Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 8 , Pages 955-963 , August 2007

Circuit Class Therapy Versus Individual Physiotherapy Sessions During Inpatient Stroke Rehabilitation: A Controlled Trial

  • Coralie K. English, PhD

      Affiliations

    • School of Health Sciences, University of South Australia, Adelaide, South Australia
    • Physiotherapy Department, Royal Adelaide Hospital, Adelaide, South Australia.
    • Corresponding Author InformationCorrespondence to Coralie K. English, PhD, School of Health Sciences, University of South Australia, North Terrace, Adelaide, SA 5000, Australia
  • ,
  • Susan L. Hillier, PhD

      Affiliations

    • School of Health Sciences, University of South Australia, Adelaide, South Australia
  • ,
  • Kathy R. Stiller, PhD

      Affiliations

    • Physiotherapy Department, Royal Adelaide Hospital, Adelaide, South Australia.
  • ,
  • Andrea Warden-Flood, PhD

      Affiliations

    • School of Health Sciences, University of South Australia, Adelaide, South Australia
    • Deceased.

References 

  1. Nudo R, Milliken G, Jenkins W, Merzenich M. Use-dependent alterations of movement representations in primary motor cortex of adult squirrel monkeys. J Neurosci. 1996;16:785–807
  2. Friel K, Heddings A, Nudo R. Effects of post lesion experience on behavioral recovery and neurophysiologic reorganization after cortical injury in primates. Neurorehabil Neural Rep. 2000;14:187–198
  3. Jones T, Chu C, Grande L, Gregory A. Motor skills training enhances lesion-induced structural plasticity in the motor cortex of adult rats. J Neurosci. 1999;19:10153–10163
  4. Liepert J, Bauder H, Miltner W, Taub E, Weiller C. Treatment-induced cortical reorganization after stroke in humans. Stroke. 2000;31:1210–1216
  5. Traversa R, Cicinelli P, Bassi A, Rossini P, Bernardi G. Mapping of motor cortical reorganization after stroke: a brain stimulation study with focal magnetic pulses. Stroke. 1997;28:110–117
  6. Kwakkel G, van Peppen R, Wagenaar R, et al. Effects of augmented exercise therapy time after stroke (A meta-analysis). Stroke. 2004;35:2529–2536
  7. van Peppen R, Kwakkel G, Wood-Dauphinee S, Hendriks H, Van der Wees P, Dekker J. The impact of physical therapy on functional outcomes after stroke: what’s the evidence?. Clin Rehabil. 2004;18:833–862
  8. Esmonde T, McGinley J, Wittwer J, Goldie P, Martin C. Stroke rehabilitation: patient activity during non-therapy time. Aust J Physiother. 1997;43:43–51
  9. Mackey F, Ada L, Heard R, Adams R. Stroke rehabilitation: are highly structured units more conducive to physical activity than less structured units?. Arch Phys Med Rehabil. 1996;77:1066–1070
  10. Lincoln NB, Blackburn M, Ellis S, et al. An investigation of factors affecting progress of patients on a stroke unit. J Neurol Neurosurg Psychiatry. 1989;52:493–496
  11. De Weerdt W, Nuyens G, Feys H, et al. Group physiotherapy improves time use by patients with stroke in rehabilitation. Aust J Physiother. 2001;47:53–61
  12. Ada L, Mackey F, Heard R, Adams R. Stroke rehabilitation: does the therapy area provide a physical challenge?. Aust J Physiother. 1999;45:33–38
  13. Carr J, Shepherd R. Stroke rehabilitation (Guidelines for exercise and training to optimize motor skill). London: Butterworth-Heinemann; 2003;
  14. Dean CM, Richards C, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized controlled pilot trial. Arch Phys Med Rehabil. 2000;81:409–417
  15. Blennerhassett J, Dite W. Additional task-related practice improves mobility and upper limb function early after stroke (A randomized controlled trial). Aust J Physiother. 2004;50:219–244
  16. Pang M, Eng J, Dawson A, McKay H, Harris J. A community-based fitness and mobility exercise program for older adults with chronic stroke (A randomized controlled trial). J Am Geriatr Soc. 2005;53:1667–1674
  17. Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil. 2001;82:1204–1212
  18. Kosak M, Smith T. Comparison of the 2-, 6- and 12-minute walk tests in patients with stroke. J Rehabil Res Dev. 2005;42:103–108
  19. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27:27–36
  20. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83(Suppl 2):S7–S11
  21. Lannin N. Reliability, validity and factor structure of the upper limb subscale of the Motor Assessment Scale (UL-MAS) in adults following stroke. Disabil Rehabil. 2004;26:109–115
  22. Shields R, Enloe L, Evans R, Smith K, Steckel S. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995;75:169–179
  23. Pound P, Gompertz P, Ebrahim S. Development and results of a questionnaire to measure carer satisfaction after stroke. J Epidemiol Community Health. 1993;47:500–505
  24. Loewen SC, Anderson BA. Reliability of the Modified Motor Assessment Scale and the Barthel Index. Phys Ther. 1988;68:1077–1081
  25. Johnson L, Selfe J. Measurement of mobility following stroke (A comparison of the modified Rivermead Mobility Index and the Motor Assessment Scale). Physiotherapy. 2004;90:132–138
  26. Mao H, Hsueh I, Tang P, Sheu C, Hsieh C. Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke. 2002;33:1022–1027
  27. Tyson S, Desouza L. Reliability and validity of functional balance tests post stroke. Clin Rehabil. 2004;18:916–923
  28. Nilsson L, Carlsson J, Grimby G, Nordholm L. Assessment of walking, balance and sensorimotor performance of hemiparetic patients in the acute stage after stroke. Physiother Theory Pract. 1998;14:149–157
  29. Stevenson TJ. Detecting change in patients with stroke using the Berg Balance Scale. Aust J Physiother. 2001;47:29–38
  30. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Arch Phys Med Rehabil. 2001;82:9–13
  31. Shields R, Leo K, Miller B, Dostal W, Barr R. An acute care physical therapy clinical practice database for outcomes research. Phys Ther. 1994;74:463–470
  32. Boter H, de Haan R, Rinkel G. Clinimetric evaluation of a Satisfaction-with-Stroke-Care questionnaire. J Neurol. 2003;250:534–541
  33. Pound P, Gompertz P, Ebrahim S. Patients’ satisfaction with stroke services. Clin Rehabil. 1994;8:7–17
  34. UDSmr Adult FIM Workshop. Participant manual (Version 5.0 (Australia)). Buffalo: State Univ New York; 1999;
  35. Evans M, Goldie P, Hill K. Systematic and random error in repeated measurements of temporal and distance parameters of gait after stroke. Arch Phys Med Rehabil. 1997;78:725–729
  36. Nilsson L, Carlsson J, Danielsson A, et al. Walking training of patients with hemiparesis at an early stage after stroke: a comparison of walking training on a treadmill with body weight support and walking training on the ground. Clin Rehabil. 2001;15:515–527
  37. Little R, Raghunathan T. On summary measures analysis of the linear mixed effects model for repeated measures when data are not missing completely at random. Stats Med. 1999;18:2465–2478
  38. Salbach N, Mayo N, Wood-Dauphinee S, Hanley J, Richards C, Côté R. A task-oriented intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil. 2004;18:509–519
  39. Eng J, Chu K, Kim C, Dawson A, Carswell A, Hepburn K. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc. 2003;35:1271–1278
  40. Leroux A. Exercise training to improve motor performance in chronic stroke: effects of a community-based exercise program. Int J Rehabil Res. 2005;28:17–23
  41. Tyson S, Turner G. The process of stroke rehabilitation: what happens and why. Clin Rehabil. 1999;13:322–332
  42. Tyson S, Turner G. Discharge and follow-up for people with stroke: what happens and why. Clin Rehabil. 2000;14:381–392
  43. Ottenbacher K, Gonzales V, Smith P, Illig S, Fiedler R, Granger C. Satisfaction with medical rehabilitation in patients with cerebrovascular impairment. Am J Phys Med Rehabil. 2001;80:876–884
  44. Franchignoni F, Ottonello M, Benevolo E, Tesio L. Satisfaction with hospital rehabilitation: is it related to life satisfaction, functional status, age or education?. J Rehabil Med. 2002;34:105–108
  45. Locker D, Hunt D. Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care. Soc Sci Med. 1978;12:283–292
  46. Carey R, Posovac E. Using patient information to identify areas for service improvement. Health Care Manage Rev. 1982;7:43–48
  47. Teasell R, Foley N. Evidence-based review of stroke rehabilitation: managing the stroke rehabilitation triage process. 9th ed. London: authors; 2007. Available at: http://www.ebrsr.com/modules/module4.pdf. Accessed April 17, 2007.
  48. Kozlowski D, James D, Schallert T. Use-dependent exaggeration of neuronal injury after unilateral sensorimotor cortex lesions. J Neurosci. 1996;16:4776–4786

 Supported by the Australian Physiotherapy Association Physiotherapy Research Foundation and the Royal Adelaide Hospital Allied Health Group.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

 Reprints are not available from the author.

PII: S0003-9993(07)00298-5

doi: 10.1016/j.apmr.2007.04.010

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 8 , Pages 955-963 , August 2007