Rehabilitation/Post acute

Acupuncture for stroke rehabilitation

Abstract Background Stroke is the second most common cause of death in the world and in China it has now become the main cause of death. It is also a main cause of adult disability and dependency. Acupuncture for stroke has been used in China for hundreds of years and is increasingly practiced in some […]

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Speech and language therapy for aphasia following stroke

Abstract Background Aphasia is an acquired language impairment following brain damage that affects some or all language modalities: expression and understanding of speech, reading, and writing. Approximately one third of people who have a stroke experience aphasia. Objectives To assess the effects of speech and language therapy (SLT) for aphasia following stroke. Search methods We […]

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Percutaneous endoscopic gastrostomy versus percutaneous radiological gastrostomy for swallowing disturbances

Abstract Background Gastrostomy has been established as the standard procedure for administering long-term enteral nutrition in individuals with swallowing disturbances. Percutaneous gastrostomy is a less-invasive approach than open surgical gastrostomy, and can be accomplished via endoscopy (percutaneous endoscopic gastrostomy or PEG) or sonographic or fluoroscopic guidance (percutaneous radiological gastrostomy or PRG). Both techniques have different […]

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Pharmacological interventions for unilateral spatial neglect after stroke

Abstract Background Unilateral spatial neglect (USN) is characterized by the inability to report or respond to people or objects presented on the side contralateral to the lesioned side of the brain and has been associated with poor functional outcomes and long stays in hospitals and rehabilitation centers. Pharmacological interventions (medical interventions only, use of drugs […]

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Constraint-induced movement therapy for upper extremities in people with stroke

Abstract Background In people who have had a stroke, upper limb paresis affects many activities of daily life. Reducing disability is therefore a major aim of rehabilitative interventions. Despite preserving or recovering movement ability after stroke, sometimes people do not fully realise this ability in their everyday activities. Constraint-induced movement therapy (CIMT) is an approach […]

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Interventions for post-stroke fatigue

Abstract Background Post-stroke fatigue (PSF) is a common and distressing problem after stroke. The best ways to prevent or treat PSF are uncertain. Several different interventions can be argued to have a rational basis. Objectives To determine whether, among people with stroke, any intervention reduces the proportion of people with fatigue, fatigue severity, or both; […]

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Motivational interviewing for improving recovery after stroke

Abstract Background Psychological problems are common complications following stroke that can cause stroke survivors to lack the motivation to take part in activities of daily living. Motivational interviewing provides a specific way for enhancing intrinsic motivation, which may help to improve activities of daily living for stroke survivors. Objectives To investigate the effect of motivational […]

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Interventions for improving upper limb function after stroke

Abstract Background Improving upper limb function is a core element of stroke rehabilitation needed to maximise patient outcomes and reduce disability. Evidence about effects of individual treatment techniques and modalities is synthesised within many reviews. For selection of effective rehabilitation treatment, the relative effectiveness of interventions must be known. However, a comprehensive overview of systematic […]

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Interventions for improving sit-to-stand ability following stroke

Abstract Background Standing up from a seated position is one of the most frequently performed functional tasks, is an essential pre-requisite to walking and is important for independent living and preventing falls. Following stroke, patients can experience a number of problems relating to the ability to sit-to-stand independently. Objectives To review the evidence of effectiveness […]

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Rehabilitation for improving automobile driving after stroke

Abstract Background Interventions to improve driving ability after stroke, including driving simulation and retraining visual skills, have limited evaluation of their effectiveness to guide policy and practice. Objectives To determine whether any intervention, with the specific aim of maximising driving skills, improves the driving performance of people after stroke. Search methods We searched the Cochrane […]

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