N-ROL is a telerehabilitation initiative funded by a campaign run by Emilia Clarke's SameYou charity. People with stroke and other brain injuries spent less time in hospital receiving neurorehabilitation as a result of the COVID-19 pandemic. We wanted to find a way of helping our local community rehabilitation teams by offering additional online group based neurorehabilitation to people in their own homes during the lockdown period.
The first N-ROL project was run at Queen Square in London from April to September 2020, with the results published in 2021 (including a TiDIER description of the programme in supplementary material)
Since January 2021, the next N-ROL project has begun at East Lancs Healthcare Trust under the guidance of Professor Louise Connell and the fundraising of Emilia Clarke's SameYou charity - watch out for tweets about progress.
N-ROL - a comprehensive online neurorehabilitation programme
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N-ROL Groups
The range of groups in N-ROL included:
- Me, my stroke and us: A stroke education group with discussion and support about the impacts of stroke Watch Catherine explain here
- Strategies for cognitive deficits: A group to explore changes in cognition and sharing strategies to compensate for these changes Watch Kate explain here
- Emotional support: This group will be an opportunity to discuss the impact on mood and identity of stroke and provide a therapeutic intervention Watch Catherine explain here
- Carer giving café: An opportunity for carers to share experiences of people living with a stroke survivor Watch Catherine explain here
- Fatigue management group: This group aims to provide information on post stroke fatigue and equip stroke survivors with practical skills on how to manage potential symptoms Watch Kate explain here
- Communication (Cognitive Communication): A conversation-based group suitable for people with mild aphasia or cognitive-communication difficulties, involving tasks such as debates, presentations and self-reflection Watch Nikki explain here
- Communication (Dysarthria): A group suitable for people with dysarthria to learn and practice strategies and techniques for improving comprehensibility Watch Nikki explain here
- Communication (Moderate Aphasia): A group suitable for people with moderate aphasia to learn and practice techniques such as total communication Watch Nikki explain here
- Physical 1: A combination of chair fitness and chair Pilates to work on building confidence with sit to stand Watch Ben explain here
- Physical 2: This supported standing group aims to improve standing tolerance and confidence (includes a chair Pilates group) Watch Ben explain here
- Physical 3: This group aims to help stroke survivors who can stand unsupported improve their global strength and fitness (includes a lying Pilates group) Watch Ben explain here
- Upper limb recovery 1: Support patients with minimal arm activity to incorporate their weak arm in function Watch Fran explain here
- Upper limb recovery 2: Supporting patients who have the beginnings of functional reach to improve their upper limb function Watch Fran explain here
- Upper limb recovery 3: Supporting patients who have the beginnings of grasp and release improve their upper limb function Watch Fran explain here