Rehabilitation/Post acute

Interventions for improving oral health in people after stroke

Abstract Background For people with physical, sensory and cognitive limitations due to stroke, the routine practice of oral health care (OHC) may become a challenge. Evidence‐based supported oral care intervention is essential for this patient group. Objectives To compare the effectiveness of OHC interventions with usual care or other treatment options for ensuring oral health […]

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Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation

Abstract Background Rehabilitation based upon research evidence gives stroke survivors the best chance of recovery. There is substantial research to guide practice in stroke rehabilitation, yet uptake of evidence by healthcare professionals is typically slow and patients often do not receive evidence‐based care. Implementation interventions are an important means to translate knowledge from research to […]

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Transcranial direct current stimulation (tDCS) for improving activities of daily living, and physical and cognitive functioning, in people after stroke

Abstract Background Stroke is one of the leading causes of disability worldwide. Functional impairment, resulting in poor performance in activities of daily living (ADL) among stroke survivors is common. Current rehabilitation approaches have limited effectiveness in improving ADL performance, function, muscle strength, and cognitive abilities (including spatial neglect) after stroke, with improving cognition being the […]

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Electromechanical-assisted training for walking after stroke

Abstract Background Electromechanical‐ and robot‐assisted gait‐training devices are used in rehabilitation and might help to improve walking after stroke. This is an update of a Cochrane Review first published in 2007 and previously updated in 2017. Objectives Primary • To determine whether electromechanical‐ and robot‐assisted gait training versus normal care improves walking after stroke Secondary […]

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Motor imagery for gait rehabilitation after stroke

Abstract Background Motor imagery (MI) is defined as a mentally rehearsed task in which movement is imagined but is not performed. The approach includes repetitive imagined body movements or rehearsing imagined acts to improve motor performance. Objectives To assess the treatment effects of MI for enhancing ability to walk among people following stroke. Search methods […]

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Mental practice for treating upper extremity deficits in individuals with hemiparesis after stroke

Abstract Background Stroke is caused by the interruption of blood flow to the brain (ischemic stroke) or the rupture of blood vessels within the brain (hemorrhagic stroke) and may lead to changes in perception, cognition, mood, speech, health‐related quality of life, and function, such as difficulty walking and using the arm. Activity limitations (decreased function) […]

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Interventions for preventing depression after stroke

Abstract Background Depression is an important consequence of stroke that influences recovery yet often is not detected, or is inadequately treated. This is an update and expansion of a Cochrane Review first published in 2004 and previously updated in 2008. Objectives The primary objective is to test the hypothesis that pharmacological, psychological therapy, non‐invasive brain […]

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Interventions for sexual dysfunction following stroke

Abstract Background Sexual dysfunction following stroke is common but often is poorly managed. As awareness of sexual dysfunction following stroke increases as an important issue, a clearer evidence base for interventions for sexual dysfunction is needed to optimise management. Objectives To evaluate the effectiveness of interventions to reduce sexual dysfunction following stroke, and to assess […]

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Organised inpatient (stroke unit) care for stroke: network meta‐analysis

Abstract Background Organised inpatient (stroke unit) care is provided by multi‐disciplinary teams that manage stroke patients. This can been provided in a ward dedicated to stroke patients (stroke ward), with a peripatetic stroke team (mobile stroke team), or within a generic disability service (mixed rehabilitation ward). Team members aim to provide co‐ordinated multi‐disciplinary care using […]

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Physical fitness training for stroke patients

Abstract Background Levels of physical activity and physical fitness are low after stroke. Interventions to increase physical fitness could reduce mortality and reduce disability through increased function. Objectives The primary objectives of this updated review were to determine whether fitness training after stroke reduces death, death or dependence, and disability. The secondary objectives were to […]

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