Posts Tagged ‘Physical exercise’

Assisted active exercise practice and the HandTutor and ArmTutor

Occupational an physical therapists are using the MediTouch system in combination with active assistance. People with arm weakness can exercise their arms without assistance, but if their arms and hand movement ability is severely impaired, such exercise is difficult and compliance with exercise programs is low. Using the HandTutor and the ArmTutor the occupational therapist and the physical therapist can give the patient “assistance-as needed” to perform the required customized arm or finger a wrist exercise task. This clinical technique is known as active assisted exercise. During active assistance practice the patient actively contributes to the movement, this active exercise contribution is an essential feature of motor sensory and cognitive recovery and allows motor learning and plasticity. This means that the the HandTutor and ArmTutor can be used by patients with very little Active Range of Motion (AROM) as well as by patients with little ROM deficit.
Active assistance therefore allows OT and PT to use the MediTouch and provide their patients with severe deficits in AROM a customized exercise that gives immediate movement feedback and the enjoyment and motivation of video game based rehabilitation.
The MediTouch benefits patients with movement dysfunction or impaired functional activity caused by neurological disorders, including traumatic brain injury (tbi), stroke, cerebral palsy, spinal cord injury, and multiple sclerosis.
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Home-based exercise programmes maintain walking capacity after discharge from in-patient stroke rehabilitation

Physical therapists at McGill University, Montreal, QC, Canada show that home-based exercise programmes including disability-targeted interventions including exercise practice and stationary cycling maintain walking capacity post stroke. Looking at patients with lower limb movement dysfunction after acute stroke > 12 months moderate intensity exercise at home building up to 30 minutes per day were used following discharge from stroke rehabilitation. The report was published in Clinical Rehabilitation, 04/05/2013.

LegTutor meets goals of in-patient and out-patient rehabilitation following a Total Knee Replacement

A physical therapy programme following Total Knee Replacement will typically last 3 months and is the key compliment to ensure a successful outcome to allow the patient to regain mobility and return to a full and active lifestyle.
Compliance with the exercise programme designed to increase ROM, especially in extension and improve strength and control of the knee will therefore  improve surgery outcome.
Using the LegTutor as part of the Physical therapy – PT program will facilitate the following critical components of  pre and post sugery rehab following TKR:
■ Allows patients to better understand how to do the exercises after surgery rehab/ therapy sessions.
■ Facilitates communication with physical therapist to patient and carers by quantifying exercise performance
■ Facilitates home exercises to help gain motion and keep gains achieved in therapy by encouraging and motivating exercise practice between outpatient therapy sessions. Remember you will only meet with your therapist a few times a week after discharge
■ Encourages and motivates the patient to do customized and controlled home exercises which are important to help gain motion and keep the gains in therapy from one session to the next.
■ Allows you to better involve a friend or family member in your rehab. This is because good support system is essential for motivation and assistance throughout the recovery process.
■ Objective and quantifiable recording of exercise practice results and compliance wil allow the patient and therapist to better set goals and track progress.
Physical Rehab is the key compliment to a successful outcome post TKR and knee surgery so facilitate the exercise practice with the LegTutor.

Physical therapy (PT) improves gait speed, strength, and fitness in Parkinson disease

Writing in JAMA Neurology, 02/27/2013 Dr. Shulman LM et al from the University of Maryland School of Medicine show that Physical Exercise for Patients With Parkinson Disease – PD can improve gait speed, muscle strength, and fitness.
The group looked at three different intensiveness of treadmill exercise namely 1. 30 minutes at 70%-80% of heart rate reserve, 2. a lower-intensity treadmill exercise – 50 minutes at 40%-50% of heart rate reserve and 3) stretching and resistance exercises – 2 sets of 10 repetitions on each leg on 3 resistance machines leg press, leg extension, and curl. The repetitions of the exercise program was 3 times a week for 3 months.
The Main Outcome Measures were gait speed (6-minute walk), cardiovascular fitness (peak oxygen consumption per unit time and muscle strength.
The group concluded that the effects of exercise were seen across all 3 exercise groups with the lower-intensity treadmill exercise showing greatest improvement in gait speed. and the stretching and resistance exercises improving muscle strength. Therefore a combination of treadmill and resistance exercises may result in greater benefit and requires further investigation.

Does aerobic exercise in stroke patients improve functional outcome and quality of life

Published in the February edition of Cerebrovascular Diseases, Dr Pang MYC et al from the Department of Rehabilitation Sciences and Division of Rehabilitation Medicine Hong Kong Polytechnic University and Tung Wah Hospital, Hong Kong check the literature to see if there is evidence that aerobic exercise affects various indicators of health, functioning and quality of life in stroke patients.

The group found that although most trial use an intensive dose of treadmill and cycle ergometer at 21–40 min and 3–5 days per week aerobic exercise there was inconclusive evidence to prove that aerobic exercise improves health outcomes in physical, psychosocial and cognitive domains as well as quality of life.

 

Assistive technology imjproves walking in neurological disease and injury

Assistive technology assists walking

Writing in the January edition of disability Rehabilitation Dr. Wittwer and his group from Trobe University, Melbourne, Australia; Department of Physiotherapy look at clinical trials that assess assistive rehabilitation technologies that synchronise over-ground walking to rhythmic auditory cues. The objective is to improve temporal and spatial gait measures in adults with neurological clinical conditions and improve walking. The group found that this technology will result in a short-term improvement in gait in patient groups including stroke, Huntington’s disease, spinal cord injury, traumatic brain injury, dementia, multiple sclerosis and parkinson’s disease.

 

Exercise reduces disability and improve quality of life in persons with Parkinson disease (PD).

Parkinsons disease exercise

Reporting in Physical Therapy, Dr. Ellis and his team from the Department of Physical Therapy & Athletic Training, College of Health & Rehabilitation Sciences Boston University USA look at the barriers to exercise in people with Parkinson Disease (PD). Although exercise is known to reduce disability and improve quality of life in persons with Parkinson disease (PD).  The group conclude that low outcome expectation of exercise, lack of time to exercise, and fear of falling are important barriers to engaging in exercise among ambulatory, community dwelling persons with PD.