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The purpose of this paper is to explore the transition to community life, in relation to vocational goals and aspirations, for 18 people with traumatic brain injury following the discharge from a neurological rehabilitation hospital.

The study was a longitudinal qualitative study, framed within interpretivism. A phenomenological approach was employed. Participants, their significant other, and members of the rehabilitation team involved in their care were interviewed at the time of discharge from the ward, after six months and one year following discharge from the ward.

Themes which emerged from the data gave insights into the meaning and value of vocational occupations, impact of rehabilitation, insight and awareness, environmental influences, alteration to the life‐course and moving forward to a new life. Throughout, issues of identity and reconstruction were identified.

Use of alternative paradigms to the traditional medical viewpoint can raise awareness of issues of identity and biographical reconstruction which are less widely reported in rehabilitation literature.

Goals could be re‐framed and include moving forward to a life with meaning and purpose. For many, this could involve work and vocational occupations but for others it may not. The need to address concerns which are priorities of those in receipt of care is highlighted in order to support interventions and the reconstruction of identity and a life with value.

Needs of people following acquired brain injury vary over their life-course presenting challenges for community services, especially for those with “hidden” neuropsychological needs. Characterisation of subtypes of rehabilitation service user may help improve service design towards optimal targeting of resources. This paper aims to characterise a neuropsychologically complex group of service users.

Preliminary data from 35 participants accepted for a holistic neuropsychological rehabilitation day programme were subject to cluster analysis using self-ratings of mood, executive function and brain injury symptomatology.

Analysis identified three clusters significantly differentiated in terms of symptom severity (Cluster 1 least and Cluster 2 most severe), self-esteem (Clusters 2 and 3 low self-esteem) and mood (Cluster 2 more anxious and depressed). The three clusters were then compared on characteristics including age at injury, type of injury, chronicity of problems, presence of pre-injury problems and completion of rehabilitation. Cluster 2 were significantly younger at time of injury, and all had head injury.

Results suggest different subgroups of neuropsychological rehabilitation service user, highlighting the importance of early identification and provision of rehabilitation to prevent deterioration, especially for those injured when young. Implications for design of, and research into, community rehabilitation service design for those with “hidden disability” are considered.

The paper findings suggests that innovative conceptual frameworks for understanding potentially complex longer term outcomes are required to enable development of tools for triaging and efficient allocation of community service resources.

Computer‐based systems for motor function rehabilitation have been around for more than a decade, with work done to help recovery of function in the lower limb (ankle, leg) as well as upper limb (hand and arm).

More recently there has been a trend towards the use of game‐based systems to deliver rehabilitation goals. The authors' interdisciplinary group has been working in the area of motor function recovery of the hand and arm (following stroke) for a number of years, using both high‐end virtual reality (VR) technology as well as low‐cost video capture technology.

Over this time it has become clear that there are many challenges in designing usable, effective game‐based systems for motor function rehabilitation.

This paper reflects on user experiences across the range of technologies developed by the group. It presents a summary review of the authors' systems and details the protocols and user evaluation instruments used. It then critically reflects on this work and reviews other recent advances in game usability and playability, leading to suggestions for how the user experience of games for rehabilitation may be improved in future work.

The purpose of this paper is to determine if issues relevant to multidisciplinary rehabilitation care from the perspective of the patient and caregiver can be addressed utilising the International Classification of Functioning, Disability and Health (ICF) framework; also to identify gaps in evidence and service provision to optimise clinical care.

Participants with motor neurone disease (MND) (n=44) and their caregivers (n=37) were recruited from a tertiary MND clinic. Cross‐sectional predominantly qualitative methodology was used to explore the perspectives of MND patients and their caregivers on disability and service gaps. Their disability experience and relevant environmental factors were then mapped onto the ICF framework. Personal factors were described. The impact of MND on caregivers was also described.

There were significant gaps in MND care. In particular, the need for coordinated care by neurology, rehabilitation and palliative care services (“neuropalliative rehabilitation” model) was highlighted. The ICF framework adequately incorporated patient‐and caregiver‐ reported disability in MND.

This is the first review that the authors can identify, that lays the foundation for development of an ICF “Core set” (expert‐selected ICF categories that should be addressed in multidisciplinary care settings) for MND, which could improve consensus of care and communication amongst treating clinicians.

A case study approach to highlight the use of cognitive neurological rehabilitation in the therapeutic management of two service users who have a diagnosis of learning disability and who have exhibited the extremes of aggressive and challenging behaviour. The purpose of this paper is to explore the remarkable progress made by two service users for whom services seemed to be at a loss as to how to meet all but there basic needs. Their journeys from hopelessness to optimism and recovery are both attributable to the cognitive neurological rehabilitation model and how staff and service users worked together to gradually regain control.

A case study approach highlighting the value of training, team working and a therapeutic model and the impact this has made on service users who, in the past, where labelled as highly disruptive and potentially untreatable.

That the cognitive neurological approach is effective in managing service users who have certain cognitive deficits in a structured and supportive way that allows positive progress towards recovery.

A very practical intervention that can be taught and supported. An intervention that appears to achieve excellent clinical results.

Very original and effective approach to care and treatment of service users with diagnosis of learning disability living in conditions requiring security.

This paper aims to provide an insight into the emerging use of robots in the rehabilitation of sufferers from strokes and other neurological impediments.

This considers research, clinical trials and commercial products. Following an introduction, it explains brain neuroplasticity and its role in rehabilitation and then discusses the use of robots in the restoration of upper limb and hand movement in stroke and traumatic injury patients. Robotic techniques aimed at restoring ambulatory ability are then discussed, followed by examples of the application of brain–computer interface technology to robotic rehabilitation. Finally, concluding comments are drawn.

Research has shown that robotic techniques can assist in the restoration of functionality to partially or fully paralysed upper and lower limbs. A growing number of commercial exoskeleton and end-effector robotic products have been launched which are augmenting conventional rehabilitation therapies. These systems frequently include interactive computer games and tasks which encourage repetitive use and allow patients to monitor their progress. Trials which combine robotics with brain–computer interface technology have yielded encouraging and unexpectedly positive results.

This provides details of the increasingly important role played by robots in the rehabilitation of patients suffering from strokes and other neurological disorders.

The purpose of this study was to identify the major quality features of wearable technology embedded products that have the greatest impact on consumer satisfaction using the Kano model, an organized approach to specify consumer requirements and expectation through a preference classification technique.

Using a quantitative research method, an online survey was conducted with a convenience sample of US consumers aged between 19 years old and over. A total of otal 471 useable data were obtained and used for the data analysis.

This study identified that the 11 quality features of wearables belong to one-dimensional quality category among the five Kano categories, although the impact of each quality feature's performance on consumer satisfaction varies. The results also showed that the performance level of durability, long battery life, usability, product safety, comfortability and reasonable price has the greatest impact on consumer satisfaction of wearables.

This study has implications for future research by integrating the Kano model with other design and product development related theoretical models when designing, developing and evaluating various wearable products.

This study quantified the key quality features of wearables using the Kano model, which can be a great measurement tool for future researchers to adopt in their studies. The findings of this study help designers, developers and producers of wearables to prioritize the quality features during the product design, development and manufacturing process.

This paper seeks to report key findings of a study, whose purpose was to: understand what helps or hinders the commissioning and provision of integrated services for people with long‐term neurological conditions (LTNCs); identify models of best practice from the perspectives of people with LTNCs and the professionals who work with them; and develop a benchmarking system to assess the extent to which these models are available in England.

The research had three main components: a rapid systematic literature review of evidence; in‐depth case studies of six neurology “service systems”; and a survey of all English PCTs to audit progress towards implementation of the National Service Framework (NSF) for LTNCs.

A number of elements that contribute to the experience of continuity and three service models that incorporate these elements were identified: community interdisciplinary neurological rehabilitation teams; nurse specialists and proactive, holistic day opportunities services. The survey results reinforced many of the case study findings, particularly around the varying levels of service available depending on diagnosis and location, and problems of access even where high‐quality services existed. The paper concludes that the systematic approach to delivering treatment and care for people with LTNCs envisaged in the NSF has not yet been achieved.

This study uses a mix of methods to assess progress towards national service improvement, based on evidence from people with LTNCs and those who work with them. As such, it provides a comprehensive benchmark at a critical point in the implementation of the NSF for LTNCs.

This paper aims to report results from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context of services for people with long‐term neurological conditions (LTNCs). It seeks to provide benchmarks for integrated service provision and to discuss possible reasons for the variability in progress.

Earlier phases of the research identified three models of care that promoted continuity of care for people with LTNCs: community interdisciplinary neurological rehabilitation teams, nurse specialists and pro‐active day opportunities. Based on this evidence, a benchmarking questionnaire was developed and a telephone survey of PCTs in England undertaken in 2009.

The survey found that the prevalence of models of good practice varied widely across and within PCT areas. Strategic support and commissioning arrangements were also variable. A little over half of responding PCTs had completed a joint strategic needs assessment (JSNA) that included a reference to LTNCs and a quarter of PCTs had no joint commissioning arrangements in place for LTNCs. The complex interplay between strategy, organisational structures and models of delivery, in a context of competing priorities, may account for this variation and patchy progress.

Service provision for people with LTNCs is an under‐researched area, despite having major implications for long‐term care and support. The paper will be valuable to policy makers and commissioners in benchmarking organisational activity and models of good practice for integrated services.