Topics in Stroke Rehabilitation最新文献

{"title":"Solution-focused brief therapy combined with mindfulness-based cognitive therapy for post-stroke depression: a randomized controlled trial.","authors":"Juan Xiong, Yan Lin, Zhen Zhu Mao, Wen Qin Luo, Min Hu","doi":"10.1080/10749357.2025.2541217","DOIUrl":"https://doi.org/10.1080/10749357.2025.2541217","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of integrating Solution-Focused Brief Therapy (SFBT) and Mindfulness-Based Cognitive Therapy (MBCT) in alleviating psychological distress and improving functional outcomes in patients with post-stroke depression (PSD).</p><p><strong>Methods: </strong>A controlled study enrolled 60 PSD patients from a tertiary hospital in Jiangxi. Participants were allocated to a control group (<i>n</i> = 29) or an intervention group (<i>n</i> = 27). Primary and secondary outcomes were assessed using the Hamilton Depression Rating Scale-17 (HAMD-17), Hamilton Anxiety Scale (HAMA), Five Facet Mindfulness Questionnaire (FFMQ), Stroke-Specific Quality of Life Scale (SS-QOL), and Barthel Index (BI). Data were analyzed using mixed linear models to examine group-by-time interactions.</p><p><strong>Results: </strong>Mixed linear model analysis revealed significant group-by-time interaction effects favoring the intervention group across all outcomes: depression severity (HAMD-17: F = 5.24, <i>p</i> < 0.001), anxiety (HAMA: F = 8.90, <i>p</i> < 0.05), mindfulness (FFMQ: F = 5.24, <i>p</i> < 0.05), quality of life (SS-QOL: F = 4.88, <i>p</i> < 0.005), and functional independence (BI: F = 6.12, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The combined SFBT-MBCT intervention significantly reduces depressive and anxiety symptoms while enhancing mindfulness, quality of life, and functional independence in PSD patients, demonstrating clinical value as an adjunct to routine post-stroke care.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of mobilization on blood pressure for stroke survivors with moderate or severe injury: a rapid review.","authors":"Felicity Charlier, Prue Morgan","doi":"10.1080/10749357.2025.2532413","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532413","url":null,"abstract":"<p><strong>Purpose: </strong>Severe stroke survivors respond to mobilization rehabilitation interventions with more varied outcomes than those with less severe stroke. They may face additional risks for impaired blood pressure regulation and extended vulnerability to blood pressure changes, potentially contributing to poor recovery outcomes.The primary aim of this rapid review was to identify and synthesize current evidence investigating the effects of mobilization on blood pressure, for stroke survivors in the acute and early stage of rehabilitation. The secondary aim was to identify potential risks associated with acute mobilization interventions, to inform clinical decisions and guide future research directions.</p><p><strong>Materials and methods: </strong>A comprehensive search strategy was conducted in five databases supplemented with scrutiny of published stroke guidelines. Inclusion criteria were: severe or moderate stroke injury; acute or early post-stroke (<90 days); mobilization intervention; and reporting blood pressure measures. Data was extracted, tabled, and synthesized using descriptive analysis.</p><p><strong>Results: </strong>Seven hundred and ten articles were identified, of which seven articles were included. Varied mobilization interventions were described including sitting (<i>n</i> = 4), backrest tilt (<i>n</i> = 1), standing (<i>n</i> = 2), tilt table with or without exercises (<i>n</i> = 2), and supine cycling (<i>n</i> = 1). Large blood pressure changes, most frequently hypotension, were found in a small number of participants, with increasing incidence for more vertical and passive mobilization activities. Blood pressure changes stabilized over time.</p><p><strong>Conclusions: </strong>Transient blood pressure changes frequently occurred with mobilization. Concerningly, large blood pressure changes occurred for some participants, increasing with verticality and passive nature of mobilization. Further research is needed, to guide optimal mobilization rehabilitation for acute severe stroke survivors.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of spasticity severity on peripheral muscle oxygenation in hemiparetic stroke patients: a cross-sectional study.","authors":"Selcan Suicmez, Gokhan Yazici, Taylan Altiparmak, Cagla Cagatay, Hale Zeynep Batur-Caglayan, Bijen Nazliel","doi":"10.1080/10749357.2025.2538520","DOIUrl":"https://doi.org/10.1080/10749357.2025.2538520","url":null,"abstract":"<p><strong>Background: </strong>Spasticity-induced muscle changes affect structure and metabolism. Little is known about the effect of stroke-related muscle changes on peripheral muscle oxygenation.</p><p><strong>Objective: </strong>To investigate the effect of spasticity severity on peripheral muscle oxygenation in patients with hemiparetic stroke.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with 20 hemiparetic stroke patients and 10 healthy individuals. The hemiparetic stroke patients were divided into the high-level spasticity group (HLS, MAS ≥ 2) and the low-level spasticity group (LLS, MAS < 2). Healthy individuals were included in the control group (CG). Gastrocnemius muscle oxygenation was measured with near-infrared spectroscopy at rest, during activity (6-minute walk test and stair climbing test) and after activity. Ankle plantar flexor spasticity was evaluated with the Modified Ashworth Scale (MAS). Secondary outcome measures were motor recovery, disability level, and calf adipose tissue thickness.</p><p><strong>Results: </strong>Resting average muscle oxygenation was lower in HLS than in CG (<i>p</i> = .021). Muscle oxygenation changes from baseline to final values were lower in HLS than in LLS after 6-minute walk test (<i>p</i> = .037) and lower than in CG after stair climbing test (<i>p</i> = .011). Baseline and final muscle oxygen saturation were lower in HLS, differences were not significant. In HLS, muscle oxygen saturation during 6-minute walk test increased unexpectedly, while it decreased during recovery.</p><p><strong>Conclusions: </strong>Spasticity severity affected peripheral muscle oxygenation. In patients with high-level spasticity, resting average muscle oxygenation and changes in muscle oxygenation during recovery were lower, and different patterns were observed during 6MWT, suggesting impaired oxygen utilization and delivery, possibly related to spasticity severity.</p><p><strong>Trial registration: </strong>Clinical trial registry: NCT06362954.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of active cycle of breathing techniques combined with external diaphragm pacing on respiratory function recovery in severe stroke patients with tracheotomy.","authors":"Dawei Li, Congcong Wang, Mingxin Wang, Licheng Yan, Zhiyou Zhang, Zhendong Li, Aixia Cheng","doi":"10.1080/10749357.2025.2502723","DOIUrl":"https://doi.org/10.1080/10749357.2025.2502723","url":null,"abstract":"<p><strong>Background: </strong>Stroke causes a variety of dysfunctions, and thus the rehabilitation of such patients is important. The respiratory rehabilitation is necessary for stroke patients undergoing tracheotomy. The aim of this study was to provide evidences for a new rehabilitation program of the combination of active cycle of breathing technique (ACBT) with external diaphragm pacing (EDP) for the improvement of respiratory rehabilitation in severe stroke patients with tracheotomy.</p><p><strong>Methods: </strong>Data were collected from 50 patients, who received conventional therapy and ACBT. Among these patients, 25 cases additionally received EDP therapy. The therapeutic effects of the treatment were evaluated by assessing diaphragmatic ultrasound, arterial blood gas analysis, chest CT examinations and rehabilitation scale scores at 3 time points of prior treatment, 3 weeks and 6 weeks after treatment.</p><p><strong>Results: </strong>The data analyzed in this study showed that after the treatment, the diaphragmatic excursion and thickening rate, PaO₂ showed increased, PaCO₂, Borg and VAS scores were decreased compared to the data before the treatment, in both ACBT and ACBT+EDP groups. What is noteworthy is that the data above showed more improved in ACBT combined with EDP group than that in ACBT alone group.</p><p><strong>Conclusion: </strong>The combination method of ACBT plus EDP improves the respiratory function more significantly compared to the application of ACBT alone. Severe stroke patients can try to use this method, so as to improve the respiratory function and promote functional recovery.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concurrent and convergent validity of the 3-meter backward walk test with recommended outcomes in individuals with subacute and chronic stroke.","authors":"Louis A DeMark, Emily J Fox, Mindi R Manes, Dorian K Rose","doi":"10.1080/10749357.2025.2535659","DOIUrl":"https://doi.org/10.1080/10749357.2025.2535659","url":null,"abstract":"<p><strong>Background: </strong>Community mobility requires adaptability, or the ability to adapt walking to meet task goals and environmental needs; with backward walking (BW) being a critical aspect. The 3-Meter Backward Walk Test (3MBWT) is a reliable and valid measure of BW speed and may be an important indicator of walking function. However, little research has examined its association to other recommended outcomes of stepping, balance, and adaptability in individuals post-stroke.</p><p><strong>Objectives: </strong>To evaluate the concurrent and convergent validity of the 3MBWT and measures of stepping, balance, and adaptability in individuals post-stroke, across stages of chronicity.</p><p><strong>Methods: </strong>Fifty-nine participants (40 male; 34 right hemiparesis; 58.0 ± 13.3 years; 2.9 ± 1.1 months post-stroke) with first time stroke participated in a battery of outcomes assessed at 2-4 months (subacute) and 12 months (chronic) post-stroke. For both time points, correlations between the 3MBWT and each outcome of stepping, balance, and adaptability were determined using Spearman's rank correlation analysis.</p><p><strong>Results: </strong>At both time points, moderate to strong correlations were evident between the 3MBWT and all performance-based outcomes. Specifically, the highest associations were noted for stepping during subacute and chronic time points (10-Meter Walk Test, 0.87 and 0.81; 6-Minute Walk Test, 0.88 and 0.89), respectively.</p><p><strong>Conclusions: </strong>This study demonstrated moderate to strong correlations between the 3MBWT and other standard mobility assessments across the subacute and chronic stages post-stroke. The strong correlations between the 3MBWT and other outcome measures recommended by current clinical practice guidelines support the use of the 3MBWT as an important mobility assessment of individuals post-stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an aerobic exercise program on cardiac remodeling and functional capacity in patients with stroke: CRONuS trial.","authors":"Josiela Cristina da Silva Rodrigues, Gustavo José Luvizutto, Vitor Mendes Pereira, Rafael Dalle Molle da Costa, Robson Aparecido Prudente, Taís Regina da Silva, Fabiane Valentini Francisqueti Ferron, Caroline Ferreira da Silva Mazeto Pupo da Silveira, Artur Junio Togneri Ferron, Juli Thomaz de Souza, Fernanda Cristina Winckler, Estefânia Aparecida Thomé Franco, Gabriel Pinheiro Modolo, Letícia Cláudia de Oliveira Antunes, Rodrigo Bazan, Luis Cuadrado Martin, Silméia Garcia Zanati Bazan","doi":"10.1080/10749357.2025.2530265","DOIUrl":"https://doi.org/10.1080/10749357.2025.2530265","url":null,"abstract":"<p><strong>Background: </strong>Aerobic exercise training leads to cardiovascular changes and improves cardiovascular performance and functional capacity after a stroke. However, the effect of aerobic exercise on cardiac remodeling in patients with stroke has been poorly explored. This study aimed to investigate the effects of a physical exercise program on morphofunctional echocardiographic variables and the functional capacity of post-stroke patients.</p><p><strong>Methods: </strong>This randomized, controlled clinical trial included patients with stroke, categorized into the control group (CG), conventional physiotherapeutic care, and intervention group (IG). The IG underwent a cardiovascular rehabilitation program consisting of warm-up, aerobic exercise, and muscle cooling. Both conventional and test interventions lasted 45 min, three times a week for 16 weeks. The patients underwent transthoracic echocardiography, a 6-minute walk test, neurological and nutritional evaluation, laboratory tests, and QoL assessment initially and at 16 weeks after the intervention.</p><p><strong>Results: </strong>The IG showed significant reduction in the following morphological echocardiographic variables compared to the CG after intervention: diastolic thicknesses of the posterior wall (<i>p</i> = 0.0001) and interventricular septum (<i>p</i> = 0.004), relative wall thickness (<i>p</i> = 0.001), left ventricular mass (LVM, <i>p</i> < 0.001), LVM index (<i>p</i> < 0.0001), and left atrial diameter (<i>p</i> = 0.003). Regarding systolic and diastolic functions, the IG showed a significant increase in LV ejection fraction (<i>p</i> = 0.001) and tricuspid ring systolic excursion (<i>p</i> = 0.0002), and a reduction in the left atrial volume index (<i>p</i> = 0.001) and E/E' ratio (<i>p</i> = 0.01) compared to the CG. In addition, the IG showed an increase in the distance covered compared to the CG after the intervention (<i>p</i> = 0.04).</p><p><strong>Conclusions: </strong>The cardiovascular rehabilitation program improved the cardiac morphological and functional parameters and had a positive impact on the functional capacity of patients with chronic ischemic stroke.</p><p><strong>Trial registration: </strong>REBEC, RBR-4wk4b3. Registered on 19 September 2016.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting LIFE-H 3.1 to investigate the level of participation of community-dwelling survivors of stroke.","authors":"Shamay S M Ng, Peiming Chen, Yuk Lam Chan, Yu Tung Chan, Hiu Tung Cheng, Cynthia Y Y Lai, Tai Wa Liu","doi":"10.1080/10749357.2025.2530263","DOIUrl":"https://doi.org/10.1080/10749357.2025.2530263","url":null,"abstract":"<p><strong>Background: </strong>The LIFE-H 3.1 is a measure that assesses person-perceived social participation and it has not been psychometrically examined in survivors of stroke.</p><p><strong>Objectives: </strong>To examine the psychometric properties of the LIFE-H 3.1, including its test - retest reliability, minimal detectable change (MDC) score, convergent and divergent validity, known-group validity, and the optimal cutoff score for distinguishing the level of participation between survivors of stroke and non-stroke older adults.</p><p><strong>Methods: </strong>Thirty-four survivors of stroke and 30 aged-matched non-stroke controls were recruited. The LIFE-H 3.1 and various health-related outcome measures were administered to the survivors of stroke in Day 1 to examine the correlations between them. Following a 7-day interval (Day 7), the LIFE-H 3.1 assessment was repeated in survivors of stroke to evaluate the test - retest reliability and establish the MDC. In non-stroke older adults (<i>n</i> = 30), LIFE-H 3.1 was administered on Day 1 only to examine the known-group validity to determine the cutoff score of LIFE-H 3.1 for distinguishing the level of participation between survivors of stroke and non-stroke older adults.</p><p><strong>Results: </strong>The overall LIFE-H 3.1 scale and its subscales demonstrated moderate-to-good test - retest reliability and significant associations with a functional mobility measure and a health-related quality of life measure. We also established the MDC values of LIFE-H 3.1 and its subscales. Moreover, appropriate cutoff scores for person-perceived participation were established that gave LIFE-H3.1 the ability to distinguish between survivors of stroke and non-stroke older adults.</p><p><strong>Conclusion: </strong>LIFE-H 3.1 is a reliable and valid measure to evaluate the person-perceived social participation of survivors of stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the efficacy of extracorporeal shock wave therapy following botulinum toxin type a injection on post-stroke ankle plantar flexor spasticity.","authors":"Havva Talay Çalış, Fevzi Cansın, Elif Koçer, Fatma Gül Ülkü Demir","doi":"10.1080/10749357.2025.2532424","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532424","url":null,"abstract":"<p><strong>Background and purpose: </strong>This study aimed to compare the efficacy of Botulinum Toxin Type A (BoNT-A) injection and BoNT-A injection in combination with ESWT for post-stroke lower extremity ankle plantar flexor spasticity in this prospective, randomized cohort study.</p><p><strong>Methods: </strong>Patients with post-stroke ankle plantar flexor spasticity of 1+ or more on the Modified Ashworth Scale (MAS) were randomized into two groups. Group 1 (n:20): BoNT-A was injected into the gastrocnemius muscle, and conventional physical therapy exercises were performed. Group 2 (n:20): ESWT was applied to the gastrocnemius muscle in addition to the treatments in group 1. MAS, Brunnstrom Motor Recovery Stage (BMRS), ankle range of motion (ROM) measurement, clonus score (CS), Barthel Index (BI), Heckmatt measurements with ultrasonography, and visual analog scale (VAS) evaluations were performed on the patients.</p><p><strong>Results: </strong>No statistically significant differences were observed between the groups in any of the measured parameters at baseline or at any other time (<i>p</i> > 0.05). In both groups, there was a statistically significant improvement in all scores, except for the Heckmatt scores, after treatment compared to before treatment (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>ESWT treatment added to BoNT-A was not statistically significantly superior to BoNT-A in terms of MAS, BME, ROM, BI, Heckmatt grade, VAS, and CS. Our study did not observe the additional antispastic contribution of ESWT on spasticity.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of quadriceps muscle thickness cutoff values for low muscle mass detection in patients with strokes undergoing rehabilitation.","authors":"Motoki Maruyama, Minoru Kimoto, Akira Saito, Masahiko Wakasa, Sota Kajiwara, Takuto Oikawa, Masahiro Sasaki","doi":"10.1080/10749357.2025.2532422","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532422","url":null,"abstract":"<p><strong>Background: </strong>Patients who have experienced strokes are prone to secondary muscle atrophy and sarcopenia, making the evaluation of muscle mass essential for effective rehabilitation. This study aimed to define cutoff values for quadriceps muscle thickness (QMT) when identifying low muscle mass, to address current gaps in noninvasive assessment methods for patients with stroke.</p><p><strong>Methods: </strong>This cross-sectional study included patients with strokes. QMT on the non-paretic side was measured via ultrasonography. Patients were categorized into groups with low and normal muscle mass levels, based on the skeletal muscle index. The QMT cutoff value for identifying low muscle mass was determined using a receiver operating characteristic curve. Logistic regression analysis assessed the association between low muscle mass and the cutoff values.</p><p><strong>Results: </strong>This study included 167 participants (mean age: 72.0 [interquartile range: 62.0-79.0] years; 58.1% males). The prevalence of low muscle mass was 68.9% (<i>n</i> = 115). The QMT cutoff values for identifying low muscle mass were determined as 64.556 mm for males and 54.764 mm for females, with area under the curve values of 0.881 and 0.884, respectively. These values were independently associated with low muscle mass, irrespective of covariates, with an odds ratio of 14.60 (95% confidence interval: 5.42-39.20; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>QMT represents a helpful measure for identifying low muscle mass in patients with strokes. Our findings suggest that incorporating QMT into routine assessments may improve sarcopenia management in patients with strokes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication partner training (CPT) in Australian post-stroke aphasia services: a national survey investigating implementation barriers, facilitators and training needs.","authors":"Kirstine Shrubsole, Sarah J Wallace, Jytte Isaksen, David A Copland, Emma Power","doi":"10.1080/10749357.2025.2532412","DOIUrl":"https://doi.org/10.1080/10749357.2025.2532412","url":null,"abstract":"<p><strong>Background: </strong>Communication Partner Training (CPT) is an intervention where multidisciplinary healthcare staff are trained to use supportive strategies to communicate with people with communication disabilities such as aphasia. CPT is an evidence-based recommendation in high-quality international stroke guidelines, but there are large evidence-practice gaps that need to be addressed.</p><p><strong>Objectives: </strong>This study explored a) current CPT practice, b) barriers and facilitators influencing CPT implementation, and c) preferences on ideal CPT.</p><p><strong>Methods: </strong>Australian stroke clinicians (speech pathologists: SLPs; the multidisciplinary team: MDT) working with people with aphasia across acute, rehabilitation and community settings completed an online cross-sectional survey based on the Theoretical Domains Framework. Data were analyzed using descriptive statistics, frequency distributions, total barriers scores and qualitative content analysis.</p><p><strong>Results: </strong>Final analyses included 206 surveys (105 SLPs 105; 101 MDT). Both groups (SLP 98%; MDT 71%) agreed CPT is beneficial to patients with aphasia. However, less than 20% of MDT respondents reported receiving CPT. While 87% of SLPs reported providing CPT, only 36% reported alignment with best practice. Key barriers included insufficient systems-level support, training opportunities and staff availability, and the MDT lacked knowledge and confidence in using communication strategies. Training preferences included flexible delivery, interactive approaches, and protected time.</p><p><strong>Conclusions: </strong>Current Australian CPT practice does not align with best practice guidelines and the stroke MDT have unmet training needs. Despite SLPs valuing interactive training with demonstration and practice, time constraints often reduce CPT to basic education. A targeted implementation strategy addressing key barriers is needed to sustainably improve healthcare experience and communication outcomes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}