ofImpairments, Disabilities, and Handicaps. It categorized impairments and disabili ties on the basis of functional evaluation but took into account cultural and socioeco nomic factors when defining handicaps, thus making it difficult to use the same functional evaluation instrument for the three phenomena. In this monograph, experts in the treatment of stroke from Japan, the United States, and Europe share their ideas presented during the 31st Annual Convention of the Japanese Association of Rehabilitation Medicine held in June 1994. All the partici pants freely contributed their views on the functional assessment and prognosis of stroke patients. Indeed, their contributions shed light on possible breakthroughs in the future for the development of rehabilitation regimens for stroke patients.
Author: Jane Williams
Publisher: John Wiley & Sons
ISBN: 1118699629
Category : Medical
Languages : en
Pages : 367
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Book Description
Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing. Evidence-based and practical in style, with case studies and practice examples throughout Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education The first text to explore stroke management from UK and international perspectives, and with a nursing focus
Author: Julian Bogousslavsky
Publisher: CRC Press
ISBN: 0824706242
Category : Medical
Languages : en
Pages : 320
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Book Description
Evaluating the major strategies used to prevent stroke recurrence, such as antiplatelet and anticoagulant therapies, this reference assesses the efficacy of pharmacological interventions, therapeutic regimens, and quality of care for stroke patients-detecting risk factors and potential mechanisms of stroke to prevent functional disability and increase quality of life, independence, and psychological well-being in post-stroke management programs. Considers the complex issue of cost vs. benefit in post-stroke rehabilitation. Addressing common dysfunctions that occur after stroke, including motor impairment, neurobehavioral changes, cognitive loss, emotional disorders, and dementia, Long-Term Effects of Stroke discusses the patterns and epidemiology of ischemic and hemorrhagic stroke the development of neurobiologically based therapeutic strategies the possible emergence of depression, anxiety, mania, and psychosis after stroke pharmacological and cell-based modalities to enhance stroke recovery Offering perspectives from leading international authorities in the field, Long-Term Effects of Stroke is a unique and valuable guide for clinical neurologists; cardiologists; cardiovascular specialists; cardiac, cardiovascular, and vascular surgeons; neurosurgeons; primary care, family practice, emergency room, and internal medicine physicians; physiologists; nurses, paramedical, and emergency medical personnel; and medical school students in these disciplines.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309489385
Category : Medical
Languages : en
Pages : 445
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Book Description
The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.
Author: Glen Gillen
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 786
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Book Description
This 2nd edition remains the only comprehensive evidence-based text on the Occupational Therapy management of the stroke patient. The book is based on the most up-to-date research on stroke rehabilitation and presents its content in a holistic fashion, combining aspects of background medical information, samples of functionally based evaluations, and treatment techniques and interventions. There are chapters on specific functional aspects of living after stroke, such as driving, sexuality, mobility and gait, and self-care. Instructor resources are available; please contact your Elsevier sales representative for details. Case studies are featured in every chapter to help the reader understand how concepts apply to the real world. 2 chapters that feature the true stories of stroke victims, presenting occupational therapy situations from the point of view of the patient. Key terms, chapter objectives, and review questions help students better understand and remember important information. 7 new chapters make this text more comprehensive than ever! Psychological Aspects of Stroke Rehabilitation Improving Participation and Quality of Life Through Occupation The Task-Oriented Approach to Stroke Rehabilitation Approaches to Motor Control Dysfunction: An Evidence-Based Review Vestibular Rehabilitation and Stroke How Therapists Think: Exploring Clinician's Reasoning When Working With Clients Who Have Cognitive and Perceptual Problems Following Stroke A Survivor's Perspective II: Stroke Reflects the current terminology and categorization used by the WHO and the new AOTA Practice Framework so students will be equipped with the latest standards when they enter the workforce. Updated medication chart presents the latest drugs used in stroke rehabilitation.
Author: Richard L. Harvey, MD
Publisher: Demos Medical Publishing
ISBN: 1935281054
Category : Medical
Languages : en
Pages : 817
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Book Description
A Doody's Core Title 2012 Stroke Recovery and Rehabilitation is the new gold standard comprehensive guide to the management of stroke patients. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and long-term treatment of all stroke-related impairments and complications. Additional sections discuss psychological issues, outcomes, community reintegration, and new research. Written by dozens of acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, Stroke Recovery and Rehabilitation features: The first full-length discussion of the most commonly-encountered component of neurorehabilitation Multi-specialty coverage of issues in rehabilitation, neurology, PT, OT, speech therapy, and nursing Focus on therapeutic management of stroke related impairments and complications An international perspective from dozens of foremost authorities on stroke Cutting edge, practical information on new developments and research trends Stroke Recovery and Rehabilitation is a valuable reference for clinicians and academics in rehabilitation and neurology, and professionals in all disciplines who serve the needs of stroke survivors.
Author: Glen Gillen
Publisher: Elsevier Health Sciences
ISBN: 0323067751
Category : Medical
Languages : en
Pages : 806
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Book Description
Three new chapters broaden your understanding of stroke intervention in the areas of Using Technology to Improve Limb Function, Managing Speech and Language Deficits after Stroke, and Parenting after Stroke. Learning activities and interactive references on a companion Evolve Resources website help you review textbook content and locate additional information.
Author: Thomas Platz
Publisher: Springer Nature
ISBN: 3030585050
Category : Medical
Languages : en
Pages : 284
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Book Description
This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Author: Hanna Sjöholm
Publisher: Linköping University Electronic Press
ISBN: 9179297064
Category : Electronic books
Languages : en
Pages : 91
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Book Description
Background: Early identification of risk factors is crucial for reducing the high fall risk associated with stroke, and sex differences in relation to falls need to be further investigated. There is a lack of uniform, standardized, and reliable testing procedures for postural reactions, and existing tests assessing negotiating obstacles while walking cannot be performed when walking aids are used. Aim: To investigate the predictive validity of fall risk in persons with acute stroke for easily administered data and assessments, as well as to investigate the psychometric properties of two new tests. Methods: The Postural Rections Test (PRT) and the Cone Evasion Walk Test (CEW) were developed based on literature, and on input from an expert panel. To estimate the reliability of the PRT and CEW, video-recordings of 20 persons with acute stroke performing each item in the PRT and CEW were assessed by 10 physiotherapists on two occasions, at least two weeks apart. The construct validity of the CEW (n = 221), was examined in relation to selected corresponding tests, and predictive validity by correlating the CEW to falls within six months. In 124 women and 160 men the results from the PRT and CEW, along with other easily administered data and assessments on participant characteristics, functions, and activities were analyzed in relation to the number of days to the first fall by Cox regression, while fall incidence was analyzed by negative binomial regression, both for the total cohort, and for women and men separately. Sex differences in monthly fall incidence were analyzed with Poisson regression. Results: For the intra-rater reliability of the PRT, the overall proportion of agreement was 87 − 92% for the different postural reactions, and in median 9–10 out of 10 physiotherapists scored the same value for inter-rater reliability. In the CEW the intra-class correlation coefficients for intra-rater and inter-rater reliability were 0.88–0.98. The results showed expected poor to moderate correlations to the selected tests for construct validity, and to falls within six months. Participants touched significantly more cones on the side that was opposite to the side of their lesion. The Cox regression analysis showed that intake of more than eight medications, paresis in the arms, paresis in the legs, impaired protective reactions in sitting, and limitations in self-care activities were decisive risk factors for the time to the first fall, and according to the negative binomial regression, limitations in mobility activities was a decisive risk factor for high fall incidence in the total cohort (p<0.0005). The assessor’s judgment of a person’s six-month fall risk, was particularly well suited for identification of individuals with a high risk for multiple falls; however only in women when analyzed for each sex separately (p<0.0005). Compared to men, a higher number of fall risk factors were identified in women, including impaired mental functions, paresis in the arms, and limitations in several activities of self-care and mobility (p<0.0005). In men, the most decisive fall risk factors were intake of a high number of medications, intake of antidepressants, and mobility limitations (p=0.001). Fall incidence during the first month from discharge was significantly higher in men compared to women. Conclusions: The PRT and CEW can be reliably used in persons with acute stroke, and are valid for assessment of fall risk. A high quantity and wide range of rapid and easily collected data can be used for identification of persons at high risk for falls. The risk factors differed in part when analyzing the time to the first fall, and six-month fall incidence, and different fall risk factors were the most decisive when analyzed separately in women and men. Monthly fall incidence was higher in men during the first month. Bakgrund: Tidig identifiering av riskfaktorer för fall är av väsentlig betydelse för att minska den höga fallrisken hos personer med stroke, och kunskap om eventuella könsskillnader vad gäller riskfaktorer för fall behövs för att kunna individanpassa fallriskbedömningar och fallpreventiva insatser. Det har tidigare saknats ett enhetligt och standardiserat bedömningsförfarande för posturala reaktioner; dvs jämvikts-, upprätnings- och fallskyddsreaktioner. Det har även saknats ett bedömningsinstrument för förmågan att undvika föremål i samband med gång, som kan utföras av personer som går med gånghjälpmedel. Syfte: Att hos personer med akut stroke undersöka prediktiv validitet av fallrisk för lättadministrerade patientdata och bedömningsinstrument, liksom att undersöka psykometriska egenskaper för två nyutvecklade tester. Metod: Reliabilitetstestningen av Postural Reactions Test (PRT) och Cone Evasion Walk Test (CEW) utfördes genom att personer med akut stroke filmades då de utförde testerna. När alla delmoment i PRT samt CEW utförts av 20 personer vardera bedömdes testutförandena på filmerna av 10 sjukgymnaster vid två olika tillfällen, med minst två veckors mellanrum. Begreppsvaliditeten av CEW undersöktes genom att analysera samstämmigheten mellan CEW och ett antal utvalda, relaterade bedömningsinstrument. Deltagarna i studien noterade huruvida de fallit eller ej i falldagböcker och sedan samlades denna information in via månatliga telefonsamtal under sex månaders tid. Snabbt och enkelt insamlad patientdata och testresultat från lättadministrerade funktions- och aktivitetstester analyserades i förhållande till fall både för samtliga deltagare i studien (284 stycken), men även för kvinnor och män separat. Könsskillnader i månatlig fallincidens analyserades också. Resultat: Undersökningen av intrabedömarreliabilitet visade att samstämmigheten för de enskilda fysioterapeuterna i bedömningen av testutförandena mellan de två testtillfällena var 87-92% för PRT och 70-90% för CEW. Undersökningen av interbedömarreliabiliteten visade att i median 9–10 av 10 fysioterapeuter gjorde samma bedömning av testutförandena av PRT, liksom av CEW. Resultaten av validitetstestingen visade ett signifikant men svagt samband mellan CEW och Timed Up and Go, Functional Ambulation Classification, Star Cancellation Test och uppmärksamhetsuppgiften “upprepa subtraktion av sju från 100” i Montreal Cognitive Assessment. I utförandet av CEW, gick deltagarna på signifikant fler koner på den sida som var motsatt deras hjärnskada. Ett signifikant svagt samband identifierades mellan CEW och antalet fall. I den totala kohorten var användande av fler än åtta läkemedel, armpares, benpares, nedsatta fallskyddsreaktioner i sittande, och nedsatt förmåga att utföra aktiviteter i det dagliga livet avgörande riskfaktorer för tidiga fall. En begränsad förflyttningsförmåga var en avgörande riskfaktorer för hög fallincidens. Testledarens bedömning av risken att falla de kommande 6 månaderna var särskilt väl lämpad för identifiering av personer med en hög risk för hög fallincidens, dock endast för kvinnorna när analysen utfördes för kvinnor och män separat. Fler riskfaktorer identifierades hos kvinnorna, däribland nedsatta psykiska funktioner, armpares och nedsättningar i flera olika aktiviteter rörande personlig vård och förflyttningar. Hos männen var de mest avgörande riskfaktorerna ett stort antal intagna läkemedel, användande av antidepressiva läkemedel samt en begränsad förflyttningsförmåga. Den månatliga fallincidensen var signifikant högre hos männen än hos kvinnorna den första månaden efter utskrivningen från någon av strokeavdelningarna. Konklusion: PRT och CEW kompletterar befintliga bedömningsinstrument och är reliabla och valida för bedömning vid akut stroke. Både CEW och PRT-bedömningen av fallskyddsreaktioner i sittande kan användas för identifiering av personer med en förhöjd risk att falla. Ytterligare ett stort antal lättadministrerade bedömningsinstrument som kan användas för bedömning av fallrisk identifierades. Riskfaktorerna skiljde sig åt avseende risken att falla snart och risken att falla mycket och det var olika fallriskfaktorer som var de mest avgörande för kvinnorna jämfört med männen. Den första månaden efter utskrivning från strokeavdelning var den månatliga fallincidensen högre bland männen än bland kvinnorna.
