Physiotherapy Techniques For Stroke Patients

Abstract

[Purpose] It is well-known that physical therapy to improve function after stroke recovery is highly effective. However, the best type of treatment is unknown because there is no detailed record. With the help of the Stroke Physiotherapy Intervention Recording Tool (SPIRIT), this study sought to describe and analyze physical therapy interventions that helped stroke victims recover their function. [Subjects/Methods] The intervention for stroke victims was recorded by 23 Chung-nam rehabilitation hospital physical therapists. Each session lasted 30 minutes and included 670 treatments. SPIRIT was used to record the contents of treatment sessions. To accurately describe interventions and examine differences in time since stroke, descriptive statistics were applied to SPIRIT. [Results] The most commonly used intervention was facilitation (n=1,342, 35%), followed closely by practice (n=1,056, 27%), and exercise (748, 19.6%) within the clinical practice of physical therapists. Conclusion: This shows that physical therapy was primarily focused on functional activity. Organizing or teaching patient activities for independent practice interventions (n=286, 7.5%) were used to encourage patient activity and independence outside the treatment sessions. It was not significant that interventions were different according to the time since stroke.

Abstract

Background: There is a variety of approaches to stroke physiotherapy. Most are based upon neurophysiological motor learning and orthopaedic principles. Some physiotherapists use one approach to their treatments, others use multiple approaches.

The objectives of this study were to determine whether there are differences in postural control and lower-limb function after stroke in patients who receive physiotherapy based on neurophysiological, motor learning or orthopaedic treatment.

Search strategy. Researchers and experts with an interest on stroke rehabilitation were contacted.

Selection criteria: Randomised or quasi-randomised controlled trials of physiotherapy treatment approaches aimed at promoting the recovery of postural control and lower limb function in adult participants with a clinical diagnosis of stroke. Results included participation, motor impairment and disability.

Data collection and analysis: Two review authors independently categorised the identified trials according to the inclusion and exclusion criteria, documented their methodological quality, and extracted the data.

Main findings: We included twenty-one trials in our review. Five were added to two comparisons. Eight trials were compared with a neurophysiological method with another, eight with a motor learning approach and another, and eight with a mixed approach. The mixed approach significantly improved functional independence. It was more efficient than the placebo control or no treatment. 95% confidence intervals (0.08 to 1.80) and standardised mean difference (SMD 0.94). The evidence did not support the claim that any particular approach was more effective than others or that there were better treatment controls.

The authors’ conclusion: It is clear that the combination of different components in physiotherapy interventions is much more effective than placebo control or no treatment for functional independence after stroke. It is not clear that one particular physiotherapy method is better than another in the recovery of postural control or lower limb function after stroke. We recommend that future research should concentrate on investigating the effectiveness of clearly described individual techniques and task-specific treatments, regardless of their historical or philsophical origin.

What Can Physiotherapy Do for Stroke Patients?

A key part of stroke rehabilitation is physiotherapy. It can aid in restoring movement lost after stroke. It can help you regain strength and movement, enabling you to be as independent as possible. A stroke recovery process can be made as quick and painless as possible by a skilled physician.

Which Type of Therapy is Best for Stroke Patients

The majority of stroke patients need rehabilitation. This mainly includes physical therapy. The goal of physical therapy, which is primarily aimed at stroke patients, is to allow them to regain their motor functions such as standing up, walking and sitting down.

.Physiotherapy Techniques For Stroke Patients

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