1,720,989 research outputs found
Upper limb rehabilitation in (sub)acute stroke in West African low-income countries: An observational prospective study focusing on dose and content
No full textUpper limb rehabilitaon in (sub)acute stroke in West African low-income countries: An observaonal prospecve study focusing on dose and content Introducon: The content and dose of upper limb training, the main components of rehabilitaon aer a stroke, is not known in low-resource income countries. Objecve: To idenfy the content and dose of upper limb rehabilitaon in early phase poststroke in Burkina Faso and Benin. Methods and paents: An observaonal prospecve study was conducted in hospital and rehabilitaon centre sengs in Burkina Faso and Benin. Sessions of paents in the acute and subacute phase of stroke were observed for 4 weeks by recording the content and dose of upper limb rehabilitaon using a standardized taxonomy of acvies form. Results: Eighty-one paents (Burkina Faso n=59 and Benin n=22) and 35 physiotherapists were observed. The median number of sessions during 4 weeks was 8 with 30 minutes median session length and a median duraon of upper limb training of 15 minutes per session. The dose of therapy is higher in Benin than in Burkina Faso (P< 0.001). The upper limb training consisted of performing pre-funconal acvies for 85% of the me. Conclusion: Upper limb physiotherapy in the early phase poststroke in low income countries was focused only on pre-funconal acvies and provided at a low dose. Future research should invesgate how higher dose involving funconal training could be provided in countries such as Burkina Faso and Benin taking into account the importance of improving upper limb in daily acvies with the limited resources available
Upper limb rehabilitation in (sub)acute stroke in West African low-income countries: An observational prospective study focusing on dose and content
No full textUpper limb rehabilitaon in (sub)acute stroke in West African low-income countries: An observaonal prospecve study focusing on dose and content Introducon: The content and dose of upper limb training, the main components of rehabilitaon aer a stroke, is not known in low-resource income countries. Objecve: To idenfy the content and dose of upper limb rehabilitaon in early phase poststroke in Burkina Faso and Benin. Methods and paents: An observaonal prospecve study was conducted in hospital and rehabilitaon centre sengs in Burkina Faso and Benin. Sessions of paents in the acute and subacute phase of stroke were observed for 4 weeks by recording the content and dose of upper limb rehabilitaon using a standardized taxonomy of acvies form. Results: Eighty-one paents (Burkina Faso n=59 and Benin n=22) and 35 physiotherapists were observed. The median number of sessions during 4 weeks was 8 with 30 minutes median session length and a median duraon of upper limb training of 15 minutes per session. The dose of therapy is higher in Benin than in Burkina Faso (P< 0.001). The upper limb training consisted of performing pre-funconal acvies for 85% of the me. Conclusion: Upper limb physiotherapy in the early phase poststroke in low income countries was focused only on pre-funconal acvies and provided at a low dose. Future research should invesgate how higher dose involving funconal training could be provided in countries such as Burkina Faso and Benin taking into account the importance of improving upper limb in daily acvies with the limited resources available
High-intensity interval training is feasible, credible and clinically effective in the early subacute stroke stage in the low-income country of Benin
No full textThe author(s) reported that there is no funding associated with the work featured in this article
Exercise Intensity Matters in the Rehabilitation of Stroke in the Acute Stage: A Randomized Controlled Trial
No full textBackground: High-intensity interval training (HIIT) has emerged as a potentially effective exercise promoting functional recovery post-stroke. Objective: This study examined the efficacy of adding HIIT cycling vs. combining unloaded cycling (SHAM) to conventional physiotherapy on exercise capacity, functional ability, disability level, and health-related quality of life (HRQoL) early post-stroke. Methods: Forty-four acute stroke survivors were randomly assigned to the HIIT cycling or SHAM group for 6 weeks of exercise training, 3 days/week. The primary outcome was exercise capacity (peak work load [WRpeak]) measured by a maximal exercise test. Secondary outcomes included balance: Berg Balance Scale, walking ability: 6-minute and 10-meter walk tests (6MWT and 10mWT), lower-extremity muscle strength: 5-Repetition Sit-To-Stand test, disability level: modified Rankin Scale (mRS), and HRQoL by EuroQOL 5-dimension questionnaire. Results: The 2-way factorial analysis of variance showed a significant interaction of time × group on WRpeak (P < .001), 6MWT (P < .001), 10mWT (P < .001), and mRS (P = .012). The significant interaction indicates that the change in WRpeak (mean +17.7 W [95% CI, 10.2-25.1]), 6MWT (mean +126.8 m [77.9-175.7]), 10mWT (mean +0.5 m/s [0.3-0.7]), and mRS (mean −0.7 point [−1.2 to −0.2]) after 6-week of training was significantly greater for HIIT cycling versus SHAM. These changes
are also significantly greater in the HIIT group vs the SHAM group up to 6 months (P < .001) post-training. Conclusions: In individuals with acute stroke, individuals, combining HIIT cycling with conventional physiotherapy significantly maximizes recovery of exercise capacity and walking ability, and reduces the level of disability early post-stroke, compared to SHAM.Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the Special Research Fund (BOF20BL15) from Hasselt University.
Acknowledgments
We are grateful to all participants and families who participated in this study. The authors thank the staff of the Neurology Unit and the Physiotherapy and Orthopaedic Fitting Department of the University Hospital of Parakou for their contributions
CONTENT AND EFFECTIVENESS OF COMMUNITY BASED REHABILITATION ON QUALITY OF LIFE IN PEOPLE POST STROKE: A systematic review with meta-analysis
No full textBilateral versus unilateral upper limb training in (sub)acute stroke: A systematic and meta-analysis
No full textBackground: Integrating high dosage bilateral movements to improve upper limb (UL) recovery after stroke is a rehabilitation strategy that could potentially improve bimanual activities. Objectives: This study aims to compare the effects of bilateral with unilateral UL training on upper limb impairments and functional independence in (sub)acute stroke. Method: Five electronic databases (PubMed, Scopus, PEDro, ScienceDirect, Web of Science) were systematically searched from inception to June 2023. Randomised controlled trials comparing the effect of bilateral training to unilateral training in stroke survivors (< 6 months poststroke) were included. The treatment effect was computed by the standard mean differences (SMDs). Results: The review included 14 studies involving 706 participants. Bilateral training yielded a significant improvement on UL impairments measured by FMA-UE compared to unilateral training (SMD = 0.48; 95% CI: 0.08 to 0.88; P = 0.02). In addition, subgroup analysis based on the severity of UL impairments reported significant results in favour of bilateral UL training in improving UL impairments compared to unilateral training in "no motor capacity" patients (SMD = 0.66; 95% CI: 0.16 to 1.15; P = 0.009). Furthermore, a significant difference was observed in favour of bilateral UL training compared to unilateral UL training on daily activities measured by Functional Independence Measure (SMD = 0.45; 0.13 to 0.78; P = 0.006). Conclusion: Bilateral UL training was superior to unilateral training in improving impairments measured by FMA-UE and functional independence in daily activities measured by Functional Independence Measure in (sub)acute stroke. Clinical implications: Bilateral upper limb training promotes recovery of impairments and daily activities in (sub)acute phase of stroke
Content and effectiveness of community-based rehabilitation on quality of life in people post-stroke: A systematic review with meta-analysis
No full textContent and effectiveness of community-based rehabilitation on quality of life in people post-stroke: A systematic review with meta-analysis
No full textEffectiveness of mHealth Interventions to Improve Pain Intensity and Functional Disability in Individuals With Hip or Knee Osteoarthritis: A Systematic Review and Meta-analysis
No full textObjective
This review aimed to investigate the effectiveness of mHealth-supported active exercise interventions to reduce pain intensity and disability level in persons with hip or knee osteoarthritis (OA).
Data Sources
Three databases (PubMed, Cochrane Library, and Web of Science) were systematically searched for randomized controlled trials (RCTs) published between January 1, 2012 and July 31, 2023. PROSPERO registration number of this review was CRD42023394119.
Study Selection
We included only RCTs that were identified and screened by 2 independent reviewers (J.M. and G.N.). In addition, the reference lists of the identified studies were manually checked for further inclusion. Included studies had to provide mHealth-supported active exercises for persons with hip or knee OA, and evaluate pain intensity and disability using both questionnaires and performance tests.
Data Extraction
From the included studies, the 2 independent authors extracted data using a predetermined Excel form. Characteristics of the interventions were described and a meta-analysis was performed.
Data Synthesis
Twelve RCTs were included, representing 1541 patients with a mean age of 58.7±5 years, and a body mass index of 28.8±3.1 kg/m2; women being more predominant than men with a total female to male ratio of 2.2. The methodological quality of the included studies was moderate in 75% of the studies. There was no statistically significant difference between mHealth-supported active exercises compared with the interventions without mHealth in terms of pain reduction (standard mean differences [SMD]=−0.42; 95% CI, −0.91 to 0.07; P=.08) and disability mitigation (SMD=−0.36; 95% CI, −0.81 to 0.09; P=.10). However, a statistically significant difference was found between patient education combined with mHealth-supported active exercises compared with patient education alone in terms of pain (SMD= −0.42; 95% CI, −0.61 to −0.22; P<.01) and disability (SMD=−0.27; 95% CI, −0.46 to −0.08; P<.01) reduction.
Conclusions
mHealth-supported exercises were found to be effective, especially when combined with patient education, in reducing pain and mitigating disability in patients with hip or knee OA
The effect of bilateral training and impact of dose on upper limb in early phase poststroke: a systematic an meta-analysis of randomised controlled trials
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