@DrG_Little 2.Does a community-based interdisciplinary physical and functional training program change level of function?
The risk factors piece may be brought up in the discussion! @Dawnrob71 is leading this study!
@DrG_Little Springfield College has a larger study that is answering the questions
1.Does a community-based interdisciplinary physical and functional training program change level of participation as defined by the ICF model?
a.What variables influence participation?
Thank you @InBetaPhysio @jchevan and @bendotellis for the opportunity to present in such a unique, modern platform! I can't wait to interact with all of the other presentations!
Thanks to all of you who have followed along, read the presentations, liked retweeted, commented and engaged in any way with #PTTC20!
We hope you have enjoyed this as much as we have and that you've learnt something new and felt part of a big #globalPT family
@learn_physio Currently there is reduced insurance funding for this stage in the chronicity of stroke. Pro-bono facilities are providing these services and finding improvements within their subjects. With further research backing the need for physio, hopefully the tide will change in our favor
@JordanToland1 In your background research have you found certain indicators for positive and successful relationships within each medical field in questions working environment?
@PhysioAmber Great study! Were you looking into any specific sport to diversify into - football pairing with something such as soccer to diversify foot-skills, improving the primary sport through reaction off the line of scrimmage?
@SRIDHAR_PHYSIO Due to the relatively small sample size of our subjects, there was not a specific stroke type/side that was chosen to pursue further. This is definitely an interesting topic to bring up in future research with a larger sample size.
@xXHelena23Xx Our study is a small stepping stone into the process in bringing light the fact that this is a pop. that PTs can help improve fxn with. There needs to be further research into this topic but pro bono services within this pop will not be wasted based on Springfield College's model
@bendotellis There are a lot of outside co-morbidities that need to be monitored with this pop & there is a level of trust with knowing a neuro background within your "trainer". Our pts came to us with all manner of secondary factors that were managed which led to greater success long term.
@JanetThomas47 It most certainly improved adherence, our subjects formed a group outside of therapy following this study and keep in touch- they push each other!
@atsu_pt At follow-up primary care visits, advocate for ongoing physical therapy in a check-in style approach. Also providing the information that there is a capacity for improvement long into the process, adding the psychosocial stimulus
+positive feedback that independence can improve!
@JanetThomas47 We found that the cohort design of this study greatly improved the capacity for socialization within our subjects that translated to engagement within the community. Patients benefited greatly from individualized progressive overload exercises and the mutual teaching relationship
@robgrieve17 This study is advocating that patients have the capacity to improve their independence and reduce decline 10+ years post initial insult, showing that therapy should be provided throughout this process in order to improve independence and reduce secondary deficits
10/10: Subjects spent more time with family and reported a stronger sense of purpose, increased endurance, balance and increased capacity to tolerate functional movement. Late stage rehab has the potential to improve the HRQL in patients living with chronic stroke. #PTTC20
9/10: Mobility, independence during transferring, and the capacity of subjectโs to engage socially improved following this intervention. Concentration and memory improved beyond expectation which may be attributed to variable task practice during sessions. #PTTC20