Physiotherapists' perspectives on aerobic exercise early after stroke: A preliminary study.

Physiotherapists' perspectives on aerobic exercise early after stroke: A preliminary study. Physiother Theory Pract. 2016 Jul 26;:1-9 Authors: Prout EC, Mansfield A, McIlroy WE, Brooks D Abstract Aerobic exercise is recognized as part of comprehensive stroke rehabilitation in best-practice and clinical guidelines, yet many individuals remain physically inactive during their hospitalization. The purpose of this study was to identify the perspectives of physiotherapists on aerobic exercise prescription and implementation at in-patient stroke rehabilitation centers with and without a structured aerobic exercise program. A survey was conducted at three Canadian rehabilitation centers to evaluate physiotherapist perceptions of individuals recovering from stroke, the practice environment, and their training on aerobic exercise in stroke. Physiotherapists at centers without a structured aerobic exercise program (n = 10) reported the lack of necessary resources and therapeutic support staff and the individuals' physical impairment as the greatest barriers. In contrast, physiotherapists at the center with a structured aerobic exercise program (n = 6) reported therapy selection (insufficient time in a single physiotherapy session) and concern for the individuals' cardiovascular risk and cognitive impairment as the greatest barriers. Both groups of physiotherapists indicated that fatigue was a barrier. Only physiotherapists at the center with a structured aerobic e...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research

Related Links:

Conclusions: Studies showed heterogeneity in selecting outcomes and timings for assessment. There is evidence for assessing the evidence of orthosis-based gait rehabilitation after stroke through activity outcome measures, primarily the gait speed, recorded by non-wearable motion capture systems. A unified methodology considering wearable sensors for tracking baseline and follow-up measures is needed.Implications for rehabilitationThere is evidence on use activity outcome measures to assess the meaningful evidence-based practice of orthosis-based gait rehabilitation in post-stroke.Gait speed was the primary outcome measure...
Source: Disability and Rehabilitation. Assistive Technology. - Category: Rehabilitation Authors: Tags: Disabil Rehabil Assist Technol Source Type: research
Cochrane author, and joint Co-ordinating editor, Alex Pollock, of Glasgow Caledonian University has seen her ground-breaking work in co-producing a Cochrane review included in a new UK ’s National Institute of Health Research (NIHR) INVOLVE publication.Alex involved stroke survivors, carers, physiotherapists and educators in an update of a Cochrane systematic review relating to physiotherapy after stroke. Her innovative work was included inCo-production in Action Number Two, as an example of good practice in Co-production, published in November 2019 by INVOLVE. You can hear Alex talk about her work in a webinar recor...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Conclusion: People after stroke who were physically able to walk independently still described multiple barriers to gait-related participation in all components of the ICF framework. PMID: 31793365 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
In conclusion, the SynCardia temporary TAH is a reasonable bridge-to-transplant option for selected patients with either biventricular failure or special anatomical conditions.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
CONCLUSIONS: Available trials provided insufficient evidence to permit any conclusions about routine use of rPMS for people after stroke. Additional trials with large sample sizes are needed to provide robust evidence for rPMS after stroke. PMID: 31784991 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Aim: We assessed inspiratory muscles activation during incremental inspiratory loads in subjects with stroke and controls by surface electromyography (sEMG).Methods: Subjects of both genders with stroke diagnosis and healthy individuals were enrolled. Spirometry and maximal respiratory pressures were assessed. Incremental inspiratory load test was performed using Threshold® device and included progressive increase from 15%, 30%, 45% and 60% of maximal inspiratory pressure - MIP. Muscle activation of scalene - SCL, sternocleidomastoid-SCM and lowest intercostal space - LIS, related to diaphragm activity, was recorded by...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Introduction: Although respiratory muscle strength tests are used in assessment post stroke, the reliability has not been tested. The aim was to evaluate test-retest reliability of Maximal Inspiratory (MIP), Expiratory (MEP) and Sniff Nasal Inspiratory Pressure (SNIP) in stroke patients.Methods: MIP, MEP and SNIP were assessed in 3 sessions (S1-3) within 24-hour period. Baseline spirometry was taken. Mean Differences (MD) between sessions were analysed with SPSS using paired t-tests and intraclass correlation coefficient (ICC). The Bland-Altman method was used to describe 95% limits of agreement.Results: Eighteen patients ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
Abstract Background: In self-ankle mobilization with movement (S-MWM) therapy, a strap can be utilized to stabilize the posterior glide of the talus during ankle dorsiflexion movements.Objectives: Our objective was to compare the effects of 4-week self-mobilization with movement (S-MWM) with those of calf muscle stretching (CMS) on ankle dorsiflexion passive range of motion (DF-PROM), gait parameters, and fall risk in patients with chronic stroke with limited ankle dorsiflexion.Methods: Participants were randomized into the S-MWM (n = 19) and CMS groups (n = 19). Both groups received convention...
Source: Topics in Stroke Rehabilitation - Category: Neurology Authors: Tags: Top Stroke Rehabil Source Type: research
Conclusions: Findings further support the use of RBT for post-stroke inpatient rehabilitation, and provide insight into specific balance reaction impairments that are improved by RBT. PMID: 31742486 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - Category: Neurology Authors: Tags: Top Stroke Rehabil Source Type: research
ConclusionSSRI therapy did not improve disability and QOL in multi-ethnic Asian patients with first-ever stroke undergoing rehabilitation.
Source: Drugs in R&D - Category: Drugs & Pharmacology Source Type: research
More News: Cardiology | Cardiovascular | Education | Environmental Health | Heart | Physiotherapy | Rehabilitation | Sports Medicine | Stroke | Study | Training | Universities & Medical Training