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Source: Physical Therapy
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Total 402 results found since Jan 2013.
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
Minimal Clinically Important Difference of the 6-Minute Walk Test in People With Stroke.
CONCLUSIONS: Between 2 and 6 months poststroke, people whose IGS is <0.40 m/s and experience a 44-m improvement in the 6MWT may exhibit meaningful improvement in disability. However, we were not able to estimate an accurate MCID for the 6MWT in people whose IGS was ≥0.40 m/s. MCID values should be estimated across different levels of function and anchors of importance.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A232).
PMID: 30138230 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Fulk GD, He Y Tags: J Neurol Phys Ther Source Type: research
A Tablet-Based Tool for Accurate Measurement of Hand Proprioception After Stroke.
CONCLUSIONS: Both the tablet-based tool and the custom PMDD performed better than manual assessment. The PMDD may be useful when the deficit is mild or assessment of dynamic proprioception is desired. As the tablet-based measure does not have the ceiling effect that is associated with the PMDD, it may be useful with any level of proprioceptive impairment, and may be preferable if testing or clinician training time needs to be minimized, or pain or spasticity is present.Video Abstract available for more insights from the authors (see the Video, Supplementary Digital Content 1, available at: http://links.lww.com/JNPT/A256). ...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Block HJ, Mirdamadi JL, Ryckman S, Lynch AK, Wilson R, Udayan D, Massie CL Tags: J Neurol Phys Ther Source Type: research
Practice Structure and Locomotor Learning After Stroke.
CONCLUSIONS: The results suggest that variable practice utilizing alternating belt speed ratios does not influence the ability of those with chronic stroke to adapt and retain a novel locomotor pattern. The effects of other forms of variable practice within other locomotor learning paradigms should be explored in those with chronic hemiparesis after stroke.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A257).
PMID: 30883495 [PubMed - in process]
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Helm EE, Pohlig RT, Kumar DS, Reisman DS Tags: J Neurol Phys Ther Source Type: research
Measuring Community Mobility in Survivors of Stroke Using Global Positioning System Technology: A Prospective Observational Study.
CONCLUSIONS: Directly measured community mobility in SS was decreased through 9 weeks following discharge from inpatient rehabilitation. The limited strength of bivariate correlations between clinical measures and number of trips supported the uniqueness of the community mobility construct.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A277).
PMID: 31205231 [PubMed - in process]
Source: Physical Therapy - June 19, 2019 Category: Physiotherapy Authors: Hanke TA, Hwang S, Keller S, Zielke D, Hailey T, Nathaniel K, Evans CC Tags: J Neurol Phys Ther Source Type: research
Characteristics of intensity-based physical activity according to gait ability in people hospitalized with subacute stroke: a cross-sectional study.
CONCLUSION: During daytime and non-therapy time, the results suggested that gait independence is related to LIPA rather than gait speed, and gait speed and gait independence is related to MVPA.
PMID: 31289708 [PubMed]
Source: Physical Therapy - July 12, 2019 Category: Physiotherapy Authors: Shimizu N, Hashidate H, Ota T, Suzuki T, Yatsunami M Tags: Phys Ther Res Source Type: research
Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury.
DISCUSSION: The collective findings suggest that large amounts of task-specific (ie, locomotor) practice may be critical for improvements in walking function, although only at higher cardiovascular intensities or with augmented feedback to increase patient's engagement. Lower-intensity walking interventions or impairment-based training strategies demonstrated equivocal or limited efficacy.
LIMITATIONS: As walking speed and distance were primary outcomes, the research participants included in the studies walked without substantial physical assistance. This guideline may not apply to patients with limited ambulatory fun...
Source: Physical Therapy - December 14, 2019 Category: Physiotherapy Authors: Hornby TG, Reisman DS, Ward IG, Scheets PL, Miller A, Haddad D, Fox EJ, Fritz NE, Hawkins K, Henderson CE, Hendron KL, Holleran CL, Lynskey JE, Walter A, and the Locomotor CPG Appraisal Team Tags: J Neurol Phys Ther Source Type: research
Interaction between locomotion and three subcategories for patients with stroke demonstrating fewer than 37 points on the total functional independence measure upon admission to the recovery ward.
Conclusion] Locomotion demonstrated an interaction with various activities for improving self-care. There were varying degrees of improvement in self-care despite a uniform improvement in the degree of locomotion. Therefore, locomotion interaction should be considered for each intervention that targets activities of daily living.
PMID: 32884173 [PubMed]
Source: Physical Therapy - September 6, 2020 Category: Physiotherapy Authors: Kimura T Tags: J Phys Ther Sci Source Type: research
Readiness to Change is Related to Real-World Walking and Depressive Symptoms in Chronic Stroke.
CONCLUSIONS: Understanding the relationship between readiness to change, daily stepping, and depressive symptoms will help clinicians implement appropriate stage-specific intervention strategies and facilitate greater improvement in activity levels.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A333).
PMID: 33315834 [PubMed - as supplied by publisher]
Source: Physical Therapy - December 15, 2020 Category: Physiotherapy Authors: Miller A, Wright T, Wright H, Thompson E, Pohlig RT, Reisman DS Tags: J Neurol Phys Ther 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
Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study
Conclusion] Due to its sensitivity in detecting differences in balance, six-minute walking distance may be a useful assessment parameter for stroke rehabilitation, particularly in the recovery of physiological walking ability.PMID:33642694 | PMC:PMC7897533 | DOI:10.1589/jpts.33.168
Source: Physical Therapy - March 1, 2021 Category: Physiotherapy Authors: Hiroki Watanabe Hideo Tsurushima Hisako Yanagi Source Type: research
An Exploration of Sedentary Behavior Patterns in Community-Dwelling People With Stroke: A Cluster-Based Analysis
CONCLUSIONS: Although unique accumulation patterns were identified, there is not just one accumulation pattern for high sedentary time. This suggests that interventions to reduce sedentary time must be individually tailored.Video Abstract available for more insight from the authors (see the Video Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A343).PMID:33867457 | DOI:10.1097/NPT.0000000000000357
Source: Physical Therapy - April 19, 2021 Category: Physiotherapy Authors: Wendy Hendrickx Carlos Riveros Torunn Askim Johannes B J Bussmann Michele L Callisaya Sebastien F M Chastin Catherine Dean Victor Ezeugwu Taryn M Jones Suzanne S Kuys Niruthikha Mahendran Patricia J Manns Gillian Mead Sarah A Moore Lorna Paul Martijn F Pi Source Type: research
Effect of Exercise Involving Standing Weight Shifting to the Nonparetic Side on an Inclined Surface in the Early Phase After a Stroke: A Randomized Controlled Trial
CONCLUSION: These results suggest that standing reaching exercises to the nonparetic side while standing on an inclined surface could improve lateral weight-shifting capacity and gait ability in participants in the early poststroke phase.IMPACT: This intervention should be incorporated into standard treatment programs focusing on the paretic side during early stroke rehabilitation.PMID:33909896 | DOI:10.1093/ptj/pzab114
Source: Physical Therapy - April 28, 2021 Category: Physiotherapy Authors: Masahide Inoue Kazu Amimoto Yuya Chiba Daisuke Sekine Kazuhiro Fukata Yuji Fujino Hidetoshi Takahashi Shigeru Makita Source Type: research
