Steps, duration and intensity of usual walking practice during subacute rehabilitation after stroke: an observational study

Kuys, Suzanne; Ada, Louise; Paratz, Jennifer; Brauer, Sandra G.

doi:10.1016/j.bjpt.2018.06.001

Cited by 11 publications

(15 citation statements)

References 39 publications

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“…10 Therefore, interventions aimed at improving walking speed, such as treadmill training, body-weight support training, cueing of cadence, and virtual reality, 32---34 and increasing the intensity of walking practice should be encouraged during rehabilitation, as they may have an impact on locomotion ability. 35 Previous studies have demonstrated that better locomotion ability is associated with improved community ambulation and increased social participation. 5,36 It is important to highlight that the mean time since the onset of the stroke in the present study was six years, and other factors, such as the ability to control the trunk, sitting balance, and functional status might be related to locomotion ability in individuals at the initial post-stroke phases (i.e.…”

Section: Discussionmentioning

confidence: 99%

Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire

Avelino

Menezes

Nascimento

et al. 2019

Brazilian Journal of Physical Therapy

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Background: The identification of the predictors of locomotion ability could help professionals select variables to be considered during clinical evaluations and interventions. Objective: To investigate which impairment measures would best predict locomotion ability in people with chronic stroke. Methods: Individuals (n = 115) with a chronic stroke were assessed. Predictors were characteristics of the participants (i.e. age, sex, and time since stroke), motor impairments (i.e. muscle tonus, strength, and motor coordination), and activity limitation (i.e. walking speed). The outcome of interest was the ABILOCO scores, a self-reported questionnaire for the assessment of locomotion ability, designed specifically for individuals who have suffered a stroke. Results: Age, sex, and time since stroke did not significantly correlate with the ABILOCO scores (−0.07 < < 0.05; 0.48 < p < 0.99). Measures of motor impairments and walking speed were significantly correlated with the ABILOCO scores (−0.25 < r < 0.57; p < 0.001), but only walking speed and strength were kept in the regression model. Walking speed alone explained 35% (F = 55.5; p < 0.001) of the variance in self-reported locomotion ability. When strength was included in the model, the explained variance increased to 37% (F = 31.4; p < 0.001). Conclusions: Walking speed and lower limb strength best predicted locomotion ability as perceived by individuals who have suffered a stroke.

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Section: Discussionmentioning

confidence: 99%

Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire

Avelino

Menezes

Nascimento

et al. 2019

Brazilian Journal of Physical Therapy

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“…These percentages reinforce the need for modified physical therapy in patients with severe stroke-related symptoms 42 ; including early and targeted management, and long-term daily care. 3,11,15,43,44 Individuals with LMI showed appropriate response to standard treatment, but the proportion of patients who received physical therapy could clearly be improved. Their mild severity of the stroke symptoms and delayed onset of PSSP may explain the low number of referrals to physical therapy.…”

Section: Discussionmentioning

confidence: 99%

“…They may not need an urgent rehabilitation approach, but a longer follow-up including detailed shoulder kinematic tests 45,46 and trunk muscle strength assessment. 47 Despite the importance reported by previous studies 43,48 on the intensity of the rehabilitation, physical therapy interventions could not be analyzed because we cannot guarantee that all participants with PSSP received the same approach and the data related to the procedures may be incomplete. Additionally, we focused pain assessment on pain related to glenohumeral movement ---strongly associated with PSSP diagnosis ---and response to treatment.…”

Section: Discussionmentioning

confidence: 99%

Post-stroke shoulder pain subtypes classifying criteria: towards a more specific assessment and improved physical therapeutic care

Torres-Parada

Vivas

Balboa‐Barreiro

et al. 2020

Brazilian Journal of Physical Therapy

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Background: Post-stroke Shoulder Pain (PSSP) is a common stroke-related syndrome that prolongs hospitalization and diminishes quality of life. PSSP studies were unsuccessful in clarifying pathophysiological mechanisms. Therefore, cohort's studies with greater variety of the sample and larger follow-up period could provide additional clinical data and may improve medical care. Objective: To classify people with PSSP and identify intergroup clinical differences, providing additional data useful for therapeutic care planning. Methods: One thousand individuals with stroke were selected from all levels of one health Area and followed up during one year. Demographic data, stroke clinical characteristics, stroke-related symptoms and rehabilitation parameters were collected. The shoulder muscle impairment was used to group participants into three clinical profiles: severe muscular impairment, moderate muscular impairment and low muscular impairment groups. Results: A total of 119 individuals were diagnosed with PSSP. The suggested classification criteria showed two groups that differed significantly in relation to the onset and duration of PSSP, presence of sensory and speech impairment, and spasticity. The outcomes did not firmly support the existence of a third suggested PSSP subtype.

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“…Parkinson's disease (Mattson, 2012), psychosis (Hallgren et al, 2019), major depressive disorder (Gujral et al, 2019), and stroke (Beez & Steiger, 2019;Kuys, Ada, Paratz, & Brauer, 2019;Steen Krawcyk et al, 2019).…”

Section: The P Otential Of Phys I C Al E Xercis E To Pre Vent and Tmentioning

confidence: 99%

“…Physical exercise has been investigated as adjuvant therapy in the context of several neurological and neurodegenerative diseases, including AD (Okonkwo et al., 2014; Winchester et al., 2013), Parkinson's disease (Mattson, 2012), psychosis (Hallgren et al., 2019), major depressive disorder (Gujral et al., 2019), and stroke (Beez & Steiger, 2019; Kuys, Ada, Paratz, & Brauer, 2019; Steen Krawcyk et al, 2019).…”

Section: The Potential Of Physical Exercise To Prevent and Treat Demementioning

confidence: 99%

Protective actions of exercise‐related FNDC5/Irisin in memory and Alzheimer’s disease

Freitas

Lourenco

Felice

2020

Journal of Neurochemistry

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The proportion of elderly populations is rapidly booming, and human lifespan has considerably increased in the past century because of scientific and medical advances. However, the winds of change brought by the 21st century made sedentarism one of the factors that renders the brain vulnerable to age-related chronic diseases, such as Alzheimer's disease (AD). Conversely, physical exercise has been shown to stimulate molecular mechanisms beneficial to cognition. Here, we review evidence showing the positive effects of physical exercise in the brain. We further discuss recent evidence that irisin, a myokine stimulated by physical exercise derived from fibronectin type III domain-containing protein 5 (FNDC5) transmembrane protein, has neuroprotective actions in the brain. Lastly, we highlight the importance of the crosstalk between the periphery and the brain in cognition and the therapeutic potential of FNDC5/irisin in AD.

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Steps, duration and intensity of usual walking practice during subacute rehabilitation after stroke: an observational study

Abstract: ACTRN12613000764730 (https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364545).

Cited by 11 publications

References 39 publications

Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire

Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire

Post-stroke shoulder pain subtypes classifying criteria: towards a more specific assessment and improved physical therapeutic care

Protective actions of exercise‐related FNDC5/Irisin in memory and Alzheimer’s disease

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