Mental health following stroke, spinal cord injury; sensory evaluation tools

The current issue of the Journal of Rehabilitation Research and Development (JRRD) includes articles that focus on interpersonal aspects of stroke rehabilitation, depression following stroke, stress and spinal cord injury, detection and treatment of diabetic ulcers, and sensory and communication evaluation tools. Full-text articles are available, free, online at www.vard.org.

Stroke patient's hope for physical recovery influenced by relationship with therapist during rehabilitation, pg. 263
This study evaluates the interpersonal aspects of constraint-induced movement therapy (CIMT), analyzing how meaning is negotiated between therapist and patient. Findings suggest that several patterns of behavior are present during therapy sessions: coaching, cheerleading, reminding, changing, and contemplating. These behavior patterns indicate that learned nonuse of an affected limb does not exist in social isolation and that people who participate in CIMT routinely consider the balance of any improvement against the costs of using an affected limb that is still not fully functional. These patterns of social interaction that occur during therapy-which often influence a participant's hope for future physical progress-are an important part of CIMT.

One-third of veterans recovering from stroke suffer from depression, pg. 277
This study describes early poststroke emotional recovery in veterans. One hundred and twelve veterans discharged from the hospital one month poststroke completed in-home interviews and the Geriatric Depression Scale (GDS), which were compared to evidence of depression from patient records. Data indicated that 35 percent of the veterans were depressed. Respondents who were depressed were struggling with low expectations of recovery and finding it difficult to accept the losses they were experiencing. Few participants were diagnosed with a depressive disorder. Screening with the

Contact: Judith LaVoie
410-962-1800 x229
VA Research Communications Service

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