Getting on with the rest of your life following stroke

This study aimed to enhance participation following stroke through a structured, community-based program. An evidence-based program was administered in three 12-week sessions including exercise and project-based activities, done as individuals and in groups .

Hours spent per week in meaningful activities outside of the home and Reintegration to Normal Living Index; Stroke-Specific Geriatric Depression Scale, Apathy Scale, gait speed, EuroQuol EQ-5D, and Preference-Based Stroke Index served as main outcome measures. All measures were transformed to a scale from 0 to 100. Assessments before randomization, following the first session at three months, six months, 12 months, and 15 months. A total of 186 persons were randomized. The between-group analysis revealed no disadvantage to waiting and so groups were combined and a within-person analysis was carried out at three time points. There were statistically significant gains in all study outcomes on average over all persons. Over 45% of people met or exceeded the pre-specified target of a three hour per week increase in meaningful activity and this most often took a full year of intervention to achieve. Greatest gains were in satisfaction with community integration (mean 4.78; 95% CI: 2.01 to 7.55) and stroke-specific health-related quality of life (mean 4.14; 95% CI: 2.31 to 5.97).

The study found community-based programs targeting participation to be feasible and effective, although stroke survivors do need time to achieve meaningful gains.

Introduction to Neurology

Treating those with neurological impairments can seem complex and overwhelming at times. Get to grips with the basics and build strong foundations with the online introduction to neurology course.