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Therapy: Physiotherapy

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Total 4640 results found since Jan 2013.

Treadmill training and body weight support for walking after stroke.
CONCLUSIONS: Overall, people after stroke who receive treadmill training with or without body weight support are not more likely to improve their ability to walk independently compared with people after stroke not receiving treadmill training, but walking speed and walking endurance may improve. Specifically, stroke patients who are able to walk (but not people who are not able to walk) appear to benefit most from this type of intervention. This review found that improvements in walking endurance in people able to walk may have persisting beneficial effects. Further research should specifically investigate the effects of d...
Source: Cochrane Database of Systematic Reviews - January 23, 2014 Category: Journals (General) Authors: Mehrholz J, Pohl M, Elsner B Tags: Cochrane Database Syst Rev Source Type: research

The Western Isles Stroke Telerehabilitation (Specialist Medical Consultation) Service – implementation and evaluation
Conclusions The Western Isles Stroke Telerehabilitation (Specialist Medical Consultation) Service is feasible and acceptable. Numbers in the project were small but the intervention may have a positive impact on length of hospital stay with associated cost savings. It is a model that could be relevant to other remote stroke services and to other specialty areas.
Source: European Research in Telemedicine - February 8, 2015 Category: Information Technology Source Type: research

Acute stroke unit improves stroke management-four years on from INASC.
Abstract The Irish Heart Foundation carried out the Irish National Audit of Stroke Care (INASC) in 2008. Management practices were significantly poorer than those in the UK Sentinel audits. Since then an acute stroke unit has been established in University Hospital Limerick. A stroke database was established. 12 key indicators of stroke management audited by INASC were identified. Results were compared to those in INASC. 89 stroke patients were admitted. 8 of the 12 key indicators scored significantly better than in INASC. 92.5% had a brain scan within 24hrs (INASC-40%, p = < 0.001). 100% of ischaemic strokes r...
Source: Ir Med J - February 1, 2015 Category: Journals (General) Authors: Shanahan E, Keenan R, Cunningham N, O'Malley G, O'Connor M, Lyons D, Peters C Tags: Ir Med J Source Type: research

Patient-identified factors that influence spasticity in people with stroke and multiple sclerosis receiving botulinum toxin injection treatments.
CONCLUSION: Intrinsic and extrinsic triggers can influence the perception of spasticity differently depending on individual factors, severity, location (arm vs. leg), and distribution of spasticity (unilateral vs. bilateral). Clinicians can use the findings to better understand, educate, and treat people with stroke and MS. PMID: 25931667 [PubMed]
Source: Physiotherapy Canada - May 3, 2015 Category: Physiotherapy Authors: Cheung J, Rancourt A, Di Poce S, Levine A, Hoang J, Ismail F, Boulias C, Phadke CP Tags: Physiother Can Source Type: research

Provision of inpatient rehabilitation and challenges experienced with participation post discharge: quantitative and qualitative inquiry of African stroke patients
Conclusion: Stroke patients admitted to hospitals in certain African countries could receive limited in-patient therapeutic interventions. With the exception of barriers in the physical environment, stroke patients in developing countries where resources are limited experience the same participation restrictions as their counterparts in developed countries where resources are more freely available. Rehabilitation interventions in these developing countries should therefore be community-based focussing on intervening in the physical environment.
Source: BMC Health Services Research - September 28, 2015 Category: Journals (General) Authors: Anthea RhodaNatalie CunninghamSimon AzariaGerard Urimubenshi Source Type: research

Treadmill training and body weight support for walking after stroke.
CONCLUSIONS: Overall, people after stroke who receive treadmill training, with or without body weight support, are not more likely to improve their ability to walk independently compared with people after stroke not receiving treadmill training, but walking speed and walking endurance may improve slightly in the short term. Specifically, people with stroke who are able to walk (but not people who are dependent in walking at start of treatment) appear to benefit most from this type of intervention with regard to walking speed and walking endurance. This review did not find, however, that improvements in walking speed and en...
Source: Cochrane Database of Systematic Reviews - August 17, 2017 Category: General Medicine Authors: Mehrholz J, Thomas S, Elsner B Tags: Cochrane Database Syst Rev Source Type: research

Early Mobilization After Stroke: Do Clinical Practice Guidelines Support Clinicians' Decision-Making?
Conclusions: The lack of specificity, clinical applicability, and adaptability of current CPGs to effectively respond to the heterogeneous clinical stroke context has provided a clear direction for improvement.
Source: Frontiers in Neurology - February 5, 2021 Category: Neurology Source Type: research

IJERPH, Vol. 20, Pages 2286: Relationships between Self-Efficacy and Post-Stroke Activity Limitations, Locomotor Ability, Physical Activity, and Community Reintegration in Sub-Saharan Africa: A Cross-Sectional Study
atcho Stroke self-efficacy is under-investigated in sub-Saharan Africa. In particular, studies focusing on the relationship between self-efficacy and post-stroke functional outcomes are scarce. This cross-sectional study aimed to explore the association between self-efficacy and post-stroke activity limitations, locomotor ability, physical activity, and community reintegration in Benin, a sub-Saharan African country. To achieve this purpose, a selection of stroke patients was made from the admission registers of the physiotherapy clinics (rehabilitation units) of three reference hospitals in Benin from January to April...
Source: International Journal of Environmental Research and Public Health - January 27, 2023 Category: Environmental Health Authors: Aristide S. Honado Orthelo L éonel Gbètoho Atigossou Jean-S ébastien Roy Jean-Fran çois Daneault Charles S èbiyo Batcho Tags: Article Source Type: research

Ayurvedic Treatment in the Rehabilitation of Ischemic Stroke Patients in India: A Randomized Controlled Trial (RESTORE) study protocol
Background: In patients with ischemic stroke, motor and sensory impairments are common and are associated with functional disability. Conventional physiotherapy (CP) is the primary modality of rehabilitation for post-stroke sensorimotor dysfunction. Ayurveda is a commonly practiced alternative system of medicine that offers unique rehabilitative measures for post-stroke recovery. Hypothesis: We hypothesize that Ayurvedic rehabilitative treatment (ART) is superior to similar duration CP in improving the sensorimotor recovery of patients with ischemic stroke at 90 days after enrollment. Design: AyuRvedic TrEatment in the R...
Source: Cerebrovascular Diseases - April 6, 2023 Category: Neurology Source Type: research

Stroke rehabilitation: should physiotherapy intervention be provided at a primary health care centre or the patients' place of domicile?
Conclusion: Physiotherapy intervention at the primary health care centre and respective homes of stroke survivors similarly improved clinical outcomes. Treatment at any of these locations may enhance access to physiotherapy after stroke in a low-income community like Nigeria. Implications for Rehabilitation Physiotherapy protocol comprising 10-week task-specific battery of exercises produced significant improvement in walking speed, balance, motor function and community reintegration of stroke survivors. Physiotherapy post-stroke can be provided at either a primary health centre or the domicile of the individual. In a low-...
Source: Disability and Rehabilitation - April 17, 2013 Category: Rehabilitation Authors: Olaleye OA, Hamzat TK, Owolabi MO Tags: Disabil Rehabil Source Type: research

Functional Principal Component Analysis as a new methodology for the analysis of the impact of two rehabilitation protocols in functional recovery after stroke
Conclusions: FPCA is a method which may be used to provide greater insight into the analysis of the rehabilitation process than that provided by conventional parametric methods. So, by using the whole curves as basic data parameters, subtle differences in the rehabilitation process can be found.FPCA represents a future aid for the fine analysis of similar physiotherapy techniques, when applied in subjects with a huge variability of functional recovery, as in the case of post-stroke patients.
Source: Journal of NeuroEngineering and Rehabilitation - September 10, 2014 Category: Rehabilitation Authors: M Sánchez-SánchezJuan-Manuel Belda-LoisSilvia Mena-del HornoEnrique Viosca-HerreroBeatriz Gisbert-MorantCeledonia Igual-CamachoIgnacio Bermejo-Bosch Source Type: research

Low-frequency rTMS in patients with subacute ischemic stroke: clinical evaluation of short and long-term outcomes and neurophysiological assessment of cortical excitability.
This study is the first to measure the dynamics of cortical excitability by TMS mapping before and after treatment with low-frequency (LF) rTMS in the contralesional hemisphere at three different timepoints. Furthermore, the patients were clinically evaluated during the same visit as the mapping to establish both short and long-term outcomes after rTMS treatment. METHODS AND RESULTS: A total of 16 participants with acute ischemic stroke were assessed 10 days post-stroke by TMS mapping. The patients were randomized into two equal groups: a real rTMS group and a sham group. The rTMS group received LF-rTMS to the contrale...
Source: Journal of Medicine and Life - November 18, 2015 Category: Journals (General) Tags: J Med Life Source Type: research

Depression and dynamic balance recovery among stroke survivors: A preliminary investigation
Conclusions There is a high prevalence of post-stroke depression among stroke survivors and they have poor dynamic balance. However, owing to small sample of participants in the present study, its premature to draw conclusion on the relationship between depression and dynamic balance recovery among stroke survivors from the result of this study.
Source: Polish Annals of Medicine - September 10, 2016 Category: Journals (General) Source Type: research

Safety and efficacy of co-careldopa as an add-on therapy to occupational and physical therapy in patients after stroke (DARS): a randomised, double-blind, placebo-controlled trial
Publication date: June 2019Source: The Lancet Neurology, Volume 18, Issue 6Author(s): Gary A Ford, Bipin B Bhakta, Alastair Cozens, Suzanne Hartley, Ivana Holloway, David Meads, John Pearn, Sharon Ruddock, Catherine M Sackley, Eirini-Christina Saloniki, Gillian Santorelli, Marion F Walker, Amanda J FarrinSummaryBackgroundDopamine is a key modulator of striatal function and learning and might improve motor recovery after stroke. Previous small trials of dopamine agonists after stroke provide equivocal evidence of effectiveness on improving motor recovery. We aimed to assess the safety and efficacy of co-careldopa plus routi...
Source: The Lancet Neurology - May 22, 2019 Category: Neurology Source Type: research

Electromechanical-assisted training for walking after stroke.
CONCLUSIONS: People who receive electromechanical-assisted gait training in combination with physiotherapy after stroke are more likely to achieve independent walking than people who receive gait training without these devices. We concluded that eight patients need to be treated to prevent one dependency in walking. Specifically, people in the first three months after stroke and those who are not able to walk seem to benefit most from this type of intervention. The role of the type of device is still not clear. Further research should consist of large definitive pragmatic phase 3 trials undertaken to address specific quest...
Source: Cochrane Database of Systematic Reviews - October 22, 2020 Category: General Medicine Authors: Mehrholz J, Thomas S, Kugler J, Pohl M, Elsner B Tags: Cochrane Database Syst Rev Source Type: research