Development of a Schedule of Current Physiotherapy Treatment Used to Improve Movement Control and Functional Use of the Lower Limb after Stroke: A Precursor to a Clinical Trial

Abstract

A treatment schedule was produced, which can now be used in a subsequent phase II evaluative trial.

Kick with the finger: symbolic actions shape motor cortex excitability

“…Observation of symbolic actions performed with an atypical effector could provide, for instance, a useful method of rehabilitation when the traditionally used effector is damaged or injured, by virtue of activating its motor representation. Recent studies on Action Observation Therapy have indeed confirmed the potential use of action observation as a strategy to enhance motor rehabilitation (Pomeroy et al ., ; Buccino et al ., ; Ertelt et al ., ; Mulder, ). In line with this, the present study opens the possibility of exploring new frontiers.…”

Taking healthcare interventions from trial to practice

“…Figure 2 shows the development of conventional physical therapy interventions as a precursor to studies evaluating novel interventions for recovery of movement after stroke. 5 Semistructured interviews and focus groups were used to capture the content of conventional physical therapy interventions. 5 study fidelity: planned versus actual treatment Trial reports should describe the extent to which the intervention, as delivered, was consistent with the protocol.…”

“…Figure 2⇓ shows the development of conventional physical therapy interventions as a precursor to studies evaluating novel interventions for recovery of movement after stroke. 5 Semistructured interviews and focus groups were used …”

Functional strength training and movement performance therapy produce analogous improvement in sit-to-stand early after stroke: early-phase randomised controlled trial

“…This averaged 9.2 hours [standard deviation (SD) 6.9] for the CPT group, 7.4 hours (SD 8.6) for the CPT + MPT group, and 8.9 hours (SD 8.2) for the CPT + FST group over 6 weeks. Using a therapy protocol [13], research therapists provided the additional experimental FST and MPT, as allocated. The experimental therapies were provided for up to 1 hour per day, 4 days per week for 6 weeks.…”

“…The experimental MPT focused on those interventions in the treatment protocol [13] that emphasised control and quality of movement. This was predominantly hands-on therapy that included sensory stimulation and preparation of body segment alignment prior to practising functional tasks, such as STS, walking, and standing with supervision and feedback.…”