Exercise Programs Delivered According to Guidelines Improve Mobility in People With Stroke: A Systematic Review and Meta-analysis

Pogrebnoy, Dina; Dennett, Amy M

doi:10.1016/j.apmr.2019.06.015

Cited by 36 publications

(36 citation statements)

References 34 publications

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“…In Leitlinien wird außerdem empfohlen, eine auf standardisierten Assessments beruhende Untersuchung und Verlaufsdokumentation auf Basis der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) durchzuführen (Deutsche Gesellschaft für Neurologie, 2018;Royal Dutch Society for Physical Therapy, 2014). Die Umsetzung von Empfehlungen aus Schlaganfall-Leitlinien gehen u. a. mit einer verbesserten Mobilität einher (Pogrebnoy & Dennett, 2020). Die ärztliche Verordnung von ambulanter Physiotherapie für Menschen nach einem Schlaganfall in Deutschland erfolgt nach dem Heilmittelkatalog.…”

Section: Introductionunclassified

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Diermayr

Schomberg

Barthelmes

et al. 2021

International Journal of Health Professions

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Objective Guidelines recommend task-oriented training and the use of standardized assessments to improve stroke-related mobility deficits. However, the German outpatient physical therapy prescription catalogue does not include these recommendations resulting in a possible gap between guideline recommendations and clinical practice. Therefore, the purpose of this study was to describe physical therapy practice patterns of stroke-related mobility deficits in the outpatient setting exemplified by the states Baden-Württemberg and Thuringia. Methods Using an online survey, physical therapists treating people with stroke in outpatient settings in Baden-Württemberg and Thuringia were recruited. The questionnaire was developed using a multi-step procedure. Using a case vignette and open-ended questions, preferred evaluation and treatment methods were assessed. Data were analyzed using content analysis and descriptive statistics. Results Data from 63 physical therapists were included in the analysis. Answers to the open questions showed a wide range of different citations. Of 186 citations on evaluation methods, 28 (15,1 %) were classified as “standardized assessments”, while 158 citations (84,9 %) were classified as “basic physical therapy evaluation (non-standardized)”. Standardized assessments were cited by 25% of participants. Of 182 citations on treatment methods, 69 (35,2%) were classified as “traditional therapies”. These traditional therapies were cited by 81 % of participants. Task-oriented training was not cited. Discussion Despite the small sample size our data confirm the insufficient guideline use in German physical therapy and contribute results on practice patterns in outpatient stroke settings. These results will be used to initiate theory-based implementation strategies aiming to optimize physical therapy for people with stroke.

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Section: Introductionunclassified

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Diermayr

Schomberg

Barthelmes

et al. 2021

International Journal of Health Professions

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“…A 2019 systematic review 121 found that home-based exercise improved balance and gait speed in people with Parkinson's disease and that the improvement was similar to that seen in center-based exercise. A 2019 systematic review 122 in stroke patients reported improved walking speed and endurance with a combination of aerobic and strength exercises. A 2015 systematic review 123 of elderly patients reported a large effect of Pilates in improving muscle strength, walking, ADL, and quality of life.…”

Section: Implications For Primary Care Providers With Patients Having Other Disabilitiesmentioning

confidence: 99%

Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury

Selph

Skelly

Wasson

et al. 2021

Archives of Physical Medicine and Rehabilitation

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“…In recent years, multidisciplinary teams have been formed that include health professionals such as doctors, physiotherapists, nurses, occupational therapists, speech therapists, psychologists, and nutritionists from various disciplines, with patients and caregivers also important members of the team [26,27]. Various treatments such as psychotherapy, physiotherapy, exercise therapy, speech therapy, and occupational therapy are employed in the rehabilitation process of stroke patients [28][29][30][31]. To improve cardiorespiratory function in stroke patients, aerobic exercises such as those that strengthen the respiratory muscles, task-oriented exercises, inspiratory muscle resistance exercises, and climbing stairs have been actively investigated [32][33][34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

Are Physical Therapeutics Important for Stroke Patients to Recover Their Cardiorespiratory Fitness?

Choi

Cho

2021

Medicina

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Background and Objectives: Aspects of improving cardiorespiratory fitness should be factored into therapeutics for recovery of movement in stroke patients. This study aimed to recommend optimized cardiorespiratory fitness therapeutics that can be prescribed to stroke patients based on a literature review and an expert-modified Delphi technique. Materials and Methods: we searched PubMed, Embase, CINAHL, and Cochrane databases and yielded 13,498 articles published from 2010 to 2019 to support the development of drafts. After applying the exclusion criteria, 29 documents were analyzed (drafts, 17 articles; modified Delphi techniques, 12 articles). This literature was reviewed in combination with the results of a modified Delphi technique presented to experts in the physical medicine and rehabilitation field. Analysis of the literature and survey results was conducted at the participating university hospital. Results: the results of this analysis were as follows: first, 12 intervention items derived through a researcher’s literature review and a Delphi technique questionnaire were constructed using the Likert scale; second, we asked the experts to create two modified Delphi techniques by reconstructing the items after statistical analysis for each order comprising five categories, and 15 items were finally confirmed. Conclusions: the recommendations in this study may lead to the development of a standard decision-making process for physiotherapists to improve their patients’ cardiorespiratory fitness. Moreover, the study results can help prescribers document patient care to reduce prescription errors and improve safety. In the future, multidisciplinary studies could potentially provide better therapeutics alternatives for cardiorespiratory fitness.

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Exercise Programs Delivered According to Guidelines Improve Mobility in People With Stroke: A Systematic Review and Meta-analysis

Cited by 36 publications

References 34 publications

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury

Are Physical Therapeutics Important for Stroke Patients to Recover Their Cardiorespiratory Fitness?

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