Circuit Class Therapy Versus Individual Physiotherapy Sessions During Inpatient Stroke Rehabilitation: A Controlled Trial

English, Coralie; Hillier, Susan; Stiller, Kathy; Warden-Flood, Andrea

doi:10.1016/j.apmr.2007.04.010

Cited by 108 publications

(142 citation statements)

References 40 publications

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“…Thus, one item of focus for rehabilitation professionals should be the number of reps and type of activity performed. However, very little research is available that quantifies the amount and type of movement practice that occurs during a clinical rehabilitation session [14][15][16]. In a pilot study [16] and a larger multicenter study across North America [17], practice of taskspecific functional upper-limb (UL) movement occurred in only 51 percent of sessions that addressed the UL and the average number of reps per session was 32.…”

Section: Introductionmentioning

confidence: 99%

Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke

Kimberley¹,

Samargia²,

Moore³

et al. 2010

JRRD

119

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Abstract-Patients with acquired neurological deficits may capitalize on cortical reorganization to recover functional skills that have been lost. Research in neuroplasticity proposes that a high number of repetitions may lead to cortical reorganization. The purposes of this study were to quantify the number and type of activities performed by patients with traumatic brain injury (TBI) and stroke in physical and occupational therapy sessions to determine whether (1) the number of repetitions approaches the numbers in neuroplasticity research, (2) there were differences based on patient diagnosis, and (3) patient or therapist characteristics affected the type or amount of activities performed. Forty-eight patient and forty provider subjects participated. One hundred seven therapy sessions were observed. Data from therapy sessions were counted and categorized. Neither patient group approached the total number of repetitions neuroplasticity research suggests may be required for neuroplastic change. Repetitions per session did not differ between groups. Subjects with TBI performed more repetitions per minute in three categories (total upper-limb repetitions, gait steps, and transfers) than subjects with stroke. Therapists with <1 year or >15 years of neurological therapy experience instructed patients in fewer functional repetitions per minute than did therapists with 5 to 15 years of experience.

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Section: Introductionmentioning

confidence: 99%

Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke

Kimberley¹,

Samargia²,

Moore³

et al. 2010

JRRD

119

View full text Add to dashboard Cite

show abstract

“…Merely two of the thirteen participants in this study increased less than the minimally detectable change in walking speed. Other, frequently used, physiotherapy interventions for improving balance or gait, such as circuit training, functional strength training and body weight supported treadmill training, showed comparable increases for gait speed in patients within three months after stroke [50][51][52]. It is important to notice that the VR training intervention, just like the interventions described above, was part of the regular rehabilitation program.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

Rooij¹,

Port²,

Meijer³

2017

Int J Phys Med Rehabil

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Objective: To investigate the feasibility and effectiveness of virtual reality training for improving balance and/or gait during inpatient rehabilitation of patients within 12 weeks after stroke. Methods:Sixteen patients within 12 weeks after stroke and dependent gait as categorised with a Functional Ambulation Category score of 2 or 3 were included in this longitudinal pilot study. Participants received eight 30-min sessions of virtual reality training during four weeks as part of the regular inpatient rehabilitation program. Feasibility was assessed using compliance with the training, adverse events, experiences of the participants and the physiotherapists; and effectiveness with the Berg Balance Scale, centre of pressure velocity, Functional Ambulation Category and 10-meter walking test.Results: Participants positively evaluated the intervention and enjoyed the training sessions. Also, physiotherapists observed the training as feasible and beneficial for improving balance or gait. Compliance with the training was 88% and no serious adverse events occurred. The Berg Balance Scale, anterior-posterior centre of pressure velocity, Functional Ambulation Category and 10-meter walking test showed significant improvement after four weeks of training (p<0.05). Conclusion:This study demonstrates that virtual reality training in patients early after stroke is feasible and may be effective in improving balance and/or gait ability.

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“…Several studies found that more falls were reported among participants receiving circuit class therapy. English et al, (2007) reported four falls occurred during group circuit class therapy sessions compared to two during usual care (individual therapy sessions), Pang et al, (2005) reported five falls in the circuit class therapy group and one in the control group and Salbach et al, (2004) reported four falls occurring during individually supervised circuit class therapy. All authors reported that none of the falls resulted in injury.…”

Section: Service Related Outcomesmentioning

confidence: 99%

“…The trial by English et al (2007) investigated the use of group circuit class therapy as the sole method of physiotherapy service delivery to people receiving inpatient rehabilitation after stroke. Compared to the other group circuit class therapy trials, the exercises and structure of the classes in this trial were less strictly defined.…”

Section: Group Circuit Class Therapy Provided Early After Strokementioning

confidence: 99%

“…The Berg Balance Scale (Salbach et al, 2004;Pang et al, 2005;Marigold et al, 2006;English et al, 2007) and the Timed Up and Go test (Dean et al, 2000;Blennerhassett & Dite 2004;Salbach et al, 2004;Marigold et al, 2006;Yang et al, 2006;Mead et al, 2007;Mudge et al, 2009) were the most common measures used. Both meta-analyses (English & Hillier 2010;Wevers et al, 2009) showed no significant differences for the Berg Balance Scale between the intervention and control groups.…”

Section: Activities and Participationmentioning

confidence: 99%

See 1 more Smart Citation

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

English¹,

Port²,

Lynch³

2012

Physical Therapy Perspectives in the 21st Century - Challenges and Possibilities

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Circuit Class Therapy Versus Individual Physiotherapy Sessions During Inpatient Stroke Rehabilitation: A Controlled Trial

Cited by 108 publications

References 40 publications

Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke

Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke

Feasibility and Effectiveness of Virtual Reality Training on Balance and Gait Recovery Early after Stroke: A Pilot Study

Group Circuit Class Therapy for Stroke Survivors – A Review of the Evidence and Clinical Implications

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