Some time ago I published the post you see below on LinkedIn. It was about a quantitative review where researchers evaluated the effects of interactive video games on functional balance and mobility in post-stroke individuals. In summary, Ferreira and colleagues came to the conclusion that interactive video games may lead to significant improvements on functional balance in individuals post-stroke. But are these findings really from clinical relevance?
Locomotion therapy is a key element of post stroke mobility rehabilitation. Intensive task-based gait training using an electromechanical gait trainer, such as the THERA-Trainer lyra, is at the forefront for patients unable to walk in the subacute phase. Electromechanical-assisted gait therapy has developed steadily over the past 20 years and is well documented.
The latest version of the Cochrane Review by Coralie English and colleagues at Newcastle University presents the findings. In the new version of the review, which was first published in 2010, the researchers considered 17 studies involving a total of 1.297 participants and compared circuit class therapy with conventional therapy in stroke patients.
The probability of being able to walk independently again after stroke is vitally important for patients and their relatives. The ability to move independently determines the degree of autonomy in everyday life after rehabilitation and associated with this the necessary steps in planning a patient’s discharge from hospital.
Mirror therapy is an often used evidence-based therapeutical approach to improve motor function after stroke. During mirror therapy, a mirror is placed in the person’s midsagittal plane, thus reflecting movements of the non-paretic side as if it were the affected side.
National stroke guidelines from all over the world recommending that patients cannot have enough training! They should receive as much as possible intensive treatments, for at least 45 minutes of each appropriate therapy - every day! But we know from several observational studies, that the therapy frequency and intensity recommendations are not met in most stroke units and rehab centers worldwide.
I was a bit shocked when I saw that the researchers report a high significant result in their paper and reject the null hypothesis. What I found was a non significant result and a slightly higher propability for the null hypothesis. But let’s start from the beginning...
Regaining the ability to walk is one of the most important goals for people with mobility impairments e.g. after stroke. For this reason, recovery of walking capacity is a major objective in neurorehabilitation when motor impairments of the lower extremities strongly restrict the mobility of the patient. Because of certain similarities with walking, cycling leg exercise might be a beneficial rehabilitation method in sense of an additional therapy intervention next to intensive task practice.
Robot assisted circuit class training for walking after stroke? Why not! Circuit class training in stroke rehabilitation is a highly recommended intervention. In this podcast Anne Moseley talks to Dr Jannette Blennerhassett and Dr Wayne Dite (Austin Health Royal Talbot Rehabilitation Centre, Australia) whose trial evaluating circuit class training in stroke rehabilitation is one of the most significant trials in physiotherapy! In recent years, especially in the field of neurological...