Effectiveness of a Structured Circuit Class therapy model in stroke rehabilitation: A single blind randomized controlled trial
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Date
2016
Authors
Journal Title
Journal ISSN
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Publisher
University of the Western Cape
Abstract
Stroke is a debilitating medical and neurological condition. It is the leading cause of
adult disability worldwide. Disability from stroke covers the three key classifications of
the WHO-ICF framework on human function centred on health and health related
issues, implying that the disability in stroke involve structural and activity limitations to
participation restriction. Rehabilitation remains the hallmark of managing the plethora of
neurological deficits accompanying stroke. Currently, the key advocacy in
neuroscientific studies for stroke rehabilitation is that therapy should be directed
towards task specificity. Task Specific Training most recently, the form of Circuit Class
Therapy and the intensity of multiple repetition of the task has been identified as
physiological mechanisms behind sustained motor learning following stroke.Circuit
Class Therapy (CCT) is a form of Task Specific Training (TST) that involves the practice
of structuring tasks in a circuit or series of workstations. It offers the patient the ability to
practice multiple tasks in a conducive environmental because of its three key features of
utilisation of different workstations that allow people to practice intensively in a
meaningful and progressive way to suit their respective needs; the efficient utilisation of
therapists'/trainees' time; and the group dynamics such as peer support and social
support. Although these features are attainable following CCT challenges remain in
selecting the most efficient intensity that could produce these benefits in stroke
survivors. This study investigated the effectiveness of differing intensities of CCT in the
rehabilitation of stroke survivors using the ICF framework to guide patients� response
assessments after training.
Description
Philosophiae Doctor - PhD (Physiotherapy)
Keywords
Stroke, ICF framework, Circuit class therapy, Exercise intensity, Rehabilitation, Motor learning, Community participation