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Therapy: Physiotherapy

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Total 3452 results found since Jan 2013.

Repetitive peripheral magnetic stimulation for impairment and disability in people after stroke
CONCLUSIONS: There is insufficient evidence to permit the drawing of 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:36169558 | PMC:PMC9518012 | DOI:10.1002/14651858.CD011968.pub4
Source: Cochrane Database of Systematic Reviews - September 28, 2022 Category: General Medicine Authors: Tomohiko Kamo Yoshitaka Wada Masatsugu Okamura Kotomi Sakai Ryo Momosaki Shunsuke Taito Source Type: research

Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis
ConclusionCIMT effectively improves lower extremity motor dysfunction in post-stroke patients; however, the eligible studies were highly heterogeneous.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=277466.
Source: Frontiers in Neurology - November 21, 2022 Category: Neurology Source Type: research

Changes in bone density and geometry of the upper extremities after stroke: a case report.
Abstract Purpose: The purpose of this study was to examine changes in bone density and geometry of the forearm region and motor function of the paretic upper extremity in a person with subacute stroke. Client Description: The participant was a 48-year-old man with right hemiparesis. Intervention: Not applicable. Measures and Outcomes: The assessment of upper-extremity (UE) function and bone imaging took place at 3 months and 12 months after stroke. The participant had moderate motor impairment and severe disuse of the paretic UE 3 months after stroke. During the follow-up period, no substantial change in paretic U...
Source: Physiotherapy Canada - January 1, 2012 Category: Physiotherapy Authors: Pang MY, Yang FZ, Lau RW, Cheng AQ, Li LS, Zhang M Tags: Physiother Can Source Type: research

Functional Limitations due to Fatigue Among Independently Ambulant Stroke Survivors in Osun, South‐Western Nigeria
This study assessed the functional limitations due to fatigue in community‐dwelling stroke survivors undergoing physiotherapy. The differences in functional limitations due to fatigue were determined between sexes, stroke types, sides of affectation, age categories and levels of disability. Relationships between functional limitation due to fatigue and these variables were also determined. MethodsThis was a cross‐sectional study involving 63 stroke survivors (35 male survivors and 28 female survivors) with ages ranging from 45 to 79 years (mean = 53.68 ± 10.95 years). Functional limitation due to fatigue w...
Source: Physiotherapy Research International - March 1, 2014 Category: Physiotherapy Authors: Adebimpe O. Obembe, Matthew M. Olaogun, Alaba E. Olalemi Tags: Research Article Source Type: research

Does gait analysis change clinical decision-making in post-stroke patients? Results from a pragmatic prospective observational study.
CONCLUSION: GA significantly influences the therapeutic planning and reinforces decision--making for chronic post--stroke patients. Further work should be done to better translate GA results into indications for specific physiotherapy. CLINICAL REHABILITATION IMPACT: the use of GA as a tool to better define the rehabilitation planning in post--stroke patients should be fostered, particularly when surgery or botulinum toxin are considered and/or the prescription of orthoses is hypothesised. PMID: 25184798 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - September 3, 2014 Category: Rehabilitation Authors: Ferrarin M, Rabuffetti M, Bacchini M, Casiraghi A, Castagna A, Pizzi A, Montesano A Tags: Eur J Phys Rehabil Med Source Type: research

Exploring the decision-making process in the delivery of physiotherapy in a stroke unit.
Conclusions: The study has generated insight into the reality of decision-making in the planning and delivery of physiotherapy post-stroke. Further research involving other stroke units is required to gain a greater understanding of this aspect of physiotherapy. Implications for Rehabilitation Physiotherapists need to consider multiple patient, therapist and organisational factors when planning and delivering physiotherapy in a stroke unit. Physiotherapists should continually reflect upon how they provide physiotherapy, with respect to the duration, frequency and time of day sessions are delivered, in order to guide curren...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: McGlinchey MP, Davenport S Tags: Disabil Rehabil Source Type: research

Protocol for a randomized controlled clinical trial investigating the effectiveness of Fast muscle Activation and Stepping Training (FAST) for improving balance and mobility in sub-acute stroke
DiscussionThe targeted training of fast functional movements in the FAST program is expected to improve walking balance following stroke compared to the active control intervention. Unique to this study is the investigation of potential mechanisms associated with improvements in walking balance.Trial registrationClinicalTrials.gov NCT01573585
Source: Epidemiologic Perspectives and Innovations - October 10, 2014 Category: Epidemiology Authors: Kimberly J MillerMichael A HuntCourtney L PollockDianne BryantS Garland Source Type: research

The effects of repetitive transcranial magnetic stimulation on unilateral neglect of acute stroke patients: A randomised controlled trial
Conclusion The current study findings indicated that repetitive transcranial magnetic stimulation may be beneficial in decreasing the unilateral neglect of stroke patients.
Source: Hong Kong Physiotherapy Journal - June 13, 2015 Category: Physiotherapy Source Type: research

Constraint-induced movement therapy for upper extremities in people with stroke.
CONCLUSIONS: CIMT is a multi-faceted intervention where restriction of the less affected limb is accompanied by increased exercise tailored to the person's capacity. We found that CIMT was associated with limited improvements in motor impairment and motor function, but that these benefits did not convincingly reduce disability. This differs from the result of our previous meta-analysis where there was a suggestion that CIMT might be superior to traditional rehabilitation. Information about the long-term effects of CIMT is scarce. Further trials studying the relationship between participant characteristics and improved outc...
Source: Cochrane Database of Systematic Reviews - October 8, 2015 Category: Journals (General) Authors: Corbetta D, Sirtori V, Castellini G, Moja L, Gatti R Tags: Cochrane Database Syst Rev Source Type: research

Effect of Increased Intensity of Physiotherapy on Patient Outcomes After Stroke: An Evidence-Based Analysis.
CONCLUSIONS: Overall, this analysis found support for the use of more intensive PT to improve motor function and ability to perform ADL after stroke. PMID: 26356355 [PubMed - in process]
Source: Ontario Health Technology Assessment Series - December 20, 2015 Category: Journals (General) Tags: Ont Health Technol Assess Ser Source Type: research

Access to Rehabilitation at Six Months Post Stroke: A Profile from the Action on Secondary Prevention Interventions and Rehabilitation in Stroke (ASPIRE-S) Study
Conclusion: Results from this prospective study revealed that a significant number of patients (57%) did not receive the therapy recommended on discharge. Future initiatives should include the development of policies, which support more effective, equitable multidisciplinary rehabilitation for stroke patients in the community.Cerebrovasc Dis 2016;42:247-254
Source: Cerebrovascular Diseases - May 18, 2016 Category: Neurology Source Type: research

Responsiveness of the Berg Balance Scale in patients early after stroke.
This study shows that a change of 6 BBS point or more can be considered an important change for patients in the sub-acute phase after stroke, which also represents an 80% probability of exceeding the measurement error. A total of 80% of unchanged patients would display random fluctuations within the bounds of MDC80, while 20% of unchanged patients would exceed MDC80. PMID: 27253334 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - April 30, 2016 Category: Physiotherapy Authors: Saso A, Moe-Nilssen R, Gunnes M, Askim T Tags: Physiother Theory Pract Source Type: research

Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review
Conclusion: This systematic review provided evidence that respiratory muscle training is effective after stroke. Meta-analyses based on five trials indicated that 30minutes of respiratory muscle training, five times per week, for 5 weeks can be expected to increase respiratory muscle strength in very weak individuals after stroke. In addition, respiratory muscle training is expected to reduce the risk of respiratory complications after stroke. Further studies are warranted to investigate whether the benefits are carried over to activity and participation. Registration: PROSPERO (CRD42015020683). [Menezes KKP, Nascimento LR...
Source: Journal of Physiotherapy - June 16, 2016 Category: Physiotherapy Source Type: research

The effects of repetitive transcranial magnetic stimulation on unilateral neglect of  acute stroke patients: A randomised controlled trial
Conclusion The current study findings indicated that repetitive transcranial magnetic stimulation may be beneficial in decreasing the unilateral neglect of stroke patients.
Source: Hong Kong Physiotherapy Journal - June 17, 2016 Category: Physiotherapy Source Type: research

Clinician perspectives on cross-education in stroke rehabilitation.
CONCLUSIONS: Cross-education is paradoxical yet promising was the primary theme. This theme was elucidated by three descriptive categories: (1) therapists worked in a forced-use paradigm; (2) there was gap in current practice for those with more severe impairments in arm function; and (3) cross-education used as an adjunct could be useful within current practice for specific patients. Therapists suggested that educational materials for clinicians, patients, and patient families would be essential to the success of cross-education to explain training the less affected limb. This study provides important foundational informa...
Source: Disability and Rehabilitation - July 24, 2017 Category: Rehabilitation Authors: Russell W, Pritchard-Wiart L, Manns PJ Tags: Disabil Rehabil Source Type: research