Thursday, September 21, 2017

Group rehabilitation activities improve walking after stroke

I can only see this as being helpful for survivors fairly similar in disability. High functioning persons would likely get nothing out of it and be resented by the lower functioning. 
https://discover.dc.nihr.ac.uk/portal/article?id=SIG-5000475#.WcOd-qzQ2N0.google_plusone_share
Group-based circuit class therapy (CCT) focused on repetitive mobility, and functional tasks improved walking ability in people after stroke. People walked on average 61m further during six minutes than those receiving comparison interventions. CCT involves stroke survivors practising different activities at workstations in sight of each other.
This Cochrane review identified 17 trials of group-based CCT, given at least weekly for four weeks, compared with other physical therapies or no intervention. Those receiving CCT showed clinically meaningful improvements in walking distance and speed, as well as independence and balance.
Regular multidisciplinary team rehabilitation is a central component of post-stroke care. However, there are no specific recommendations around the format of rehabilitation. Cost effectiveness was not assessed, but it is possible that group-based physical rehabilitation programmes could reduce staff resources and offer cost savings.
Local availability may be an issue. There is also the question of whether it would be practical and appropriate for individuals to attend group sessions, depending on their stroke severit

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