AI Article Synopsis
- The study investigates current trends in physical therapists' (PTs) clinical reasoning for assessing and managing gait in individuals with hemiplegia during stroke rehabilitation.
- A qualitative research approach, using semi-structured interviews with both expert and novice PTs, revealed five main themes related to their systematic examination of gait deficits and treatment approaches.
- Key findings highlighted variability in treatment strategies and a general reluctance to use orthotics among PTs working with patients exhibiting hemiplegia.
Article Abstract
: During stroke rehabilitation, physical therapists (PTs) perform gait analysis and design treatments based on this analysis. : To investigate the current trends in PTs clinical reasoning in assessing and managing gait in persons with hemiplegia. : A qualitative study using a phenomenological approach using a semi-structured interview protocol with FG. : Participants consisted of expert and novice PTs working in a neurologic rehabilitation setting. FG were conducted in person and via web. Constant comparative qualitative analysis was used to analyze the qualitative data. : A total of 22 PTs participated in five FG (2 novice and 3 expert groups). From the analysis of qualitative data, five themes emerged. Novice and experienced clinicians: 1) take a systematic approach to examination and evaluation of persons with hemiplegia; 2) are in agreement in common gait deficits found in persons with hemiplegia; 3) may differ in their approach to treatment based on the amount of experience of the clinician; 4) generally agree on the manner in which orthotics are used in the management of persons with hemiplegia; and 5) demonstrate professional accountability to patients concerning the use of orthotic devices. : This qualitative study provided insight into the variability in PTs' strategies for gait analysis, and their identification and interpretation of common deviations and impairments in persons with hemiplegia following stroke. Reluctance to utilize orthotics for patients with hemiplegia was a consistent theme across FG.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/09593985.2019.1567889 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Lower limb joint reaction forces during sit-to-stand and stand-to-sit movements in stroke patients with spastic hemiplegia.
J Electromyogr Kinesiol
January 2025
Research Academy of Grand Health, Faculty of Sports Sciences, Ningbo University, Ningbo, China. Electronic address:
Objective: We investigated the characteristics of hip, knee, and ankle joint reaction forces (JRFs) in stroke patients with spastic hemiplegia during sit-to-stand (Si-St) and stand-to-sit (St-Si) movements and explored the relationship between JRFs and joint moments.
Methods: Thirteen stroke patients with spastic hemiplegia and thirteen age-matched healthy subjects were recruited in this study. Three-dimensional motion capture system and force plates were employed to collect kinematic data and ground reaction forces during Si-St and St-Si tasks.
Transcranial resection of falcine meningiomas by complete endoscopy with the assistance of intraoperative ultrasound.
Neurosurg Rev
January 2025
Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei, 230022, P.R. China.
Transcranial neurosurgery assisted by endoscopy and intraoperative ultrasound (IOUS) has become an effective approach for real-time visualization and guidance during tumor resection. This study explores the application of these techniques in falcine meningioma (FM) resection, assessing their feasibility and safety. Eleven FM patients underwent transcranial endoscopic resection with IOUS assistance.
View Article and Find Full Text PDFCharacteristics of subacute stroke patients who achieve earlier independence in real-life walking performance during hospitalization.
J Rehabil Med
January 2025
Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan; Graduate School of Health Sciences, Fujita Health University, Aichi, Japan.
Objective: To identify factors associated with earlier independence in "real-life walking" during hospitalization in subacute stroke patients.
Design: Retrospective cohort study.
Subjects/patients: Two hundred and six hemiplegic patients.
Surgical insights into meningiomas en plaque: A rare case of frontal tumor resection and its clinical implications.
Int J Surg Case Rep
January 2025
Department of Pathology, Damascus University, Damascus, Syria. Electronic address:
Introduction: Meningiomas en Plaque (MEP) represents a rare subtype, typically affecting females and seen in the fifth decade of life, with proptosis as a common presenting symptom, posing both diagnostic and surgical challenges.
Case Presentation: A 55-year-old right-handed male presented with right hemiplegia, headache, vomiting, and frequent seizures. Neurological examination showed reduced visual acuity and right-sided exophthalmos.
Objective: To investigate the current status of knowledge, attitude, and practice (KAP) of healthcare professionals in stroke-related departments of primary-level tertiary hospitals regarding the prevention and treatment of hemiplegic shoulder pain, and to analyze influencing factors. This aims to provide a reference for further training, guidance, and management of hemiplegic shoulder pain.
Methods: A total of 123 healthcare professionals from stroke-related departments of two tertiary hospitals in a county-level city in Zhejiang province were selected as the research subjects from March 6, 2023, to March 14, 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!