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Specialty: Physiotherapy
Therapy: Physical Therapy

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Total 541 results found since Jan 2013.

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 reactio...
Source: Physical Therapy - February 22, 2021 Category: Physiotherapy Authors: Pollock CL, Hunt MA, Garland SJ, Ivanova TD, Wakeling JM Tags: Phys Ther Source Type: research

Look Before You Leap: Interventions Supervised via Telehealth Involving Activities in Weight-Bearing or Standing Positions for People After Stroke-A Scoping Review.
CONCLUSIONS: We identified strategies used in research to date which can support current practice. However, urgent research is needed to ensure that stroke survivors are receiving evidence-based, effective services. IMPACT: The COVID-19 pandemic has necessitated a rapid shift to telerehabilitation services for people with stroke, but there is little evidence to guide best practice. Our review provides practical guidance and strategies to overcome barriers, and optimize safety and adherence for telehealth interventions involving activities in weightbearing or standing positions. PMID: 33611602 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 22, 2021 Category: Physiotherapy Authors: Ramage E, Fini N, Lynch E, Marsden DL, Patterson AJ, Said CM, English C Tags: Phys Ther Source Type: research

Effects of dual-task gait treadmill training on gait ability, dual-task interference, and fall efficacy in people with stroke: A Randomized Controlled Trial.
CONCLUSIONS: Dual-task gait treadmill training was more effective in improving gait ability in dual-task training and DTI than single-task training involving gait and cognitive task separately in people with chronic stroke. PMID: 33611557 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 22, 2021 Category: Physiotherapy Authors: Baek CY, Chang WN, Park BY, Lee KB, Kang KY, Choi MR Tags: Phys Ther Source Type: research

Effect of Virtual Reality Gait Training on Participation in Survivors of Subacute Stroke: Randomized Controlled Trial.
CONCLUSIONS: The effect of VRT was not statistically different from non-VRT in improving participation in community-living people after stroke. IMPACT: Although outcomes were not statistically different, treadmill-based VRT was a safe and well-tolerated intervention that was positively rated by people after stroke. VR training might, therefore, be a valuable addition to stroke rehabilitation. PMID: 33594443 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 16, 2021 Category: Physiotherapy Authors: de Rooij IJM, van de Port IGL, Punt M, Moorsel PJMA, Kortsmit M, van Eijk RPA, Visser-Meily JMA, Meijer JG Tags: Phys Ther Source Type: research

The Time for Translation of Mobile Brain and Body Imaging to People With Stroke Is Now.
PMID: 33561281 [PubMed - as supplied by publisher]
Source: Physical Therapy - February 9, 2021 Category: Physiotherapy Authors: Greeley B, Hanada G, Boyd LA, Peters S Tags: Phys Ther Source Type: research

Does falls efficacy influence the relationship between forward and backward walking speed after stroke?
CONCLUSIONS: FWS is positively related to BWS post-stroke, but this relationship is influenced by one's perceived falls efficacy. Our results suggest that BWS can be predicted from FWS in people with lower falls efficacy, but as falls efficacy increases, BWS becomes a separate and unassociated construct from FWS. IMPACT STATEMENT: This study provides unique evidence that the degree of falls efficacy significantly influences the relationship between FWS and BWS post-stroke. Physical therapists should examine both FWS and BWS in people with higher falls efficacy, but further investigation is warranted for those with low...
Source: Physical Therapy - February 9, 2021 Category: Physiotherapy Authors: Bansal K, Clark DJ, Fox EJ, Rose DK Tags: Phys Ther Source Type: research

Implementing the PREP2 algorithm to predict upper limb recovery potential after stroke in clinical practice: a qualitative study.
CONCLUSIONS: The PREP2 prediction tool was successfully implemented in clinical practice at ADHB. Barriers and facilitators to implementation success were identified, and implementation strategies were described. Lessons learned can aid future development and implementation of prediction models in clinical practice. IMPACT: Translating evidence-based interventions into clinical practice can be challenging and slow; however, shortly after its local validation, PREP2 was successfully implemented into clinical practice at the same site in New Zealand. In parallel to further model validation, organizations and practices c...
Source: Physical Therapy - January 30, 2021 Category: Physiotherapy Authors: Connell LA, Chesworth B, Ackerley S, Smith MC, Stinear CM Tags: Phys Ther Source Type: research

A 10-item Fugl-Meyer Motor Scale Based on Machine Learning.
CONCLUSION: The findings preliminarily support the efficiency and psychometric properties of the 10-item FM-ML. IMPACT: The FM-ML has potential to substantially improve the efficiency of motor function assessments in patients with stroke. PMID: 33513236 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 29, 2021 Category: Physiotherapy Authors: Lin GH, Huang CY, Lee SC, Chen KL, Lien JJ, Chen MH, Huang YH, Hsieh CL Tags: Phys Ther Source Type: research

Time Window for Ischemic Stroke First Mobilization Effectiveness (TIME): Protocol for an Investigator-Initiated Prospective Multicenter Randomized 3-Arm Clinical Trial.
CONCLUSIONS: The TIME trial is designed to answer the question "when is the best time to start mobilization after stroke?" The effect of timing is isolated from the effect of type and dose of mobilization by otherwise applying a standard mobilization protocol across groups. The TIME trial may, therefore, contribute to increasing the knowledge base regarding the optimal time window for initiating mobilization after acute ischemic stroke. PMID: 33513232 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 29, 2021 Category: Physiotherapy Authors: Zheng Y, Yan C, Shi H, Niu Q, Liu Q, Lu S, Zhang X, Cheng Y, Teng M, Wang L, Zhang X, Hu X, Li J, Lu X, Reinhardt JD Tags: Phys Ther Source Type: research

Implicit and Explicit Motor Learning Interventions Have Similar Effects on Walking Speed in People After Stroke: A Randomized Controlled Trial.
CONCLUSIONS: Implicit motor learning was not superior to explicit motor learning to improve walking speed in people after stroke in the chronic phase of recovery. IMPACT: To our knowledge this is the first study to examine the effects of implicit compared to explicit motor learning on a functional task in people after stroke. Results indicate that physical therapists can use (tailored) implicit and explicit motor learning strategies to improve walking speed in people after stroke who are in the chronic phase of recovery. PMID: 33482007 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 22, 2021 Category: Physiotherapy Authors: Jie LJ, Kleynen M, Meijer K, Beurskens A, Braun S Tags: Phys Ther Source Type: research

Measurement Precision and Efficiency of Computerized Adaptive Testing for the Activities-specific Balance Confidence Scale in People With Stroke.
CONCLUSIONS: An ABC CAT can determine accurate and precise measures of balance confidence in people with stroke with as few as 4 items. Individuals with lower balance confidence may require a greater number of items (up to 9) and attributed to the LEAPS trial excluding more functionally impaired persons. IMPACT STATEMENT: Computerized adaptive testing can drastically reduce the ABC's test administration time while maintaining accuracy and precision. This should greatly enhance clinical utility, facilitating adoption of clinical practice guidelines in stroke rehabilitation. LAY SUMMARY: If you have had a stroke, y...
Source: Physical Therapy - January 22, 2021 Category: Physiotherapy Authors: Seamon BA, Kautz SA, Velozo CA Tags: Phys Ther Source Type: research

Robot-assisted therapy for upper extremity motor impairment after stroke: a systematic review and meta-analysis.
CONCLUSION: RT might be superior to conventional rehabilitation in improving upper extremity motor impairment in people after stroke with notable upper extremity hemiplegia and limited potential for spontaneous recovery. PMID: 33454787 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 18, 2021 Category: Physiotherapy Authors: Wu J, Cheng H, Zhang J, Yang S, Cai S Tags: Phys Ther Source Type: research

Using 3D Motion Analysis to Optimize Treatment Planning for a Patient With Dropfoot: Case Report.
This study demonstrated the use of computerized motion analysis to assist in evidence-based clinical decision-making. CASE DESCRIPTION: A 15-year-old female who suffered from right hemiparesis after a stroke was referred for 3D computerized motion analysis to determine the effect of three devices intended to control her dropfoot and to assist in developing a treatment plan. Four conditions were tested and compared: barefoot, lateral support ankle brace, functional electrical stimulation (FES) device, and dropfoot cuff. RESULTS: Kinematics showed the right ankle had significant dropfoot during swing phase (32.7 de...
Source: Physical Therapy - January 13, 2021 Category: Physiotherapy Authors: Feng J, Bompiani E, Coats S, Patrick K, Aiona M Tags: Phys Ther Source Type: research

Implementation and evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for people with stroke in a real world community setting: Case Report.
CONCLUSION: The GRASP program had good fidelity of the critical principles and core components and was effective in improving upper extremity function and quality of life. IMPACT: This partnership model may serve as the first step for future larger-scale implementation and could be used to move other stroke rehabilitation interventions into community settings. PMID: 33444440 [PubMed - as supplied by publisher]
Source: Physical Therapy - January 13, 2021 Category: Physiotherapy Authors: Yang CL, Bird ML, Eng JJ Tags: Phys Ther Source Type: research

The Caregiver Experience After Stroke in a COVID-19 Environment: A Qualitative Study in Inpatient Rehabilitation
Conclusions: Caregiver attendance at therapy sessions and frequent, direct communication between staff and caregivers improved caregiver readiness for family member discharge following inpatient rehabilitation. This study shared perspectives from a distinctive time during the COVID-19 pandemic. If visitation for multiple therapy sessions is prohibited, we recommend taking alternative measures to keep the caregiver involved in the plan of care. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A326).
Source: Journal of Neurologic Physical Therapy - December 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research