Researchers at The University of Nottingham are leading a national research project that will look at whether a new way of offering rehabilitation therapy could assist stroke patients who are keen to leave the house more but may have lost the confidence to step out on their own.
Funded with £10 million from the National Institute for Health Research (HIHR), the study will involve providing some volunteer patients with a targeted rehabilitation approach and goal-based outdoor mobility programme in an attempt to improve their physical capabilities and boost their belief in their own abilities. Their achievements will then be compared to other volunteer patients who have not received the intervention to discover how they fared in comparison.
Dr Pip Logan in the University’s Division of Rehabilitation and Ageing, who is leading the study, said: “Looking at practical barriers which may be preventing people from leaving the house, such as a lack of adequate handrails on steps and garden paths, is of course very valid.
“However, it is often the psychological barriers which are the toughest to overcome. For someone who has driven all their life up until their stroke, tackling public transport can seem extremely daunting. Similarly, someone left with cognitive issues following stroke, such as memory loss or aphasia, may worry about their ability to communicate effectively while out and about.
“We are hoping that by offering a more targeted approach to therapy we can help them to develop their mobility abilities and coping strategies that will allow them get about more and become independent people once again.”
The research follows a pilot study undertaken by the team in 2004 which found that, despite rehabilitation, 42 per cent of people with a stroke wanted to get out of their house more. The randomised controlled trial offered a travel promotion programme by an occupational therapist to half of the volunteers on the study. It provided them with bespoke information, prescribing remedial exercises and equipment as needed and supporting them in their return to driving or using public transport. At the end of the four month trial, this group were twice as likely to get out and about as those who had not received this service.
The researchers are now keen to recruit more than 150 stroke patients from across Nottinghamshire to take part in the trial and have been joining forces with local authorities, health agencies and a national charity to find suitable volunteers.
Local GPs, Nottingham City Council, the Stroke Association and the NHS Nottinghamshire County primary care trust’s stroke register are playing their part in identifying patients who may have fallen through the net. Support from NHS Nottingham City primary care trust and Nottinghamshire County NHS Trust will come in the form of occupational therapist Lorraine Lancaster, who will spend four days a week on the project, travelling around Nottinghamshire visiting patients in the intervention group that will be receiving the bespoke therapy intervention.
Lorraine works as an occupational therapist with the Nottingham City Community Stroke team. This team provides rehabilitation and mid to long term support, mostly at home, for people who have had a stroke.
Lorraine said: “Our multi disciplinary team has specialist knowledge and experience of stroke and stroke related issues. It is important to work with patients, families and carers to develop a rehabilitation programme in order to meet their individual needs. Patients in this research study build on the work we have achieved by specifically focusing on outdoor mobility. We welcome any research that provides robust evidence that a specific intervention is likely to benefit stroke survivors.”
As well as Nottingham, 11 other places in the UK are taking part.
Emma Thorne | alfa
Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington
New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)
An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.
Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...
Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.
Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...
Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.
As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...
Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.
With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...
Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine
Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...
19.06.2017 | Event News
13.06.2017 | Event News
13.06.2017 | Event News
23.06.2017 | Physics and Astronomy
23.06.2017 | Physics and Astronomy
23.06.2017 | Information Technology