title: Movement changes due to hemiplegia in stroke survivors: a hermeneutic phenomenological study.
abstract: Meanings of movement for stroke survivors could give therapists significant insights, especially during maintenance phase. The purpose of this study was to examine how post-stroke users of a long-term elderly care facility had experienced changes in movement resulting from hemiplegia.
  
  
  
  The participants of this study were 18 stroke survivors using a long-term elderly care facility. Based on phenomenology, between two and three interviews were conducted with each participant about their experiences with hemiplegia. Data analysis consisted of the following phases: 'data immersion', 'data transformation' and 'thematic analysis'. This study was approved by the ethics committee of the authors' institution.
  
  
  
  Participants experienced seven themes resulting from hemiplegia, perceiving themselves differently from the way they did before the stroke. The themes were as follows: 'inescapable dependence', 'sense of incompetence', 'lack of autonomy', 'symbol of deviation from normal', 'licence for amae', 'security of self-worth' and 'proof of effort'.
  
  
  
  The first four themes attempt to express participants' pain and difficulty in living with their present body; the last three attempt to express methods for coping with the present body in the company of others. Results will assist therapists to understand the significant needs of their clients in the maintenance phase. Implications for Rehabilitation Hemiplegia is paralysis of half of the body; it represents one kind of physical disability caused by stroke. Re-interpretation of how patients had experienced the changes of their movements after they had hemiplegia is helpful for the therapists to understand the significant needs for their clients. It may be especially relevant for therapists working with stroke survivors in the maintenance phase, whose functional recovery of physical movements is not expected to occur to a greater extent.
authors.affiliation: a Long-Term Elderly Care Facility, Megumino Care Support , Eniwa , Hokkaido , Japan.
authors.forename: Risa
authors.initials: R
authors.lastname: Takashima
authors.affiliation: b Faculty of Health Sciences, Hokkaido University , Sapporo , Hokkaido , Japan.
authors.forename: Waka
authors.initials: W
authors.lastname: Murata
authors.affiliation: b Faculty of Health Sciences, Hokkaido University , Sapporo , Hokkaido , Japan.
authors.forename: Kazuko
authors.initials: K
authors.lastname: Saeki
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006429:Hemiplegia / Q000209:etiology / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D066297:Hermeneutics; D006801:Humans; D008297:Male; D009068:Movement; D000066530:Neurological Rehabilitation / Q000523:psychology; D020127:Recovery of Function; D020521:Stroke / Q000150:complications*; D017741:Survivors / Q000523:psychology
keywords: Hemiplegia; movement; stroke