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Experience of enriched rehabilitation in the chronic phase of stroke

Artikel i vetenskaplig tidskrift
Författare Sara Vive
Lina Bunketorp Käll
Gunnel Carlsson
Publicerad i Disability and Rehabilitation
Sidor 8
ISSN 0963-8288
Publiceringsår 2020
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap
Sidor 8
Språk en
Länkar dx.doi.org/10.1080/09638288.2020.17...
Ämnesord Stroke, rehabilitation, environmental enrichment, recovery of function, intense training, interview study, qualitative content-analysis, environmental enrichment, increases, activity, movement therapy, brain-injury, exercise, participation, recovery, interview, survivors, Rehabilitation
Ämneskategorier Neurovetenskaper

Sammanfattning

Purpose:In this study, we explored the experiences of patients who participated in an enriched task-specific therapy (ETT) program in the chronic phase after stroke. Method:Focus group interviews were conducted with twenty participants with a mean time since stroke of 30 months and mean age 61 years, who completed the ETT program including task-specific training and environmental enrichment. ETT was delivered 3.5-6 h per day, 51/2 days per week for 3 weeks in a climate suitable for both indoor and outdoor activities. The training consisted of repetitive mass practice of gradually increasing difficulty. Directly after the intervention, qualitative interviews were conducted in six focus groups. The interviews were analysed with qualitative content analysis. Results:Three main categories describing the informants' experiences of the ETT program were identified. These categories were; 1.The program-different and hard- highlighting the participants view of the ETT as strenuous and different in nature; 2.My body and mind learn to know better- describing positive changes in participants' body function and functional ability as well as behavioural changes experienced throughout the ETT; and 3.The need and trust from others- emphasizing the perceived importance of trust in rehabilitation clinicians and the support of family and other participants. From these categories, a main theme emerged:It's hard but possible-but not alone! Conclusion:A therapy program including task-specific training and environmental enrichment may provide late-phase stroke survivors with perceived improvements in functional ability, knowledge insights, perceptions of rehabilitation needs and enriching emotional impacts.

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