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Is more physiotherapy better after stroke?
‘More is better’ has been the mantra for physiotherapists working in stroke rehabilitation. Studies examining the neuroplasticity of the brain have shown that repetitive, meaningful practice is essential to drive positive plasticity, and meta‐analyses of clinical trials provide evidence of benefit of increased therapy provision. However, a recent large clinical trial appears to contradict this evidence. The CIRCIT trial investigated two alternative models of physiotherapy service delivery for people after stroke. Despite participants in the circuit class therapy arm of the trial receiving an additional 22 h of physio...
Source: International Journal of Stroke - May 14, 2015 Category: Neurology Authors: Coralie English, Janne Veerbeek Tags: Leading opinion Source Type: research

Circuit class therapy or seven‐day week therapy for increasing rehabilitation intensity of therapy after stroke (CIRCIT): a randomized controlled trial
ConclusionsBoth seven‐day therapy and group circuit class therapy increased physiotherapy time, but walking outcomes were equivalent to usual care.
Source: International Journal of Stroke - March 20, 2015 Category: Neurology Authors: Coralie English, Julie Bernhardt, Maria Crotty, Adrian Esterman, Leonie Segal, Susan Hillier Tags: Research Source Type: research

The evolution of stroke rehabilitation randomized controlled trials
ConclusionsRandomized controlled trials in stroke rehabilitation have increased over the past four decades, with an associated increase in methodological quality, but not sample size.
Source: International Journal of Stroke - February 1, 2014 Category: Neurology Authors: Amanda McIntyre, Marina Richardson, Shannon Janzen, Norhayati Hussein, Robert Teasell Tags: Research Source Type: research

Processes of early stroke care and hospital costs
ConclusionsEarly care in agreement with key guidelines recommendations for the management of patients with stroke may be associated with hospital savings.
Source: International Journal of Stroke - December 19, 2013 Category: Neurology Authors: Marie Louise Svendsen, Lars H. Ehlers, Heidi H. Hundborg, Annette Ingeman, Søren P. Johnsen Tags: Research Source Type: research