Priority 6 Stroke Rehabilitation and Long-term Care
| UNCERTAINTY:What and how common are the long-term impacts of stroke on abilities necessary for every-day life; what, and how can, interventions be made available to facilitate these abilities? (JLA PSP Priority 6) | |
|---|---|
| Overall ranking | 6 |
| JLA question ID | 0106/6b |
| Explanatory note |
Stroke happens in the brain, the control centre for who we are and what we can do. Although stroke survivors can relearn, recover and adapt certain abilities, most often everyday life is changed forever. This can impact on independence and quality of life for stroke survivors and those close to them. There is limited evidence on the extent of long-term impacts on everyday life, and what can be done to help stroke survivors and their loved ones regain these abilities. For example, a Cochrane Systematic Review (see Evidence) found that there was insufficient evidence to reach conclusions about the use of rehabilitation to improve on‐road driving skills. A Cochrane Review found low‐quality evidence that OT targeted towards activities of daily living after stroke can improve performance (see Evidence). Evidence is needed to improve understanding of these issues so that people affected by stroke can be effectively supported in their recovery, independence and quality of life. |
| Evidence |
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008357.pub2/full |
| Health Research Classification System category | Stroke |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | How can we better support people to return to work following stroke? ~ How long before you are fully ready to work? I went back to work at 6 months, I felt that was too soon. ~ How can people affected by stroke in the UK be supported by their employers to return to work? ~ What is the best way to help working age stroke victims return to work and/or live a long happy life? |
| Submitted by |
Stroke Survivor x 37, Carer x 10, Health/social care professional x50, Research Recommendations x 1, Not stated x 4 |
| PSP information | |
|---|---|
| PSP unique ID | 0106 |
| PSP name | Stroke Rehabilitation and Long-term Care |
| Total number of uncertainties identified by this PSP. | 93 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 19/20th April 2021 |