Structure and feasibility of extra practice during stroke rehabilitation: A systematic scoping review

Abstract

Extra practice during rehabilitation after stroke is most often structured using full supervision by a therapist, and appears feasible for stroke survivors to complete. Less often, extra practice is structured using equipment, non-therapists and/or group classes.

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

“…Increasing the duration of therapy time is not feasible in traditional 1:1 therapy models. However, other models such as semi-supervised practice, 23 circuit classes, 12,24 or weekend therapy 9,25 may increase the duration of therapy time. Against this happening is the reality that the duration of therapy time appears to have changed little in the last 10 years.…”

A low cost kinect-based virtual rehabilitation system for inpatient rehabilitation of the upper limb in patients with subacute stroke

“…This means that it will be more feasible to apply this system as an adjuvant additional rehabilitation modality in the rehabilitation setting, which may be a tool for group therapy with supervision of 1 therapist or non-therapist such as a nurse or self-exercise between the therapy sessions or during weekend, to induce more repetitive movements, more recovery, and favorable outcomes. [ 32 – 34 ] The many portions of direct intervention time composed of selecting appropriate program according to the patient's recovery. If the automated algorithm can be adopted to this system, the direct intervention time could decrease and the supervision of more patients by one therapist using this system could be available.…”

Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre–post observational study

“…5 Practice in rehabilitation is often structured with direct 1:1 therapist supervision. 6,7 Consequently, stroke survivors spend most of their day alone and inactive in rehabilitation wards and minimal time actively practising. 8 To help reduce this inactivity and increase practice repetitions, stroke survivors need to learn to practice without direct therapist supervision.…”