Background. Upper-limb (UL) dysfunction is experienced by up to 75% of patients poststroke. The greatest potential for functional improvement in the first month. Following reperfusion, evidence indicates that neuroplasticity mechanism supports this recovery. Objective. This preliminary study hypothesized increased activation putative motor areas those receiving intensive, task-specific UL training month poststroke compared with standard care. Methods. was a single-blinded, longitudinal,...

Stroke is the greatest contributor to disability in Australian adults and much of this results from a stroke-affected upper limb. This study aimed determine validity hierarchal scoring for limb subscale Motor Assessment Scale (UL-MAS) acute stroke using Rasch analysis.This applied analysis 40 UL-MAS assessment across 25 subjects hierarchy three subsets: arm function (six), hand movements (seven) advanced activities (eight). examines relationship between 'item difficulty' 'person ability'...

The current study aimed to evaluate the effects of a multi-component in-hospital intervention on door-to-needle time for intravenous thrombolysis in acute ischaemic stroke.This was post hoc analysis data from cluster-randomised controlled trial testing an boost implementation.The conducted among 20 hospitals three Australian states.Eligible had Stroke Care Unit or staffing equivalent stroke physician and nurse, were early stages implementing thrombolysis.The multifaceted developed using...

Background/aim In Australia, all stroke survivors should not drive for four weeks and transient ischaemic attack (TIA) two weeks. This study investigates the provision of return-to-driving education in acute hospital setting use this by a cohort Australian patients who have experienced mild or TIA are discharged directly home from their admission. Methods A medical record audit was conducted regional Australia. All audited were sent post-discharge anonymous survey post-stroke driving...

There has been an increase in the number of stroke units Australia owing to evidence proving their clinical effectiveness. This study aimed explore conventional care provided by occupational therapist and physiotherapist employed acute unit Australian hospital then compare findings national guidelines. Mixed methodologies were used a case format. Results showed that was based primarily on efficient initial investigative process which occurred work place under pressure. Other highlighted...

Stroke is one of the leading causes death and disability it more likely to occur in those who are older. Because people living longer, definition "old" continues evolve. Age alone should not influence healthcare that a patient receives, however, evidence indicates this does occur, especially older patients. On basis available evidence, time reconsider whether or stroke care differ survivors if so, why. This narrative review stroke-related health with recent ischemic stroke. It seeks answer...

The Thrombolysis ImPlementation in Stroke (TIPS) trial tested the effect of a multicomponent, multidisciplinary, collaborative intervention designed to increase rates intravenous thrombolysis via cluster randomized controlled at 20 Australian hospitals (ten intervention, ten control). This sub-study investigated changes self-reported perceptions and practices physicians nurses working acute stroke care participating hospitals.A survey with 74 statements was administered during pre-...

Background and Purpose— As populations age, an increasing number of older women are living with stroke. This study looks at long-term outcomes for stroke, comparing mortality rates poor physical function (PF) those higher levels function. The purpose is to understand not only how long might live after a but also they disability. Methods— uses 15 years data on from the Australian Longitudinal Study Women’s Health 1921 1926 cohort. risk stroke PF were estimated using Cox proportional hazard...

Objective . To assess whether acute stroke patients in rural hospitals receive less occupational therapy and physiotherapy than those metropolitan hospitals. Design Retrospective case-control study of health data ≤10 days after stroke. Setting Occupational services four one hospital. Participants Acute admitted district. Main Outcome Measures Frequency duration face-to-face indirect sessions. Results Rural 363 hospital 378 patients. Mean age was 73 years. Those received more (<mml:math...

To investigate whether patients experienced improved functional outcomes as a result of their admission to rehabilitation and identify the service provided effective, patient-centered goal-directed rehabilitation.Retrospective chart review discharge data from accessing between 2011 2019.Community-based interdisciplinary service.Consecutive (N=612) admitted service.Routine care delivered with median duration 181 days an interquartile range 120-261 days.The Canadian Occupational Performance...

We examined older women's qualitative experiences of stroke with the World Health Organization's 18-item Brief International Classification Functioning, Disability and Core Set for Stroke. Women were participants Australian Longitudinal Study on Women's Health, born between 1921 1926, who had experienced a in previous 3 years. An inductive thematic analysis was conducted stroke, which then Stroke congruency. Our showed that women, their concerns poststroke living not adequately classified,...

Background. Evidence indicates that Stroke Units decrease mortality and morbidity. An Acute Unit (ASU) provides specialised, hyperacute care thrombolysis. John Hunter Hospital, Australia, admits 500 stroke patients each year has a 4-bed ASU. Aims. This study investigated hospital admissions over 5-year period of all strokes admitted to the ASU involvement allied health professionals. Methods. The retrospectively audited data from Hospital<mml:math...

Gaps exist in the knowledge of return-to-driving guidelines, and education is needed for Australian health professionals working field stroke. In this paper, authors evaluate implementation an e-learning module. A pre- post-module test survey were used to assess e-module's success achieving its learning objectives. Initially, 204 learners completed module, with 68% scoring 100% test. Only 12 survey. The recommend that other than occupational therapists access e-module, a review on e-module...

Background Stroke can affect a person’s ability to drive motor vehicle. In Australia, there is 4-week restriction in driving after stroke and 2-week transient ischemic attack. Concerns exist as whether people discharged home from the acute setting receive education about these restrictions.Objectives This study sought investigate health professionals’ knowledge about, responsibilities for patients return-to-driving (RTD) TIA.Methods A cross-sectional online survey was designed included...

Abstract Outline of problem Allied health professionals working in rural settings have broad caseloads requiring advanced skills as general specialists. This can include children with specialised needs. Design Educational secondments were coordinated for allied to achieve self‐nominated learning objectives. Learning objectives assessed using pre and post evaluations determine the effect educational secondment on knowledge confidence specific nominated outcomes. Setting undertaken by from New...

Abstract Background Multiple studies have attempted to increase the rate of intravenous thrombolysis for ischemic stroke using interventions promote adherence guidelines. Still, many them did not measure individual-level impact. This study aimed make a posthoc comparison clinical outcomes patients in “Thrombolysis ImPlementation Stroke (TIPS)” study, which improve rates Australia. Methods A analysis was conducted patient data. Excellent (Three-month post treatment modified Rankin Score 0–2)...