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Title: Circuit class therapy or seven-day week therapy for increasing rehabilitation intensity of therapy after stroke (CIRCIT): a randomized controlled trial.
Authors: English, Coralie;Bernhardt, Julie;Crotty, Maria;Esterman, Adrian;Segal, Leonie;Hillier, Susan
Affiliation: International Centre for Allied Health Evidence, Sansom Institute of Health Research, University of South Australia, Adelaide, SA, Australia; Stroke Division, Florey Institute of Neuroscience and Mental Health, Austin Campus, Heidelberg, Vic., Australia.
Issue Date: 19-Mar-2015
Citation: International Journal of Stroke : Official Journal of the International Stroke Society 2015; 10(4): 594-602
Abstract: Increased therapy has been linked to improvements in functional ability of people with stroke.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.Three-armed randomized controlled trial with blinded assessment of outcome. People admitted with a diagnosis of stroke, previously independently ambulant and with a moderate level of disability were recruited. 'Usual care' was individual physiotherapy provided five-days a week. Seven-day week therapy was usual care physiotherapy provided seven-days a week. Participants in the circuit class therapy arm of the trial received physiotherapy in group circuit classes in two 90-min sessions, five-days a week. Primary outcome was distance walked on the six-minute walk test at four-weeks post-randomization.Two hundred eighty-three participants were randomized; primary outcome data were available for 259 (92%). In the seven-day arm participants received an additional three hours of physiotherapy and those in the circuit class arm an additional 22 h. There were no significant between-group differences at four-weeks in walking distance (P = 0·72). Length of stay was shorter for seven-day (mean difference -2·9 days, 95% confidence interval -17·9 to 12·0) and circuit class participants (mean difference -9·2 days, 95% confidence interval -24·2 to 5·8) compared to usual care, but this was not significant.Both seven-day therapy and group circuit class therapy increased physiotherapy time, but walking outcomes were equivalent to usual care.
Internal ID Number: 25790018
DOI: 10.1111/ijs.12470
Type: Journal Article
Subjects: circuit class therapy
stroke recovery
task practice
weekend therapy
Appears in Collections:Journal articles

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