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Clinical Management and Treatment of Post-stroke Rehabilitation
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Clinical Management and Treatment of Post-stroke Rehabilitation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: closed (20 June 2023) | Viewed by 6750

Special Issue Editors

Prof. Dr. Tiebin Yan

E-Mail Website1 Website2
Guest Editor
Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
Interests: stroke; ICF; ICF-RS; neuro-rehabilitation; machine learning, mobile app
Dr. Xiaokuo He

E-Mail Website
Guest Editor
Department of Rehabilitation Medicine, The Fifth Hospital of Xiamen, Xiamen, China
Interests: stroke; disorders of consciousness; non-invasive brain stimulation; neuro-rehabilitation; acupuncture; technology-assisted training; functional near infrared spectroscopy; electromyography

Special Issue Information

Dear Colleagues,

Stroke victims often demonstrate significant physical, cognitive and psychological impairments. Increasingly effective rehabilitation approaches have been developed over the past few decades, including non-invasive brain stimulation (NIBS), robotic-assisted training (RAT), virtual reality (VR), telerehabilitation, etc. Targeting brain functions alongside peripheral interventions is more effective in cognitive and physical improvement than either treatment used alone. Traditional Chinese physical therapies, such as Tai Chi or acupuncture, are also effective post-stroke, especially when combined with modern rehabilitation techniques.

In addition to treatment aspects, more attention has shifted to the assessment of "whole person" health and functional outcomes, such as the Short-Form 36 Health Questionnaire (SF36) and the WHO's International Classification of Functioning, Disability, and Health (ICF), which focus on biopsychosocial rather than just organ-level functioning. How to implement or improve these tools, including the mobile APP design, is of particular interest.

This Special Issue addresses a wide range of effective technology-assisted, traditional Chinese physical therapy or co-therapy, and health outcome measurements emphasizing "whole person" rehabilitation in physical, cognitive and neuroplasticitic contexts. All papers related to these topics are welcome.

Prof. Dr. Tiebin Yan
Dr. Xiaokuo He
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • post stroke
  • neuro-rehabilitation
  • technology-assisted rehabilitation
  • non-invasive brain stimulation (NIBS)
  • traditional Chinese physical therapy such as Tai Chi
  • acupuncture
  • outcome measurements
  • ICF (international classification of functioning, disability, and health)

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Published Papers (3 papers)

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Research

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13 pages, 2857 KiB  
Article
Factors Influencing Disabled Stroke Survivors’ Quality of Life in Rural China: Based on the Structural Characteristics and Psychometric Properties of the SF-36 Assessment
by Qi Xu, Dingzhao Zheng, Shanjia Chen, Yiqi He, Zhenguo Lin, Dong Yao, Jiamei Wang, Jiapei Zhao, Longqiang Wu, Qiuju Liao, Yun Zhang and Tiebin Yan
J. Clin. Med. 2023, 12(8), 3012; https://doi.org/10.3390/jcm12083012 - 20 Apr 2023
Cited by 2 | Viewed by 1745
Abstract
Many stroke survivors’ quality of life is impaired. Few studies of factors influencing their quality of life have been based on the factors tested by the short form 36 instrument. This study did so with 308 physically disabled stroke survivors in rural China. [...] Read more.
Many stroke survivors’ quality of life is impaired. Few studies of factors influencing their quality of life have been based on the factors tested by the short form 36 instrument. This study did so with 308 physically disabled stroke survivors in rural China. Principal components analysis was applied to refine the dimension structure of the short form 36 assessment, followed by backward multiple linear regression analysis to determine the independent factors influencing quality of life. The structure revealed differed from the generic structure in showing that the mental health and vitality dimensions are not unidimensional. Subjects who reported access to the outdoors as convenient demonstrated better quality of life in all dimensions. Those who exercised regularly achieved better social functioning and negative mental health scores. Other factors influencing a better quality of life in terms of physical functioning were younger age and not being married. Being older and better educated predicted better role-emotion scores. Being female correlated with better social functioning scores, while men scored better on bodily pain. Being less educated predicted higher negative mental health, while being less disabled predicted better physical and social functioning. The results suggest that the SF-36’s dimension structure should be re-evaluated before using it to assess stroke survivors. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Post-stroke Rehabilitation)
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13 pages, 1613 KiB  
Systematic Review
Stroke Survivor’s Satisfaction and Experience with Rehabilitation Services: A Qualitative Systematic Review
by Hanan Abu Saydah, Ruqayyah Turabi, Catherine Sackley and Fiona Moffatt
J. Clin. Med. 2023, 12(16), 5413; https://doi.org/10.3390/jcm12165413 - 20 Aug 2023
Viewed by 2102
Abstract
Research in healthcare is increasingly focused on quality assurance and continuous quality improvement aiming to promote service quality. Satisfaction is a key endpoint in outcomes research and service benchmarking, along with “traditional” clinical outcomes. What controls stroke survivors’ satisfaction differs among qualitative studies’ [...] Read more.
Research in healthcare is increasingly focused on quality assurance and continuous quality improvement aiming to promote service quality. Satisfaction is a key endpoint in outcomes research and service benchmarking, along with “traditional” clinical outcomes. What controls stroke survivors’ satisfaction differs among qualitative studies’ conclusions, but there is general consensus on the importance of communication, improvement in activity, and engagement in goal setting. This review aims to collect and synthesise studies of the satisfaction of stroke survivors with rehabilitation services. A systematic search was conducted in seven electronic databases, including CINAHL, OVID, Pedro, Scopus Midline, Web of Science, and PubMed. The database search yielded 1339 studies, while one additional work was identified through hand searching. After removing duplicates, 74 studies were read in full, and after resultant exclusions, 12 qualitative studies were systematically reviewed, extracted, and appraised by two reviewers independently (HAS and RT) and the third reviewer (CS) was available for any disagreement. Five analytical themes were identified: Healthcare Professional–Patient Relationship (HCP), Delivery Service, Perceived Patient Autonomy (PPA), Expectations Shape Satisfaction, and Culture Influences Satisfaction. The studies of survivors’ satisfaction, experiences, and their rehabilitative needs with the services they receive have provided different factors that influence their satisfaction during rehabilitation in different countries worldwide. However, the context in which the studies were conducted is quite limited, and more detailed studies are required for many underexplored contexts. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Post-stroke Rehabilitation)
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13 pages, 517 KiB  
Systematic Review
Influence of the Therapeutic Alliance on the Rehabilitation of Stroke: A Systematic Review of Qualitative Studies
by Alejandra Heredia-Callejón, Patricia García-Pérez, Juan Antonio Armenta-Peinado, Miguel Ángel Infantes-Rosales and María Carmen Rodríguez-Martínez
J. Clin. Med. 2023, 12(13), 4266; https://doi.org/10.3390/jcm12134266 - 26 Jun 2023
Cited by 3 | Viewed by 2137
Abstract
The therapeutic alliance is a fundamental component of rehabilitation in order to achieve effective outcomes. However, what develops, maintains or hinders this relationship has not been sufficiently explored. The aim of this systematic review is to recognize the role of the therapeutic alliance [...] Read more.
The therapeutic alliance is a fundamental component of rehabilitation in order to achieve effective outcomes. However, what develops, maintains or hinders this relationship has not been sufficiently explored. The aim of this systematic review is to recognize the role of the therapeutic alliance in the neurological rehabilitation process. A search for articles was carried out in the databases PubMed, Web of Science, SCOPUS, CINAHL, APA PsycInfo, OTseeker and Dialnet. They were selected according to the eligibility criteria. Internal quality assessment of the articles was measured with the Consolidated Criteria for Reporting Qualitative Research (COREQ). The systematic review was registered in PROSPERO (ID 346523). The search in the databases identified 1596 articles, from which 9 different studies were finally included in the systematic review, reflecting the limitations of studies in this field. All studies are qualitative, from the point of view of the patients themselves, their relatives and healthcare professionals. The total sample of the included studies is 182 participants (96 health professionals, 76 users and 10 relatives). Semi-structured interviews, focus group discussions and written reflections were mainly used to collect the data. In conclusion, the therapeutic alliance can be an active component in the post-stroke rehabilitation process. Being recognized as a person, collaboration with the therapeutic team, empathy, empowerment, confidence, professional skills, maintenance of hope and the role of the family have been identified as aspects that can have an influence on the therapeutic alliance. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Post-stroke Rehabilitation)
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