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As demonstrated by the Frank-Starling mechanism, this serves as a first compensatory step aiming to maintain an appropriate stroke volume.
Clinical protocols were already available within the department and many physiotherapists had the skills to provide the interventions to appropriate stroke patients.
For example, one respondent wrote "They provide a framework for appropriate stroke management and to ensure the patient/client is receiving therapy based on current best practice".
Despite these risks, it has been estimated that at least 20% of cases of AF remain undiagnosed and are not prescribed appropriate stroke prevention therapy [ 5].
All of these issues are likely to hinder engagement in, and indeed exclude, a significant number of stroke survivors from, effective, timely and appropriate stroke self-management and self-management support [ 3, 4].
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Screening and assessment tools that are validated and popular in non-stroke settings may not be appropriate in stroke survivors, who are more likely to have language, physical and cognitive impairments or to be medically unwell in the acute phase [ 5, 11, 12].
Indeed, three of the professionals highlighted that not only was the self-management programme appropriate for stroke survivors generally, but it had particular benefits when used with stroke survivors from minority ethnic backgrounds, as Kathy explains.
Certain commonly used cognitive measures, although validated in other settings, may not be appropriate for stroke survivors.
An interactive exhibition, with 12 different companies displaying 27 different upper limb Assistive technologies appropriate for stroke rehabilitation was held over 3 days at the University of Southampton.
A 10-point Likert scale was used in lieu of the original visual analogue scale, as is more appropriate post stroke.
It is appropriate that stroke, as the single most common cause of severe disability in adults [ 9], has not been overlooked in the development of self-management approaches.
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