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Division of Rehabilitation and Ageing
Community Health Sciences
   
   
  

Stroke Rehabilitation

Stroke is the third largest cause of death in the UK and the main cause of disability in a community setting.  It frequently devastates the lives of stroke survivors and their families often leaving them depressed and unable to regain a meaningful life.

Stroke rehabilitation aims to restore functional recovery and to facilitate patients and their carers to lead the lives they wish.

Our research

Our group has a long track record of conducting research projects to optimise this process. Our collaborative partners span multiple Divisions and Schools across the University of Nottingham (Division of Stroke Medicine, I-WHO, School of Psychology, School of Nursing, Division of Primary Care, and Business School).

Our external collaborative partners include University of Birmingham, University of Central Lancashire, University of Leeds and the University of Newcastle.   

Our research vision

The University of Nottingham strives to lead world class stroke rehabilitation research. Our focus is the development, and implementation of evidence that will enhance the quality of life of stroke survivors and their carers.

Our research ambitions and activities are rooted in more than 25 years experience of stroke rehabilitation research. We embrace interdisciplinary research and have the largest critical mass of health service research occupational therapists anywhere in the world.

Our research activities utilise multiple methodologies; our particular expertise lies in the conduct of randomised controlled trials and implementation research.

 

Core principles behind our research activity

  • Patients’ needs and their quality of life remain central to all of our research activities.
  • Investigation of areas identified as priorities by stroke survivors and the stroke rehabilitation research community.
  • The conduct of research that will inform policy, clinical practice and the commissioning of stroke rehabilitation services.
  • Conduct of research that ensures robust evidence is successfully implemented into clinical care.
  • Collaboration on all aspects of research activity with stroke survivors.
  • Proactive collaboration with partners in other research institutions, both nationally and internationally.
  • Proactive collaboration with NHS and social care colleagues.
  • To attract competitive funding from NIHR and partner organisations, MRC and European funding bodies.
  • Attract the very best research students and develop them as research leaders of the future.
  • Ensure that all research endeavours produce high quality research publications.
  • Disseminate research findings through oral presentations to the local, national and international academic community and throughout the public domain.
 

CLAHRC

Collaborations for Leadership in Applied Health Research and Care (CLAHRC) were established through funding from the National Institute for Health Research to undertake high quality applied health research focused on the needs of patients and to support the translation of research evidence into practice in the NHS.

Stroke Rehabilitation has four projects in this programme of work.

 

Links 

Clinical links

Our research focus lies in real life problems encountered by stroke survivors and in the development of evidence based stroke services. We have strong links with the stroke clinical services in Nottinghamshire and Derbyshire and have worked in partnership with them on many research projects.

 

Research network links

Since its inception in 2005 the UK Stroke Research Network has transformed rehabilitation research by facilitating and supporting multicentre research activity across the UK.

 

Patient partnership

The route to meaningful research activity can only be achieved by truly understanding the actual impact caused by stroke. In recognition of this we established a Stroke Research Consumer Group in 2004.

This group has involvement in all our research activities from inception of the idea through to steering group membership of successfully funded studies.  

 

Examples of our research

Current studies

Some of our current studies

Communication and Low Mood

Description
A multicentre randomised controlled trial to evaluate whether a psychological treatment, called behaviour therapy, is effective at treating low mood in people with aphasia due to a stroke.

Dressing Rehabilitation Evaluation Stroke Study (DRESS)

Description
A trial to compare a neuropsychological approach to dressing, with the conventional approach commonly used by occupational therapists in the UK.

A feasibility study of a self-management stroke programme

Description
Determining the feasibility of integrating and evaluating the delivery of a self-management programme (SMP) included within a current stroke rehabilitation programme.

VISION (Vision in Stroke Intervention Or Not) Trial

Description
A pilot RCT comparing the clinical and cost effectiveness of prism glasses, visual search training and standard care in patients with homonymous hemianopia.

Successful Implementation of Early Supported Discharge Services

Description
Evaluate whether the benefits of Early Supported Discharge Services outlined in the research literature are evident in practice.

Wii STAR

Description
Evaluating the feasibility of using a modified Wii system in the home to assist in the rehabilitation of stroke patients with residual upper limb problems.

Home Visits After Stroke

Description
Evaluating the feasibility of conducting a large multi centre randomised controlled trial of home visits conducted prior to discharge from hospital.

Return to work after stroke

Description
Determining what people with stroke, their employers and other stakeholders want from vocational rehabilitation services, so that appropriate services can be designed.

Getting out of the house after stroke - a multi-centre RCT

Description
A multi centre randomised controlled trial to evaluate a rehabilitation intervention aimed at improving outdoor mobility for people who have had a stroke.
 

Past studies

Some of our previous studies

Getting out of the house after stroke

Description
A randomised controlled trial to test if an occupational therapy treatment package could be used to overcome the problems faced by people with stroke who cannot get out of the house.

"Looped" naso-gastric feeding after stroke

Description
Can looped nasogastric tube feeding improve feeding in people who can't swallow after a stroke?

Predicting fitness to drive

Description
Illustrating the simple tests which can be used to predict fitness to drive in people with dementia, multiple sclerosis, Parkinson's disease and stroke
 

 

 

More Information

 stroke research

 

Professor Marion Walker is Professor of Stroke Rehabilitation and leads this area of work.
 
Mr Ossie Newell MBE has a special appointment with our group as Ambassador for Stroke Rehabilitation Research.  Read more about Ossie.
 

lifecycle3

After two successful Life Cycles the Vice-Chancellor and his team will be back in the saddle in August for Nottingham Life Cycle 3 in aid of Stroke Rehabilitation Research.
 
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School of Community Health Sciences

The University of Nottingham
University Park
Nottingham, NG7 2RD

telephone: +44 (0) 115 823 0208
fax: +44 (0) 115 823 0214
email: chs-enquiries@nottingham.ac.uk