“Aerobic Exercise Prescription in Stroke Rehabilitation: A Web-Based Survey of United States Physical Therapists”

This just shows you how fucking pathetic stroke rehab is. There should be no need to do a survey because all PTs are working from the same stroke protocol. Am I the only person who sees how insanely stupid it is not to have publicly available stroke protocols? And if you hear the comment, 'All strokes are different, all stroke recoveries are different' you have just met an uninformed person. 
https://jnptacceptedarticles.wordpress.com/2017/01/22/just-accepted-aerobic-exercise-prescription-in-stroke-rehabilitation-a-web-based-survey-of-united-states-physical-therapists/
The following article has just been accepted for publication in Journal of Neurologic Physical Therapy:
“Aerobic Exercise Prescription in Stroke Rehabilitation: A Web-Based Survey of United States Physical Therapists”
By
Pierce Boyne, PT, DPT, NCS; Sandra Billinger, PT, PhD, FAHA; Marilyn MacKay-Lyons, MSPT, PhD; Brian Barney, BS; Jane Khoury, PhD; Kari Dunning, PT, PhD
Provisional Abstract:
Background and Purpose. Best practice recommendations indicate that aerobic exercise (AEX) should be incorporated into stroke rehabilitation. However, this may be challenging in clinical settings. Therefore, the purpose of this study was to assess physical therapist (PT) AEX prescription for patients with stroke, including AEX utilization, barriers to AEX prescription, dosing parameters and safety considerations.
Methods. A cross-sectional web-based survey study was conducted. PTs with valid email addresses on file with the state boards of Florida, New Jersey, Ohio, Texas and Wyoming were eligible to participate. After questionnaire development, survey invitations were emailed to all licensed PT in these states. Analysis focused on respondents who were currently involved with clinical stroke rehabilitation in common practice settings.
Results. Results from 568 respondents were analyzed. Most respondents (88%) agreed that AEX should be incorporated into stroke rehabilitation, but 84% perceived at least one barrier. Median prescribed AEX volume varied between practice settings from 20 to 30 minute AEX sessions, 3 to 5 days per week for 2 to 8 weeks. Prescribed intensity was most commonly light or moderate and was determined by the general response to AEX and patient feedback. Only 2% of respondents reported that the majority of their patients with stroke had stress tests.
Discussion and Conclusions. Most United States PTs recognize the importance of AEX for persons post stroke, but clinical implementation can be challenging. Future studies and consensus are needed to clarify best practices and to develop implementation interventions to optimize AEX utilization in stroke rehabilitation.
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