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Enderby, P; Pandyan, A; Bowen, A; Hearnden, D; Ashburn, A; Conroy, P; Logan, P; Thompson, C; Winter, J (2016)
Publisher: Taylor & Francis: SSH Journals
Languages: English
Types: Article
Subjects: Q1, Length of stay, timing of intervention, stroke, potential for rehabilitation, R1
AIM: To explore the use, meaning and value of the term "rehabilitation potential". METHOD: The authors of this commentary met to discuss concerns relating to the pressure on health service staff created by reduced length of stay in acute settings of those who have suffered a stroke and the need to determine the potential of a patient for rehabilitation in order to inform discharge arrangements. Points raised at this meeting were shared with an email group who over a 12-month period contributed to this paper. RESULTS: The group agreed that: (a) Given that there is very limited evidence to guide judgements regarding rehabilitation potential following stroke at an early stage the need for rehabilitation needs to be reviewed on a regular basis over a long period and that this needs to be reflected in clinical guidelines. (b) Rehabilitation needs to be available in a broad range of care settings, in order that discharge from hospital is not equated with a lack of rehabilitation potential. (c) Research related to rehabilitation potential needs to be conducted. This should examine influences of decision-making and the algorithms associated with recovery and local policy on rehabilitation potential. (d) The economic benefits of rehabilitation needs further exploration. (e) Assessment of rehabilitation potential should be made more explicit and supported by appropriate evidence. CONCLUSION: Whilst further research is required to assist in determining the right time for people to benefit from formal rehabilitation this gives the impression that one dose of rehabilitation at a specific time will meet all needs. It is likely that a rehabilitation pathway identifying features required in the early stages following stroke as well as that required over many years in order to prevent readmission, maintain fitness and prevent secondary sequelae such as depression and social isolation would be beneficial. Implications for Rehabilitation The potential of a patient to benefit from rehabilitation may be overlooked due to other pressures. Some patients following a stroke will demonstrate potential to benefit from rehabilitation later than the majority and this is not always easy to predict. Regular reassessment is required in order to identify whether an individual will benefit from rehabilitation at a particular time.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. WHO The Global Burden of Disease: 2004 ISBN 978 92 4 156371 0 NLM classification: W 74.
    • 2. OECD (2012), “Mortality from heart disease and stroke”, in Health at a Glance: Europe 2012 , OECD Publishing.http://dx.doi.org/10.1787/9789264183896-7-en
    • 3. Murray CJL, Vos T, Lozano R, et al. 2010 Disability-adjusted life-years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2197-2223
    • 4. Di Carlo A 2009 Human and Economic Burden of Stroke. Age and Ageing.38: 4-5
    • 5. Progress in Improving Stroke Care. 2010 National Audit Office. London Stationary Office
    • 6. Haselbach D., Renggli A., Carda S, Croquelois 2014 A Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults Cerebrovasc Dis Extra. 2014 Jan-Apr; 4(1): 77-83.
    • 7. Global Burden of Disease. World Health Organisation 2004 ISBN 978 92 4 156371 0
    • 8. Jørgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, Støier M, Olsen TS 1995 Outcome and time course of recovery in stroke. Part II: Time course of recovery. The Copenhagen Stroke Study. Arch Phys Med Rehabil.76(5):406-12
    • 9. Nakayama H, Jørgensen HS, Raaschou HA, Olsen TM. 1994 Recovery of upper extremity function in stroke patients: The Copenhagen Stroke Study. Archives of Physical Medicine and Rehabilitation, 75 pp. 394-398
    • 10.Manganotti P., Acler M., Zanette G., Smania N., Fiaschi M., 2008 Motor Cortical Disinhibition During Early and Late Recovery After Stroke Neurorehabil Neural Repair July/August 2008 22: 396-403,
    • 11.D., Renggli A., Carda S, Croquelois 2014 A Determinants of Neurological Functional Recovery Potential after Stroke in Young Adults Cerebrovasc Dis Extra. 2014 Jan-Apr; 4(1): 77-83.
    • 12. Nijland R.,Erwin E.H. van Wegen E.E., Harmeling-van der Wel B., Kwakkel G., 2010 Presence of Finger Extension and Shoulder Abduction Within 72 Hours After Stroke Predicts Functional Recovery.Early Prediction of Functional Outcome After Stroke: The EPOS Cohort Study. Stroke. 2010; 41: 745-750
    • 13.Wade, D. 1992. Measurement in Neurological Rehabilitation. Oxford medical publications. development and their association with functional recovery of the upper limb. Clinical Rehabilitation, 25(2), 184 - 191.
    • 29. Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, van Wijck F. Interventions for improving upper limb function after stroke. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD010820. DOI: 10.1002/14651858.CD010820.pub2.
    • 30.Rosewilliam, S., Roskel, C.A., Pandyan, A.D. 2011. A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation. Clinical Rehabilitation, 25 (6), 501 - 514.
    • 31.Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. 2016Speech and language therapy for aphasia following stroke. Cochrane Database of Systematic Reviews (accepted subject to amendments), Issue 5. Art. No.: CD000425. DOI: 10.1002/14651858.CD000425.pub3.
    • 32.Royal College of Physicians (2015): Sentinel Stroke National Audit Programme https://www.strokeaudit.org/Documents/Results/National/JulSep2015/JulSep2 015-PublicReport.aspx
    • 33.Chan D. K. Y., Cordato D., O'Rourke F., Chan DL., Pollack M., Middleton S., Levi C. (2013) Comprehensive stroke units: a review of comparative evidence and experience. International Journal of Stroke. Vol 8, June 2013, 260-264
    • 34.Chan D. K. Y., Levi C., Cordato D., O'Rourke F., Chen J., Redmond H, Xu Y. H., Middleton S., Pollack M., Hankey G. (2014). Health service management study for stroke: A randomized controlled trial to evaluate two models of stroke care. Stroke. Vol 9, June 2014, 400-405
    • 35.Enderby, P., Wade, D., 2001. Community Rehabilitation in the United Kingdom. Journal of Clinical Rehabilitation. 15(6): 577-581
    • 36.Thompson, C., Dalgleish, L., Bucknall, T., Estabrooks, C., Hutchinson, A. M., Fraser, K. de Vos R, Binnekade J, Barrett G, Saunders J. (2008). The effects of time pressure and experience on nurses' risk assessment decisions: A signal detection analysis. Nursing Research, 57 (5), 302-311.
    • 37.Harries, P., Gilhooly, K, Harries, C., 2002 Judgement analysis: Capturing the prioritisation policies of community occupational therapists.13th World Congress of Occupational Therapists, Sweden.
    • 38.Baumann, A., Deber R.B., Thompson G.G., 1991. Overconfidence among physicians and nurses: the 'micro-certainty, macro-uncertainty' phenomenon. Social Science & Medicine. 32(2): p. 167-174.
    • 39.Yang, H. and Thompson, C. Nurses' risk assessment judgements: a confidence calibration study. J Adv Nurs, 2010. 66(12): p. 2751-60.
    • 40.Prabhakaran S, Zarahn E, Riley C, Speizer A, Chong JY, Lazar RM, Marshall RS, Krakauer JW.Inter-individual variability in the capacity for motor recovery after ischemic stroke. Neurorehabil Neural Repair. 2008 Jan-Feb;22(1):64-71.
    • 41.Pandyan, A.D., Cameron, M., Powell, J., Stott, D.J., Granat, M.H., 2003. Contractures in the post stroke wrist: A pilot study of its time course of
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