Experience of enriched rehabilitation in the chronic phase of stroke.
In this study, we explored the experiences of patients who participated in an enriched task-specific therapy (ETT) program in the chronic phase after stroke. Focus group interviews were conducted with twenty participants with a mean time since stroke of 30 months and mean age 61 years, who completed...
| Publicado en: | Disability & Rehabilitation Vol. 44; no. 3; pp. 412 - 420 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb 2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155144821&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155144821 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Feb 2022 vid: 44 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 155144821 145607568 155144821 155144821 10.1080/09638288.2020.1768598 155144821 ppf: 412 ppct: 8 formats: tig: atl: Experience of enriched rehabilitation in the chronic phase of stroke. aug: au: Vive, Sara Bunketorp-Käll, Lina Carlsson, Gunnel affil: Section for Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden sug: subj: Stroke Rehabilitation Stroke Patients Life Experiences Quality of Health Care Patient Attitudes Task Performance and Analysis Human Focus Groups Interviews Middle Age Content Analysis Qualitative Studies Survivors Recovery Time Factors Descriptive Statistics Scales Male Female Treatment Outcomes Funding Source Middle Aged: 45-64 years Male Female ab: In this study, we explored the experiences of patients who participated in an enriched task-specific therapy (ETT) program in the chronic phase after stroke. Focus group interviews were conducted with twenty participants with a mean time since stroke of 30 months and mean age 61 years, who completed the ETT program including task-specific training and environmental enrichment. ETT was delivered 3.5–6 h per day, 5½ days per week for 3 weeks in a climate suitable for both indoor and outdoor activities. The training consisted of repetitive mass practice of gradually increasing difficulty. Directly after the intervention, qualitative interviews were conducted in six focus groups. The interviews were analysed with qualitative content analysis. Three main categories describing the informants' experiences of the ETT program were identified. These categories were; 1. The program—different and hard – highlighting the participants view of the ETT as strenuous and different in nature; 2. My body and mind learn to know better – describing positive changes in participants' body function and functional ability as well as behavioural changes experienced throughout the ETT; and 3. The need and trust from others – emphasizing the perceived importance of trust in rehabilitation clinicians and the support of family and other participants. From these categories, a main theme emerged: It's hard but possible—but not alone! A therapy program including task-specific training and environmental enrichment may provide late-phase stroke survivors with perceived improvements in functional ability, knowledge insights, perceptions of rehabilitation needs and enriching emotional impacts. ETT is feasible and may lead to perceived improvements in function and a change of mindset, even in the chronic phase after stroke. Trust in the competence of the rehabilitation staff is an important factor in compliance with the high-intensity training in the ETT program. Given the lack of stimulation and socialization among many individuals with chronic stroke, the social and physical environment are important components of the ETT program. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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