Strength training to improve walking after stroke: how physiotherapist, patient and workplace factors influence exercise prescription.

Physiotherapy Theory and Practice
Genevieve ToleAnne E Holland

Abstract

Background:Muscle weakness is well established as the primary impairment that affects walking after stroke and strength training is an effective intervention to improve this muscle weakness. Observation of clinical practice however has highlighted an evidence-practice gap in the implementation of evidence-based strength training guidelines. Objective: To explore perceived barriers and facilitators that influence Australian physiotherapy practices when prescribing strength training with stroke survivors undergoing gait rehabilitation. Methods: Semi-structured interviews were conducted with a convenience sample of physiotherapists currently providing rehabilitation services to patients following stroke in Australia. Interviews were transcribed verbatim and line-by-line thematic analysis was undertaken to create themes and sub-themes. Results: Participants were 16 physiotherapists (12 females) with 3 months - 42 years experience working with people after stroke. Major themes identified were1) patient factors influence the approach to strength training; 2) interpretation and implementation of strength training principles is diverse; and 3) workplace context affects the treatment delivered. Physiotherapists displayed wide variation ...Continue Reading

References

Aug 6, 2002·Archives of Physical Medicine and Rehabilitation·Karen J DoddDiane L Damiano
Feb 7, 2004·Clinical Rehabilitation·Susan L MorrisMeg E Morris
Apr 7, 2005·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·L F RequiãoD Gagnon
Oct 12, 2005·Journal of Biomechanics·May Q LiuScott L Delp
Mar 25, 2006·The Journal of Continuing Education in the Health Professions·Ian D GrahamNicole Robinson
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Dec 26, 2007·Gait & Posture·Richard R NeptuneSteven A Kautz
Jan 8, 2008·Journal of Rehabilitation Medicine·Ingrid G van de PortEline Lindeman
Sep 30, 2008·Journal of Biomechanics·May Q LiuScott L Delp
Feb 11, 2009·Medicine and Science in Sports and Exercise·UNKNOWN American College of Sports Medicine
Mar 9, 2010·Disability and Rehabilitation·Anita MenonSharon Straus
Mar 29, 2011·Stroke; a Journal of Cerebral Circulation·Christopher McKevittCharles D A Wolfe
Feb 11, 2014·American Journal of Physical Medicine & Rehabilitation·Gavin WilliamsAlana Randall
Apr 16, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Debbie HebertRobert Teasell
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
May 15, 2018·Physiotherapy Canada. Physiothérapie Canada·Carol L RichardsAnne Durand
Jun 26, 2018·Quality & Quantity·Benjamin SaundersClare Jinks

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