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Edinburgh Brain Injury Rehabilitation And Neurological Care Centre

The Astley Ainslie Hospital provides rehabilitation services for adults with acquired brain injury, stroke, orthopaedic injuries, limb amputation, and progressive neurological disorders such as multiple sclerosis (MS). There is good evidence that rehabilitation can improve recovery from stroke 4 The recovery of specific functions such as walking and upper limb activities are improved through repetitive, task-specific practice with performance feedback 5 , all delivered, typically, by rehabilitation professionals.
Patients who answered ‘yes' to the fatigue question and had a PHQ-9 score of 14 or less (i.e. no severe depression), were mailed another information sheet for the intervention and invited to meet with the principal investigator (SW) to sign the consent form at the Clinical Research Facility of Royal Infirmary of Edinburgh.



His laboratories focus on preclinical and translational neuroscience research, including the cellular and molecular mechanisms underlying neuronal degeneration in models of cerebral ischemia or traumatic brain injury; and the role of endogenous neuroprotection, among others.
I then tried to stand up and found I could not as I had no feeling in my right leg and it wouldn't support me. The ambulance came and I was taken to hospital, where I was found to have extremely high blood pressure, and a CT scan showed I had had a brain stem bleed.
Previous work has shown that fatigue is still present for several years after the stroke 5 Many of the factors that patients reported as being relevant to fatigue were specific to a ward environment, for example, boredom, noise, and ward regime with fixed times for meals and bedtimes.

The second workshop provided recommendations for improving the adoption of technologies in stroke rehabilitation: an annual exhibition of commercially available and developing technologies, an online consumer-rating website of available technologies, and a user network to inspire and test new technologies.
There was no particular time of day that patients felt most fatigued: five (33%) patients reported that they were most severely affected in the morning, six (40%) noticed fatigue click here being worst in afternoon, three (20%) reported that their fatigue was constant throughout the day, and one (7%) patient said that the fatigue was worst in the evening.

Although randomised controlled trials (RCTs) have demonstrated the efficacy of psychological interventions in treating fatigue in other conditions such as cancer-related fatigue 3 and chronic fatigue syndrome 4 , there is insufficient evidence to recommend any effective treatment for PSF as reported in a recent Cochrane review of interventions for post-stroke fatigue 5 Given that the psychological profile of patients with PSF is comparable to patients with these other conditions 6 , psychological interventions are promising to treat PSF.
The intervention programme was adapted from existing psychological interventions for fatigue in health conditions other than stroke, with iterative input from stroke clinicians, psychological therapists, and stroke survivors, considering both theoretical and practical issues in stroke care and clinical psychology.

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