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Rehabilitation and education are underutilized for mild stroke and TIA sufferers

Faux, Steven G.
Arora, Pooja
Shiner, Christine T.
Thompson-Butel, Angelica
Klein, Linda A.
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Abstract
Purpose: Transient ischemic attack (TIA) and mild stroke represent a large proportion of cerebrovascular events, at high risk of being followed by recurrent, serious events. The importance of early education addressing risk management, secondary prevention and lifestyle modifications is the centerpiece of further stroke prevention. However, delivering education and rehabilitation to this population can be complex and challenging. Methods: Via synthesis of a narrative review and clinical experience, we explore the unique and inherent complexities of rehabilitation management and education provision for patients following mild stroke and TIA. Results: A considerable proportion of TIA/mild stroke survivors have ongoing rehabilitation needs that are poorly addressed. The need for rehabilitation in these patients is often overlooked, and available assessment tools lack the sensitivity to identify common subtle impairments in cognition, mood, language and fatigue. Active and accessible education interventions need to be initiated early after the event, and integrated with ongoing rehabilitation management. Priority areas in need of future development in this field are highlighted and discussed.
Keywords
TIA, mild stroke, secondary stroke prevention, stroke education, rehabilitation
Date
2018
Type
Journal article
Journal
Disability and Rehabilitation
Book
Volume
40
Issue
12
Page Range
1480-1484
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
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Open Access Status
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Controlled
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