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Source: Physical Therapy
Therapy: Physical Therapy

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Total 401 results found since Jan 2013.

What Is the Dose-Response Relationship Between Exercise and Cardiorespiratory Fitness After Stroke? A Systematic Review.
CONCLUSIONS: Exercising at an intensity greater than 72% of heart rate reserve may be more effective in increasing cardiorespiratory fitness after stroke than exercising at lower intensities. More trials that compare exercise doses by manipulating only 1 parameter of dose at a time for people after stroke are needed. PMID: 30834439 [PubMed - as supplied by publisher]
Source: Physical Therapy - March 4, 2019 Category: Physiotherapy Authors: Galloway M, Marsden DL, Callister R, Erickson KI, Nilsson M, English C Tags: Phys Ther Source Type: research

Building a Bridge to the Community - An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People after Stroke.
Conclusion: Data from this study support the necessity for the community sector to offer a continuing service in partnership with the health system and people with chronic health needs. It indicates the potential of clinicians to partner with people with chronic health conditions and empower them to improve participation in relevant health behaviors, like community-based exercise. PMID: 30698783 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 29, 2019 Category: Physiotherapy Authors: Bird ML, Mortenson BW, Chu F, Acerra N, Bagnall E, Wright A, Hayley K, Yao J, Eng JJ Tags: Phys Ther Source Type: research

TheraBracelet Stimulation During Task-Practice Therapy to Improve Upper Extremity Function After Stroke: A Pilot Randomized Controlled Study.
Conclusions: TheraBracelet may be a promising therapy adjuvant for upper extremity recovery after stroke. PMID: 30690609 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 28, 2019 Category: Physiotherapy Authors: Seo NJ, Woodbury M, Bonilha L, Ramakrishnan V, Kautz SA, Downey R, Dellenbach BHS, Lauer A, Roark CM, Landers LE, Phillips SK, Vatinno AA Tags: Phys Ther Source Type: research

Aerobic Training in Canadian Stroke Rehabilitation Programs.
CONCLUSIONS: Most stroke rehabilitation programs across Canada include AT. People with severe physical impairment and those with cardiac, metabolic, and hemodynamic comorbidities may be excluded or not appropriately monitored during exercise. More detailed guidelines and training practices are needed to address these challenges.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A233). PMID: 30138234 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Nathoo C, Buren S, El-Haddad R, Feldman K, Schroeder E, Brooks D, Inness EL, Marzolini S Tags: J Neurol Phys Ther Source Type: research

Minimal Clinically Important Difference of the 6-Minute Walk Test in People With Stroke.
CONCLUSIONS: Between 2 and 6 months poststroke, people whose IGS is <0.40 m/s and experience a 44-m improvement in the 6MWT may exhibit meaningful improvement in disability. However, we were not able to estimate an accurate MCID for the 6MWT in people whose IGS was ≥0.40 m/s. MCID values should be estimated across different levels of function and anchors of importance.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A232). PMID: 30138230 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Fulk GD, He Y Tags: J Neurol Phys Ther Source Type: research

Commentary on: "Mobility Function and Recovery After Stroke: Preliminary Insights From Sympathetic Nervous System Activity".
PMID: 30138229 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Delbaere K, Hadjistavropoulos T Tags: J Neurol Phys Ther Source Type: research

Mobility Function and Recovery After Stroke: Preliminary Insights From Sympathetic Nervous System Activity.
CONCLUSIONS: SNS activity measured by skin conductance is a feasible approach for quantifying task-related differences in the perceived challenge of walking tasks in people poststroke. Furthermore, reduced SNS activity during walking following a rehabilitation intervention suggests a beneficial reduction in the physiological stress response evoked by complex walking tasks.Video Abstract available for more insights from the authors (See Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A234). PMID: 30138228 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 22, 2018 Category: Physiotherapy Authors: Chatterjee SA, Daly JJ, Porges EC, Fox EJ, Rose DK, McGuirk TE, Otzel DM, Butera KA, Clark DJ Tags: J Neurol Phys Ther Source Type: research

Delivering Intensive Rehabilitation in Stroke: Factors Influencing Implementation.
Conclusions: Even therapists involved in delivering a high-intensity intervention as part of a trial wanted to adapt it for clinical practice; therefore, it is imperative that researchers are explicit regarding key intervention components and what can be adapted to help ensure implementation fidelity. Changes in therapist's beliefs and system-level changes (staffing and resources) are likely necessary to facilitate higher intensity rehabilitation in practice. PMID: 29415282 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 5, 2018 Category: Physiotherapy Authors: Connell LA, Klassen TD, Janssen J, Thetford C, Eng JJ Tags: Phys Ther Source Type: research

A Backward Walking Training Program to Improve Balance and Mobility in Acute Stroke: A Pilot Randomized Controlled Trial.
CONCLUSIONS: Individuals 1-week poststroke tolerated 30 min/d of additional therapy. At 1-month postintervention, BWT resulted in greater improvements in both forward and backward walking speed than SBT. Backward walking training is a feasible important addition to acute stroke rehabilitation. Future areas of inquiry should examine BWT as a preventative modality for future fall incidence.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A193). PMID: 29232308 [PubMed - in process]
Source: Physical Therapy - December 14, 2017 Category: Physiotherapy Authors: Rose DK, DeMark L, Fox EJ, Clark DJ, Wludyka P Tags: J Neurol Phys Ther Source Type: research

Outcome Measure Scores Predict Discharge Destination in Patients With Acute and Subacute Stroke: A Systematic Review and Series of Meta-analyses.
CONCLUSION: Outcome measure scores are strong predictors of discharge destination among patients with stroke and provide an objective means of early discharge planning. Discharge decisions should be made with consideration for patient-specific biopsychosocial factors that may supersede isolated results of the outcome measures, and further research needs to assess the success of the location that a patient is referred at discharge.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A194). PMID: 29232307 [PubMed - in process]
Source: Physical Therapy - December 14, 2017 Category: Physiotherapy Authors: Thorpe ER, Garrett KB, Smith AM, Reneker JC, Phillips RS Tags: J Neurol Phys Ther Source Type: research

Use of Lower-Limb Robotics to Enhance Practice and Participation in Individuals With Neurological Conditions.
CONCLUSIONS: Use of these devices is limited by insufficient data, cost, and in some cases size of the machine. However, robotic technology is likely to become more prevalent as these machines are enhanced and able to produce targeted physical rehabilitation. RECOMMENDATIONS FOR CLINICAL PRACTICE: Therapists should be aware of these technologies as they continue to advance but understand the limitations and challenges posed with therapeutic/mobility robots. PMID: 28654477 [PubMed - in process]
Source: Physical Therapy - June 29, 2017 Category: Physiotherapy Authors: Jayaraman A, Burt S, Rymer WZ Tags: Pediatr Phys Ther Source Type: research

Integrating Health Promotion Into Physical Therapy Practice to Improve Brain Health and Prevent Alzheimer Disease.
This article discusses prevention, prediction, plasticity, and participation in the context of preserving brain health and preventing Alzheimer disease and related dementias in aging adults. RECOMMENDATIONS FOR CLINICAL PRACTICE: Rehabilitation professionals have opportunities to slow disease progression through research, practice, and education initiatives. From a clinical perspective, interventions that target brain health through lifestyle changes and exercise interventions show promise for preventing stroke and associated neurovascular diseases in addition to dementia. Physical therapists are well positioned to in...
Source: Physical Therapy - June 20, 2017 Category: Physiotherapy Authors: McGough E, Kirk-Sanchez N, Liu-Ambrose T Tags: J Neurol Phys Ther Source Type: research

Telehealth, Wearable Sensors, and the Internet: Will They Improve Stroke Outcomes Through Increased Intensity of Therapy, Motivation, and Adherence to Rehabilitation Programs?
This article addresses the need for cost-effective increased intensity of practice and suggests potential benefits of telehealth (TH) as an innovative model of care in physical therapy. SUMMARY OF KEY POINTS: We provide an overview of TH and present evidence that a web-supported program, used in conjunction with constraint-induced therapy (CIT), can increase intensity and adherence to a rehabilitation regimen. The design and feasibility testing of this web-based program, "LifeCIT," is presented. We describe how wearable sensors can monitor activity and provide feedback to patients and therapists. The methodology for t...
Source: Physical Therapy - June 20, 2017 Category: Physiotherapy Authors: Burridge JH, Lee ACW, Turk R, Stokes M, Whitall J, Vaidyanathan R, Clatworthy P, Hughes AM, Meagher C, Franco E, Yardley L Tags: J Neurol Phys Ther Source Type: research

Consideration of Dose and Timing When Applying Interventions After Stroke and Spinal Cord Injury.
This article provides a synopsis of our lectures at the IV STEP meeting, which presented a perspective of current data on the issues of timing and dose for adult stroke and spinal cord injury motor rehabilitation. SUMMARY OF KEY POINTS: For stroke, the prevailing evidence suggests that greater amounts of therapy do not result in better outcomes for upper extremity interventions, regardless of timing. Whether or not greater amounts of therapy result in better outcomes for lower extremity and mobility interventions needs to be explicitly tested. For spinal cord injury, there is a complex interaction of timing postinjury...
Source: Physical Therapy - June 20, 2017 Category: Physiotherapy Authors: Basso DM, Lang CE Tags: J Neurol Phys Ther Source Type: research

Genetic Variation and Neuroplasticity: Role in Rehabilitation After Stroke.
Abstract BACKGROUND AND PURPOSE: In many neurologic diagnoses, significant interindividual variability exists in the outcomes of rehabilitation. One factor that may impact response to rehabilitation interventions is genetic variation. Genetic variation refers to the presence of differences in the DNA sequence among individuals in a population. Genetic polymorphisms are variations that occur relatively commonly and, while not disease-causing, can impact the function of biological systems. The purpose of this article is to describe genetic polymorphisms that may impact neuroplasticity, motor learning, and recovery a...
Source: Physical Therapy - June 20, 2017 Category: Physiotherapy Authors: Stewart JC, Cramer SC Tags: J Neurol Phys Ther Source Type: research