Implementation and Adoption of Telerehabilitation for Treating Mild Traumatic Brain Injury
Conclusions: Telerehabilitation may be feasible for subacute mTBI. Limited ability to address cervical spine, cardiovascular, and dynamic balance domains along with underdosage of exercise progression may explain group differences in symptom resolution. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A392). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Academy of Neurologic Physical Therapy 2022 Election Results
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

JNPT Congratulates APTA 2022 Award Winners
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Academy News & Notes Source Type: research

Split-Belt Adaptation and Savings in People With Parkinson Disease
Background and Purpose: Upper extremity studies suggest that implicit adaptation is less impaired than explicit learning in persons with Parkinson disease (PD). Little work has explored implicit locomotor adaptation and savings in this population, yet implicit locomotor learning is critical for everyday function. This cross-sectional study examined adaptation and savings in individuals with PD during split-belt treadmill walking. Methods: Fourteen participants completed the following treadmill protocol: Baseline (6 minutes belts tied), Adaptation (10 minutes split), Washout (10 minutes tied), and Readaptation (1...
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

A Pilot Study of Intensive Locomotor-Related Skill Training and Transcranial Direct Current Stimulation in Chronic Spinal Cord Injury
Conclusions: Brief, intensive MST involving locomotor-related activities significantly increased walking speed, walking distance, and spatiotemporal measures in PwMISCI. Significant additive effects of tDCS were not observed; however, participation in only 3 days of MST was associated with changes in walking speed that were comparable to longer locomotor training studies. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A386). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles 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 gains Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A387). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Multiarea Brain Activation and Gait Deterioration During a Cognitive and Motor Dual Task in Individuals With Parkinson Disease
Conclusions: Individuals with mild to moderate PD demonstrated gait deterioration during dual-task walking, especially during WCT. The SMA and PMC were further activated in individuals with PD when performing cognitive dual-task walking. Supplemental Digital Content is Available in the Text. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A383). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Assessment of Walking Speed and Distance Post-Stroke Increases After Providing a Theory-Based Toolkit
Conclusions: Providing a comprehensive toolkit to hospitals with professional leaders likely contributed to increasing 10mWT and 6MWT administration during inpatient and outpatient stroke rehabilitation. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A390). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Physical Activity Coaching via Telehealth for People With Parkinson Disease: A Cohort Study
Conclusions: A telehealth PA coaching program for people with PD was feasible and potentially efficacious. Physical therapist-led coaching may be an important component of a consultative model of care starting early in the disease process. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A393). (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Where Are We on Proprioception Assessment Tests Among Poststroke Individuals? A Systematic Review of Psychometric Properties
Conclusions: This review revealed low-quality articles and a paucity of tests with good psychometric properties available to clinicians to properly screen and assess all subcomponents of proprioception. In perspective, technological devices, such as robotic orthoses or muscle vibration, may provide the best potential for assessing the different subcomponents of proprioception. Further studies should be conducted to develop and investigate such approaches. Video, Supplemental Digital Content 1, available at:http://links.lww.com/JNPT/A388 (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Systematic Reviews Source Type: research

JNPT and Representation
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Editor's Note Source Type: research

Commentary on: “Use of an EMG-Controlled Game as a Therapeutic Tool to Retrain Hand Muscle Activation Patterns Following Stroke: A Pilot Study”
No abstract available (Source: Journal of Neurologic Physical Therapy)
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Rasch Validation of the Mini-BESTest in People With Parkinson Disease
Conclusions: We confirmed and extended the evidence (demonstrated in different populations) on the general psychometric soundness of the Mini-BESTest, even when tested with rigorous statistical methods. In addition, 2 forms were created: (i) to transform raw scores into linear estimates of dynamic balance; and (ii) to compare the individual's item responses with those expected by the Rasch model (thus providing an aid for tailored interventions) and manage missing responses. Further independent studies using advanced psychometric techniques are warranted, also in people with balance disturbances of different etiology. ...
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Association of Lower Limb Focal Spasticity With Kinematic Variables During Walking in Traumatic Brain Injury
Background and Purpose: Focal muscle spasticity is defined as spasticity that affects a localized group of muscles. It is prevalent in many adult-onset neurological conditions, yet the relationship of focal muscle spasticity with walking remains unclear. Therefore, the aim of this study was to determine the relationship of focal muscle spasticity with the kinematics of walking in traumatic brain injury (TBI). Methods: Ninety-one participants with TBI underwent clinical gait analysis and assessment of focal lower limb muscle spasticity in a prospective cross-sectional study. A matched group of 25 healthy controls...
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Evaluating the Impact of a Regional Student-Led Physiotherapy Clinic Model to Improve Self-Reported Function in Community-Dwelling Adults With Neurological Diagnoses
Background and Purpose: Neurological conditions are a major cause of health morbidity that negatively impacts function and quality of life (QoL). Despite this burden, community services are disproportionally scarce. Student-led physiotherapy services (SLSs) are a model that can increase community access to health care while providing authentic clinical experiences for students. SLSs consistently demonstrate high client satisfaction; however, limited evaluation of the impact of this model on the client's clinical outcomes exists. Therefore the aim of this project was to evaluate the impact of a physiotherapy student-led...
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research