Implementing a pain assessment survey and team approach method to effectively assess and treat pain in poststroke patients

Oh well, more wasted research; 'assessment' NOT recovery or results.  NO SOLUTIONS.

 Implementing a pain assessment survey and team approach method to effectively assess and treat pain in poststroke patients

Archives of Rehabilitation Research and Clinical Translation , Volume 2(3) , Pgs. 100058.

NARIC Accession Number: J85215.  What's this?
ISSN: 2590-1095.
Author(s): Alekseyev, Kirill ; Iskander, Peter ; De Santo, Patrick.
Publication Year: 2020.
Number of Pages: 7.

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Study created a pain assessment survey to effectively evaluate and treat pain in stroke patients in an inpatient rehabilitation facility. The study was conducted in 2 parts. Part 1 was a preintervention study conducted to assess the prevalence of poststroke pain (PSP) using a pain assessment survey. The correlation between the presence of pain and poststroke patients was assessed, and an enhanced pain assessment was created and implemented in the admission process of poststroke patients. This helped comprise part of the second portion of the study, the postintervention study. Eighty-two patients were included in the preintervention survey, and 102 patients were included in the postintervention survey. Patients with complaints of PSP were intervened immediately upon admission using a team approach. This included all personnel involved in the patient’s care to resolve pain before discharge. Different types of medications and non-medical modalities were used for pain control. The preintervention survey revealed a pain prevalence of 31.7 percent, whereas the postintervention study showed a prevalence of 11.8 percent in poststroke patients on admission. The odds that a poststroke patient would be discharged without pain and with a proper pain assessment and management was 96.2. The team approach to pain management resulted in all patients being successfully treated and discharged pain free. This further demonstrates the importance of using both a pain assessment survey and team approach to assess PSP in poststroke patients.
Descriptor Terms: INTERVENTION, OUTCOMES, PAIN, PAIN MANAGEMENT, PREVALENCE, REHABILITATION, STROKE, TEAMWORK.


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Citation: Alekseyev, Kirill , Iskander, Peter , De Santo, Patrick. (2020). Implementing a pain assessment survey and team approach method to effectively assess and treat pain in poststroke patients.  Archives of Rehabilitation Research and Clinical Translation , 2(3), Pgs. 100058. Retrieved 1/20/2021, from REHABDATA database.


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Rhythmic haptic cueing for gait rehabilitation of people with hemiparesis

And this very specific paper from June 2017 wasn't enough to provide you with the information such that your research wasn't needed? And your mentors and senior researchers didn't know about it?  

Identifying the Effects of using Integrated Haptic Feedback for Gait Rehabilitation of Stroke Patients  June 2017 

Or 29 earlier posts on haptics back to  March 2011  

The latest here:

Rhythmic haptic cueing for gait rehabilitation of people with hemiparesis

Theodoros GeorgiouPhD, ; Simon HollandPhD, ; Janet van der LindenPhD,
Corresponding Author: Theodoros GeorgiouPhD, Phone: +447707311270 Email: t.georgiou@hw.ac.uk

Abstract

Background: 
Rhythm, brain and the body are closely linked. Humans can synchronise their movement to auditory rhythms with little apparent effort. However, the ability to perform rhythmic movement can be severely disrupted due to neurological conditions. Even in cases where the ability to perceive rhythms remain, a neurological condition may affect the mechanisms controlling the muscles during movement. Having the gait rhythm disrupted brings severe asymmetries between steps, which lead to numerous physical problems – ranging from muscle degeneration to bone fractures – accentuating the patient’s condition. This paper focuses on people who have survived a stroke and are now suffering from hemiparesis – a neurological conditions affecting one side of the body unilaterally. Movement synchronisation via entrainment to auditory metronomes is known to improve gait; this paper presents the first systematic study of entrainment for gait rehabilitation via the haptic modality.
Objective: This paper explores the gait rehabilitation of people with hemiparesis following a stroke or brain injury, by a process of haptic entrainment to rhythmic cues.
Methods: 
The study presented here is a quantitative gait study combining temporal and spatial data on haptically cued participants with hemiparetic stroke and brain injury.  Gait characteristics were  measured before, during, and after cueing.
Results:
All eleven successfully screened participants were able to synchronise their steps to a haptically presented rhythm. Specifically, six participants demonstrated immediate improvements regarding their temporal gait characteristics, and three out of six improved their gait in terms of spatial characteristics.
Conclusions:
Given the great variability of stroke survivors and the limited number of available participants, there is no claim here of statistical evidence able to support a formal experimental result of improved gait. However, considering this great variability of participants, and viewing the empirical gait investigation as a set of eleven case studies, more modest empirical claims can be made. At a case study level, immediate improvements were seen in the temporal gait data of six out of eleven participants.
(JMIR Preprints 10/03/2020:18649) DOI: https://doi.org/10.2196/preprints.18649

Potential benefits of music playing in stroke upper limb motor rehabilitation

And just why the fuck was this research done? You missed all this earlier research? And then you have the gall to suggest further research. 

• music (80 posts back to March 2011)

• music therapy (49 posts back to October 2014)

• musical training (13 posts back to June 2014)

 

Potential benefits of music playing in stroke upper limb motor rehabilitation

Author links open overlay panelJenniferGrau-Sánchez^ab

Thomas F.Münte^cEckartAltenmüller^dEstherDuarte^eAntoniRodríguez-Fornells^afg

https://doi.org/10.1016/j.neubiorev.2020.02.027Get rights and content

Highlights

•

Music-based interventions in stroke upper limb motor rehabilitation integrate most of the principles of motor training and multimodal stimulation.

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The use of music in rehabilitation can improve motor and cognitive functions of subacute and chronic stroke patients.

•

Stroke patients treated with music-based interventions have better mood and quality of life than patients treated with conventional approaches.

•

Future studies should better address methodological aspects of therapy protocols, the evaluation of patients and study designs to improve the level of evidence of these interventions.

Abstract

Music-based interventions have emerged as a promising tool in stroke motor rehabilitation as they integrate most of the principles of motor training and multimodal stimulation. This paper aims to review the use of music in the rehabilitation of upper extremity motor function after stroke. First, we review the evidence supporting current music-based interventions including Music-supported Therapy, Music glove, group music therapy, Rhythm- and music-based intervention, and Musical sonification. Next, we describe the mechanisms that may be responsible for the effectiveness of these interventions, focusing on motor learning aspects, how multimodal stimulation may boost motor performance, and emotional and motivational aspects related to music. Then, we discuss methodological concerns in music therapy research related to modifications of therapy protocols, evaluation of patients and study designs. Finally, we highlight clinical considerations for the implementation of music-based interventions in clinical settings.