An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: a pilot non-randomized controlled trial

@article{Janssen2014AnEE,
  title={An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: a pilot non-randomized controlled trial},
  author={Heidi Janssen and Louise Ada and Julie Bernhardt and Patrick McElduff and Michael R P Pollack and Michael Nilsson and Neil James Spratt},
  journal={Disability and Rehabilitation},
  year={2014},
  volume={36},
  pages={255 - 262}
}
Abstract Purpose: An enriched environment (EE) facilitates physical, cognitive and social activity in animal models of stroke. The aim of this pilot study was to determine whether enriching the environment of a mixed rehabilitation unit increased stroke patient activity. Methods: A non- randomized controlled trial was conducted. Direct observation was used to determine the difference in change in physical, cognitive, social or any activity over 2 weeks in patients exposed to an enriched versus… 
The effect of an enriched environment on activity levels in people with stroke in an acute stroke unit: protocol for a before-after pilot study
TLDR
The EE is an innovative intervention that could increase activity levels in stroke survivors across all domains and promote early recovery of stroke survivors in the acute setting.
Altering the rehabilitation environment to improve stroke survivor activity: A Phase II trial
  • H. Janssen, L. Ada, J. Bernhardt
  • Medicine, Psychology
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  • 2021
TLDR
This patient-driven model of environmental enrichment incorporating access to communal and individual environmental enrichment was feasible and safe, however, the very modest increase in activity by people with stroke, and the lack of benefit in clinical outcomes three months after stroke do not provide justification for an efficacy trial.
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Embedding an enriched environment in an acute stroke unit increased activity in stroke patients, and changes were sustained six months post implementation.
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Communal activities and environmental resources were important contributors to greater activity within the enriched acute stroke unit.
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TLDR
An enriched environmental programme was feasible and effective in improving upper limb function and increasing the activity of patients during their inpatient subacute care.
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Enriched, task-specific therapy may provide durable benefits across a wide spectrum of motor deficits and impairments after stroke, and have implications for enriching strategies in stroke rehabilitation.
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TLDR
Similar to stroke units, inpatients in a specialised brain injury unit spend large parts of the day sedentary, alone and doing non-therapeutic activities.
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Activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care are investigated, comparing weekday and weekend activity levels, as well as changes over a 12-month period.
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