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Total 3788 results found since Jan 2013.

Goal-oriented instructions increase the intensity of practice in stroke rehabilitation compared with non-specific instructions: a within-participant, repeated measures experimental study
ConclusionGoal-oriented instructions can result in significant increases in the rate of repetitions of exercise in stroke rehabilitation. The use of goal-oriented instructions is a simple, no-cost strategy that can be used to increase the intensity of practice in stroke rehabilitation.Trial registrationACTRN12619000146190.
Source: Journal of Physiotherapy - March 23, 2019 Category: Physiotherapy Source Type: research

Current Therapeutic Management of Perinatal Stroke with a Focus on the Upper Limb: A Cross-Sectional Survey of UK Physiotherapists and Occupational Therapists.
CONCLUSIONS: Assessment and provision of therapy services following perinatal stroke is variable. Increased use of standardized assessments and centralized data collection regarding service provision for high-risk infants is recommended. PMID: 30211625 [PubMed - indexed for MEDLINE]
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Marcroft C, Tsutsumi A, Pearse J, Dulson P, Embleton ND, Basu AP Tags: Phys Occup Ther Pediatr Source Type: research

The Effect of Stroke on Middle Cerebral Artery Blood Flow Velocity Dynamics During Exercise
Background and Purpose: Previous work demonstrates that older adults have a lower response in the middle cerebral artery velocity (MCAv) to an acute bout of moderate-intensity exercise when compared with young adults. However, no information exists regarding MCAv response to exercise after stroke. We tested whether MCAv response to an acute bout of moderate-intensity exercise differed between participants 3 months after stroke and an age- and sex-matched control group of older adults (CON). A secondary objective was to compare MCAv response between the stroke- and non-stroke-affected MCAv. Methods: Using transcranial ...
Source: Journal of Neurologic Physical Therapy - September 25, 2019 Category: Physiotherapy Tags: Research Articles Source Type: research

Depth Sensor-Based Assessment of Reachable Work Space for Visualizing and Quantifying Paretic Upper Extremity Motor Function in People with Stroke.
Conclusions. The RWS assessment showed sufficient validity, reliability, and responsiveness in people with hemiparetic stroke. A depth sensor-based RWS evaluation is useful for visualizing and quantifying paretic UE motor function in the clinical setting. PMID: 32048724 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 11, 2020 Category: Physiotherapy Authors: Okuyama K, Kawakami M, Tsuchimoto S, Ogura M, Okada K, Mizuno K, Ushiba J, Liu M Tags: Phys Ther Source Type: research

Enriched, Task-Specific Therapy in the Chronic Phase After Stroke: An Exploratory Study.
CONCLUSIONS: Enriched, task-specific therapy may provide durable benefits across a wide spectrum of motor deficits and impairments after stroke. Although the results must be interpreted cautiously, the findings have implications for enriching strategies in 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/A304). PMID: 32118616 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 27, 2020 Category: Physiotherapy Authors: Vive S, Af Geijerstam JL, Kuhn HG, Bunketorp-Käll L Tags: J Neurol Phys Ther Source Type: research

Video-guided exercise after stroke: a feasibility randomised controlled trial.
CONCLUSION: A trial of video-guided exercise is feasible, although an optimal main trial would require some relatively minor changes to design, outcome measures, eligibility, and the intervention. PMID: 32684076 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - July 19, 2020 Category: Physiotherapy Authors: Kenny M, Gilmartin J, Thompson C Tags: Physiother Theory Pract Source Type: research

A Comparison of the Responsiveness of the Postural Assessment Scale for Stroke and the Berg Balance Scale in Patients With Severe Balance Deficits After Stroke
Conclusions: Compared with the BBS, the PASS was better able to detect balance improvements in patients having severe balance deficits. The PASS is recommended as an outcome measure to detect change in balance in patients with stroke who have severe balance deficits.
Source: Journal of Geriatric Physical Therapy - September 18, 2020 Category: Physiotherapy Tags: Research Reports Source Type: research

Standing Balance Strategies and Dual-Task Interference Are Differentially Modulated Across Various Sensory Contexts and Cognitive Tests in Individuals With Chronic Stroke
Conclusions: Standing balance enhancement (higher equilibrium score/better balance) depends on the neuropsychological process targeted and the sensory input available post-stroke. Cognitive dual-task interference emerged for the verbal fluency test during the most attention demanding sensory condition. Cognitive tests that enhance standing balance should be considered in assessments and interventions to evaluate and improve dual-tasking post-stroke. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A321).
Source: Journal of Neurologic Physical Therapy - September 19, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Relationships Between Stepping-Reaction Movement Patterns and Clinical Measures of Balance, Motor Impairment, and Step Characteristics After Stroke.
CONCLUSIONS: Movement patterns of stepping reactions poststroke were influenced by the initiating leg. After stroke, specific movement patterns showed associations with clinical measures depending on the initiating leg, suggesting that these movement patterns are important to retraining of stepping reactions. Specifically, use of flexion patterning and assessment of between-leg pattern differentiation may be important aspects to consider during retraining of stepping reactions poststroke. IMPACT: Evidence-based interventions targeting balance reactions are still in their infancy. This investigation of stepping reactio...
Source: Physical Therapy - February 22, 2021 Category: Physiotherapy Authors: Pollock CL, Hunt MA, Garland SJ, Ivanova TD, Wakeling JM Tags: Phys Ther Source Type: research

Effect of transcranial direct current stimulation (tDCS) delivered via dorsolateral prefrontal cortex on central post-stroke pain and depression: a case report
Conclusions: Further research is needed to determine if a series of periodic tDCS with short-intersession intervals applied to the DLPFC may be more effective than a single tDCS with long inter-session intervals, in decreasing pain and inducing long-term improvement in mood in people with stroke.PMID:33648417 | DOI:10.1080/09593985.2021.1891591
Source: Physiotherapy Theory and Practice - March 2, 2021 Category: Physiotherapy Authors: Auwal Bello Hassan Musa Sani Danazumi Auwal Abdullahi Abdulsalam Mohammed Yakasai Source Type: research

A Clinical Practice Guideline for the Use of Ankle-Foot Orthoses and Functional Electrical Stimulation Post-Stroke
DISCUSSION: One-hundred twenty-two meta-analyses, systematic reviews, randomized controlled trials, and cohort studies were included. Strong evidence exists that AFO and FES can each increase gait speed, mobility, and dynamic balance. Moderate evidence exists that AFO and FES increase quality of life, walking endurance, and muscle activation, and weak evidence exists for improving gait kinematics. AFO or FES should not be used to decrease plantarflexor spasticity. Studies that directly compare AFO and FES do not indicate overall superiority of one over the other. But evidence suggests that AFO may lead to more compensatory...
Source: Physical Therapy - March 6, 2021 Category: Physiotherapy Authors: Therese E Johnston Sarah Keller Caitlin Denzer-Weiler Lisa Brown Source Type: research