Posts Tagged ‘rehabilitation’

Physiotherapy Practice for Stroke Rehabilitation in the UK

Does telling a patient to to be aware of their movements and their performance (internal focus) reduce automaticity and hinder learning and retention in stroke patients?
This question was posed by Johnson L et al from stroke Services, Royal Bournemouth and Christchurch Hospitals NHS Trust, and Royal Bournemouth Hospital, United Kingdom in Physical Therapy, 04/19/2013.
The team aimed to design an experimental study examining the impact of focus of attention on learning post stroke. In order to do this the physiotherapists took video recordings of physiotherapy sessions and analyzed the data for external focus – physical therapists giving guidelines and feedback on performance and internal focus, the – physical therapist telling the patient to think about their movement.
The MediTouch system uses extrinsic feedback – external focus and guidelines during LegTutor open and closed chain customized exercise practice.

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.

Improving walking endurance, functionality and home/ community ambulation in SCI

Published in Archives of Physical Medicine and Rehabilitation, 03/20/2013 Dr. Kressler J et al discuss body weight supported training approaches in Incomplete Spinal Cord Injury (SCI). The group look at treadmill-based LT with manual assistance (TM), electrical stimulation (TS), and a driven gait orthosis (DGO) and overground LT with electrical stimulation (OG). The group draw conclusions as to which approach better enhances endurance, functionality and home/community ambulation.

Transcutaneous electrical nerve stimulation (TENS) during everyday activities – ‘activeTENS’

Writing in Clinical Rehabilitation, 03/18/2013, Prof Sarah Tyson (Physiotherapy) and team from Rehabilitation Research Group in the School of Health, Sciences at the University of Salford UK look at  ‘activeTENS’ which is transcutaneous electrical nerve stimulation (TENS) during everyday activities and its benefit in enhancing physical function after stroke. The group showed that balance, gait speed, plantarflexor strength and proprioception of plantarflexion improved during active TENS.

Postural control and functional ability in Spinal Cord Injury – SCI

Published in Archives of Physical Medicine and Rehabilitation, 03/13/2013  Dr. Shin S et al from Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign USA compare seated postural control in Spinal cord injury and control patients.
Seated posture and trunk control, are important factors affecting upper, extremity function in wheelchair users. Stability of  pelvis and trunk are required in order to provide a basis for upper extremity movement. Additionally, the ability to move the trunk and pelvis increases  functional ranges of motion. Therefore following SCI the ability to stabilize the trunk and pelvis and have adequate trunk mobility has important functional consequences.
The above group looked at the validity of outcome measures to evaluate postural control.

Proving the effectiveness of Home and Community based Rehabilitation post CVA

Writing in Archives of Physical Medicine and Rehabilitation, 03/12/2013 Dr. Altman IM et al and his team from Rehab Without Walls USA look at the effectiveness of Home and Community based Rehabilitation (HCBR). The team looked at 738 individuals with CVA who completed the prescribed course of rehabilitation (CCT) compared to 150 who were discharged prior to program completion.
The group looked at the outcome measure of the Mayo-Portland Adaptability Inventory. The Mayo-Portland Adaptability Inventory (MPAI) was designed to assist in the clinical evaluation of patients during the postacute (posthospital) period following acquired brain injury (ABI). It is also designed to assist in the evaluation of rehabilitation programs for these patients. The MPAI-4 represents a range of physical, cognitive, emotional, behavioral, and social problems that patients post ABI may encounter.
The group that completed the course of HCBR therapy – CCT group showed greater improvement on all MPAI-4 indices than the group that were discharged prior to completing the prescribed exercise therapy program.


Structured home exercise programmes beneficial, safe and practical in Huntingtons disease and other movement disorders

Published in Clinical Rehabilitation, 02/27/2013 Dr. Khalil H et a from the Department of Rehabilitation Sciences, Jordan University of Science and Technology look at home exercise physical therapy (PT) in early to mid-stage Huntington’s disease patients.  aim of this study was to explore feasibility, safety and outcome of an exercise intervention in people with Huntington’s disease. The exercise dose was three times a week for eight weeks at 35 minutes per day. Looking at the outcome measures of gait speed, balance, function and level of physical activity, the group concluded that structured home exercise programmes are feasible, beneficial and safe for people with early to mid-stage of Huntington’s disease.