![]() The prevalence of stroke is likely to increase in the future due to the aging population. The prevalence of chronic stroke in the USA is estimated at about 7 million, with about 80% of patients with stroke being over the age of 65. Prospective studies have estimated that about 795.000 people in the USA suffer a first or recurrent stroke each year. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.įunding: This research project was supported by the Royal Dutch Society for Physical Therapy (KNGF grant no. Received: OctoAccepted: DecemPublished: February 4, 2014Ĭopyright: © 2014 Veerbeek et al. Quinn, University of Glasgow, United Kingdom ![]() (2014) What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis. Main limitations of the present review are not using individual patient data for meta-analyses and absence of correction for multiple testing.Ĭitation: Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, Rietberg M, et al. ![]() Neurological treatment approaches to training of body functions and activities showed equal or unfavorable effects when compared to other training interventions. Subgroup analyses yielded significant differences with respect to timing poststroke for 10 interventions. There is strong evidence that a higher dose of practice is better, with SESs ranging from 0.21 (95%CI 0.02–0.39 I 2 = 6%) for motor function of the paretic arm to 0.61 (95%CI 0.41–0.82 I 2 = 41%) for muscle strength of the paretic leg. Summary Effect Sizes (SESs) ranged from 0.17 (95%CI 0.03–0.70 I 2 = 0%) for therapeutic positioning of the paretic arm to 2.47 (95%CI 0.84–4.11 I 2 = 77%) for training of sitting balance. Strong evidence was found for significant positive effects of 13 interventions related to gait, 11 interventions related to arm-hand activities, 1 intervention for ADL, and 3 interventions for physical fitness. The search yielded 467 RCTs (N = 25373 median PEDro score 6 ), identifying 53 interventions. A best evidence synthesis was performed for neurological treatment approaches. Differences between phases poststroke were explored in subgroup analyses. RCTs with a low risk of bias were quantitatively analyzed. Outcomes were classified according to the ICF. As a result it is likely that there will be necessary delays in removing any masking requirements in order to ensure the safety of everyone.įor detailed information on current office procedures and policies please check the Covid 19 procedures page.Randomized controlled trials (RCTs) regarding PT in stroke rehabilitation were retrieved through a systematic search. As a healthcare facility, Synergy Acupuncture and Wellness is dedicated to protecting all patients vaccinated or unvaccinated. City leadership has yet to inform businesses of any changes regarding masking mandates. We are keeping a close eye on developments following the recent changes in CDC recommendations for vaccinated individuals. As of now, there will be no change to the protocols and enhanced cleaning procedures that have been put in place during the pandemic. Health is the result of balance in all aspects of our lives. At Synergy Acupuncture & Wellness, lifestyle and diet are also examined in order to determine a comprehensive treatment plan.Īs of the end of February 2021, Synergy Acupuncture and Wellness and my colleagues at the office have all been fully vaccinated. I specialize in Japanese style acupuncture, a more gentle style of acupuncture with many non-insertive & needle-free options available for children, sensitive patients and those with concerns about needles. Synergy Acupuncture and Wellness strives to provide patients with the very highest quality treatment by combining Japanese acupuncture techniques with cutting edge data from current medical and acupuncture research.
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