Stroke: The Role of Physical Activity: Difference between revisions

(Created page with "{{subst:Perspectives}}")
 
No edit summary
Line 1: Line 1:
== This is for  ==
== This is for  ==


Shorter articles outlining the author's perspective or summarising those of recognised experts on a topic relevant to physiotherapy
To know the Efficacy of physical activity as a therapeutic strategy to maximise functional recovery in the rehabilitation of stroke survivors<br>


== Title  ==
== Title  ==


Efficacy of spinal manipulative therapy in the treatment of symptomatic lumbar disc herniation.
Efficacy of Physical activity in prevention and Treatment of&nbsp;


== Keywords  ==
== Keywords  ==


Spinal manipulation, lumbar disc herniation, sciatica, low back pain
Primary Prevention, Effect of Gender, Functional Outcome.


== Word count ==
== Introduction<br> ==


1472
Stroke is a leading cause of mortality and morbidity worldwide. In the UK stroke is the third most common cause of death and the main cause of acquired disability. Approximately 130,000 individuals experience a first ever stroke per annum<ref name="Scottish Intercollegiate Guidelines Network (SIGN), Management of Patients with Stroke or TIA: assessment, Investigation, Immediate Management and Secondary Prevention. SIGN 108, A National Clinical Guideline, Edinburgh, UK, 2008.">Scottish Intercollegiate Guidelines Network (SIGN), Management of Patients with Stroke or TIA: assessment, Investigation, Immediate Management and Secondary Prevention. SIGN 108, A National Clinical Guideline, Edinburgh, UK, 2008.</ref> [1]. In addition to widely applicable pharmacological treatment for acute stroke, effective prevention and rehabilitation strategies are crucial. The development of such strategies is a major challenge for the 21st century medicine.


== Author/s  ==
Exercise and physical activity have an increasing evidence base in the primary and secondary prevention of stroke and in stroke rehabilitation. The interface between physical activity and cerebrovascular disease is complex and of broad interest to clinicians, therapists, and epidemiologists. The importance of the relationship is becoming clearer: physical inactivity has been implicated by the INTERSTROKE study as one of the 5 key risk factors which account for more than 80% of the global burden of stroke [2]. Physical fitness training is increasingly being recommended as a component of stroke rehabilitation programmes due to the emerging body of evidence surrounding the benefits in improving the function after stroke [3]. The role of long-term physical activity in patients who have had a stroke in the prevention of further stroke is less clear. This paper provides a narrative review of the literature which addresses the interface between physical activity and cerebrovascular disease with specific reference to prevention of stroke and poststroke rehabilitation.<br>
 
name, position, institution of all authors + address for correspondence<br>  


== Abstract synopsis  ==
== Abstract synopsis  ==


Efficacy and safety of spinal manipulation therapy in the treatment of symptomatic lumbar disc herniation (LDH) is the focus of this essay. High velocity low amplitude, short lever rotational technique in side lying posture is the common technique being practiced in cases of LDH. This perspective discusses on four different essential and practical considerations of SMT in the treatment of LDH; inclusion/exclusion criteria, clinical efficacy, mechanism of action, and&nbsp;risk/benefit and safety.<br>  
<br>  


== Background or context  ==
== Background or context  ==


Sciatica secondary to lumbar disc herniation (LDH) is one of the common causes of low back pain<br>with radiating pain in leg with estimated lifetime incidence of between 2% and 40% and is the<br>major source of disability causing functional impairments <ref>McMorland G, Suther E, Casha S, Plesis SJ, Hurlbert RJ.  Manipulation or microdiskectomy for sciatica? A perspective randomized clinical study. J Manipulative Physiol Ther 2010; 33:576-84.</ref>&nbsp;<ref>Santilli V, Beghi E, Finucci S. Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. The Spine Journal 2006; 6:131-7.</ref>. Many studies [17,21,26] have<br>shown consensus over trial of conservative or non-operative treatment prior to surgical<br>intervention for majority patients with symptomatic LDH unless immediate surgery is indicated<br>for cauda equina syndrome (CES) or rapid and progressive neurological deficits. However,<br>conclusive evidence for efficacy of both conservative and surgical approaches in the treatment<br>of symptomatic LDH is yet to be determined and Spinal Manipulation Therapy (SMT) is no<br>exception [22]. Many literatures have advocated safe use of SMT and its clinical efficacy<br>[7,8,14,16,21,22] whilst some authors are against the use of SMT and have demonstrated various<br>complications of SMT in cases of LDH [2,17,19]. This article aims to discuss evidences published<br>on various literatures on risks and benefits, possible mechanism of action, and its clinical<br>implications, and efficacy of side lying rotational high velocity low amplitude thrust (HVLAT)<br>manipulation of lumbar spine in the management of patients with symptomatic LDH like sciatica<br>due to LDH, which may support in the development of evidence based standard clinical guidelines<br>to practice SMT in cases of LDH.
<br>


== Discussion  ==
== Discussion  ==

Revision as of 20:01, 7 March 2017

This is for[edit | edit source]

To know the Efficacy of physical activity as a therapeutic strategy to maximise functional recovery in the rehabilitation of stroke survivors

Title[edit | edit source]

Efficacy of Physical activity in prevention and Treatment of 

Keywords[edit | edit source]

Primary Prevention, Effect of Gender, Functional Outcome.

Introduction
[edit | edit source]

Stroke is a leading cause of mortality and morbidity worldwide. In the UK stroke is the third most common cause of death and the main cause of acquired disability. Approximately 130,000 individuals experience a first ever stroke per annum[1] [1]. In addition to widely applicable pharmacological treatment for acute stroke, effective prevention and rehabilitation strategies are crucial. The development of such strategies is a major challenge for the 21st century medicine.

Exercise and physical activity have an increasing evidence base in the primary and secondary prevention of stroke and in stroke rehabilitation. The interface between physical activity and cerebrovascular disease is complex and of broad interest to clinicians, therapists, and epidemiologists. The importance of the relationship is becoming clearer: physical inactivity has been implicated by the INTERSTROKE study as one of the 5 key risk factors which account for more than 80% of the global burden of stroke [2]. Physical fitness training is increasingly being recommended as a component of stroke rehabilitation programmes due to the emerging body of evidence surrounding the benefits in improving the function after stroke [3]. The role of long-term physical activity in patients who have had a stroke in the prevention of further stroke is less clear. This paper provides a narrative review of the literature which addresses the interface between physical activity and cerebrovascular disease with specific reference to prevention of stroke and poststroke rehabilitation.

Abstract synopsis[edit | edit source]


Background or context[edit | edit source]


Discussion[edit | edit source]

discussion of a topical aspect or an area of physiotherapy, If the area is controversial then a balanced discussion should be provided. Where view points are the author's opinion this hsould be made clear.

Summary[edit | edit source]

summary or article. Points for further discussion including how to continue the discussion, ie online. Points for further research.

Funding and Declarations[edit | edit source]

funding for the systematic review and any potential conflicts of interest

Author Biography[edit | edit source]

include a short biography for each author and a link to their profile in

Acknowledgements[edit | edit source]

References[edit | edit source]

<span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" />

References will automatically be added here, see <a href="http://www.physio-pedia.com/Adding_References">adding references tutoria</a>l.

<span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" />
  1. Scottish Intercollegiate Guidelines Network (SIGN), Management of Patients with Stroke or TIA: assessment, Investigation, Immediate Management and Secondary Prevention. SIGN 108, A National Clinical Guideline, Edinburgh, UK, 2008.