A5035437396- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Spatial Neglect and Hemispheric Dysfunction
- Neurobiology of Language and Bilingualism
- Dementia and Cognitive Impairment Research
- Death, Funerary Practices, and Mourning
- Musculoskeletal pain and rehabilitation
- Clinical practice guidelines implementation
- Dysphagia Assessment and Management
- Cerebral Palsy and Movement Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury Research
- Delphi Technique in Research
- Neurological Disorders and Treatments
- Voice and Speech Disorders
- Mental Health and Patient Involvement
- Healthcare Systems and Practices
- Tracheal and airway disorders
- Mindfulness and Compassion Interventions
- Action Observation and Synchronization
- Interpreting and Communication in Healthcare
- Botulinum Toxin and Related Neurological Disorders
- Meta-analysis and systematic reviews
- Motor Control and Adaptation
Manchester Academic Health Science Centre
2016-2025
University of Manchester
2016-2025
Georgia State University
2024
Glasgow Caledonian University
2022
NIHR Applied Research Collaboration Greater Manchester
2021
National Institute for Health Research
2021
University of Southampton
2019
University of Salford
2004-2016
Salford Royal NHS Foundation Trust
2013-2015
University of Warwick
2011
<b>Objective</b> To assess the effectiveness of enhanced communication therapy in first four months after stroke compared with an attention control (unstructured social contact). <b>Design</b> Externally randomised, pragmatic, parallel, superiority trial blinded outcome assessment. <b>Setting</b> Twelve UK hospital and community services. <b>Participants</b> 170 adults (mean age 70 years) randomised within two weeks admission to (December 2006 January 2010) whom speech language therapists...
Post-stroke aphasia might improve over many years with speech and language therapy; however therapy is often less readily available beyond a few months after stroke. We assessed self-managed computerised (CSLT) as means of providing more than patients can access through usual care alone.In this pragmatic, superiority, three-arm, individually randomised, single-blind, parallel group trial, were recruited from 21 departments in the UK. Participants aged 18 or older had been diagnosed...
Background: therapists and nurses often use verbal instruction in the rehabilitation of mobility following stroke. This study aimed to determine whether performing a cognitive task while walking adversely affected patients’ balance velocity.
The Intercollegiate Stroke Working Party (ICSWP) published the 5th edition of National clinical guideline for stroke in October 2016.[1][1] It provides most up to date and comprehensive overview management available, covering whole pathway from acute care
Background: Stroke causes communication impairments but we lack the real-world population-level data needed to inform inpatient and community services. Aims: To establish prevalence of aphasia dysarthria within stroke survivors, describe those affected, amount therapy they receive their outcomes.Methods & Procedures: Secondary analysis from Sentinel National Audit Programme, England, Wales Norther Ireland, including survivors after 72 hours, with completed Institute Health Scale...
Objective Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by workforce with community in-reach. Design Observational feasibility study utilising patient, carer, public involvement. Setting Online. UK. Participants Stroke survivors self-reported distress 4 + months post-stroke. Interventions The Wellbeing After (WAterS) includes: 9-weekly, structured, online, group sessions for stroke survivors,...
Objective: To develop and validate a clinically feasible measure of communication effectiveness for people with any type problem following stroke. Design: Cross-sectional, interview-based, psychometric study, building on the development phase construction Communication Outcome after Stroke (COAST) scale. Setting: A community sample from northwest England, UK. Subjects: One hundred two problems (aphasia and/or dysarthria) stroke, within previous 4—12 months. Interventions: Administration...
Although cognitive impairments are common following stroke, there is considerable uncertainty about the types of interventions that can reduce activity restrictions and improve quality life. Indeed, a recent project to identify priorities for research into life after stroke determined top priority patients, carers health professionals was how impairments.To provide an overview evidence effectiveness rehabilitation patients with determine main gaps in current base.Evidence synthesised six...
The extent of mood disorders following traumatic brain injury (TBI), and the possible risk factors, are investigated. New data presented from a prospective study consecutive hospital admissions. Six months post-TBI, 99 adults completed standardized assessment emotional state, Wimbledon Self-Report Scale. Cognitive performance impact on everyday functioning were also assessed. rate clinically significant (caseness) was 38%. Of demographic or characteristics, only pre-injury occupational...
To validate a measure of the carer's perspective stroke survivor's communication in everyday life.Cross-sectional, interview-based, psychometric study.A community sample from northwest England, UK.Fifty-eight carers and 58 survivors with problems (aphasia and/or dysarthria) following within previous 4-12 months.Administration 20-item Carer Communication Outcome after Stroke (Carer COAST) scale, on two occasions, two-week period; 15-item Carers Older People Europe (COPE) Index, patient...
Background and Purpose— Quality of life (QoL) is important to stroke survivors yet often recorded as a secondary measure in acute randomized controlled trials. We examined whether commonly used outcome measures captured aspects QoL. Methods— primary outcomes by National Institutes Health Stroke Scale (NIHSS), Barthel Index (BI) modified Rankin (mRS), QoL Impact (SIS) European Life (EQ-5D) from the Virtual International Trials Archive (VISTA). Using Spearman correlations logistic regression,...
We established spatial neglect prevalence, disease profile and amount of therapy that inpatient stroke survivors received, outcomes at discharge using Sentinel Stroke National Audit Programme (SSNAP) data. used data from 88,664 Health Service (NHS) admissions in England, Wales Northern Ireland (July 2013–July 2015), for still hospital after 3 days with a completed baseline Institute Scale (NIHSS) score. Thirty percent had (NIHSS item 11 ≥ 1) they were slightly older (78 years) than those...
Mental health difficulties are common post-stroke and developing support for psychological adjustment is a research priority. Wellbeing After Stroke (WAterS) nine-week, online, group-based Acceptance Commitment Therapy (ACT)-informed intervention, delivered by trained third-sector practitioners, supervised clinical neuropsychologist. This study aimed to explore the acceptability of WAterS from stroke survivors' perspective.