22. European Stroke Conference 818 Rehabilitation and reorganisation after stroke Developing a model of participation post stroke: preliminary results of a grounded theory study P. C. Woodman1, F. Jones2, A. Riazi3, A. Mackenzie4 Faculty of Health and Social Care Sciences, St George’s University of London and Kings-ton University, London, UNITED KINGDOM1, Faculty of Health and Social Care Sciences, St George’s University of London and Kingston University, London, UNITED KINGDOM2, Depart-ment of Psychology, Royal Holloway University, UK, Egham, Surrey, UNITED KINGDOM3, Fac-ulty of Health and Social Care Sciences, St George’s University of London and Kingston University, London, UNITED KINGDOM4 Background: Research suggests participation is an important and valued goal to stroke survivors. But there is cur-rently no consensus on a definition of participation that reflects experiences and challenges of peo-ple with stroke. This qualitative study explored how individuals view their participation after stroke with the following aims: 1) informing a conceptual model of participation post stroke and 2) gener-ating items for a new outcome measure which capture issues relating to participation post stroke for use in rehabilitation practice and research. Method: Participants were recruited from 3 community stroke teams in London using purposive and theoret-ical sampling. Semi structured interviews were conducted with 36 people with stroke between June 2011 to December 2012. They included people from minority ethnic groups; individuals without independent mobility and individuals with communication impairments. Interviews were digitally recorded and transcribed verbatim. Data were analysed using grounded theory methods (Charmaz, 2006). Results: Seven key themes were identified from the analysis of the data: 1) Valued activities and roles; 2) Se-lecting activities; 3) Internal drivers; 4) Barriers; 5) Strategies; 6) Uncertainty and unpredictability of outcome and 7) Continuous emotional adjustment. A conceptual model was developed highlight-ing the complexity and multi-faceted nature of participation post stroke. Conclusion: This study helps to identify the individual complexity of participation post stroke. Further work to refine a preliminary item pool from the conceptual model is underway. The findings will inform the feasibility of further research to develop a validated tool exploring participation post stroke. De-veloping a measuring tool which aligns more closely with specific challenges of participation post stroke, could aid stroke services to understand the unique experiences of people with stroke and of-fer tailored support to community integration. 778 © 2013 S. Karger AG, Basel Scientific Programme 819 Rehabilitation and reorganisation after stroke Effects of video-feedback on balance learning in stroke patients. M. Hiyamizu1, N. Kasahara2, H. Maeoka3, A. Matsuo4, S. Morioka5 Kio University, Nara, JAPAN1, Fujiikai Rehabilitation Hospital, Osaka, JAPAN2, Kio University, Nara, JAPAN3, Kio University, Nara, JAPAN4, Kio University, Nara, JAPAN5 Background: Action observation of others performance has been demonstrated to be effective on the motor skill learning for stroke patients. On the other hand, observation of self performance has feedback effects on motor skill learning. The purpose of this study was to clarify effects of differ-ences in observation conditions on balance learning in stroke patients. Methods: Ten stroke patients (7 males and 3 females, mean age: 66.3 ± 8.2 years, mean period from onset: 4.5 months) participat-ed in this study. All participants signed a form giving their informed consent before participating in this study. They were randomly assigned to the Self-Observation (SO) or Another-Observation (AO) group. The balance learning task required to stand on a platform tilting to the left and right, and to try to keep the platform as close to horizontal as possible. The SO group performed alternately with observing themselves performing using iPad2®(Apple Inc). The AO group performed alter-nately with observing another person who has performed from iPad2®. The period of intervention was performed for 3 times each session, 3 sessions a week for 3 weeks. The tilting angle of platform from horizontal was measured using an accelerometer. A repeated-measure 2 way ANOVA with fac-tors group (SO group/AO group) and intervention (before/after) on the tilting angle was performed Results: The main effect of intervention was significant (p<0.01). The main effect of group and in-tervention × group interaction was no significant (p=0.11, p=0.07). However, the SO group showed more improvement after 3-week intervention than AO group. Conclusion: Our results suggest that the improvement in balance learning was found by the observation of performance in stroke pa-tients. In particular, video-feedback from self observation may improve the balance learning than others observation for stroke patients.
Karger_ESC London_2013
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