Study Of Stroke Survivors Research Articles

Personalized 3D exergames for in-home rehabilitation after stroke: a pilot study

Purpose To describe a novel 3-dimensional (3D) exergames system and the results of a clinical feasibility study of stroke survivors needing in-home rehabilitation. Materials and methods The customisable Personalized In-home eXErgames for Rehabilitation (PIXER) system captures the user’s image, generates a live model, and incorporates it into a virtual exergame. PIXER provides a recording system for home exercise programs (HEPs) by adapting virtual objects, customizes the exergame and creates a digital diary. Ten persons with stroke, performed HEPs with PIXER for 1 month, and without PIXER for 2 additional months. In-game performance data, measures of physical functioning (PF) including Stroke Impact Scale (SIS), Timed Up & Go (TUG) and Goal Attainment (GA) Scale obtained at baseline, 1- and 3 months were evaluated. Results Seventy percent of participants completed the 1-month timepoint, 50% completed all timepoints. In-game data: Number of repetitions completed; Anomalies reported; and Percentage of bubbles hit showed positive trends. Compared to baseline, all SIS physical functioning (PF) scores were higher at 1 month, TUG scores showed no overall improvement and GA scale scores were 77% at 3 months. Conclusion It is feasible for community-dwelling patients to perform HEP after stroke using PIXER, a novel, exergames system, and potentially improve their function. IMPLICATIONS FOR REHABILITATION Home Exercises performed using a novel, 3-dimensional, customizable Personalized In-home eXErgames for Rehabilitation (PIXER) system is feasible for community-dwelling patients after stroke. In-game performance data obtained in this clinical pilot study showed positive trends of improvement in several study participants. PIXER has potential to improve functional outcomes for community-dwelling adults with stroke.

Patient perceptions of spasticity and treatment satisfaction over the course of a botulinum neurotoxin type A (BoNT-A) treatment cycle: An ethnographic study of stroke survivors

Patient perceptions of spasticity and treatment satisfaction over the course of a botulinum neurotoxin type A (BoNT-A) treatment cycle: An ethnographic study of stroke survivors

A Qualitative Study of Stroke Survivors’ Experiences of Sensory Changes After Stroke

Abstract Date Presented 04/05/19 While many studies focus on the impact of somatosensory changes on participation after stroke, they do not address the lived experience of all sensory systems (e.g., taste and smell). Researchers used a qualitative descriptive method using semistructured interviews to collect data. Results from this study could be utilized to inform healthcare providers about stroke survivors’ sensory needs and preferences to help them design interventions that match their needs. Primary Author and Speaker: Dua'a Alwawi Additional Authors and Speakers: Ashleigh Heldstab, Evan Dean, Winnie Dunn, Lisa Mische-Lawson

Assessing the impact of a home-based stroke rehabilitation programme: a cost-effectiveness study

Background: Stroke is often a severe and debilitating event that requires ongoing rehabilitation. The Community Stroke Rehabilitation Teams (CSRTs) offer home-based stroke rehabilitation to individuals for whom further therapy is unavailable or inaccessible. The objective of this study was to evaluate the cost-effectiveness of the CSRT programme compared with a “Usual Care” cohort.Methods: We collected data on CSRT clients from January 2012 to February 2013. Comparator data were derived from a study of stroke survivors with limited access to specialised stroke rehabilitation. Literature-derived values were used to inform a long-term projection. Using Markov modelling, we projected the model for 35 years in six-month cycles. One-way, two-way, and probabilistic sensitivity analyses were performed. Results were discounted at 3% per year.Results: Results demonstrated that the CSRT programme has a net monetary benefit (NMB) of $43,655 over Usual Care, and is both less costly and more effective (incremental cost = −$17,255; incremental effect = 1.65 Quality Adjusted Life Years [QALYs]). Results of the probabilistic sensitivity analysis revealed that incremental cost-effectiveness of the CSRT programme is superior in 100% of iterations when compared to Usual Care.Conclusions: The study shows that CSRT model of care is cost-effective, and should be considered when evaluating potential stroke rehabilitation delivery methods.Implications for RehabilitationOngoing rehabilitation following stroke is imperative for optimal recovery.Home-based specialised stroke rehabilitation may be an option for individuals for whom ongoing rehabilitation is unavailable or inaccessible.The results of this study demonstrated that home-based rehabilitation is a cost-effective means of providing ongoing rehabilitation to individuals who have experienced a stroke.