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Source: Physical Therapy
Therapy: Physical Therapy

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Total 401 results found since Jan 2013.

Treadmill-Based Locomotor Training With Robotic Pelvic Assist and Visual Feedback: A Feasibility Study.
CONCLUSIONS:: Results demonstrate this combined interventional approach was feasible and improved stance symmetry overground, yet further work should consider increasing training intensity and/or duration to induce gains lasting through follow-up. PMID: 32516301 [PubMed - in process]
Source: Physical Therapy - June 11, 2020 Category: Physiotherapy Authors: Bishop L, Omofuma I, Stein J, Agrawal S, Quinn L Tags: J Neurol Phys Ther Source Type: research

Determining Safe Participation in Aerobic Exercise Early After Stroke Through a Graded Submaximal Exercise Test.
CONCLUSION: A graded submaximal exercise test without ECG but with symptom monitoring and conservative heart rate and perceived exertion endpoints may facilitate safe exercise intensities early after stroke. Symptom-limited exercise testing with ECG is still recommended when progressing to higher-intensity exercise. IMPACT: Concerns about cardiovascular risk are a barrier to physical therapists implementing aerobic exercise in stroke rehabilitation. This study showed that, in the absence of access to exercise testing with ECG, submaximal testing with conservative heart rate and perceived exertion endpoints and symptom...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Inness E, Aqui A, Foster E, Fraser J, Danells CJ, Biasin L, Brunton K, Howe JA, Poon V, Tang A, Mansfield A, Marzolini S, Oh P, Bayley M Tags: Phys Ther Source Type: research

Use of the Activity Measure for Post-Acute Care "6 Clicks" Basic Mobility Inpatient Short Form and National Institutes of Health Stroke Scale to Predict Hospital Discharge Disposition After Stroke.
CONCLUSION: The 6 Clicks mobility score alone can guide discharge decision making after stroke, particularly for discharge to home versus an SNF or an IRF. Determining discharge to an SNF versus an IRF could be improved by also considering the NIHSS score, age, sex, and race. Future studies should seek to identify which additional characteristics improve predictability for these separate discharge destinations. IMPACT: The use of outcome measures can improve therapist confidence in making discharge recommendations for people with stroke, can enhance hospital throughput, and can expedite access to rehabilitation, ultim...
Source: Physical Therapy - June 2, 2020 Category: Physiotherapy Authors: Covert S, Johnson JK, Stilphen M, Passek S, Thompson NR, Katzan I Tags: Phys Ther Source Type: research

What Interventions Do Physical Therapists Provide for Patients With Cardiorespiratory Conditions, Neurological Conditions, and Conditions Requiring Acute Hospital Care? A Systematic Review.
CONCLUSIONS: This review found patterns of physical therapist practice for cardiorespiratory conditions, neurological conditions, and conditions requiring acute hospital care that were both evidence based and not evidence based. A concern is that a substantial percentage of physical therapists provided interventions that were of low value or unknown value, despite the availability of high-value interventions. IMPACT: This systematic review is the first to summarize the percentage of physical therapist treatment choices that were high value versus low value for cardiorespiratory conditions, neurological conditions, and...
Source: Physical Therapy - April 13, 2020 Category: Physiotherapy Authors: Zadro JR, Cheng S, O'Keeffe M, Maher CG Tags: Phys Ther Source Type: research

Task-Oriented Circuit Training for Mobility in Outpatient Stroke Rehabilitation in Germany and Austria: A Contextual Transferability Analysis.
Abstract People with stroke cite mobility deficits as one of the most burdensome limitations. National and international stroke guidelines recommend physical therapy based on task-oriented practice, with high numbers of repetitions to improve mobility. In the outpatient setting in Germany and Austria, these principles have not yet been established. The purpose of this study was to identify an evidence-based intervention that could help reduce this research-practice gap. A stepwise approach proposed by Voigt-Radloff et al and Cochrane Germany was used. First, the specific health service problem in the German and Au...
Source: Physical Therapy - April 6, 2020 Category: Physiotherapy Authors: Diermayr G, Schomberg M, Greisberger A, Elsner B, Gronwald M, Salbach NM Tags: Phys Ther Source Type: research

Neuroplasticity of Cortical Planning for Initiating Stepping Poststroke: A Case Series.
DISCUSSION: Changes in MRCP duration suggest that outpatient physical therapy may promote neuroplasticity of motor planning of stepping movements after stroke; however, a larger sample is needed to determine whether this finding is valid.This case series suggests motor planning for initiating stepping may improve after 6 weeks of outpatient physical therapy for persons with stroke.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A307). PMID: 32168159 [PubMed - as supplied by publisher]
Source: Physical Therapy - March 14, 2020 Category: Physiotherapy Authors: Peters S, Ivanova TD, Lakhani B, Boyd LA, Garland SJ Tags: J Neurol 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

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

Stepping After Stroke: Walking Characteristics in People With Chronic Stroke Differ on the Basis of Walking Speed, Walking Endurance, and Daily Steps.
CONCLUSIONS: Walking characteristics differed on the basis of walking speed, walking endurance, and daily steps. Differences in daily steps between household and community ambulators were largely due to shorter and fewer walking bouts. Assessing and targeting walking bouts may prove useful for increasing stepping after stroke. PMID: 31995194 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 28, 2020 Category: Physiotherapy Authors: Handlery R, Fulk G, Pellegrini C, Stewart JC, Monroe C, Fritz S Tags: Phys Ther Source Type: research

Modifiable Factors Associated With Poststroke Physical Activity at Discharge From Rehabilitation: Prospective Cohort Study.
CONCLUSION: The results demonstrated that better physical function at discharge from inpatient rehabilitation was associated with future increased levels of physical activity. Additionally, higher levels of motivation impacted on increased physical activity participation. The influence of anxiety on physical activity participation requires further exploration. Mixed-method study designs can be utilized to further understand the factors associated with post-stroke physical activity. PMID: 31995190 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 28, 2020 Category: Physiotherapy Authors: Thilarajah S, Bower KJ, Hao PY, Tan D, Williams G, Larik A, Wai BC, Koh G, Clark RA Tags: Phys Ther Source Type: research

Balance and Gait After First Minor Ischemic Stroke in People 70 Years of Age or Younger: A Prospective Observational Cohort Study.
CONCLUSIONS: This study observed improvements in both balance and gait during the follow-up, still about one third had balance or gait impairments at 12 months post-stroke. Balance in the acute phase predicted impaired balance at 12 months. PMID: 31944247 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 15, 2020 Category: Physiotherapy Authors: Hamre C, Fure B, Helbostad JL, Wyller TB, Ihle-Hansen H, Vlachos G, Ursin M, Tangen GG Tags: Phys Ther Source Type: research

Constraint-Induced Movement Therapy for Lower Extremity Function: Describing the LE-CIMT Protocol.
Abstract Constraint-Induced Movement Therapy (CIMT) is comprised of a set of techniques shown to produce significant changes in upper extremity (UE) function following stroke and other disorders. The significant positive results obtained with the UE protocol has led to the development of LE-CIMT, an intervention to improve lower extremity (LE) function. However, some modifications of the UE protocol were needed including: omitting use of a restraint device, development of supervised motor training tasks to emphasize movement of the lower limb, and adaptation of the UE Motor Activity Log (MAL) for the lower-extremi...
Source: Physical Therapy - January 2, 2020 Category: Physiotherapy Authors: Dos Anjos S, Morris D, Taub E Tags: Phys Ther Source Type: research

Central Drive to the Paretic Ankle Plantarflexors Affects the Relationship Between Propulsion and Walking Speed After Stroke.
CONCLUSIONS: Individuals poststroke have latent paretic plantarflexion strength that they are not able to voluntarily access. The magnitude of central drive deficit is a strong indicator of propulsion impairment in both slow and fast walkers.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A298). PMID: 31834220 [PubMed - in process]
Source: Physical Therapy - December 14, 2019 Category: Physiotherapy Authors: Awad LN, Hsiao H, Binder-Macleod SA Tags: J Neurol Phys Ther Source Type: research

Upper Limb Robotic Rehabilitation After Stroke: A Multicenter, Randomized Clinical Trial.
CONCLUSIONS: Robotic treatment using a set of 4 devices significantly improved UL motor function, activities, and participation in subjects with subacute stroke to the same extent as a similar amount of conventional therapy. Video Abstract is available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A291). PMID: 31834217 [PubMed - in process]
Source: Physical Therapy - December 14, 2019 Category: Physiotherapy Authors: Aprile I, Germanotta M, Cruciani A, Loreti S, Pecchioli C, Cecchi F, Montesano A, Galeri S, Diverio M, Falsini C, Speranza G, Langone E, Papadopoulou D, Padua L, Carrozza MC, FDG Robotic Rehabilitation Group Tags: J Neurol Phys Ther Source Type: research

Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury.
DISCUSSION: The collective findings suggest that large amounts of task-specific (ie, locomotor) practice may be critical for improvements in walking function, although only at higher cardiovascular intensities or with augmented feedback to increase patient's engagement. Lower-intensity walking interventions or impairment-based training strategies demonstrated equivocal or limited efficacy. LIMITATIONS: As walking speed and distance were primary outcomes, the research participants included in the studies walked without substantial physical assistance. This guideline may not apply to patients with limited ambulatory fun...
Source: Physical Therapy - December 14, 2019 Category: Physiotherapy Authors: Hornby TG, Reisman DS, Ward IG, Scheets PL, Miller A, Haddad D, Fox EJ, Fritz NE, Hawkins K, Henderson CE, Hendron KL, Holleran CL, Lynskey JE, Walter A, and the Locomotor CPG Appraisal Team Tags: J Neurol Phys Ther Source Type: research