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Specialty: Physiotherapy
Therapy: Physical Therapy

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Total 541 results found since Jan 2013.

Telerehabilitation During the Covid-19 Pandemic in Outpatient Rehabilitation Settings: A Descriptive Study
CONCLUSIONS: These results provide new knowledge about to whom and how TR is being administered during the pandemic in outpatient rehabilitation practices throughout the USA. The database assessed was found to be suitable for conducting studies on associations between TR and diverse outcome measures, controlling for a comprehensive set of patient characteristics, to advance best TR care models, and promote high quality care.IMPACT: This study provided detailed and robust descriptive information using an existing national patient database containing patient health and demographic characteristics, outcome measures, and TR ad...
Source: Physical Therapy - April 13, 2021 Category: Physiotherapy Authors: Mark W Werneke Daniel Deutscher David Grigsby Carole A Tucker Jerome E Mioduski Deanna Hayes Source Type: research

Accuracy and cut-off points of different models of knee extension strength analysis to identify walking performance in individuals with chronic stroke
CONCLUSION: The models of muscle knee extension strength analysis using the SS and DS presented moderate accuracy to identify walking performance in individuals with chronic stroke.PMID:33824059 | DOI:10.1016/j.bjpt.2021.03.002
Source: Physical Therapy - April 7, 2021 Category: Physiotherapy Authors: Rodrigo Rodrigues Gomes Costa Frederico Ribeiro Neto Carlos Wellington Gon çalves Rodrigo Luiz Carregaro Source Type: research

Arm Motor Recovery After Ischemic Stroke: A Focus on Clinically Distinct Trajectory Groups
Conclusions: Three clinically relevant recovery trajectory groups were defined using the FMA-UE MCID. Baseline impairment, overall stroke severity, and dependence in activities of daily living were associated with group membership and therapy hours differed between groups. Stratifying individuals by recovery trajectory early poststroke could offer additional guidance to clinicians in discharge planning. (See Supplemental Digital Content 1 for Video Abstract, available at: http://links.lww.com/JNPT/A337.)
Source: Journal of Neurologic Physical Therapy - April 1, 2021 Category: Physiotherapy Tags: Research Articles 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 compensa...
Source: Journal of Neurologic Physical Therapy - April 1, 2021 Category: Physiotherapy Tags: Clinical Practice Guidelines Source Type: research

Arm Motor Recovery After Ischemic Stroke: A Focus on Clinically Distinct Trajectory Groups
CONCLUSIONS: Three clinically relevant recovery trajectory groups were defined using the FMA-UE MCID. Baseline impairment, overall stroke severity, and dependence in activities of daily living were associated with group membership and therapy hours differed between groups. Stratifying individuals by recovery trajectory early poststroke could offer additional guidance to clinicians in discharge planning.(See Supplemental Digital Content 1 for Video Abstract, available at: http://links.lww.com/JNPT/A337.).PMID:33707402 | DOI:10.1097/NPT.0000000000000350
Source: Physical Therapy - March 12, 2021 Category: Physiotherapy Authors: Danielle K Kline David J Lin Alison Cloutier Kelly Sloane Kristin Parlman Jessica Ranford Matthew Picard-Fraser Annie B Fox Leigh R Hochberg Teresa Jacobson Kimberley Source Type: research

Implementation and evaluation of the virtual Graded Repetitive Arm Supplementary Program (GRASP) for individuals with stroke during the COVID-19 pandemic and beyond
CONCLUSION: The virtual GRASP program was successfully implemented. Although the program was effective in improving both measured and perceived UE function in a small sample of individuals with stroke, caution should be taken in generalizing the results.IMPACT: Implementing telerehabilitation is crucial to optimize patient outcomes and reduce the spread of COVID-19. Our findings provide guidance on the process of delivering a UE rehabilitation program remotely via videoconferencing for stroke. Moreover, insights that arise from this study also inform the implementation of other telerehabilitation services.PMID:33682872 | D...
Source: Physical Therapy - March 8, 2021 Category: Physiotherapy Authors: Chieh-Ling Yang Seonaid Waterson Janice J Eng 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

Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study
Conclusion] Due to its sensitivity in detecting differences in balance, six-minute walking distance may be a useful assessment parameter for stroke rehabilitation, particularly in the recovery of physiological walking ability.PMID:33642694 | PMC:PMC7897533 | DOI:10.1589/jpts.33.168
Source: Physical Therapy - March 1, 2021 Category: Physiotherapy Authors: Hiroki Watanabe Hideo Tsurushima Hisako Yanagi 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 reactions pos...
Source: Physical Therapy - February 22, 2021 Category: Physiotherapy Authors: Courtney L Pollock Michael A Hunt S Jayne Garland Tanya D Ivanova James M Wakeling Source Type: research