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Therapy: Physical Therapy

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Total 19 results found since Jan 2013.

Effectiveness of cerebellar vermis intermittent theta-burst stimulation in improving trunk control and balance function for patients with subacute stroke: a randomised controlled trial protocol
This study will be a prospective single-centre double-blind randomised controlled clinical trial with a 3-week intervention and 3-week follow-up. Eligible participants will be randomly allocated to the experimental group or the control group in a 1:1 ratio. After routine conventional physical therapy, patients in the experimental group will receive cerebellar vermis iTBS, whereas patients in the control group will receive sham stimulation. The overall intervention period will be 5 days a week for 3 consecutive weeks. The outcomes will be measured at baseline (T0), 3 weeks postintervention (T1) and at the 3-week follow-up (...
Source: BMJ Open - January 11, 2023 Category: General Medicine Authors: Chen, Y., Su, W., Gui, C.-F., Guo, Q.-F., Tan, H.-X., He, L., Jiang, H.-H., Wei, Q.-C., Gao, Q. Tags: Open access, Rehabilitation medicine Source Type: research

Implementing the PREP2 algorithm to predict upper limb recovery potential after stroke in clinical practice: a qualitative study.
CONCLUSIONS: The PREP2 prediction tool was successfully implemented in clinical practice at ADHB. Barriers and facilitators to implementation success were identified, and implementation strategies were described. Lessons learned can aid future development and implementation of prediction models in clinical practice. IMPACT: Translating evidence-based interventions into clinical practice can be challenging and slow; however, shortly after its local validation, PREP2 was successfully implemented into clinical practice at the same site in New Zealand. In parallel to further model validation, organizations and practices c...
Source: Physical Therapy - January 30, 2021 Category: Physiotherapy Authors: Connell LA, Chesworth B, Ackerley S, Smith MC, Stinear CM Tags: Phys Ther Source Type: research

Using 3D Motion Analysis to Optimize Treatment Planning for a Patient With Dropfoot: Case Report.
This study demonstrated the use of computerized motion analysis to assist in evidence-based clinical decision-making. CASE DESCRIPTION: A 15-year-old female who suffered from right hemiparesis after a stroke was referred for 3D computerized motion analysis to determine the effect of three devices intended to control her dropfoot and to assist in developing a treatment plan. Four conditions were tested and compared: barefoot, lateral support ankle brace, functional electrical stimulation (FES) device, and dropfoot cuff. RESULTS: Kinematics showed the right ankle had significant dropfoot during swing phase (32.7 de...
Source: Physical Therapy - January 13, 2021 Category: Physiotherapy Authors: Feng J, Bompiani E, Coats S, Patrick K, Aiona M Tags: Phys Ther Source Type: research

Implementation and evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for people with stroke in a real world community setting: Case Report.
CONCLUSION: The GRASP program had good fidelity of the critical principles and core components and was effective in improving upper extremity function and quality of life. IMPACT: This partnership model may serve as the first step for future larger-scale implementation and could be used to move other stroke rehabilitation interventions into community settings. PMID: 33444440 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 13, 2021 Category: Physiotherapy Authors: Yang CL, Bird ML, Eng JJ 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

What Interventions Do Physical Therapists Provide for Patients With Cardiorespiratory Conditions, Neurological Conditions, and Conditions Requiring Acute Hospital Care? A Systematic Review.
CONCLUSIONS: This review found patterns of physical therapist practice for cardiorespiratory conditions, neurological conditions, and conditions requiring acute hospital care that were both evidence based and not evidence based. A concern is that a substantial percentage of physical therapists provided interventions that were of low value or unknown value, despite the availability of high-value interventions. IMPACT: This systematic review is the first to summarize the percentage of physical therapist treatment choices that were high value versus low value for cardiorespiratory conditions, neurological conditions, and...
Source: Physical Therapy - April 13, 2020 Category: Physiotherapy Authors: Zadro JR, Cheng S, O'Keeffe M, Maher CG Tags: Phys Ther Source Type: research

Depth Sensor-Based Assessment of Reachable Work Space for Visualizing and Quantifying Paretic Upper Extremity Motor Function in People with Stroke.
Conclusions. The RWS assessment showed sufficient validity, reliability, and responsiveness in people with hemiparetic stroke. A depth sensor-based RWS evaluation is useful for visualizing and quantifying paretic UE motor function in the clinical setting. PMID: 32048724 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 11, 2020 Category: Physiotherapy Authors: Okuyama K, Kawakami M, Tsuchimoto S, Ogura M, Okada K, Mizuno K, Ushiba J, Liu M 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

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

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

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

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

Neurophysiological Analysis of Intermanual Transfer in Motor Learning
In this study, MEPs were induced during the subject’s imaged kinesthetic MI. This involves recalling muscle contraction based on a muscle sensory image and was reported to indicate the activity of brain regions similar to those involved in actual muscle contraction (Ruby and Decety, 2001). In the transfer training group, the muscle sensory image evaluation correlated to the actual task execution with the right hand. As a result, it was easy to recall the kinesthetic MI for the training task, thus affecting MI of the non-trained limbs so that MEP changes occurred in the left hand’s MI. In addition, brain exc...
Source: Frontiers in Human Neuroscience - April 17, 2019 Category: Neuroscience Source Type: research

Benefits of Motor Imagery for Human Space Flight: A Brief Review of Current Knowledge and Future Applications
Conclusion: How to Implement MI Into the Preparation and Mission of the Astronauts Motor imagery should ideally be performed before, during, and after exposure to microgravity to prepare for the lack of gravity, counteract the effects of weightlessness and promote the re-adaptation to normogravity. A quite similar theoretical viewpoint had been nicely proposed by Bock et al. (2015), who more specifically focused on the preparation period few days before landing. These authors developed two phases of individual MI training program to reach an optimal level of preparation before exposure to microgravity. In the first phase,...
Source: Frontiers in Physiology - April 10, 2019 Category: Physiology 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