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Condition: Disability
Therapy: Physical Therapy

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Total 239 results found since Jan 2013.

Mobilization for Persons With Acute Stroke: A Survey of Current Physical Therapy Clinical Practice
Conclusions: The frequency of mobilization reported in this survey is less than proposed by the results of the most recent “A Very Early Rehabilitation Trial” (AVERT) after stroke, phase 3 trial. This study found a positive correlation between increased session frequency and recovery of walking at 3 months, survival, and a modified Rankin Scale (mRS) score of 2 or less. Respondents believe additional mobilization would be beneficial, but report barriers to implementation that include increased PT caseloads and lack of resources. Additional research is required to determine the influence of mobilization timing and fre...
Source: The Journal of Acute Care Physical Therapy - December 20, 2019 Category: Physiotherapy Tags: Original Study Source Type: research

Perceived barriers and facilitators for gait-related participation in people after stroke: From a patients' perspective.
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 - December 2, 2019 Category: Physiotherapy Authors: de Rooij IJM, van de Port IGL, van der Heijden LLM, Meijer JG, Visser-Meily JMA Tags: Physiother Theory Pract Source Type: research

Effects of Action Observation Training in Gait Speed of Stroke Patients: A Case Series
Stroke is considered as a primary cause of disability and results to problems in activities of daily living. Action Observation Training (AOT) is an emerging cost-effective physical therapy intervention (PT) which involves facilitation of mirror neurons through viewing of video clips of a healthy individual performing an activity similar to that of the desired task. This intends to describe the effects of AOT used in conjunction with conventional PT interventions in gait speed of stroke patients.
Source: Archives of Physical Medicine and Rehabilitation - September 25, 2019 Category: Rehabilitation Authors: Jeanelle Louise Dumalag, Consuelo Suarez, Cristine Rose Sanchez-Versales Source Type: research

Every person is an individual: physical therapist clinical reasoning used in inpatient rehabilitation for walking assistive device prescription in patients with stroke and brain injury.
Conclusions: Results from this study revealed complexity in the clinical reasoning process used in physical therapy practice to determine the best walking assistive device for patients with stroke and brain injury during inpatient rehabilitation. Information from this study can inform post-acute physical therapy practice and education, and may reduce device abandonment. Implications for rehabilitation Clinical reasoning (CR) is a complex process in which a clinician must consider multiple factors, which requires non-linear and iterative thinking, and involves many people, making it shared among the patient, caregivers, and...
Source: Disability and Rehabilitation. Assistive Technology. - August 19, 2019 Category: Rehabilitation Authors: O'Brien SR, Durr K, Laubisch E, Losi L, Parrillo V, Pericozzi S, Poirier B, Poirier L, Ray K, Sackett A, Simoneau D Tags: Disabil Rehabil Assist Technol Source Type: research

Patients With Greater Stroke Severity and Premorbid Disability Are Less Likely to Receive Therapist Consultations and Intervention During Acute Care Hospitalization.
CONCLUSIONS: Approximately 1 in 4 participants with acute stroke received neither a consultation nor an intervention. Efforts to improve the delivery of acute care therapy services are needed to optimize care for these people. PMID: 31390013 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 6, 2019 Category: Physiotherapy Authors: Capo-Lugo CE, Askew RL, Naidech A, Prabhakaran S Tags: Phys Ther Source Type: research

Motor imagery as a complementary technique for functional recovery after stroke: a systematic review.
Conclusions: The use of MI combined with conventional rehabilitation is an effective method for the recovery of functionality after stroke. Due to the great heterogeneity in the scientific literature available, new lines of research are necessary, in order to include well-designed studies of good methodological quality and to establish a consensus regarding the most appropriate protocols. PMID: 31347992 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 25, 2019 Category: Neurology Authors: López ND, Monge Pereira E, Centeno EJ, Miangolarra Page JC Tags: Top Stroke Rehabil Source Type: research

Acute stroke rehabilitation for gait training with cyborg type robot Hybrid Assistive Limb: A pilot study
Robot-assisted gait training following acute stroke could allow patients with severe disability to receive a high dosage and intensity of gait training compared with conventional physical therapy (CP). However, given the limited data on gauging the efficacy of Hybrid Assistive Limb (HAL) on gait training in patients with acute stroke, we aimed to evaluate several outcome measures following gait training with HAL. Patients with first-ever stroke, who required a walking aid and were able to start gait training within 1  week of stroke onset were included in the current study.
Source: Journal of the Neurological Sciences - July 9, 2019 Category: Neurology Authors: Chiaki Yokota, Yukio Yamamoto, Masatoshi Kamada, Michikazu Nakai, Kunihiro Nishimura, Daisuke Ando, Takeo Sato, Masatoshi Koga, Masafumi Ihara, Kazunori Toyoda, Yasuyuki Fujimoto, Hirotaka Odani, Kazuo Minematsu, Takashi Nakajima Source Type: research

Acupuncture for Post-stroke Shoulder-Hand Syndrome: A Systematic Review and Meta-Analysis
Conclusions: Acupuncture therapy seems effective for motor function, pain relief and activities of daily living in stroke patients with mild SHS, when it is used in combination with rehabilitation. The low certainty of evidence downgrades our confidence in making recommendations to clinical practice. Introduction Shoulder-hand syndrome (SHS) is a common condition among people who have had a stroke, with its reported prevalence ranging from 12% to 49% (1, 2). The main symptoms of SHS include pain, hyperalgesia, joint swelling and limitations in range of motion (ROM) (3). Post-stroke SHS is also named type I complex ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Learning to Walk Again
When someone suffers a stroke, he or she often loses some mobility, and some 60 percent of survivors are left with lower-limb deficits. “They usually have one leg that's more impaired than the other leg, and then they undergo rehabilitation and physical therapy. And often they don't fully recover,” said Conor Walsh, professor of engineering and applied sciences at the John A. Paulson Harvard School of Engineering and Applied Sciences and a core faculty member at the Wyss Institute for Biologically Inspired Engineering, in an interview with MD+DI. But a new device called ReSto...
Source: MDDI - April 17, 2019 Category: Medical Devices Authors: Susan Shepard Tags: Design Source Type: news

Subacute stroke physical rehabilitation evidence in activities of daily living outcomes: A systematic review of meta-analyses of randomized controlled trials
Conclusion: Despite the range of interventions available for stroke rehabilitation in subacute phase, there is lack of high-quality evidence in meta-analyses, highlighting the need of further research reporting ADL outcomes.
Source: Medicine - February 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Minimal Clinically Important Difference of the 6-Minute Walk Test in People With Stroke.
CONCLUSIONS: Between 2 and 6 months poststroke, people whose IGS is <0.40 m/s and experience a 44-m improvement in the 6MWT may exhibit meaningful improvement in disability. However, we were not able to estimate an accurate MCID for the 6MWT in people whose IGS was ≥0.40 m/s. MCID values should be estimated across different levels of function and anchors of importance.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A232). PMID: 30138230 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Fulk GD, He Y Tags: J Neurol Phys Ther Source Type: research

Deep brain stimulation of the cerebellum for poststroke motor rehabilitation: from laboratory to clinical trial.
Abstract Ischemic stroke is a leading cause of disability worldwide, with profound economic costs. Poststroke motor impairment is the most commonly encountered deficit resulting in significant disability and is the primary driver of stroke-associated healthcare expenditures. Although many patients derive some degree of benefit from physical rehabilitation, a significant proportion continue to suffer from persistent motor impairment. Noninvasive brain stimulation, vagal nerve stimulation, epidural cortical stimulation, and deep brain stimulation (DBS) have all been studied as potential modalities to improve upon th...
Source: Neurosurgical Focus - August 1, 2018 Category: Neurosurgery Authors: Wathen CA, Frizon LA, Maiti TK, Baker KB, Machado AG Tags: Neurosurg Focus Source Type: research

Surgery allows young woman paralyzed in fall 10 years ago to walk again
At 16, Yadira Perdomo of Bogot á, Colombia, was often taunted by other students at her high school for her small-town accent and her taste in music. When her mother asked her if she’d like to change schools, she replied that she was determined to stick it out and finish the year.But the bullying escalated. One day at school, a group of students lured Perdomo near a window on the third floor — and then pushed her out.In that instant, everything changed. The impact from the fall left Perdomo with fractured vertebra in the lower back and the loss of all sensation in her legs. She could no longer walk or control much of h...
Source: UCLA Newsroom: Health Sciences - July 11, 2018 Category: Universities & Medical Training Source Type: news

First-Person Perspective Action Observation Training in Individuals With Parkinson's Disease: A Consideration-of-Concept Controlled Pilot Trial
Conclusions: This pilot study suggests that FPP AOT is a feasible intervention and the research protocol designed would be suitable, with minor modifications, for the conduction of a subsequent stage 2 trial designed to verify the hypothesis that the adjunct of FPP AOT might improve motor performance in individuals with IPD.
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

Priming With 1-Hz Repetitive Transcranial Magnetic Stimulation Over Contralesional Leg Motor Cortex Does Not Increase the Rate of Regaining Ambulation Within 3 Months of Stroke: A Randomized Controlled Trial
Conclusions The present study found that insufficient evidence that contralesional priming with 1-Hz repetitive transcranial magnetic stimulation improves ambulatory and other motor functions among patients with a severe leg dysfunction in subacute stroke.
Source: American Journal of Physical Medicine and Rehabilitation - April 19, 2018 Category: Rehabilitation Tags: Original Research Articles Source Type: research