Mission & Objectives
- Create a forum for the discussion of rehabilitation issues associated with stroke survivors.
- Form a liaison between APTA and the medical community through the support of research and through national organizations such as the National Stroke Association.
- Assist the public relations efforts of the APTA support and organization of activities that promote physical therapy services for stroke survivors.
- Integrate into the community and provide information to the public about the risk factors of stroke and about living with the sequela of stroke.
- Assist in establishing a network for education and research.
- Support the publication of articles, book reviews, and reprints of stroke related reports.
- Monitor legislation that would have an impact on the delivery of quality physical therapy services to stroke survivors.
- Monitor changes in reimbursement systems that affect the physical therapy services provided to stroke survivors.
Emmanuel B. John, PT, PhD
Michelle Harris-Love, PT, PhD
Brian Leloup, PT, NCS
Maura Ament, PT, DPT, NCS
Joni Barry, PT, DPT, NCS
Susan Linder, PT, DPT, NCS
Repetitive Training Can Help With Walking After Stroke
Repetitive training that simulates everyday leg function can help people walk more easily after stroke, according to a news article from Health Behavior News Service, reporting on a new review of studies in The Cochrane Library. Practicing everyday tasks resulted in modest gains in walking speed, walking distance, and patients' ability to stand up, the review found.
The therapy typically lasted for 1-hour sessions, three to five times a week for 6 to 8 weeks. Researchers tested both arm and leg mobility in the studies, but the review only found significant improvements for lower limb function. Moreover, it is not clear if the gains in leg mobility were permanent. The analyzed studies included a mix of patients, people who had had a stroke recently and those who had a stroke years in the past. Both groups of patients experienced similar health gains.
"People who had repetitive task training were able to go 50 meters farther in 6 minutes compared to people who hadn't," said lead review author Beverley French, a senior research fellow at the University of Central Lancashire in England. In the real world that distance equates to being able to cross an intersection while the walk sign remains lit or to go from a parking lot into a grocery store, she said.
The review gathers evidence from 14 trials with more than 650 study participants. In the studies, patients repeatedly practiced everyday tasks or the movements associated with the tasks, like buttoning clothes, walking up steps, reaching for items on shelves or standing up from sitting. "The idea of repeatedly practicing tasks is based on the thought that you can re-pattern the damaged brain," French said.
The analysis found that repetitive task training is effective -- and does result in health gains for stroke patients -- but did not determine whether the approach is better than other rehabilitation interventions. French said that repetitive task training is not a method of therapy; rather, many therapies can incorporate the technique as "an underpinning for everything a therapist does with a patient."
APTA Issue Brief: Stroke
The Issue Brief Series provides brief background on particular issues and highlights a PT's role for each topic covered as well as particular policy challenges.
APTA Issue Brief: Healthcare Needs for Prevention of and Recovery from Stroke
AHA Physical Activity and Exercise Recommendations for Stroke Survivors
Physical activity remains a cornerstone in the current armamentarium of risk-reduction therapies for the prevention and treatment of stroke. [Read More]
Emmanuel B. John, PT, PhD