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. 2025 Jan 31;20(1):e0279523.
doi: 10.1371/journal.pone.0279523. eCollection 2025.

Young Adults Rehabilitation experiences and Needs following Stroke (YARNS): A scoping review of the rehabilitation care experiences and outcomes of young adults post-stroke

Colin Chandler  1 , Catherine Clarissa  1   2 , Arcellia Farosyah Putri  3 , Lissette Aviles  1 , HyeRi Choi  4 , Jonathan Hewitt  5 , Emily Hennessy  1 , Helen Noble  6 , Joanne Reid  6 , Aisha Holloway  1 , Daniel Kelly  7
Affiliations

Young Adults Rehabilitation experiences and Needs following Stroke (YARNS): A scoping review of the rehabilitation care experiences and outcomes of young adults post-stroke

Colin Chandler et al. PLoS One. .

Abstract

Background: Stroke is one of the leading disabling conditions in the United Kingdom. While an increasing focus on the rehabilitation care for stroke survivors has been noted, practice guidelines, targets and services tend to be tailored for the elderly population rather than young adults.

Objectives: This scoping review aimed to map the existing literature on the rehabilitation care experiences and outcomes of young adults post-stroke aged between 18 and 45 years within acute and social care settings.

Methods and analysis: A scoping review was conducted to identify existing practice and published academic and evidence-based literature related to the topic. Arksey and O'Malley's framework guided the review and reporting followed the PRISMA-ScR checklist. Electronic databases and grey literature were searched to capture the potentially recent and relevant literature available in English from year 2000-2022. The databases included CINAHL, MEDLINE, EMBASE, PsycINFO, ASSIA, AMED, PEDro, Cochrane Library and Web of Science. Grey literature was searched from the following sources: Google Scholar, websites of networks, organisations and charities related to stroke. Hand searches were performed on the reference lists of the included articles and grey literature to find relevant references. Data were extracted on young adults' experiences of stroke and rehabilitation care and their outcomes and experiences of a particular stroke rehabilitation programme in acute and social care settings.

Results: Eighty-five articles were included in this review. In most instances, stroke was reported to negatively impact young adults, although positive consequences were also documented. The focus and the outcomes of stroke rehabilitation were predominantly physical especially in the areas of movement, communication and memory. Young adults experienced a lack of age-adapted stroke rehabilitation in acute and social care settings.

Conclusion: Our results highlight the unmet needs of young adults in their stroke recovery journey. Effective rehabilitation programmes and interventions should be developed to support young adults following stroke and meet their age-specific needs.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. PRISMA flow diagram for study selection [29].
See this image and copyright information in PMC

References

    1. Feigin VL, Nichols E, Alam T, Bannick MS, Beghi E, Blake N, et al.. Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):459–80. doi: 10.1016/S1474-4422(18)30499-X - DOI - PMC - PubMed
    1. Feigin VL, Stark BA, Johnson CO, Roth GA, Bisignano C, Abady GG, et al.. Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021. Oct;20(10):795–820. doi: 10.1016/S1474-4422(21)00252-0 - DOI - PMC - PubMed
    1. Stroke Association. Stroke Statistics. https://www.stroke.org.uk/stroke/statistics Accessed 16 Dec 2024.
    1. Feigin VL, Krishnamurthi R V., Parmar P, Norrving B, Mensah GA, Bennett DA, et al.. Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990–2013: The GBD 2013 Study. Neuroepidemiology. 2015;45(3):161–76. doi: 10.1159/000441085 - DOI - PMC - PubMed
    1. Feigin VL, Norrving B, Mensah GA. Global Burden of Stroke. Circ Res. 2017;120(3):439–48. doi: 10.1161/CIRCRESAHA.116.308413 - DOI - PubMed

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