Background and Purpose— We examined longitudinal changes of quality life (QOL) covering physical mental factors in an unselected group stroke patients their informal caregivers. Our hypothesis was that caregivers would have better QOL than at both follow-ups, changes, if any, be related to the patients’ status. Methods— 304 consecutive 234 from population-based Lund Stroke Register assessed 4 months after onset with Short Form 36 (SF-36) questionnaire. SF-36 repeated for groups 16 together...

Background and Purpose— Shoulder pain is a well-known complication after stroke, but data on prevalence, predictors, outcome in unselected stroke populations are limited. Methods— During 1-year period, 416 first-ever patients were included the population-based Lund Stroke Register. After 4 months, 327 followed up 1 year later, surviving 305 again. General status (National Institutes of Health Scale score) was registered at onset. intensity (visual analog scale, score 0 to 30=no–mild 40...

Background and Purpose— Data on the prevalence indicators of weight loss in population-based groups stroke survivors are scarce. We aimed to find predictors >3 kg as a possible marker malnutrition after stroke. Methods— registered at baseline, 4 months, 1 year later 305 from cohort first-ever patients. Characteristics patients were baseline follow-ups, including glycosylated hemoglobin follow-up II, eating difficulties both screening for depression II. used univariate multivariate...

Reliable and valid outcome measures are needed to be able evaluate recovery, effects of rehabilitation interventions, changes over time. The ABILHAND Questionnaire is a measure patient's self-reported ability perform complex daily activities involving use the hand. This instrument commonly used in stroke settings, but data about measurement variability missing.To assess test-retest reliability persons with chronic define limits for smallest change that indicates real change, both group...

Purpose: To describe experiences of shoulder pain after stroke, how affects daily life and perceived effects interventions.Method: A qualitative interview study including 13 community-dwelling persons (six women; median age 65 years) with persistent stroke.Results: Three categories emerged from the content analysis. In "Multiple characteristics" an insidious onset was reported. The existed both day night could be located around girdle but also have radiation to arm hand. An explanation...

Objective To determine the proportion of persons with poststroke shoulder pain 4 months after onset stroke in whom long‐lasting develops and to assess extent which age, side paresis at onset, frequency intensity, passive range motion, resistance movements, motor function, subluxation predict 1 year later. Design A prospective study. Setting university hospital outpatient clinical setting. Participants Fifty‐eight men women their first‐ever (mean 71 years) affected sensory‐motor function...

Purpose To explore work related and personal facilitators barriers for return to (RTW) stay at after stroke.Materials methods Twenty individuals post-stroke (median age 52 years; seven women) were interviewed in focus groups. Data analyzed by using qualitative content analysis.Results An overall theme "Work conditions, support changed priorities influenced RTW stroke" emerged covered three categories: "Adjustments flexibility the place facilitated a sustainable situation", "Psychosocial...

Objective To assess the differences in upper extremity sensorimotor function, daily hand activities, and perceived participation life satisfaction between individuals with without poststroke shoulder pain (PSSP), to determine how PSSP is associated these variables. Design A cross‐sectional study of a convenience sample. Participants Forty‐nine community‐dwelling (mean ± standard deviation [SD] age, 64 9 years), 24 25 (non‐PSSP) were assessed, mean SD 15 8 months after stroke. Methods Upper...

To investigate whether somatosensory impairments are more common in individuals with post-stroke shoulder pain than those without and healthy controls.Descriptive analysis of a convenience sample.Forty-nine stroke, 24 25 (median age 65 years), 11 age- sex-matched controls.Perception thresholds for cold, warm heat (thermal thresholds), pressure pin prick (mechanical thresholds) were assessed using quantitative sensory testing (QST). Passive range motion, motor function, resistance to passive...

To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke.A qualitative study.Outpatient rehabilitation unit at a University Hospital in southern Sweden.A convenient sample 20 persons admitted Skåne for acute care (median age 52 years), employment least 10 h per week onset having been referred within 180 days.The interviews were performed by focus groups, the data analysed content analysis.Facilitating factors tailored...

Objective: To explore the associations between fatigue impact and (a) personal stroke-related characteristics, (b) functional impairments (c) work-related factors among individuals who have returned to work after stroke. Design: A cross-sectional exploratory study. Subjects: 87 working stroke survivors. Methods: This study comprises data from a postal survey targeting ability perceived consequences 1 year Fatigue was evaluated using Severity Scale (FSS). Factors associated with having (FSS...

To assess the occurrence of self-reported fatigue among men and women who have returned to work after stroke, association between 2 rating scales.A cross-sectional study.A total 91 adults (58 men/33 women, mean age 53 years) with mild moderate disability.Questionnaires were posted participants approximately one year stroke. Fatigue was assessed Severity Scale (FSS) Mental (MFS).In total, 58% 33% reported on FSS (total score ≥ 4), 46% 28% mental MFS 10.5). Being easily fatigued, decreased...

Currently, there is limited knowledge on how the Swedish strategy with more lenient public health restrictions during COVID-19 pandemic has influenced people's life satisfaction. Here, we investigated self-reported satisfaction first wave of in Sweden, and perceived changes relation to various sociodemographic factors. A total 1082 people (mean age 48 (SD 12.2); 82% women) responded an online survey autumn 2020 including "Life Satisfaction Questionnaire-11". majority (69%) were satisfied as...

Objective: To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation. Design: Qualitative, semi-structured interview design. Methods: Thirteen stroke survivors from a unit facility independent living participated. Semi-structured telephone interviews were conducted 2–5 months after analysed content analysis. Results: The analysis resulted in three categories, Organizational processes, critical complex,...

Three years experience of an outpatient unit for first-episode psychosis showed that most the patients at some point became hospitalized in a psychiatric ward with discontinuity care as consequence. Adding “need-adapted” inpatient form small and calm crisis home guaranteed continuity approach treatment, same caregivers staffed parts Soteria. Information on early signs was given to other units clinic general practitioners. As organization considerably changed from time, could be divided into...

To explore strategies that persons with persistent shoulder pain after stroke use to manage their in daily life.A qualitative study using semi-structured face-to-face interviews, analysed by content analysis.A university hospital.Thirteen community-dwelling (six women; median age: 65 years; range 57-77) were interviewed two years the onset.An overall theme 'Managing adopting various practical and cognitive strategies' emerged from analysis. Three categories identified: (1) modifications...

Objective: To evaluate the measurement variability of quantitative sensory testing (QST) in persons with post-stroke shoulder pain.Design: A test-retest design.Participants: Twenty-three pain (median age 65 years).Methods: Thermal detection thresholds (cold and warm), heat) mechanical (pressure pin prick) were assessed twice both arms, 2-3 weeks apart.Measurement was analysed intraclass correlation coefficient (ICC 2.1 ), change mean (đ) 95% confidence interval (logarithmic scales), relative...

To explore how persons who have returned to work perceive their situation and ability one year after stroke.Cross-sectional design.A total of 88 working age (mean 52 (standard deviation; SD 8) years, 36% women), with mild moderate disabilities following stroke, had within stroke participated in the study.A survey including a questionnaire regarding psychological social factors at (QPS Nordic) 4 questions from Work Ability Index (WAI) was posted participants.According QPS Nordic survey,...

Both COVID-19 and its associated societal restrictions have affected individuals' health everyday life. In Sweden, more lenient public were implemented, with individuals asked to act responsibly in terms of reducing spread disease. The majority studies reporting on experiences Covid-19 been the context substantial mandatory rules aimed at social contact, therefore it is important describe how impacted well-being. This study aims perceptions life during first wave pandemic, perceived by no...

Abstract Multidisciplinary team-based follow-ups are recommended for all stroke patients in Sweden including those discharged to nursing homes. We aimed explore the feasibility of a structured follow-up with Post Stroke Checklist (PSC) home residents, and map related problems planned interventions. Due complex recruitment process low rate, study protocol was adapted an explorative design. Nine health professionals five residents participated. The were generally satisfied PSC. Many...

Recently, it was shown that sensory relearning of the upper limb (SENSUPP) is a promising intervention to improve sensorimotor function after stroke. There limited knowledge, however, how participants perceive training. Here, we explored persons with impairments in experienced SENSUPP protocol (combined sensory- and motor training home exercises for 5 weeks) its effect. Fifteen (mean age 59 years; 10 men; >6 months post-stroke) were individually interviewed, data analyzed qualitative...

SUMMARY As part of a Swedish postgraduate training programme in psychotherapy, qualitative approach based on psychodynamic criteria was used to evaluate the results psychoanalytically-oriented individual psychotherapy. The study extended over six years and involved ten patients who had undergone two therapy. Based primarily patient interviews prior therapy follow-up some four after ended, success rated by trainees themselves. Malan/Tavistock outcome scale for dynamic change followed.