Purpose: Client-centred practice is widely considered a key element of rehabilitation. However, there limited discussion how it should be implemented. This study explored client-centred was operationalized during clinical trial innovative goal-setting techniques. Method: drew on principles co-autoethnography. The personal experiences three researchers were to identify insights into practice, and seek understanding this within the broader socio-cultural context. Data collected through group...

Purpose: In this paper, we critically investigate the implementation of person-centered care with purpose advancing philosophical debates regarding overarching aims and delivery rehabilitation. While general agreement exists person centered care's core principles, how practitioners reconcile these principles competing practice demands remains an open question.Materials methods: For drew on post-qualitative methods to engage in a process "diffractive" analysis wherein analyzed micro-doings...

The health response to the COVID-19 pandemic has had significant impacts on neurorehabilitation provision both internationally and i New Zealand. Telerehabilitation, delivery of rehabilitation at a distance using information communication technologies, was advocated as means addressing needs our patients while maintaining physical distancing reducing risk viral transmission. Despite research evidence indicating that telerehabilitation is effective in-person for people with neurological...

Objectives: To determine if psychological factors, such as anxiety, depression, fear of movement and rupture are associated with increased tendon-related disability, quantified by the Tendinopathy Severity Assessment-Achilles (TENDINS-A). Design: Cross-sectional. Setting: Online Qualtrics survey. Participants: Sixty-eight participants (54% female) Achilles tendinopathy a mean (standard deviation) age 40.1 (12.6) years. Main Outcome Measures: The TENDINS-A (including subscales pain; symptoms...

Objective The Take Charge intervention, delivered early after hospital discharge following acute stroke, is effective at improving 12-month health status, independence and advanced activities of daily living. This study aims to provide a deeper understanding the experiences receiving Charge. Design was qualitative nested within large randomised control trial, Taking After Stroke (TaCAS) study. Data were analysed using thematic analysis, we describe our findings interpretive description....

OBJECTIVE: To evaluate the structural validity, internal consistency, and measurement invariance of TENDINopathy Severity assessment – Achilles (TENDINS-A) using Rasch theory. DESIGN: Cross-sectional evaluation properties TENDINS-A. METHODS: Participants with tendinopathy completed Unidimensionality (achieved when eigenvalue is <2), observed average category measure, threshold order, item fit 0.5 ≤ Infit/Outfit 1.5) assessed validity for each TENDINS-A subscale (Pain, Symptoms, Function)....

Objective: To explore how practitioner engagement and disengagement occurred, these may influence patient care engagement. Design: A qualitative study using the Voice Centred Relational Methodology. Data included interviews, focus groups observations. Setting: Inpatient community stroke rehabilitation services. Subjects: Eleven people experiencing communication disability after 42 practitioners. Interventions: Not applicable. Results: The practitioner’s was important in service delivery....

Abstract Background Following stroke, a sense of well‐being is critical for quality life. However, people living with and health professionals, suggest that not sufficiently addressed within stroke services, contributing to persistent unmet needs. Knowing systems structures shape clinical practice, this study sought understand how professionals address well‐being, examine the practice context influences care practice. Methods Underpinned by Interpretive Description methodology, we...

Background: Hope is considered to be important for health, recovery, and rehabilitation outcomes in a range of healthcare populations. Little known about hope people following stroke, even less with aphasia stroke as they are commonly excluded from research this field. Aims: This study aimed explore how was experienced by during the post-acute period rehabilitation, identify factors influencing experience hope. Methods & Procedures: utilised an Interpretive Description methodology. Data were...

Abstract Background Engagement is commonly considered important in stroke rehabilitation, with some arguing it essential for positive patient outcomes. An emerging body of research indicates the practitioner influences engagement through their ways relating, communicating and working patient. People experiencing communication disability may face particular challenges as a practitioner's interactional patterns limit ability to engage. Aims To understand how rehabilitation practitioners worked...

Background: Aphasia services are currently faced by increasing evidence for therapy of greater intensity and comprehensiveness. Intensive Comprehensive Programs (ICAPs) combine these elements in an evidence-based, time-limited group program. The incorporation new service delivery models routine clinical practice is, however, likely to pose challenges both the provider administering clinicians. This program research aims identify from perspective aphasia clinicians six countries will seek...

Background Hope is a critical resource for people with aphasia after stroke, sustaining though times of distress and uncertainty providing motivation. In the first months hope vulnerable to different influences, can struggle identify work towards hopes future. We have little knowledge about how experience in longer term stroke. Objectives To 1 year stroke may change Methods The study used an Interpretive Description methodology. Interviews were conducted four who had been interviewed...

Purpose To describe the amount, range, and key characteristics (e.g., publication years, methods, topics) of person-centered rehabilitation literature in adults with physical impairments.Method Following published scoping review protocol, papers were identified through: three major databases, snowball searches expert consultation. Two independent reviewers have English-language on adult according to six pre-defined inclusion categories – theoretical, quantitative qualitive research are...

Purpose Communication between patients and clinicians influences the development of therapeutic relationships. is disrupted when patient has communication impairments after stroke. However, how these disruptions influence relationships not well-understood. This qualitative metasynthesis explores perspectives people with impairment to understand interpersonal relationships.Material methods Four databases were searched for studies which discussed influenced from aphasia, dysarthria or apraxia...

Background After a stroke, people can find it challenging to look forward the future. Hope, critical resource for recovery, be threatened and supported or diminished through interactions with clinicians. As such, understanding how conversations support embarking on life after stroke is critical. Our study explored clinicians talk about future patients considered what factors shape these occur.Methods This drew Interpretive Description methodology, informed by principles of ethnographic...

Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less known about body communication. Body refers achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims provide detailed knowledge of the roles functions practice identify areas for future research. We undertook systematic search thematic synthesis published qualitative literature October 2022. Four databases were searched...

Abstract Background and Aims: Therapeutic connections enhance patient experience outcomes after neurological injury or illness. While we have some understanding of the components necessary to optimise therapeutic connections, these developed from western-centric ideals. This study sought explore perspectives Māori brain survivors, their whānau (wider family community), develop more culturally informed understandings what matters most for in development connection. Design Methods: A...