Recent studies to determine appropriate theories of adult neurological rehabilitation for South African Occupational Therapy (OT) curricula are non-existing. Seven OT training centres in South Africa participated in a survey to determine the content of the OT neurological rehabilitation curricula. The results showed that there are no specific requirements for the assessment and treatment of stroke patients in the OT curricula and standardized assessments are not commonly taught at an undergraduate level. A second survey was conducted by means of a questionnaire to OT clinicians in the field of neurological rehabilitation. The sample consisted of 29 subjects. The questionnaire surveyed the current settings where stroke patients are receiving OT, the subjects’ treatment protocols with stroke patients, and their use evidence based practice (EBP). The most commonly use theory was neurodevelopmental therapy (NDT) and the majority of subjects received training in this theory. Standardized assessments were not used to measure the effectiveness of treatment, therefore OTs were unsure of the effect of their interventions. OTs also had difficulty explaining their reasons for choice of theories and their theoretical justification was not based on scientific evidence. Only 51.85% of the sample usually uses EBP, and the subjects’ own experience had the greatest effect on their use of EBP. Two factors, the lack of time and lack of knowledge impeded the subjects’ use of EBP the most. There is however a lack of sufficient evidence regarding which neurological rehabilitation theories are the most effective and therefore more research in the South African and OT contexts is needed.

by Lui How Lin. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 114-126). / ACKNOWLEDGMENTS --- p.i / ABSTRACT --- p.ii / TABLE OF CONTENTS --- p.iii / "LIST OF APPENDIX, FIGURES & TABLES" --- p.v / Chapter CHAPTER 1. --- INTRODUCTION --- p.1 / Chapter CHAPTER 2. --- LITERATURE REVIEW --- p.3 / Introduction --- p.3 / Incidence and Prevalence of Stroke in Hong Kong --- p.3 / Social Influences on the Identification of Need --- p.4 / Concept of Disablement 。 --- p.7 / Concept of Rehabilitation --- p.8 / Review the Focus of Studies in Stroke Rehabilitation --- p.9 / Summary of Studies Exploring Patients' Needs --- p.19 / Rehabilitation Role of Nurses --- p.22 / Summary --- p.27 / AIM OF THE STUDY --- p.27 / OBJECTIVES OF THE STUDY --- p.28 / DEFINITION OF PERCEIVED NEED IN THE STUDY --- p.28 / Chapter CHAPTER 3. --- METHOD OF THE STUDY --- p.29 / Introduction --- p.29 / Research Design --- p.29 / Preparatory Fieldwork --- p.31 / Sampling --- p.32 / Fieldwork Procedure --- p.37 / Gaining Access --- p.38 / Ethical Consideration --- p.38 / Data Collection --- p.39 / Data Analysis --- p.41 / Pilot Study --- p.48 / Issues of Reliability and Validity --- p.52 / Chapter CHAPTER 4. --- FINDINGS --- p.56 / Introduction --- p.56 / Description of Sample: Settings and Informants --- p.56 / Functional Recovery Pattern of Informants --- p.60 / Summary Description of the Major Categories Identified --- p.62 / Description of Common Needs of Stroke Patients: --- p.64 / In the acute setting --- p.64 / In the rehabilitation setting --- p.76 / One month after discharge home --- p.85 / Unmet Needs of Stroke Patients --- p.90 / Chapter CHAPTER 5. --- DISCUSSION AND IMPLICATION FOR NURSING PRACTICE --- p.92 / Discussion of Findings: Introduction --- p.92 / Pattern of Change in Need Across Various Stages of Recovery --- p.92 / Informational need --- p.92 / Psychological need --- p.95 / Physical need --- p.97 / Social need --- p.99 / Spiritual need --- p.100 / Factors Determining the Extent to which Need can be Met --- p.101 / Barriers Impeding the Extent to which Need can be Met --- p.102 / Summary --- p.108 / Implication for Nursing Practice --- p.109 / Chapter CHAPTER 6. --- CONCLUSION AND LIMITATION OF STUDY --- p.110 / Introduction --- p.110 / Limitation of the Study --- p.110 / Recommended Further Research --- p.112 / Conclusion --- p.113 / REFERENCES --- p.114 / APPENDIX --- p.127

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Afhandling--Copenhagen. / Summary in Danish. Bibliography: p. [182]-188.

Afhandling--Copenhagen. / Summary in Danish. Bibliography: p. [182]-188.

When the research, which forms the basis of this thesis was started in 1979, the theoretically attractive situation of transient focal cerebral ischaemia simulating a cerebral vessel occlusion followed by re-vascularization, had not been specifically investigated with barbiturate treatment. Cerebral infarction is progressive and evolves over hours, proceeding from ischaemia and functional loss to cell death. Sundt et al (1969), Crowell et al (1970), Hayakawa and Waltz (1975). Complete recovery is possible if re-vascularization is instituted in time. This time interval depends on the regional cerebral bloodflow during the period of the vessel occlusion and this bloodflow is provided by the collateral circulation. Thus, whether infarction results and the extent of it, becomes a factor of the period of ischaemia and the collateral circulation present. Dujovny et al (1976), Morawetz et al (1978), Ojeman et al (1979), Kieck and Crowell (1979), Jones et al (1981). This ischaemic period may vary tremendously from less than an hour to as much as 5 hours and occlusion times of up to an hour can be tolerated without infarction at very low regional cerebral bloodflow levels. Morawetz et al (1978), Kieck and Crowell (1979), Jones et al (1981). In the clinical situation there would be an obligatory delay from the onset of ischaemia to the institution of barbiturate treatment and completion of re-vascularization. Treatment during this period would thus be a major contribution if it could afford protection so as to allow restitution of cerebral bloodflow before irreversible infarction took place. The South African Vervet monkey was chosen for the investigation of the effect of barbiturate treatment on transient focal cerebral ischaemia in a model simulating the clinical event. In this experiment pentobarbital therapy would be delayed for 1 hour to provide for the expected delay that would occur from the onset of ischaemia to the institution of treatment. Similarly, ischaemia was to last 4 hours to allow for a minimum time interval necessary to complete the re-vascularization. It was also borne in mind that many stroke patients would be older people; the barbiturate dose of 30mg/kg would be such as to induce prolonged coma but not major cardiovascular disturbances with a fall in blood pressure and/or cardiac arrest.

Chang Anne Marie. / "April 1999." / Thesis (Ph.D.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (p. 245-280). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

Diss. (sammanfattning) Uppsala : Univ., 2002. / Härtill 5 uppsatser.

Diss. (sammanfattning) Linköping : Univ., 2002. / Härtill 5 uppsatser.

Thesis (doctoral)--Universiteit van Amsterdam.