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
Multi-year study finds 'hotspots' of ammonia over world's major agricultural areas
17.03.2017 | University of Maryland
Diabetes Drug May Improve Bone Fat-induced Defects of Fracture Healing
17.03.2017 | Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to simulate these confined natural conditions in artificial vesicles for the first time. As reported in the academic journal Small, the results are offering better insight into the development of nanoreactors and artificial organelles.
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to...
20.03.2017 | Event News
14.03.2017 | Event News
07.03.2017 | Event News
24.03.2017 | Materials Sciences
24.03.2017 | Physics and Astronomy
24.03.2017 | Physics and Astronomy