Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Doyle, Lindsay; MacKay-Lyons, Marilyn

doi:10.1097/npt.0b013e318282975c

Cited by 52 publications

(54 citation statements)

References 42 publications

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“…First, the overall response rate was 17%, which is low but comparable to those of other recent surveys of physiotherapists conducted in Canada (3% for education-related surveys; 40 36% for practice-specific surveys 41 ). The variation in reminder emails sent out by regulatory colleges may have affected response rates.…”

Section: Discussionsupporting

confidence: 68%

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

Hall

Poth²,

Manns

et al. 2016

Physiotherapy Canada

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Purpose: To explore Canadian physiotherapists' perceptions of the factors that influence their decisions whether to supervise students in clinical placements. Methods: Using accepted survey development methodology, a survey was developed and administered to 18,110 physiotherapists to identify which factors contribute to the decision to supervise students. The survey also gave respondents opportunities to provide comments; these were analyzed via directed content analysis, using the factors identified in an exploratory factor analysis as an organizing structure. Results: A representative sample of 3,148 physiotherapists responded to the survey. Qualitative analysis of respondent comments provided a rich understanding of the factors contributing to the decision on whether to supervise students, which centred on themes related to stress, workplace productivity, the evaluation instrument, student preparation, and physiotherapists' professional roles and responsibilities. Challenges specific to loss of income and the ethics of charging for student services in private practice were also identified. Conclusions: Supervising students can be stressful, and stress is perceived by respondents to be most influential in deciding whether to supervise students. Effective supervisor training may mitigate some of the stresses related to supervising students. A collaborative approach involving all stakeholders is needed to resolve the issues of student placement capacity.

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Section: Discussionsupporting

confidence: 68%

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

Hall

Poth²,

Manns

et al. 2016

Physiotherapy Canada

View full text Add to dashboard Cite

show abstract

“…Remarkably, this number is identical to the number of respondents who reported using stress testing in a previous survey of Canadian PTs involved with neurologic rehabilitation. 22 Based on responses to the rest of our survey, this low utilization of ECG testing is most likely related to the use of light intensity exercise and/or the limited availability of stress testing and exercise ECG equipment. In addition, the low utilization of ECG testing also appears to be related to a prevalent belief that it is not needed.…”

Section: Discussionmentioning

confidence: 99%

“…22 The draft instrument was reviewed by the study team and an additional expert in post stroke AEX (Ada Tang PT, PhD). After revisions, a clinical PT focus group was conducted to pilot test the survey and to provide additional feedback to further refine the instrument.…”

Section: Methodsmentioning

confidence: 99%

“…Each invitation contained a unique link to the survey to allow response tracking and prevent respondents from completing the survey multiple times. Several tactics were used as an attempt to increase the response rate 22,25 : 1) email invitations were scheduled to deploy before 9 AM; 2) the invitation informed participants that they would be able to see some of the preliminary results after survey completion; 3) a page counter made participants aware of their progress in completing the survey; 4) respondents could save the survey and return to it later; 5) up to two follow up emails were sent to non-respondents in 2 to 3 week intervals; and 6) the survey was available for 3 months for each potential respondent and was open from 7/31/14 to 11/12/14.…”

Section: Methodsmentioning

confidence: 99%

“…Although these recommendations have been in place since 2004, 18 small observational studies 19-21 and a recent survey of Canadian physical therapists (PTs) 22 indicate that adherence may be challenging in clinical stroke rehabilitation practice. However, no previous studies have evaluated post-stroke AEX prescription among PTs in the United States (U.S.) healthcare system.…”

Section: Introductionmentioning

confidence: 99%

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Aerobic Exercise Prescription in Stroke Rehabilitation: A Web-Based Survey of US Physical Therapists

Boyne

Billinger

MacKay-Lyons

et al. 2017

Journal of Neurologic Physical Therapy

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Background and Purpose Best practice recommendations indicate aerobic exercise (AEX) should be incorporated into stroke rehabilitation. However, this may be challenging in clinical settings. The purpose of this study was to assess physical therapist (PT) AEX prescription for patients with stroke, including AEX utilization, barriers to AEX prescription, dosing parameters and safety considerations. Methods A cross-sectional web-based survey study was conducted. PTs with valid email addresses on file with the state boards of Florida, New Jersey, Ohio, Texas and Wyoming were eligible to participate. Survey invitations were emailed to all licensed PT in these states. Analysis focused on respondents who were currently involved with clinical stroke rehabilitation in common practice settings. Results Results from 568 respondents were analyzed. Most respondents (88%) agreed that AEX should be incorporated into stroke rehabilitation, but 84% perceived at least one barrier. Median prescribed AEX volume varied between practice settings from 20 to 30 minute AEX sessions, 3 to 5 days per week for 2 to 8 weeks. Prescribed intensity was most commonly light or moderate; intensity was determined by the general response to AEX and patient feedback. Only 2% of respondents reported that the majority of their patients with stroke had stress tests. Discussion and Conclusions Most United States PTs appear to recognize the importance of AEX for persons post stroke, but clinical implementation can be challenging. Future studies and consensus are needed to clarify best practices and to develop implementation interventions to optimize AEX utilization in stroke rehabilitation.

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Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?

Billinger

Boyne

Coughenour

et al. 2014

Curr Neurol Neurosci Rep

105

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Sedentary lifestyle after stroke is common which results in poor cardiovascular health. Aerobic exercise has the potential to reduce cardiovascular risk factors and improve functional capacity and quality of life in people after stroke. However, aerobic exercise is a therapeutic intervention that is underutilized by healthcare professionals after stroke. The purpose of this review paper is to provide information on exercise prescription using the FITT principle (frequency, intensity, time, type) for people after stroke and to guide healthcare professionals to incorporate aerobic exercise into the plan of care. This article discusses the current literature outlining the evidence base for incorporating aerobic exercise into stroke rehabilitation. Recently, high-intensity interval training has been used with people following stroke. Information is provided regarding the early but promising results for reaching higher target heart rates.

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Utilization of Aerobic Exercise in Adult Neurological Rehabilitation by Physical Therapists in Canada

Cited by 52 publications

References 42 publications

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

Aerobic Exercise Prescription in Stroke Rehabilitation: A Web-Based Survey of US Physical Therapists

Does Aerobic Exercise and the FITT Principle Fit into Stroke Recovery?

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