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Relative Aerobic Load of Daily Activities After Stroke
CONCLUSION: Individuals after stroke experience a high relative aerobic load during cyclic daily-life activities, despite adopting a slower movement pace than peers with no impairments. Perhaps individuals after stroke limit their movement pace to operate at sustainable relative aerobic load levels at the expense of pace and economy.IMPACT: Improving aerobic capacity through structured aerobic training in a rehabilitation program should be further investigated as a potential intervention to improve mobility and functioning after stroke.PMID:37172129 | PMC:PMC10071588 | DOI:10.1093/ptj/pzad005
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Ilse J Blokland Linda F A Schiphorst Jessie R Stroek Floor P Groot Coen A M van Bennekom Jaap H van Dieen Jos J de Koning Han Houdijk Source Type: research

Identification of Disability Subgroups for Patients After Ischemic Stroke
CONCLUSION: Five disability subgroups were identified for patients after ischemic stroke. The disability subgroups provide a common language for clinicians to organize the heterogeneity of disability after stroke.IMPACT: Using the disability subgroups, the multidisciplinary team might be able to improve the accuracy and efficiency of care decisions. The number of current rehabilitation interventions is indeterminable; these subgroups may help to guide clinicians in selecting the most beneficial interventions for patients based on subgroup membership.PMID:37172127 | DOI:10.1093/ptj/pzad001
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Jessica Edelstein Adam R Kinney Tamra Keeney Amanda Hoffman James E Graham Matthew P Malcolm Source Type: research

Relative Aerobic Load of Daily Activities After Stroke
CONCLUSION: Individuals after stroke experience a high relative aerobic load during cyclic daily-life activities, despite adopting a slower movement pace than peers with no impairments. Perhaps individuals after stroke limit their movement pace to operate at sustainable relative aerobic load levels at the expense of pace and economy.IMPACT: Improving aerobic capacity through structured aerobic training in a rehabilitation program should be further investigated as a potential intervention to improve mobility and functioning after stroke.PMID:37172129 | PMC:PMC10071588 | DOI:10.1093/ptj/pzad005
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Ilse J Blokland Linda F A Schiphorst Jessie R Stroek Floor P Groot Coen A M van Bennekom Jaap H van Dieen Jos J de Koning Han Houdijk Source Type: research

Identification of Disability Subgroups for Patients After Ischemic Stroke
CONCLUSION: Five disability subgroups were identified for patients after ischemic stroke. The disability subgroups provide a common language for clinicians to organize the heterogeneity of disability after stroke.IMPACT: Using the disability subgroups, the multidisciplinary team might be able to improve the accuracy and efficiency of care decisions. The number of current rehabilitation interventions is indeterminable; these subgroups may help to guide clinicians in selecting the most beneficial interventions for patients based on subgroup membership.PMID:37172127 | DOI:10.1093/ptj/pzad001
Source: Physical Therapy - May 12, 2023 Category: Physiotherapy Authors: Jessica Edelstein Adam R Kinney Tamra Keeney Amanda Hoffman James E Graham Matthew P Malcolm Source Type: research

Measurement Properties of the Patient-Specific Functional Scale in Rehabilitation for Patients With Stroke: A Prospective Observational Study
CONCLUSION: This study demonstrates satisfactory measurement properties for the PSFS in individuals undergoing inpatient stroke rehabilitation.IMPACT: This study supports the use of the PSFS to document and monitor patient-identified rehabilitation goals in patients receiving subacute stroke rehabilitation when applied using a shared decision approach.PMID:37140476 | PMC:PMC10158643 | DOI:10.1093/ptj/pzad014
Source: Physical Therapy - May 4, 2023 Category: Physiotherapy Authors: Janne Evensen Helene Lundgaard Soberg Unni Sveen Knut A Hestad Jennifer L Moore Berit Arnesveen Bronken Source Type: research

Gut microbiome plays a vital role in post-stroke injury repair by mediating neuroinflammation
In this study, we reviewed the role of the gut microbiome in cerebral stroke and the underlying mechanism of the AMPK signaling pathway in stroke. AMPK mediators in nerve repair and the regulation of intestinal microbial balance were also summarized.PMID:37031605 | DOI:10.1016/j.intimp.2023.110126
Source: Atherosclerosis - April 9, 2023 Category: Cardiology Authors: Airu Huang Ling Ji Yamei Li Yufeng Li Qian Yu Source Type: research

Physical Therapists Use Different Motivational Strategies for Stroke Rehabilitation Tailored to an Individual's Condition: A Qualitative Study
CONCLUSIONS: This qualitative study suggests that physical therapists use different strategies depending on the individual's mental health conditions, physical problems, level of cognitive function, personality, activities and participation, age, human environment, and the type of rehabilitation service where the individual undergoes treatment to motivate individuals with stroke during physical therapy.IMPACT: The findings of this study can provide experience-based recommendations regarding the selection of motivational strategies for stroke rehabilitation.PMID:37017336 | DOI:10.1093/ptj/pzad034
Source: Physical Therapy - April 5, 2023 Category: Physiotherapy Authors: Kazuaki Oyake Keita Sue Motofumi Sumiya Satoshi Tanaka Source Type: research

Efficacy and Dose of Rehabilitation Approaches for Severe Upper Limb Impairments and Disability During Early Acute and Subacute Stroke: A Systematic Review
CONCLUSION: Different rehabilitation approaches seem to improve severe upper limb impairments and disability in the subacute stage after stroke; however, they are not distinctly superior to standard care or other interventions provided at the same dosage.IMPACT: Robotic therapy and functional electrical stimulation add variety to rehabilitation programs, but their benefit has not been shown to exceed that of standard care. Further research is necessary to identify the impact of dosage parameters (eg, intensity) on severe upper limb motor impairments and function, especially in the acute stage.PMID:37014279 | DOI:10.1093/ptj/pzad002
Source: Physical Therapy - April 4, 2023 Category: Physiotherapy Authors: Steff Doumen Luca Sorba Peter Feys Lisa Tedesco Triccas Source Type: research

Translation and cross-cultural adaptation of the Brazilian version of the PM-Scale: A specific measure of participation after stroke
CONCLUSION: The Brazilian version of the PM-Scale is a valid, unidimensional, linear, reliable scale for measuring participation in stroke survivors and can be administered in less than five minutes.PMID:37001362 | DOI:10.1016/j.bjpt.2023.100497
Source: Physical Therapy - March 31, 2023 Category: Physiotherapy Authors: Gabriela Santos Pereira Fernanda Ishida Corr êa Heyriane Martins Dos Santos C íntia Elord Júlio Jussimara Angela Pereira Baz án Maria Eduarda Ferreira Bissoli Thayane Correa Pereira Brand ão Jean-Louis Thonnard Oy éné Kossi Jo ão Carlos Ferrari Co Source Type: research