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Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol
Introduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stroke survivors’ social participation. Recent advances in virtual reality technology may offer promising solutions, although the optimal approach to enhance social participation among stroke survivors is yet to be determined. This trial aims to develop and evaluate the effectiveness of a social participation-focused virtual r...
Source: BMJ Open - July 5, 2022 Category: General Medicine Authors: Chau, J. P. C., Lo, S. H. S., Lau, A. Y. L., Lee, V. W. Y., Choi, K. C., Kwok, E. C. F., Thompson, D. R. Tags: Open access, Rehabilitation medicine Source Type: research

Isotemporal Substitution of Sedentary Behavior with Moderate- to Vigorous- Physical Activity Is Associated with Lower Risk of Disability: A Prospective Longitudinal Cohort Study
CONCLUSIONS: Replacing SB with MVPA was associated with a lower risk of disability. These findings are helpful for establishing disability prevention strategies.IMPACT: These results suggest that feasible changes in daily behavior, such as replacing 10 minutes of SB with MVPA daily, might have a protective effect on disability incidence. Clarifying these associations is useful for developing disability prevention strategies and may help reduce the incidence of disability in community-dwelling older adults.PMID:35079837 | DOI:10.1093/ptj/pzac002
Source: Physical Therapy - January 26, 2022 Category: Physiotherapy Authors: Ippei Chiba Sangyoon Lee Seongryu Bae Keitaro Makino Yohei Shinkai Osamu Katayama Kenji Harada Yukari Yamashiro Naoto Takayanagi Hiroyuki Shimada Source Type: research

Depressive Symptoms Moderate the Relationship among Physical Capacity, Balance Self-Efficacy, and Participation in People after Stroke
CONCLUSION: The results suggest the relationship between physical capacity and participation appears to be mediated by balance self-efficacy in individuals after stroke with low reports of depressive symptoms but in those with high reports of depressive symptoms, physical capacity and balance self-efficacy are unrelated to participation.IMPACT: Targeting balance self-efficacy to improve post stroke participation may only be beneficial for individuals with low reports of depression. In individuals after stroke with high reports of depression, treatment should include and emphasize the treatment of those depressive symptoms....
Source: Physical Therapy - October 12, 2021 Category: Physiotherapy Authors: Margaret A French Allison Miller Ryan T Pohlig Darcy S Reisman Source Type: research

IJERPH, Vol. 18, Pages 8058: Influence of Physical Activity and Socio-Economic Status on Depression and Anxiety Symptoms in Patients after Stroke
a-Ciałowicz Stroke is a high-risk factor for depression. Neurological rehabilitation is greatly difficult and often does not include treatment of depression. The post-stroke depression plays an important role in the progress of treatment, health, and the life of the patient. The appropriate treatment of depression could improve the quality of life of the patient and their family. The study aimed to evaluate the impact of physical activity and socio-economic status of the patient on the effectiveness of recovery from depression and the severity of the symptoms of depression. The study was conducted with 40 patients aft...
Source: International Journal of Environmental Research and Public Health - July 29, 2021 Category: Environmental Health Authors: Paprocka-Borowicz Wiatr Cia łowicz Borowicz Kaczmarek Marques Murawska-Cia łowicz Tags: Article Source Type: research

Functional outcomes among stroke patients in Alagoas, Brazil: observational study
CONCLUSION: We found a FD rate four times greater than in another Brazilian study. Lower stroke severity and fewer depressive symptoms were associated with achieving functional independence. Less than half of the patients were referred to a rehabilitation service at hospital discharge and few had access to multidisciplinary treatment.PMID:33729419 | DOI:10.1590/1516-3180.2020.0304.R2.10122020
Source: Sao Paulo Medical Journal - March 17, 2021 Category: General Medicine Authors: Jussara Almeida de Oliveira Baggio Dandhara Henrique de Farias Lizanilda Leite de Gusm ão Albuquerque Bianca Cardoso de Melo Valqu íria da Silva Daniela Bassi-Dibai Let ícia Januzi de Almeida Rocha Source Type: research

Effect of Virtual Reality Gait Training on Participation in Survivors of Subacute Stroke: Randomized Controlled Trial.
CONCLUSIONS: The effect of VRT was not statistically different from non-VRT in improving participation in community-living people after stroke. IMPACT: Although outcomes were not statistically different, treadmill-based VRT was a safe and well-tolerated intervention that was positively rated by people after stroke. VR training might, therefore, be a valuable addition to stroke rehabilitation. PMID: 33594443 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 16, 2021 Category: Physiotherapy Authors: de Rooij IJM, van de Port IGL, Punt M, Moorsel PJMA, Kortsmit M, van Eijk RPA, Visser-Meily JMA, Meijer JG Tags: Phys Ther Source Type: research

Readiness to Change is Related to Real-World Walking and Depressive Symptoms in Chronic Stroke
This study aims to apply the transtheoretical model in understanding a person with stroke's readiness to change their activity level, as it relates to physical capacity, physical health, depressive symptoms, self-efficacy, and daily stepping activity. Methods: This was a cross-sectional analysis of baseline data from a clinical trial. Participants' readiness to change their activity levels was measured via self-report and daily stepping activity was measured using a step activity monitor. Robust regression (M-estimation with robust standard errors) was used to test the relationship between readiness to change and me...
Source: Journal of Neurologic Physical Therapy - December 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Readiness to Change is Related to Real-World Walking and Depressive Symptoms in Chronic Stroke.
CONCLUSIONS: Understanding the relationship between readiness to change, daily stepping, and depressive symptoms will help clinicians implement appropriate stage-specific intervention strategies and facilitate greater improvement in activity levels.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A333). PMID: 33315834 [PubMed - as supplied by publisher]
Source: Physical Therapy - December 15, 2020 Category: Physiotherapy Authors: Miller A, Wright T, Wright H, Thompson E, Pohlig RT, Reisman DS Tags: J Neurol Phys Ther Source Type: research

Reliability and validity of the Activities-specific Balance Confidence scale-Japanese (ABC-J) in community-dwelling stroke survivors.
CONCLUSION: ABC-J is a valid and reliable measurement tool for investigating balance confidence among patients ≥6 months after stroke. PMID: 32850274 [PubMed]
Source: Physical Therapy - August 28, 2020 Category: Physiotherapy Authors: Ishige S, Wakui S, Miyazawa Y, Naito H Tags: Phys Ther Res Source Type: research

Effects of innovative hip-knee-ankle interlimb coordinated robot training on ambulation, cardiopulmonary function, depression, and fall confidence in acute hemiplegia.
CONCLUSIONS: Our results provide novel, promising clinical evidence that WLT improved balance and gait function as well as cardiopulmonary and psychological functions, and fall confidence in acute stroke survivors who were unable to ambulate independently. PMID: 32538882 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - June 17, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research

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