Goal setting in stroke rehabilitation: Theory, practice and future directions
Authors: Rosewilliam, S., Pandyan, A.D. and Roskell, C.A.
Pages: 345-372
DOI: 10.1201/b17166
Abstract:Stroke (cerebrovascular accident) is a major cause of death and disability (Department of Health, 2007; World Health Organization, 2000). It is estimated that 15 million people globally will have a stroke each year, and of these, 5 million will die and another 5 million will be left permanently disabled (World Health Organization, 2000). A stroke results from death of neurones in the brain following a loss of blood supply. Either a block or a bleed in a blood vessel within the brain can lead to a stroke. Following a stroke, a person can present with a variety of sensory-motor and cognitive symptoms such as problems in control of motor function, sensory disturbances, memory, perception, reasoning and concentration. These symptoms reflect the area of brain tissue damaged and also the ability of the brain to compensate for the effects of the damage. Superimposed on these biomedical issues, the consequences of stroke are influenced by the person’s psychological and social circumstances such as their confidence, motivation, family support and social support mechanisms. As a result, each person with stroke manifests with a unique presentation of symptoms which require an individualized approach to management.
Source: Scopus