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Source: Journal of Neurologic Physical Therapy
Therapy: Physical Therapy

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Total 81 results found since Jan 2013.

Assessment of Walking Speed and Distance Post-Stroke Increases After Providing a Theory-Based Toolkit
Conclusions: Providing a comprehensive toolkit to hospitals with professional leaders likely contributed to increasing 10mWT and 6MWT administration during inpatient and outpatient 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/A390).
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Gluteus Maximus Muscle Activation Characteristics During a Chair-Rise in Adults With Chronic Stroke
Conclusions: Despite apparent unilateral muscle weakness post-stroke, bilateral decreases in gluteus maximus activation magnitudes and compounding onset deficits of the paretic extremity were observed during chair-rising. Further research is needed to determine whether interventions maximizing bilateral activation magnitudes and improving temporal activation congruency during chair-rising will carry over to functional gains Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A387).
Source: Journal of Neurologic Physical Therapy - October 1, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Physical Activity After Transient Ischemic Attack or Mild Stroke Is Business as Usual
Conclusion: Information about the necessity to engage in recommended physical activity levels requires tailoring to the needs of the people with TIA or mild stroke. Helpful information in combination with support and strategies may guide how to navigate factors preventing engagement and might influence the low level of physical activity prevalent in this population. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A376).
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Use of an EMG-Controlled Game as a Therapeutic Tool to Retrain Hand Muscle Activation Patterns Following Stroke: A Pilot Study
Conclusions: Stroke survivors could successfully use the EMG-controlled games to train control of muscle activation patterns. While the nonparetic limb EMG was used in this study to create target EMG patterns, the system supports various means for creating target patterns per user desires. Future studies will employ training with the EMG-controlled games in conjunction with functional task practice for a longer intervention duration to improve overall hand function. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A379).
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Commentary on: “Use of an EMG-Controlled Game as a Therapeutic Tool to Retrain Hand Muscle Activation Patterns Following Stroke: A Pilot Study”
No abstract available
Source: Journal of Neurologic Physical Therapy - June 25, 2022 Category: Physiotherapy Tags: Clinical Point of View Source Type: research

Symmetry Is Associated With Interlimb Coordination During Walking and Pedaling After Stroke
We examined these associations: (1) propulsive symmetry with interlimb coordination during walking, (2) work symmetry with interlimb coordination during pedaling, and (3) work symmetry and interlimb coordination with clinical impairment. Methods: Nineteen individuals with chronic stroke and 15 controls performed bilateral, lower limb pedaling with a conventional device and a device with a bisected crank and upstroke assistance. Individuals with stroke walked on a split-belt treadmill. Measures of symmetry (%Propulsionwalk, %Workped) and interlimb phase coordination index (PCIwalk, PCIped) were computed. Clinical eva...
Source: Journal of Neurologic Physical Therapy - March 27, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Classification of Limb and Mobility Impairments in Persons With Stroke Using the STREAM
Conclusions: Findings can be used in the assessment and treatment planning of persons with stroke. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A373).
Source: Journal of Neurologic Physical Therapy - March 27, 2022 Category: Physiotherapy Tags: Research Articles Source Type: research

Treatment of Vestibular Disorders (Inner Ear Balance Problems): How Does Your Physical Therapist Treat Dizziness Related to Inner Ear Balance Problems?
Dizziness is very common, but it is never normal. Dizziness can make performing daily activities, work, and walking difficult. Inner ear balance problems can make people dizzy when they turn their head, which can cause problems during walking and make people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often, dizziness is related to a problem of the vestibular (or inner ear balance) system. Vestibular disorders can be caused by infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood ...
Source: Journal of Neurologic Physical Therapy - March 27, 2022 Category: Physiotherapy Tags: JNPT Perspectives for Patients Source Type: research

Fluid Cognition Relates to Locomotor Switching in Neurotypical Adults, Not Individuals After Stroke
Conclusions: Individuals after stroke appear to have deficits in locomotor switching compared with neurotypical adults. The relationship between fluid cognition and locomotor switching was significant in neurotypical adults but not in individuals after stroke. Future work to understand the relationship between specific cognitive domains and locomotor switching is needed (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A361).
Source: Journal of Neurologic Physical Therapy - December 28, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

Greater Cognitive-Motor Interference in Individuals Post-Stroke During More Complex Motor Tasks
Background and Purpose: Dual-task (DT) walking assessments allow for the simultaneous evaluation of cognitive and motor performance. During DT walking, individuals may experience interference in one or both tasks, known as cognitive-motor interference (CMI). The primary purpose of this study was to compare CMI between individuals post-stroke and healthy persons group during single- and dual-motor and cognitive tasks, using 2 distinct walking tasks. Methods: Motor performance was quantified as the total time for the Timed Up and Go (TUG) and gait speed for the 90-second walk (90W). Cognitive performance was measu...
Source: Journal of Neurologic Physical Therapy - December 28, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

Corticospinal Tract Microstructure Predicts Distal Arm Motor Improvements in Chronic Stroke
Conclusions: CST microstructure is a significant predictor of improvement in distal UE motor function in the context of an UE rehabilitation trial in chronic stroke survivors with mild-to-moderate motor impairment. Video Abstract available for more insight from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A350).
Source: Journal of Neurologic Physical Therapy - September 30, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

Development and Results of an Implementation Plan for High-Intensity Gait Training
Conclusions: Using a multicomponent implementation plan that targeted barriers, we successfully implemented high-intensity gait training in clinical practice. Contributors to successful implementation may include the implementation methods, usual care interventions, and clinicians' readiness for this change. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A352.)
Source: Journal of Neurologic Physical Therapy - September 30, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

Manual Dexterity Is Associated With Use of the Paretic Upper Extremity in Community-Dwelling Individuals With Stroke
Conclusions: The BBT presents a positive high correlation with paretic UE use at home and was shown to be better able to identify “limited” and “partial” integration of the paretic UE. Both tests can identify when the paretic UE is fully/almost fully integrated into activities at home. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A354).
Source: Journal of Neurologic Physical Therapy - September 30, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

Temporal But Not Spatial Gait Parameters Associated With Lower Balance Capacity in Moderate-High Functioning Persons With Stroke
Conclusions: Findings highlight the importance of gait temporal symmetry and variability measures for dynamic balance control after stroke. These parameters should be considered when assessing gait recovery and safety in PwS. Video Abstract available for more insight from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A355).
Source: Journal of Neurologic Physical Therapy - September 30, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research

An Exploration of Sedentary Behavior Patterns in Community-Dwelling People With Stroke: A Cluster-Based Analysis
Background and Purpose: Long periods of daily sedentary time, particularly accumulated in long uninterrupted bouts, are a risk factor for cardiovascular disease. People with stroke are at high risk of recurrent events and prolonged sedentary time may increase this risk. We aimed to explore how people with stroke distribute their periods of sedentary behavior, which factors influence this distribution, and whether sedentary behavior clusters can be distinguished? Methods: This was a secondary analysis of original accelerometry data from adults with stroke living in the community. We conducted data-driven clusteri...
Source: Journal of Neurologic Physical Therapy - July 1, 2021 Category: Physiotherapy Tags: Research Articles Source Type: research