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Immediate effect of different ankle-foot orthosis functions with the same dorsiflexed setting of initial ankle joint angle on walking ability in individuals with chronic stroke: a randomized crossover trial
Conclusion] In individuals with chronic stroke, ankle-foot orthosis function may be less important than the dorsiflexed setting of initial ankle joint angle in the ankle-foot orthosis.PMID:35784608 | PMC:PMC9246403 | DOI:10.1589/jpts.34.485
Source: Physical Therapy - July 5, 2022 Category: Physiotherapy Authors: Eri Nojiri Yoshitaka Wada Midori Mochizuki Mizuki Sugiyama Nobuyuki Kawate Source Type: research

Effects of a social participation-focused virtual reality intervention for community-dwelling stroke survivors with physical disabilities: a randomised controlled trial protocol
Introduction Studies show that stroke survivors encounter physical and psychological limitations that restrict their participation in social and community activities. Systematic reviews have yielded inconclusive evidence regarding the effectiveness of different interventions intended to support stroke survivors’ social participation. Recent advances in virtual reality technology may offer promising solutions, although the optimal approach to enhance social participation among stroke survivors is yet to be determined. This trial aims to develop and evaluate the effectiveness of a social participation-focused virtual r...
Source: BMJ Open - July 5, 2022 Category: General Medicine Authors: Chau, J. P. C., Lo, S. H. S., Lau, A. Y. L., Lee, V. W. Y., Choi, K. C., Kwok, E. C. F., Thompson, D. R. Tags: Open access, Rehabilitation medicine Source Type: research

Two Balance Measures as Poststroke Predictors of Ambulation Status at Discharge From Inpatient Rehabilitation
This study aimed to (1) determine whether the Postural Assessment Scale for Stroke (PASS) and the Berg Balance Scale (BBS) can predict an individual's IRF discharge poststroke gait category and (2) establish cut-off scores for these assessments to better forecast gait category upon discharge. Methods: A total of 180 individuals with an admitting stroke diagnosis were assessed with both balance measures and the 10-m walking test at admission and discharge from inpatient rehabilitation. Participants were stratified by gait speed into 4 groups (nonambulators: 0 m/s; household ambulators: 0.8 m/s). Results: Both ...
Source: The Journal of Acute Care Physical Therapy - June 27, 2022 Category: Physiotherapy Tags: ORIGINAL STUDIES Source Type: research

Physical Activity After Transient Ischemic Attack or Mild Stroke Is Business as Usual
Conclusion: Information about the necessity to engage in recommended physical activity levels requires tailoring to the needs of the people with TIA or mild stroke. Helpful information in combination with support and strategies may guide how to navigate factors preventing engagement and might influence the low level of physical activity prevalent in this population. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A376).
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Use of an EMG-Controlled Game as a Therapeutic Tool to Retrain Hand Muscle Activation Patterns Following Stroke: A Pilot Study
Conclusions: Stroke survivors could successfully use the EMG-controlled games to train control of muscle activation patterns. While the nonparetic limb EMG was used in this study to create target EMG patterns, the system supports various means for creating target patterns per user desires. Future studies will employ training with the EMG-controlled games in conjunction with functional task practice for a longer intervention duration to improve overall hand function. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A379).
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles 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 - June 25, 2022 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Physical Activity After Transient Ischemic Attack or Mild Stroke Is Business as Usual
CONCLUSION: Information about the necessity to engage in recommended physical activity levels requires tailoring to the needs of the people with TIA or mild stroke. Helpful information in combination with support and strategies may guide how to navigate factors preventing engagement and might influence the low level of physical activity prevalent in this population.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A376).PMID:35727994 | DOI:10.1097/NPT.0000000000000395
Source: Physical Therapy - June 21, 2022 Category: Physiotherapy Authors: Maria Sammut Kirsti Haracz David Shakespeare Coralie English Gary Crowfoot Natalie Fini Michael Nilsson Heidi Janssen Source Type: research

Sex Differences in Functional Capacity in Older Adults with Stroke: an Analysis of Data from the National Health and Aging Trends Study
CONCLUSION: Older women with stroke have clinically meaningfully lower overall functional capacity as compared with older men but decline at a similar rate over time. Walking speed was lower among older women with stroke, but similar between sexes in 5XSST.IMPACT: Women with stroke have poorer functional capacity compared with men, which reinforces the importance of targeted stroke rehabilitation strategies to address these sex-specific disparities.PMID:35689806 | DOI:10.1093/ptj/pzac077
Source: Physical Therapy - June 11, 2022 Category: Physiotherapy Authors: Elise Wiley Kenneth S Noguchi Kevin Moncion Paul W Stratford Ada Tang Source Type: research

Bicephalic Transcranial Direct-Current Stimulation Does Not Add Benefits to a Footdrop Stimulator for Improving Functional Mobility in People with Chronic Hemiparesis after Stroke: a Double-Blind, Randomized Controlled Trial
CONCLUSION: On the basis of the results of this study, there is no evidence that bicephalic tDCS improves functional mobility, spasticity, quality of life, or walking endurance in people with chronic hemiparesis after stroke.IMPACT STATEMENT: Bicephalic tDCS does not add relevant benefits to FDS and gait training in people who have chronic hemiparesis after stroke. Given that tDCS has few additional effects and given its costs for clinical practice, tDCS for rehabilitation in people with chronic hemiparesis after stroke is discouraged. FDS and gait training improve functional mobility, walking resistance, and quality of li...
Source: Physical Therapy - June 11, 2022 Category: Physiotherapy Authors: Maira Jaqueline da Cunha Camila Pinto Giulia Palermo Schifino Isabela Sant'Anna Py Veronica Cimolin Aline Souza Pagnussat 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).PMID:35671402 | DOI:10.1097/NPT.0000000000000406
Source: Physical Therapy - June 7, 2022 Category: Physiotherapy Authors: Nancy M Salbach Marilyn MacKay-Lyons Jo-Anne Howe Alison McDonald Patricia Solomon Mark T Bayley Sara McEwen Michelle Nelson Beverly Bulmer Gina S Lovasi Source Type: research

Revisiting the Concept of Minimal Detectable Change for Patient-Reported Outcome Measures
Phys Ther. 2022 Jun 6:pzac068. doi: 10.1093/ptj/pzac068. Online ahead of print.ABSTRACTInterpreting change is a requisite component of clinical decision making for physical therapists. Physical therapists often interpret change using minimal detectable change (MDC) values. Current MDC formulas are informed by classical test theory and calculated with group-level error data. This approach assumes that measurement error is the same across a measure's scale and confines the MDC value to the sample characteristics of the study. Alternatively, an item response theory (IRT) approach calculates separate estimates of measurement e...
Source: Physical Therapy - June 7, 2022 Category: Physiotherapy Authors: Bryant A Seamon Steven A Kautz Mark G Bowden Craig A Velozo Source Type: research

Gains in Daily Stepping Activity in People with Chronic Stroke after High-Intensity Gait Training in Variable Contexts
CONCLUSION: HIT in variable contexts elicited gains in daily stepping, with changes primarily associated with gains in gait endurance.PMID:35670001 | DOI:10.1093/ptj/pzac073
Source: Physical Therapy - June 7, 2022 Category: Physiotherapy Authors: T George Hornby Abbey Plawecki Jennifer K Lotter Molly E Scofield Emily Lucas Christopher E Henderson Source Type: research

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