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Total 3788 results found since Jan 2013.

Relative Aerobic Load of Daily Activities After Stroke
CONCLUSION: Individuals after stroke experience a high relative aerobic load during cyclic daily-life activities, despite adopting a slower movement pace than peers with no impairments. Perhaps individuals after stroke limit their movement pace to operate at sustainable relative aerobic load levels at the expense of pace and economy.IMPACT: Improving aerobic capacity through structured aerobic training in a rehabilitation program should be further investigated as a potential intervention to improve mobility and functioning after stroke.PMID:37172129 | PMC:PMC10071588 | DOI:10.1093/ptj/pzad005
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Ilse J Blokland Linda F A Schiphorst Jessie R Stroek Floor P Groot Coen A M van Bennekom Jaap H van Dieen Jos J de Koning Han Houdijk Source Type: research

Participation in Community Walking Following Stroke: The Influence of Self-Perceived Environmental Barriers.
CONCLUSIONS: Avoidance of features within some, but not all, environmental dimensions was associated with self-reported frequency of community walking following stroke suggesting that some environmental features may limit community walking more than others. PMID: 23329558 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 17, 2013 Category: Physiotherapy Authors: Robinson CA, Matsuda PN, Ciol MA, Shumway-Cook A Tags: Phys Ther Source Type: research

Vascular Elasticity and Grip Strength Are Associated With Bone Health of the Hemiparetic Radius in Chronic Stroke: Implications for Rehabilitation.
CONCLUSIONS: Both the integrity of the vasculature and muscle strength were significantly associated with the bone strength index at the hemiparetic radius diaphysis among people with chronic stroke. The results may be useful in guiding rehabilitative programs for enhancing bone health in the paretic arm following a stroke. PMID: 23431208 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Pang MY, Yang FZ, Jones AY Tags: Phys Ther Source Type: research

Stroke Impact Scale Version 2: Validation of the French Version.
CONCLUSIONS: The French SIS version presents good psychometric properties, except for ceiling effect. This is the first stroke-specific questionnaire evaluating perceived health after stroke to be validated in France, and could be useful for further investigations of HRQoL after stroke. PMID: 25476718 [PubMed - as supplied by publisher]
Source: Physical Therapy - December 4, 2014 Category: Physiotherapy Authors: Caël S, Decavel P, Binquet C, Benaim C, Puyraveau M, Chotard M, Moulin T, Parratte B, Bejot Y, Mercier M Tags: Phys Ther Source Type: research

Patient-identified factors that influence spasticity in people with stroke and multiple sclerosis receiving botulinum toxin injection treatments.
CONCLUSION: Intrinsic and extrinsic triggers can influence the perception of spasticity differently depending on individual factors, severity, location (arm vs. leg), and distribution of spasticity (unilateral vs. bilateral). Clinicians can use the findings to better understand, educate, and treat people with stroke and MS. PMID: 25931667 [PubMed]
Source: Physiotherapy Canada - May 3, 2015 Category: Physiotherapy Authors: Cheung J, Rancourt A, Di Poce S, Levine A, Hoang J, Ismail F, Boulias C, Phadke CP Tags: Physiother Can Source Type: research

Health, function and disability in stroke patients in the community
Conclusion Stroke patients who used primary health-care services in Brazil have chronic disabilities and health needs that require continuous health attention from rehabilitation professionals. All of these health needs should be considered by health professionals to provide better management as part of the integral care of stroke patients, as recommended by the clinical practice guidelines for stroke rehabilitation.
Source: Revista Brasileira de Fisioterapia - August 22, 2016 Category: Physiotherapy Source Type: research

Reactive Balance in Individuals With Chronic Stroke: Biomechanical Factors Related to Perturbation-Induced Backward Falling.
Abstract This cross- sectional study examined the mechanism of fall risk in chronic stroke survivors when exposed to sudden, slip-like forward perturbations in stance. Fourteen young controls (YC), 14 individuals with stroke and 14 age-matched controls (AC) were exposed to large-magnitude forward stance perturbations. Postural stability was computed as COM position (XCOM/BOS) and velocity (ẊCOM/BOS) relative to the base-of-support (BOS) at 1(st) step lift-off (LO) and touchdown (TD), and 2(nd) step TD. Limb support was quantified as vertical hip descent (Zhip) from baseline post-perturbation onset. All participa...
Source: Physical Therapy - July 23, 2015 Category: Physiotherapy Authors: Salot P, Patel P, Bhatt T Tags: Phys Ther Source Type: research

Tablet Apps and Dexterity: Comparison Between 3 Age Groups and Proof of Concept for Stroke Rehabilitation.
CONCLUSIONS: Performance of tablet app-based hand activities was affected by impaired hand dexterity in older participants without a disability and in participants with stroke. Tablet apps may potentially provide a way to facilitate self-training of repetitive, task-oriented, isolated finger and hand movements to improve hand dexterity and function after stroke. VIDEO ABSTRACT AVAILABLE: for additional insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A118). PMID: 26630324 [PubMed - as supplied by publisher]
Source: Physical Therapy - December 1, 2015 Category: Physiotherapy Authors: Kizony R, Zeilig G, Dudkiewicz I, Schejter-Margalit T, Rand D Tags: J Neurol Phys Ther Source Type: research

Executive Function Is Associated With Off-Line Motor Learning in People With Chronic Stroke.
CONCLUSIONS: This is the first study to demonstrate that better performance on an executive function test of attention and set-shifting predicts a higher magnitude of off-line motor learning in individuals with chronic stroke. This emphasizes the need to consider attention and set-shifting abilities of individuals following stroke as these abilities are associated with motor learning. This in turn could affect learning of activities of daily living and impact functional recovery following stroke.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT...
Source: Physical Therapy - March 2, 2017 Category: Physiotherapy Authors: Al-Dughmi M, Al-Sharman A, Stevens S, Siengsukon CF Tags: J Neurol Phys Ther Source Type: research

What Is the Dose-Response Relationship Between Exercise and Cardiorespiratory Fitness After Stroke? A Systematic Review.
CONCLUSIONS: Exercising at an intensity greater than 72% of heart rate reserve may be more effective in increasing cardiorespiratory fitness after stroke than exercising at lower intensities. More trials that compare exercise doses by manipulating only 1 parameter of dose at a time for people after stroke are needed. PMID: 30834439 [PubMed - as supplied by publisher]
Source: Physical Therapy - March 4, 2019 Category: Physiotherapy Authors: Galloway M, Marsden DL, Callister R, Erickson KI, Nilsson M, English C Tags: Phys Ther Source Type: research

Factors Influencing the Delivery of Intensive Rehabilitation in Stroke: Patient Perceptions Versus Rehabilitation Therapist Perceptions.
CONCLUSIONS: People with stroke perceived no barriers regarding the implementation of higher intensity rehabilitation in practice and were positive towards working at more intense levels. Contrastingly, from the therapists' perspective, therapists' beliefs about quality of movement and issues around staffing and resources were perceived to be barriers. In addition, therapists and people with stroke perceived the contents of the intervention differently, highlighting the importance of involving patients and clinicians in the development and evaluation of rehabilitation interventions. PMID: 31711211 [PubMed - as supplied by publisher]
Source: Physical Therapy - November 10, 2019 Category: Physiotherapy Authors: Janssen J, Klassen TD, Connell LA, Eng JJ Tags: Phys Ther Source Type: research

Balance and Gait After First Minor Ischemic Stroke in People 70 Years of Age or Younger: A Prospective Observational Cohort Study.
CONCLUSIONS: This study observed improvements in both balance and gait during the follow-up, still about one third had balance or gait impairments at 12 months post-stroke. Balance in the acute phase predicted impaired balance at 12 months. PMID: 31944247 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 15, 2020 Category: Physiotherapy Authors: Hamre C, Fure B, Helbostad JL, Wyller TB, Ihle-Hansen H, Vlachos G, Ursin M, Tangen GG Tags: Phys Ther Source Type: research

Use of the Activity Measure for Post-Acute Care "6 Clicks" Basic Mobility Inpatient Short Form and National Institutes of Health Stroke Scale to Predict Hospital Discharge Disposition After Stroke.
CONCLUSION: The 6 Clicks mobility score alone can guide discharge decision making after stroke, particularly for discharge to home versus an SNF or an IRF. Determining discharge to an SNF versus an IRF could be improved by also considering the NIHSS score, age, sex, and race. Future studies should seek to identify which additional characteristics improve predictability for these separate discharge destinations. IMPACT: The use of outcome measures can improve therapist confidence in making discharge recommendations for people with stroke, can enhance hospital throughput, and can expedite access to rehabilitation, ultim...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Covert S, Johnson JK, Stilphen M, Passek S, Thompson NR, Katzan I Tags: Phys Ther Source Type: research

Prevalence of Walking Limitation after Acute Stroke and its Impact on Discharge to Home
CONCLUSION: Approximately half of patients with first-ever stroke present with lower extremity weakness and walking limitation. Early walking ability is a significant predictor of returning home after acute hospitalization, independent of stroke severity. Discharge planning may be facilitated early after stroke with the familiar assessment of walking ability.IMPACT: An early assessment of walking function within days of stroke admission can help to streamline discharge planning.LAY SUMMARY: Nearly half of all individuals who experience a first-time stroke have walking difficulty when they arrive to the hospital. The severi...
Source: Physical Therapy - October 31, 2021 Category: Physiotherapy Authors: Dennis R Louie Lisa A Simpson W Ben Mortenson Thalia S Field Jennifer Yao Janice J Eng Source Type: research

Gluteus Maximus Muscle Activation Characteristics During a Chair-Rise in Adults With Chronic Stroke
CONCLUSIONS: Despite apparent unilateral muscle weakness post-stroke, bilateral decreases in gluteus maximus activation magnitudes and compounding onset deficits of the paretic extremity were observed during chair-rising. Further research is needed to determine whether interventions maximizing bilateral activation magnitudes and improving temporal activation congruency during chair-rising will carry over to functional gainsVideo Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A387).PMID:35561104 | DOI:10.1097/NPT.0000000000000404
Source: Physical Therapy - May 13, 2022 Category: Physiotherapy Authors: Michelle Sawtelle Toni Roddey Jennifer Ellison Shih-Chiao Tseng Source Type: research