The case study for this essay is a male patient, 63, two months post-stroke who suffered an infarct in the proximal segment of the middle cerebral artery. There are four aspects that will be considered within this essay. The first aspect will address primary and secondary body structures that have been impaired. The second section will look Circuit Class Therapy (CCT) as a form of treatment through critical appraisal of two relevant research papers. The next question to be addressed will consider CCT as regards to theories of motor control, motor learning and neural plasticity. The final section will then address social and psychological considerations to consider for this patient within a physiotherapy management plan.
1)
Michael suffered …show more content…
Another concern may be loss of sensation to body areas. 472 words
2)
Circuit class therapy (CCT) is a form of group treatment with exercise focused on repetitive practice of functional tasks (Dean et al, 2012). CCT is a safe and effective method for improving mobility after stroke (English, 2017) and for the case of this patient, its relevance will be discussed below through critical appraisal of two papers as a possible treatment method for his lower limb and walking function.
The first paper reviewed examines whether CCT or seven-day week therapy may be may be more effective for increasing rehabilitation intensity of therapy after stroke (English 2015). This paper was a three armed randomized control trial. It had a hypothesis that wasn’t well defined, however the aim addressed this. The aim was to “determine the effectiveness of two alternative models of increased physiotherapy service delivery (seven-day week therapy or group circuit class therapy five days a week) to usual care (English, 2015). It was a good quality trial scoring 7/10 on the Pedro …show more content…
The title considered the question, ‘circuit-based rehabilitation improves gait endurance but not usual walking activity in chronic stroke’ (Mudge, 2009). The patients in this trial were all 6 months post stroke. This is relevant as Michael is only two months post-stroke and likelihood of improvement in mobility through treatment decreases with time. This paper was a single-blind randomised control trial with a clearly defined hypothesis. It was a good quality trial with an overall low risk of bias. It scored 7 on the Pedro scale. The trial had two clear interventions. The first group received 12 sessions of clinic based, circuit class style rehabilitation sessions aimed at improving walking. These exercises were completed as stations that were task orientated to walking or balance. The control group received a mix of education and group social classes (Mudge,
1)
Michael suffered …show more content…
Another concern may be loss of sensation to body areas. 472 words
2)
Circuit class therapy (CCT) is a form of group treatment with exercise focused on repetitive practice of functional tasks (Dean et al, 2012). CCT is a safe and effective method for improving mobility after stroke (English, 2017) and for the case of this patient, its relevance will be discussed below through critical appraisal of two papers as a possible treatment method for his lower limb and walking function.
The first paper reviewed examines whether CCT or seven-day week therapy may be may be more effective for increasing rehabilitation intensity of therapy after stroke (English 2015). This paper was a three armed randomized control trial. It had a hypothesis that wasn’t well defined, however the aim addressed this. The aim was to “determine the effectiveness of two alternative models of increased physiotherapy service delivery (seven-day week therapy or group circuit class therapy five days a week) to usual care (English, 2015). It was a good quality trial scoring 7/10 on the Pedro …show more content…
The title considered the question, ‘circuit-based rehabilitation improves gait endurance but not usual walking activity in chronic stroke’ (Mudge, 2009). The patients in this trial were all 6 months post stroke. This is relevant as Michael is only two months post-stroke and likelihood of improvement in mobility through treatment decreases with time. This paper was a single-blind randomised control trial with a clearly defined hypothesis. It was a good quality trial with an overall low risk of bias. It scored 7 on the Pedro scale. The trial had two clear interventions. The first group received 12 sessions of clinic based, circuit class style rehabilitation sessions aimed at improving walking. These exercises were completed as stations that were task orientated to walking or balance. The control group received a mix of education and group social classes (Mudge,