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Therapy: Physical Therapy

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Total 1186 results found since Jan 2013.

The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial
The combined effect of task-oriented motor training and electromyography (EMG)-triggered electrical stimulation (ES) has been examined in chronic stroke, but there are no published reports in patients with early stroke. Therefore, the purpose of this study was to determine the short-term and long-term effects of task-oriented EMG-triggered ES on upper limb motor function in acute/subacute stroke. Twenty-seven patients with stroke within the first 3 months after stroke onset were randomly allocated to an experimental group and a control group. Twenty-three patients (12 patients in the experimental group and 11 patients in t...
Source: International Journal of Rehabilitation Research - February 13, 2019 Category: Rehabilitation Tags: Original articles Source Type: research

Stroke Survivors' Perspectives on Post–Acute Rehabilitation Options, Goals, Satisfaction, and Transition to Home
Conclusion: Despite recommendations to include stroke patients in PAC selection and goal setting, many former inpatient rehabilitation facility and skilled nursing facility patients report not being involved in either aspect of care. Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A273).
Source: Journal of Neurologic Physical Therapy - June 27, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Belief, Confidence, and Motivation to Use the Paretic Upper Limb in Daily Life Over the First 24 Weeks After Stroke
Conclusions: High levels of belief, confidence, and motivation appear consistent over the first 6 months after stroke. The lack of correlations between psychosocial factors and clinical measures suggests belief, confidence, and motivation may not be vulnerable to functional status early 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/A283).
Source: Journal of Neurologic Physical Therapy - September 25, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Telerehabilitation services for stroke.
CONCLUSIONS: While there is now an increasing number of RCTs testing the efficacy of telerehabilitation, it is hard to draw conclusions about the effects as interventions and comparators varied greatly across studies. In addition, there were few adequately powered studies and several studies included in this review were at risk of bias. At this point, there is only low or moderate-level evidence testing whether telerehabilitation is a more effective or similarly effective way to provide rehabilitation. Short-term post-hospital discharge telerehabilitation programmes have not been shown to reduce depressive symptoms, improv...
Source: Cochrane Database of Systematic Reviews - January 30, 2020 Category: General Medicine Authors: Laver KE, Adey-Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C Tags: Cochrane Database Syst Rev Source Type: research

Determining Safe Participation in Aerobic Exercise Early After Stroke Through a Graded Submaximal Exercise Test.
CONCLUSION: A graded submaximal exercise test without ECG but with symptom monitoring and conservative heart rate and perceived exertion endpoints may facilitate safe exercise intensities early after stroke. Symptom-limited exercise testing with ECG is still recommended when progressing to higher-intensity exercise. IMPACT: Concerns about cardiovascular risk are a barrier to physical therapists implementing aerobic exercise in stroke rehabilitation. This study showed that, in the absence of access to exercise testing with ECG, submaximal testing with conservative heart rate and perceived exertion endpoints and symptom...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Inness E, Aqui A, Foster E, Fraser J, Danells CJ, Biasin L, Brunton K, Howe JA, Poon V, Tang A, Mansfield A, Marzolini S, Oh P, Bayley M Tags: Phys Ther Source Type: research

Sensors, Vol. 20, Pages 3754: A Virtual Reality Muscle –Computer Interface for Neurorehabilitation in Chronic Stroke: A Pilot Study
Sensors, Vol. 20, Pages 3754: A Virtual Reality Muscle–Computer Interface for Neurorehabilitation in Chronic Stroke: A Pilot Study Sensors doi: 10.3390/s20133754 Authors: Octavio Marin-Pardo Christopher M. Laine Miranda Rennie Kaori L. Ito James Finley Sook-Lei Liew Severe impairment of limb movement after stroke can be challenging to address in the chronic stage of stroke (e.g., greater than 6 months post stroke). Recent evidence suggests that physical therapy can still promote meaningful recovery after this stage, but the required high amount of therapy is difficult to deliver within the scope of stan...
Source: Sensors - July 3, 2020 Category: Biotechnology Authors: Octavio Marin-Pardo Christopher M. Laine Miranda Rennie Kaori L. Ito James Finley Sook-Lei Liew Tags: Article Source Type: research

Localized muscle vibration in the treatment of motor impairment and spasticity in post-stroke patients: a systematic review.
CONCLUSIONS: LMV may be a feasible and safe tool to be integrated into traditional and conventional neurorehabilitation programs for post-stroke patients to reduce spasticity. Analysis of the available clinical trials do not allow us to indicate vibration therapy as effective in functional motor recovery, despite some studies showed encouraging results. Further studies, with larger size of homogeneous patients and with a shared methodology are needed to produce more reliable data especially on the lower limb. PMID: 33111513 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - October 28, 2020 Category: Rehabilitation Authors: Avvantaggiato C, Casale R, Cinone N, Facciorusso S, Turitto A, Stuppiello L, Picelli A, Ranieri M, Intiso D, Fiore P, Ciritella C, Santamato A Tags: Eur J Phys Rehabil Med Source Type: research

Effect of Task-Specific Training on Trunk Control and Balance in Patients with Subacute Stroke.
Conclusion: Task-specific training may be effective in improving the static and dynamic postural control and trunk ranges of motion among subacute stroke patients. PMID: 33294224 [PubMed]
Source: Neurology Research International - December 11, 2020 Category: Neurology Tags: Neurol Res Int Source Type: research

Baseline Motor Impairment Predicts Transcranial Direct Current Stimulation Combined with Physical Therapy-Induced Improvement in Individuals with Chronic Stroke.
Abstract Transcranial direct current stimulation (tDCS) can enhance the effect of conventional therapies in post-stroke neurorehabilitation. The ability to predict an individual's potential for tDCS-induced recovery may permit rehabilitation providers to make rational decisions about who will be a good candidate for tDCS therapy. We investigated the clinical and biological characteristics which might predict tDCS plus physical therapy effects on upper limb motor recovery in chronic stroke patients. A cohort of 80 chronic stroke individuals underwent ten to fifteen sessions of tDCS plus physical therapy. The sensor...
Source: Neural Plasticity - December 12, 2020 Category: Neurology Authors: Baltar A, Piscitelli D, Marques D, Shirahige L, Monte-Silva K Tags: Neural Plast Source Type: research

A 2-Year Longitudinal Study of Physical Activity and Cardiovascular Risk in Survivors of Stroke.
CONCLUSIONS: Duration and bouts of MVPA are associated with body mass index. Increasing MVPA and bouts of MVPA may be a valuable treatment goal to reduce cardiovascular risk in survivors of stroke. IMPACT: This 2-year study found that moderate to vigorous physical activity is associated with important cardiovascular risk factors in people who have survived stroke. Understanding these associations could be useful for developing effective treatments to prevent recurrent stroke. PMID: 33305804 [PubMed - as supplied by publisher]
Source: Physical Therapy - December 11, 2020 Category: Physiotherapy Authors: Fini NA, Bernhardt J, Churilov L, Clark R, Holland AE Tags: Phys Ther Source Type: research

IJERPH, Vol. 18, Pages 583: Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial
er R. Elserougy Recovery of lower extremity (LE) function in chronic stroke patients is considered a barrier to community reintegration. An adequate training program is required to improve neural and functional performance of the affected LE in chronic stroke patients. The current study aimed to evaluate the effect of somatosensory rehabilitation on neural and functional recovery of LE in stroke patients. Thirty male and female patients were recruited and randomized to equal groups: control group (GI) and intervention group (GII). All patients were matched for age, duration of stroke, and degree of motor impairment of ...
Source: International Journal of Environmental Research and Public Health - January 12, 2021 Category: Environmental Health Authors: Reem M. Alwhaibi Noha F. Mahmoud Mye A. Basheer Hoda M. Zakaria Mahmoud Y. Elzanaty Walaa M. Ragab Nisreen N. Al Awaji Hager R. Elserougy Tags: Article 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

Robot-assisted therapy for upper extremity motor impairment after stroke: a systematic review and meta-analysis.
CONCLUSION: RT might be superior to conventional rehabilitation in improving upper extremity motor impairment in people after stroke with notable upper extremity hemiplegia and limited potential for spontaneous recovery. PMID: 33454787 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 18, 2021 Category: Physiotherapy Authors: Wu J, Cheng H, Zhang J, Yang S, Cai S Tags: Phys Ther Source Type: research

Does falls efficacy influence the relationship between forward and backward walking speed after stroke?
CONCLUSIONS: FWS is positively related to BWS post-stroke, but this relationship is influenced by one's perceived falls efficacy. Our results suggest that BWS can be predicted from FWS in people with lower falls efficacy, but as falls efficacy increases, BWS becomes a separate and unassociated construct from FWS. IMPACT STATEMENT: This study provides unique evidence that the degree of falls efficacy significantly influences the relationship between FWS and BWS post-stroke. Physical therapists should examine both FWS and BWS in people with higher falls efficacy, but further investigation is warranted for those with low...
Source: Physical Therapy - February 9, 2021 Category: Physiotherapy Authors: Bansal K, Clark DJ, Fox EJ, Rose DK Tags: Phys Ther Source Type: research

Implementation and evaluation of the virtual Graded Repetitive Arm Supplementary Program (GRASP) for individuals with stroke during the COVID-19 pandemic and beyond
CONCLUSION: The virtual GRASP program was successfully implemented. Although the program was effective in improving both measured and perceived UE function in a small sample of individuals with stroke, caution should be taken in generalizing the results.IMPACT: Implementing telerehabilitation is crucial to optimize patient outcomes and reduce the spread of COVID-19. Our findings provide guidance on the process of delivering a UE rehabilitation program remotely via videoconferencing for stroke. Moreover, insights that arise from this study also inform the implementation of other telerehabilitation services.PMID:33682872 | D...
Source: Physical Therapy - March 8, 2021 Category: Physiotherapy Authors: Chieh-Ling Yang Seonaid Waterson Janice J Eng Source Type: research