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Patient and therapist perspectives on physical therapy outcome measures and engagement after stroke: A case study
CONCLUSION: Patients valued the objective results of outcome measures and were encouraged by measurable changes. Maximizing the use of physical therapy outcome measures may improve patient engagement and support relational autonomy.PMID:35786128 | DOI:10.1080/09593985.2022.2092801
Source: Physiotherapy Theory and Practice - July 5, 2022 Category: Physiotherapy Authors: Alyson Kwok Deacon Cheung Maysyn Gordon Evan Mudryk Patricia J Manns Source Type: research

Factors that Influence the Clinical Implementation of Aerobic Exercise in Stroke Rehabilitation: a Theory-Informed Qualitative Study
CONCLUSION: Strategies to support implementation of AEx in stroke rehabilitation should incorporate knowledge and skills; the provision of clinical decision-making tools; access to expert consultation; the roles and social influence of the interprofessional team and formal and informal leaders; and supportive processes adapted to the local context.IMPACT: Results from this study will inform the development of a clinical implementation toolkit to support clinical uptake of AEx in the stroke rehabilitation setting.PMID:35194641 | DOI:10.1093/ptj/pzac014
Source: Physical Therapy - February 23, 2022 Category: Physiotherapy Authors: Elizabeth L Inness David Jagroop Angie Andreoli Mark Bayley Louis Biasin Cynthia Danells Jayne Hall Avril Mansfield Alison McDonald Diane Nishri Nancy M Salbach Denise Taylor Karl Wong Ada Tang 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

Eligibility, Enrollment, and Completion of Exercise-Based Cardiac Rehabilitation Following Stroke Rehabilitation: What Are the Barriers?
CONCLUSIONS: An OSR-CR partnership provided an effective continuum of care, with approximately 75% of eligible people participating and more than 80% completing. However, just over 1 of 4 eligible people declined participation; therefore, strategies should target lack of interest, transportation, women, and people without diabetes. An alternative program model is needed for people who have severe ambulatory or cognitive deficits and no home exercise support. PMID: 31588512 [PubMed - as supplied by publisher]
Source: Physical Therapy - October 6, 2019 Category: Physiotherapy Authors: Marzolini S, Fong K, Jagroop D, Neirinckx J, Liu J, Reyes R, Grace SL, Oh P, Colella TJF Tags: Phys Ther Source Type: research

Influence of Combined Transcranial Direct Current Stimulation and Motor Training on Corticospinal Excitability in Children With Unilateral Cerebral Palsy
Conclusion This proof-of-principle study evaluated the influence of cathodal contralesional tDCS on corticospinal excitability in pediatric participants with UCP. A hypothesized decrease in contralesional excitability was noted in participants in the Active+CIMT group, however, the efficacy of tDCS to modulate corticospinal excitability was not statistically different than the Sham+CIMT group. A more detailed understanding of how tDCS impacts M1 neurophysiology will be essential to inform future clinical trials on the optimal dosing parameters, based on individual brain circuitry, to explore the potential functional benef...
Source: Frontiers in Human Neuroscience - April 23, 2019 Category: Neuroscience Source Type: research

Aerobic Training in Canadian Stroke Rehabilitation Programs
Conclusions: Most stroke rehabilitation programs across Canada include AT. People with severe physical impairment and those with cardiac, metabolic, and hemodynamic comorbidities may be excluded or not appropriately monitored during exercise. More detailed guidelines and training practices are needed to address these challenges. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A233).
Source: Journal of Neurologic Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Research Articles Source Type: research

Aerobic Training in Canadian Stroke Rehabilitation Programs.
CONCLUSIONS: Most stroke rehabilitation programs across Canada include AT. People with severe physical impairment and those with cardiac, metabolic, and hemodynamic comorbidities may be excluded or not appropriately monitored during exercise. More detailed guidelines and training practices are needed to address these challenges.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A233). PMID: 30138234 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Nathoo C, Buren S, El-Haddad R, Feldman K, Schroeder E, Brooks D, Inness EL, Marzolini S Tags: J Neurol Phys Ther Source Type: research

Medline buys Canadian stroke rehab device maker NeuroGym
Medline has acquired physical therapy and rehabilitation equipment maker NeuroGym Technologies of Ottawa. NeuroGym’s equipment is designed for people who have had a stroke or other traumatic brain injury, spinal cord injury, chronic neurological conditions such as multiple sclerosis, balance issues and/or the need for fall prevention therapy. The equipment requires the patient to initiate movement, which the company says can help rewire the brain and speed recovery. It includes a sit-to-stand trainer, bungee mobility trainer to re-teach walking and improve balance, a pendulum stepper for lower extremity strength and r...
Source: Mass Device - July 11, 2018 Category: Medical Devices Authors: Nancy Crotti Tags: Blog Source Type: news

Amount and Content of Sensorimotor Therapy Delivered in Three Stroke Rehabilitation Units in Quebec, Canada.
Conclusions: This study is the first to provide objective data on therapy time and content of stroke rehabilitation in Quebec SRUs. PMID: 29755168 [PubMed]
Source: Physiotherapy Canada - May 16, 2018 Category: Physiotherapy Authors: Richards CL, Malouin F, Nadeau S, Fung J, D'Amours L, Perez C, Durand A Tags: Physiother Can Source Type: research

Excessive sedentary time during in-patient stroke rehabilitation.
Conclusions In this sample of people attending inpatient stroke rehabilitation, institutional structure of rehabilitation rather than patient-related factors contributed to sedentary time. PMID: 29609499 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 3, 2018 Category: Neurology Authors: Barrett M, Snow JC, Kirkland MC, Kelly LP, Gehue M, Downer MB, McCarthy J, Ploughman M Tags: Top Stroke Rehabil Source Type: research

Delivering Intensive Rehabilitation in Stroke: Factors Influencing Implementation.
Conclusions: Even therapists involved in delivering a high-intensity intervention as part of a trial wanted to adapt it for clinical practice; therefore, it is imperative that researchers are explicit regarding key intervention components and what can be adapted to help ensure implementation fidelity. Changes in therapist's beliefs and system-level changes (staffing and resources) are likely necessary to facilitate higher intensity rehabilitation in practice. PMID: 29415282 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 5, 2018 Category: Physiotherapy Authors: Connell LA, Klassen TD, Janssen J, Thetford C, Eng JJ Tags: Phys Ther Source Type: research

Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice.
Conclusion: This article provides physiotherapists with a resource to enable evidence-informed, effective use of NMES for PT practice. PMID: 29162949 [PubMed - in process]
Source: Physiotherapy Canada - November 24, 2017 Category: Physiotherapy Authors: Nussbaum EL, Houghton P, Anthony J, Rennie S, Shay BL, Hoens AM Tags: Physiother Can Source Type: research