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Reliability and Minimal Detectable Change for Respiratory Muscle Strength Measures in Individuals With Multiple Sclerosis. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-11-24 Sandra Aguilar-Zafra,Raúl Fabero-Garrido,Tamara Del Corral,Ibai López-de-Uralde-Villanueva
BACKGROUND AND PURPOSE The test-retest reliability and minimal detectable changes (MDCs) for respiratory muscle strength measures have not been determined in individuals with multiple sclerosis (MS). This study determined the test-retest reliability and MDCs for specific respiratory muscle strength measures, as well as their associations with health-related quality of life (HRQoL), disability, dyspnea
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Trans-Spinal Direct Current Stimulation in Neurological Disorders: A systematic review. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-11-24 Juan José Fernández-Pérez,Diego Serrano-Muñoz,Hector Beltran-Alacreu,Juan Avendaño-Coy,Julio Gómez-Soriano
BACKGROUND AND PURPOSE Trans-spinal direct current stimulation (tsDCS) is a noninvasive stimulation technique that applies direct current stimulation over spinal levels. However, the effectiveness and feasibility of this stimulation are still unclear. This systematic review summarizes the effectiveness of tsDCS in clinical and neurophysiological outcomes in neurological patients, as well as its feasibility
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Telehealth Models of Service Delivery-A Brave New World. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-10-01 C English,N E Fritz,J Gomes-Osman
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Addressing Opportunities and Barriers in Telehealth Neurologic Physical Therapy: Strategies to Advance Practice. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-10-01 Aimee E Perron,Hina Garg,Sarah Gallagher,Brittany Kennedy,Sara Oxborough,Emily Schultz,Gregory Thielman,Qing Zhang
BACKGROUND AND PURPOSE Since the COVID-19 pandemic, the use and implementation of telehealth has expanded, with implementation moving ahead of best practice recommendations due to necessity. Telehealth has improved access and care coordination for patients with various neurologic conditions; however, information regarding therapeutic intensity, safety, and appropriateness is lacking. In 2021, the Academy
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Feasibility, Outcomes, and Perceptions of a Virtual Group Exercise Program in Multiple Sclerosis. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-08-11 Hina Garg,Charlotte Rutherfurd,Jared Labrum,Bet Hawley,Emily Gard,James Davis
BACKGROUND AND PURPOSE Individuals with multiple sclerosis (MS) frequently report low physical activity and psychosocial support due to concerns with transportation, time, finances, access to services, and lack of caregiver support. These barriers can be addressed by online group interventions; however, utility of such programs in individuals with MS has not been examined yet. The purpose of this retrospective
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Predictors of Sustained Physical Activity During the COVID-19 Pandemic in People With Parkinson Disease in Sweden. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-07-10 David Moulaee Conradsson,Breiffni Leavy,Maria Hagströmer,Erika Franzén
BACKGROUND AND PURPOSE During the first wave of the COVID-19 pandemic, people with Parkinson disease (PwPD) reported deterioration in health and physical activity. The aim of this study was to describe 1-year changes in physical activity and perceived health in PwPD during the COVID-19 pandemic and to identify predictors of sustained physical activity. METHODS This study compared perceived health and
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Aerobic Exercise Improves Cortical Inhibitory Function After Stroke: A Preliminary Investigation. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-07-10 Jacqueline A Palmer,Alicen A Whitaker,Aiden M Payne,Bria L Bartsch,Darcy S Reisman,Pierce E Boyne,Sandra A Billinger
BACKGROUND AND PURPOSE Aerobic exercise can elicit positive effects on neuroplasticity and cognitive executive function but is poorly understood after stroke. We tested the effect of 4 weeks of aerobic exercise training on inhibitory and facilitatory elements of cognitive executive function and electroencephalography markers of cortical inhibition and facilitation. We investigated relationships between
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Self-Report Measures of Fatigue for People With Multiple Sclerosis: A Systematic Review. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-07-04 Evan T Cohen,Patricia Noritake Matsuda,Nora E Fritz,Diane D Allen,Amy M Yorke,Gail L Widener,Sarah T Jewell,Kirsten Potter
BACKGROUND AND PURPOSE The symptom of fatigue impairs function in people with multiple sclerosis (MS). Choosing appropriate measures to assess fatigue is challenging. The purpose of this article is to report the findings of a systematic review of patient-reported fatigue measures for people with MS. METHODS PubMed, CINAHL, and Embase databases were searched through January 2020 using terms related
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Development and Preliminary Validity Study of a Modified Version of the Upper Extremity Fugl-Meyer Assessment for Use in Telerehabilitation. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-06-14 Carolina Carmona,Jane E Sullivan,Riegele Arceo,Justin Drogos,Sofie Besser,Susana Gutierrez,Zineyra Jeteric,James Wyman,Jun Yao
BACKGROUND/PURPOSE The Upper Extremity Fugl-Meyer Assessment (UEFMA, maximum 66) is widely used in clinics and research studies to examine poststroke upper extremity (UE) impairment. This study aimed to develop and provide pilot data to support the validity of a remote version of the UEFMA to examine UE impairment after stroke through telerehabilitation. METHODS Team members developed a remote version
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Development and Feasibility of a Group Tele-Exercise Program for Individuals With Spinal Cord Injury. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-06-12 Laura A Baehr,Girija Kaimal,Michael Bruneau,Margaret Finley
BACKGROUND AND PURPOSE More than 50% of individuals with spinal cord injury (SCI) report no regular exercise due to numerous barriers to participation. Tele-exercise services offer viable solutions to reduce barriers. However, limited evidence for SCI-specific tele-exercise programs is available. The purpose of this study was to evaluate the feasibility of a synchronous group tele-exercise program
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Feasibility of Telerehabilitation-Based Pelvic Floor Muscle Training for Urinary Incontinence in People With Multiple Sclerosis: A Randomized, Controlled, Assessor-Blinded Study. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-06-12 Ipek Yavas,Turhan Kahraman,Ozge Sagici,Asiye Tuba Ozdogar,Pinar Yigit,Cavid Baba,Serkan Ozakbas
BACKGROUND AND PURPOSE Urinary incontinence is a common symptom in people with multiple sclerosis. The primary aim was to investigate feasibility of telerehabilitation-based pelvic floor muscle training (Tele-PFMT) and compare its effects on leakage episodes and pad usage with home exercise-based pelvic floor muscle training (Home-PFMT) and control groups. METHODS Forty-five people with multiple sclerosis
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Lateropulsion in Right-Sided Stroke: Brain Anatomical Correlates of Severity and Duration. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-06-12 Elvira Salazar López,Carmen Krewer,Jeannine Bergmann,Ken Möhwald,Friedemann Müller,Klaus Jahn
BACKGROUND AND PURPOSE Lateropulsion (LP) is a profound disorder of postural control that has a significant impact on neurorehabilitation. Knowledge of relevant brain areas could guide decisions on appropriate intervention methods. Although LP severity and duration are highly variable in individuals with LP, imaging studies on LP have not sufficiently considered these aspects. The aim of this study
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Activity Monitoring in Parkinson Disease: A Qualitative Study of Implementation Determinants. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-06-12 Bridget Fowler King,Jillian MacDonald,Laura Stoff,Ella Nettnin,Arun Jayaraman,Jennifer G Goldman,Miriam Rafferty
BACKGROUND AND PURPOSE There is interest in incorporating digital health technology in routine practice. We integrate multiple stakeholder perspectives to describe implementation determinants (barriers and facilitators) regarding digital health technology use to facilitate exercise behavior change for people with Parkinson disease in outpatient physical therapy. METHODS The purposeful sample included
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Commentary on: "Predicting Outdoor Walking 1 Year After Spinal Cord Injury: A Retrospective, Multisite External Validation Study". J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-05-31 Casey Kandilakis,Sara Hobbs,Meghan Rozwod
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Adverse Events During Submaximal Aerobic Exercise Testing in People With Subacute Stroke: A Scoping Review J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-05-15 Jean Michelle Legasto-Mulvale, Elizabeth L. Inness, Alexandra N. Thompson, Nivetha Chandran, Sunita Mathur, Nancy M. Salbach
Background and Purpose: Concern for adverse cardiovascular events and limited guidance regarding how to conduct aerobic exercise (AEx) testing for individuals poststroke are key barriers to implementation by physical therapists in stroke rehabilitation. This study aimed to describe the nature and safety of submaximal AEx testing protocols for people with subacute stroke (PwSS) and the nature of comorbidity
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Essential Competencies in Entry-Level Neurologic Physical Therapist Education J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-05-11 Elissa C. Held Bradford, Nancy Fell, Cynthia M. Zablotny, Dorian K. Rose
Background and Purpose: The Academy of Neurologic Physical Therapy's (ANPT) 2021 Strategic Plan identified development of core competencies for neurologic physical therapy as a priority. The Curricular Competencies Task Force was appointed to establish competencies for entry-level neurologic physical therapist (PT) education to facilitate the delivery of current and consistent content across educational
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An Eye Toward a New Vision. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-05-12 Patricia L Scheets
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Essential Competencies in Entry-Level Neurologic Physical Therapist Education. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-05-10 Elissa C Held Bradford,Nancy Fell,Cynthia M Zablotny,Dorian K Rose
BACKGROUND AND PURPOSE The Academy of Neurologic Physical Therapy's (ANPT) 2021 Strategic Plan identified development of core competencies for neurologic physical therapy as a priority. The Curricular Competencies Task Force was appointed to establish competencies for entry-level neurologic physical therapist (PT) education to facilitate the delivery of current and consistent content across educational
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Natural Walking Intensity in Persons With Parkinson Disease J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-05 Jaimie L. Girnis, James T. Cavanaugh, Teresa C. Baker, Ryan P. Duncan, Daniel Fulford, Michael P. LaValley, Michael Lawrence, Timothy Nordahl, Franchino Porciuncula, Kerri S. Rawson, Marie Saint-Hilaire, Cathi A. Thomas, Jenna A. Zajac, Gammon M. Earhart, Terry D. Ellis
Background and Purpose: Few persons with Parkinson disease (PD) appear to engage in moderate-intensity walking associated with disease-modifying health benefits. How much time is spent walking at lower, yet still potentially beneficial, intensities is poorly understood. The purpose of this exploratory, observational study was to describe natural walking intensity in ambulatory persons with PD. Methods:
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The Interplay Between Walking Speed, Economy, and Stability After Stroke J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 Louis N. Awad, Brian A. Knarr, Pawel Kudzia, Thomas S. Buchanan
Background and Purpose: Energy minimization is thought to underlie the naturally selected, preferred walking speed; however, people post-stroke walk slower than their most economical speed, presumably to optimize other objectives, such as stability. The purpose of this study was to examine the interplay between walking speed, economy, and stability. Methods: Seven individuals with chronic hemiparesis
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Descriptive Statistics, An Important First Step. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 George Fulk
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A Hybrid Assessment of Clinical Mobility Test Items for Evaluating Individuals With Mild Traumatic Brain Injury J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 Peter C. Fino, Patrick G. Michielutti, Ryan Pelo, Lucy Parrington, Leland E. Dibble, Carrie W. Hoppes, Mark E. Lester, Margaret M. Weightman, Laurie A. King
Background and Purpose: The Functional Gait Assessment (FGA) and High Level Mobility Assessment Tool (HiMAT) are clinical batteries used to assess people with mild traumatic brain injury (mTBI). However, neither assessment was specifically developed for people with mTBI; the FGA was developed to evaluate vestibular deficits, and the HiMAT was developed for individuals with more severe TBI. To maximize
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Physical Therapy Provider Continuity Predicts Functional Improvements in Inpatient Rehabilitation J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 Mitchell D. Adam, Debra K. Ness, John H. Hollman
Background and Purpose: Health care continuity has been linked to improved patient outcomes in a variety of professions and settings. Patients in inpatient rehabilitation receive a consistent dosage of physical therapy (PT) treatment; however, the providing physical therapist may vary. Despite the potential influence of PT provider continuity on functional outcomes in the inpatient rehabilitation
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Walking Endurance and Oxygen Uptake On-Kinetics in Individuals With Parkinson Disease Following Overground Locomotor Training J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 Andrew E. Pechstein, Jared M. Gollie, Randall E. Keyser, Andrew A. Guccione
Background and Purpose: Poor walking endurance in Parkinson disease (PD) may be attributable to both bioenergetic and biomechanical factors, but locomotor training methods addressing both these factors simultaneously are understudied. Our objective was to examine the effects of overground locomotor training (OLT) on walking endurance in individuals with mild-to-moderate PD, and to further explore
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Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-04-01 Ludovico Pedullà, Carme Santoyo-Medina, Klara Novotna, Lousin Moumdjian, Tori Smedal, Ellen Christin Arntzen, Marietta L. van der Linden, Yvonne Learmonth, Alon Kalron, Feray Güngör, Una Nedeljkovic, Daphne Kos, Johanna Jonsdottir, Susan Coote, Andrea Tacchino
Background and Purpose: Regular physical activity (PA) helps to reduce the severity of physical and mental symptoms and improves quality of life in people with multiple sclerosis (PwMS). Based on current evidence and expert opinion, the recent multiple sclerosis guidelines recommend at least 150 minutes/week of PA. This study presents the results of a survey analyzing whether and how PwMS met the
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Reliability, Validity, and Responsiveness of the Patient-Specific Functional Scale for Measuring Mobility-Related Goals in People With Multiple Sclerosis J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-03-08 Mark M. Mañago, Evan T. Cohen, Michelle H. Cameron, Cory L. Christiansen, Michael Bade
Background and Purpose: This study's purpose was to investigate the reliability, validity, and responsiveness of the Patient-Specific Functional Scale (PSFS) for measuring mobility-related goals in people with multiple sclerosis (MS). Methods: Data from 32 participants with MS who underwent 8 to 10 weeks of rehabilitation were analyzed (Expanded Disability Status Scale scores 1.0-7.0). For the PSFS
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Gait and Falls in Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-03-08 Sara Pauwels, Laura Casters, Nele Lemkens, Winde Lemmens, Kenneth Meijer, Pieter Meyns, Raymond van de Berg, Joke Spildooren
Background and Purpose: Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders, and is treated effectively with particle repositioning maneuvers (PRM). The aim of this study was to assess the influence of BPPV and treatment effects of PRM on gait, falls, and fear of falling. Methods: Three databases and the reference lists of included articles were systematically
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The Interplay Between Walking Speed, Economy, and Stability After Stroke. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-03-02 Louis N Awad,Brian A Knarr,Pawel Kudzia,Thomas S Buchanan
BACKGROUND AND PURPOSE Energy minimization is thought to underlie the naturally selected, preferred walking speed; however, people post-stroke walk slower than their most economical speed, presumably to optimize other objectives, such as stability. The purpose of this study was to examine the interplay between walking speed, economy, and stability. METHODS Seven individuals with chronic hemiparesis
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A Thematic Survey on the Reporting Quality of Randomized Controlled Trials in Rehabilitation: The Case of Multiple Sclerosis J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-02-27 Lucia Ventura, Pedro Moreno-Navarro, Gianluca Martinez, Lucia Cugusi, David Barbado, Francisco Jose Vera-Garcia, Alon Kalron, Zeevi Dvir, Franca Deriu, Andrea Manca
Background and Purpose: Optimal reporting is a critical element of scholarly communications. Several initiatives, such as the EQUATOR checklists, have raised authors' awareness about the importance of adequate research reports. On these premises, we aimed at appraising the reporting quality of published randomized controlled trials (RCTs) dealing with rehabilitation interventions. Given the breadth
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A Thematic Survey on the Reporting Quality of Randomized Controlled Trials in Rehabilitation: The Case of Multiple Sclerosis. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-02-25 Lucia Ventura,Pedro Moreno-Navarro,Gianluca Martinez,Lucia Cugusi,David Barbado,Francisco Jose Vera-Garcia,Alon Kalron,Zeevi Dvir,Franca Deriu,Andrea Manca
BACKGROUND AND PURPOSE Optimal reporting is a critical element of scholarly communications. Several initiatives, such as the EQUATOR checklists, have raised authors' awareness about the importance of adequate research reports. On these premises, we aimed at appraising the reporting quality of published randomized controlled trials (RCTs) dealing with rehabilitation interventions. Given the breadth
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Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-31 Ludovico Pedullà,Carme Santoyo-Medina,Klara Novotna,Lousin Moumdjian,Tori Smedal,Ellen Christin Arntzen,Marietta L van der Linden,Yvonne Learmonth,Alon Kalron,Feray Güngör,Una Nedeljkovic,Daphne Kos,Johanna Jonsdottir,Susan Coote,Andrea Tacchino
BACKGROUND AND PURPOSE Regular physical activity (PA) helps to reduce the severity of physical and mental symptoms and improves quality of life in people with multiple sclerosis (PwMS). Based on current evidence and expert opinion, the recent multiple sclerosis guidelines recommend at least 150 minutes/week of PA. This study presents the results of a survey analyzing whether and how PwMS met the guidelines
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Predicting Outdoor Walking 1 Year After Spinal Cord Injury: A Retrospective, Multisite External Validation Study J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-11 Christina Draganich, Kenneth A. II Weber, Wesley A. Thornton, Jeffrey C. Berliner, Mitch Sevigny, Susan Charlifue, Candace Tefertiller, Andrew C. Smith
Background and Purpose: Predicting future outdoor walking ability after spinal cord injury (SCI) is important, as this is associated with community engagement and social participation. A clinical prediction rule (CPR) was derived for predicting outdoor walking 1 year after SCI. While promising, this CPR has not been validated, which is necessary to establish its clinical value. The objective of this
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Predicting Outdoor Walking 1 Year After Spinal Cord Injury: A Retrospective, Multisite External Validation Study. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-10 Christina Draganich,Kenneth A Weber,Wesley A Thornton,Jeffrey C Berliner,Mitch Sevigny,Susan Charlifue,Candace Tefertiller,Andrew C Smith
BACKGROUND AND PURPOSE Predicting future outdoor walking ability after spinal cord injury (SCI) is important, as this is associated with community engagement and social participation. A clinical prediction rule (CPR) was derived for predicting outdoor walking 1 year after SCI. While promising, this CPR has not been validated, which is necessary to establish its clinical value. The objective of this
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International Neurological Physical Therapy Association: Best Abstracts J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01
The Journal of Neurologic Physical Therapy (JNPT) is pleased to publish the 4 most outstanding abstracts presented at the 2021 World Physiotherapy online congress selected by the International Neurological Physical Therapy Association.
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Muscle Strength and Power in People With Parkinson Disease: A Systematic Review and Meta-analysis J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Mads Gamborg, Lars Grøndahl Hvid, Cecilie Thrue, Sverker Johansson, Erika Franzén, Ulrik Dalgas, Martin Langeskov-Christensen
Background and Purpose: No studies have synthesized the literature regarding mechanical muscle function (ie, strength, power, rate of force development [RFD]) in people with Parkinson disease (PD). Here, we aimed to expand our understanding of mechanical muscle function in people with PD (PwPD) by systematically reviewing (1) the psychometric properties of isokinetic/isometric dynamometry in PD, (2)
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Test-Retest Reliability and Criterion Validity of the Spanish Version of Two Motor Imagery Questionnaires in People With Parkinson Disease J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Marcos Moreno-Verdú, María del Rosario Ferreira-Sánchez, Patricia Martín-Casas, María de los Ángeles Atín-Arratibel
Background and purpose: The Kinesthetic and Visual Imagery Questionnaire (KVIQ) and the Movement Imagery Questionnaire-Revised Second Version (MIQ-RS) are measurement instruments that assess motor imagery vividness. The aim of this study was to examine the validity and reliability of the Spanish KVIQ and MIQ-RS in people with Parkinson disease (PD). Methods: A longitudinal descriptive study was conducted
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Body Schema as Assessed by Upper Limb Left/Right Judgment Tasks Is Altered in Stroke: Implications for Motor Imagery Training J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Brendon S. Haslam, David S. Butler, Timothy S. Cocks, Anthony S. Kim, Leeanne M. Carey
Background and Purpose: Individuals with stroke often experience significant impairment of the upper limb. Rehabilitation interventions targeting the upper limb are typically associated with only small to moderate gains. The knowledge that body schema can be altered in other upper limb conditions has contributed to the development of tailored rehabilitation approaches. This study investigated whether
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Development of a Berg Balance Scale Short-Form Using a Machine Learning Approach in Patients With Stroke J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Inga Wang, Pei-Chi Li, Shih-Chieh Lee, Ya-Chen Lee, Chun-Hou Wang, Ching-Lin Hsieh
Background and Purpose: The Berg Balance Scale (BBS) is frequently used in routine clinical care and research settings and has good psychometric properties. This study was conducted to develop a short form of the BBS using a machine learning approach (BBS-ML). Methods: Data of 408 individuals poststroke were extracted from a published database. The initial (ie, 4-, 5-, 6-, 7-, and 8-item) versions
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Lessons Learned in Outpatient Physical Therapy for Motor Functional Neurological Disorder J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Julie Maggio, Kevin Kyle, Christopher D. Stephen, David L. Perez
Background and Purpose: Motor functional neurological disorder is a prevalent and costly condition at the intersection of neurology and psychiatry that is diagnosed using positive “rule-in” signs. Physical therapy is a first-line treatment and consensus recommendations exist to guide clinical care. Nonetheless, optimal outpatient treatment of adults with functional motor symptoms requires an expanded
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Artificial Intelligence and Neurologic Physical Therapy. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 George Fulk
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Walking Endurance and Oxygen Uptake On-Kinetics in Individuals With Parkinson Disease Following Overground Locomotor Training. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-12-19 Andrew E Pechstein,Jared M Gollie,Randall E Keyser,Andrew A Guccione
BACKGROUND AND PURPOSE Poor walking endurance in Parkinson disease (PD) may be attributable to both bioenergetic and biomechanical factors, but locomotor training methods addressing both these factors simultaneously are understudied. Our objective was to examine the effects of overground locomotor training (OLT) on walking endurance in individuals with mild-to-moderate PD, and to further explore potential
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A Hybrid Assessment of Clinical Mobility Test Items for Evaluating Individuals With Mild Traumatic Brain Injury. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-12-19 Peter C Fino,Patrick G Michielutti,Ryan Pelo,Lucy Parrington,Leland E Dibble,Carrie W Hoppes,Mark E Lester,Margaret M Weightman,Laurie A King
BACKGROUND AND PURPOSE The Functional Gait Assessment (FGA) and High Level Mobility Assessment Tool (HiMAT) are clinical batteries used to assess people with mild traumatic brain injury (mTBI). However, neither assessment was specifically developed for people with mTBI; the FGA was developed to evaluate vestibular deficits, and the HiMAT was developed for individuals with more severe TBI. To maximize
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Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2023-01-01 Catherine E. Lang, Carey L. Holleran, Michael J Strube, Terry D. Ellis, Caitlin A. Newman, Meghan Fahey, Tamara R. DeAngelis, Timothy J. Nordahl, Darcy S. Reisman, Gammon M. Earhart, Keith R. Lohse, Marghuretta D. Bland
Background and Purpose: We addressed questions about the potential discrepancy between improvements in activity capacity and improvements in activity performance in daily life. We asked whether this discrepancy is: Common in routine, outpatient care, or an artifact of intervention studies? Unique to upper limb (UL) rehabilitation, or is it seen in walking rehabilitation too? Only seen in persons with
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International Neurological Physical Therapy Association: Best Abstracts. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-12-07
The Journal of Neurologic Physical Therapy ( JNPT ) is pleased to publish the 4 most outstanding abstracts presented at the 2021 World Physiotherapy online congress selected by the International Neurological Physical Therapy Association.
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2022 Foundation for Physical Therapy Research Awards. J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-12-07
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Physical Exercise Interventions on Quality of Life in Parkinson Disease: A Network Meta-analysis J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-18 Patricia Lorenzo-García, Sergio Núñez de Arenas-Arroyo, Iván Cavero-Redondo, María José Guzmán-Pavón, Susana Priego-Jiménez, Celia Álvarez-Bueno
Background and Purpose: Physical exercise is considered an effective intervention for maintaining or improving quality of life (QoL) in patients with Parkinson disease (PD), but there is no evidence showing which type of physical exercise intervention has more positive effects. This systematic review and meta-analysis aimed to synthesize the evidence regarding the effectiveness of exercise interventions
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Multiarea Brain Activation and Gait Deterioration During a Cognitive and Motor Dual Task in Individuals With Parkinson Disease J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Yan-Ci Liu, Yea-Ru Yang, Nai-Chen Yeh, Pei-Hsin Ku, Chia-Feng Lu, Ray-Yau Wang
Background and Purpose: In people with Parkinson disease (PD), gait performance deteriorating during dual-task walking has been noted in previous studies. However, the effects of different types of dual tasks on gait performance and brain activation are still unknown. The purpose of this study was to investigate cognitive and motor dual-task walking performance on multiarea brain activity in individuals
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Where Are We on Proprioception Assessment Tests Among Poststroke Individuals? A Systematic Review of Psychometric Properties J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Karim Jamal, Adrien Penisson, Stephan Rostagno, Cyril Duclos
Background and Purpose: Proprioception is often impaired in poststroke individuals. This is a significant issue since altered proprioception is associated with poorer physical function outcomes poststroke. However, there is limited consensus on the best tools for assessing proprioception and support for their widespread use by clinicians. The objective is to appraise the psychometric properties of
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Physical Activity Coaching via Telehealth for People With Parkinson Disease: A Cohort Study J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Hai-Jung Steffi Shih, Chelsea E. Macpherson, Miriam King, Elizabeth Delaney, Yu Gu, Katrina Long, Jennifer Reid, Julie Fineman, Geraldine Yu, Jamie Rieger, Ashrita Satchidanand, Hiral Shah, Roy N. Alcalay, Lori Quinn
Background and Purpose: Physical activity (PA) has many known benefits for people with Parkinson disease (PD); however, many people do not meet recommended levels of frequency or intensity. We designed Engage-PD, a PA coaching program delivered via telehealth and grounded in self-determination theory to promote PA uptake and facilitate exercise self-efficacy in people with Parkinson disease. This
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Assessment of Walking Speed and Distance Post-Stroke Increases After Providing a Theory-Based Toolkit J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Nancy M. Salbach, Marilyn MacKay-Lyons, Jo-Anne Howe, Alison McDonald, Patricia Solomon, Mark T. Bayley, Sara McEwen, Michelle Nelson, Beverly Bulmer, Gina S. Lovasi
Background and Purpose: While underutilized, poststroke administration of the 10-m walk test (10mWT) and 6-minute walk test (6MWT) can improve care and is considered best practice. We aimed to evaluate provision of a toolkit designed to increase use of these tests by physical therapists (PTs). Methods: In a before-and-after study, 54 PTs and professional leaders in 9 hospitals were provided a toolkit
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Gluteus Maximus Muscle Activation Characteristics During a Chair-Rise in Adults With Chronic Stroke J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Michelle Sawtelle, Toni Roddey, Jennifer Ellison, Shih-Chiao Tseng
Background and Purpose: A successful chair-rise is an important indicator of functional independence post-stroke. Lower extremity electromyographic analyses provide a basis for muscle activation from which clinical intervention protocols may be derived. Gluteus maximus activation during the chair-rise has not been thoroughly researched in the chronic stroke population. This study investigated the
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A Pilot Study of Intensive Locomotor-Related Skill Training and Transcranial Direct Current Stimulation in Chronic Spinal Cord Injury J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Nicholas H. Evans, Edelle C. Field-Fote
Background and Purpose: Improved walking function is a priority among persons with motor-incomplete spinal cord injury (PwMISCI). Accessibility and cost limit long-term participation in locomotor training offered in specialized centers. Intensive motor training that facilitates neuroplastic mechanisms that support skill learning and can be implemented in the home/community may be advantageous for
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Split-Belt Adaptation and Savings in People With Parkinson Disease J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Elizabeth D. Thompson, Darcy S. Reisman
Background and Purpose: Upper extremity studies suggest that implicit adaptation is less impaired than explicit learning in persons with Parkinson disease (PD). Little work has explored implicit locomotor adaptation and savings in this population, yet implicit locomotor learning is critical for everyday function. This cross-sectional study examined adaptation and savings in individuals with PD during
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Implementation and Adoption of Telerehabilitation for Treating Mild Traumatic Brain Injury J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-10-01 Kody R. Campbell, Jennifer L. Wilhelm, Natalie C. Pettigrew, Kathleen T. Scanlan, James C. Chesnutt, Laurie A. King
Background and Purpose: Multimodal physical therapy for mild traumatic brain injury (mTBI) has been shown to improve recovery. Due to the coronavirus disease-2019 (COVID-19) pandemic, a clinical trial assessing the timing of multimodal intervention was adapted for telerehabilitation. This pilot study explored feasibility and adoption of an in-person rehabilitation program for subacute mTBI delivered
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Physical Activity After Transient Ischemic Attack or Mild Stroke Is Business as Usual J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-07-01 Maria Sammut, Kirsti Haracz, David Shakespeare, Coralie English, Gary Crowfoot, Natalie Fini, Michael Nilsson, Heidi Janssen
Background and Purpose: Regular, sustained moderate-to-vigorous physical activity (MVPA) is a recommended strategy to reduce the risk of recurrent stroke for people who have had transient ischemic attack (TIA) or mild stroke. This study aimed to explore attitudes toward, and experience of engaging in physical activity by adults following a TIA or mild stroke. Methods: Constructivist grounded theory
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Use of an EMG-Controlled Game as a Therapeutic Tool to Retrain Hand Muscle Activation Patterns Following Stroke: A Pilot Study J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-07-01 Na Jin Seo, Alex Barry, Mohammad Ghassemi, Kristen M. Triandafilou, Mary Ellen Stoykov, Lynn Vidakovic, Elliot Roth, Derek G. Kamper
Background/Purpose: To determine the feasibility of training with electromyographically (EMG) controlled games to improve control of muscle activation patterns in stroke survivors. Methods: Twenty chronic stroke survivors (>6 months) with moderate hand impairment were randomized to train either unilaterally (paretic only) or bilaterally over 9 one-hour training sessions. EMG signals from the unilateral
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Evaluating the Impact of a Regional Student-Led Physiotherapy Clinic Model to Improve Self-Reported Function in Community-Dwelling Adults With Neurological Diagnoses J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-07-01 Andrea Hams, Neil Bell, Taryn Jones
Background and Purpose: Neurological conditions are a major cause of health morbidity that negatively impacts function and quality of life (QoL). Despite this burden, community services are disproportionally scarce. Student-led physiotherapy services (SLSs) are a model that can increase community access to health care while providing authentic clinical experiences for students. SLSs consistently demonstrate
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Association of Lower Limb Focal Spasticity With Kinematic Variables During Walking in Traumatic Brain Injury J. Neurol. Phys. Ther. (IF 3.8) Pub Date : 2022-07-01 Gavin Williams, Megan Banky
Background and Purpose: Focal muscle spasticity is defined as spasticity that affects a localized group of muscles. It is prevalent in many adult-onset neurological conditions, yet the relationship of focal muscle spasticity with walking remains unclear. Therefore, the aim of this study was to determine the relationship of focal muscle spasticity with the kinematics of walking in traumatic brain injury