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Stroke is one of the most common causes of disability and death worldwide. With the rapidly growing stroke survivor population, it is crucial to identify an effective method for their healthcare. Recovery from stroke is followed by physiotherapy to promote rehabilitation. Task-oriented circuit training is designed to improve stroke patients' overall functioning during rehabilitation. This research aims to assess the effectiveness of task-oriented circuit training compared with conventional physiotherapy. The investigators have planned an 8-week parallel, two-arm, prospective, randomised clinical study. Participants will be enrolled from eight branches of the centre for the rehabilitation of the paralysed (CRP). We have planned to recruit 506 stroke survivors via a 1:1 random assignment procedure for 24 months. As a main objective, the Action Arm Research Test and the Timed Up and Go will be used to test upper and lower limb motor function. The secondary objectives will include daily living and balance activities, which will be evaluated using the Barthel Index and the Berg Balance Scale. The post-test and follow-up data will be collected after 8 and 12 weeks. The final analysis will include dropouts and treatment side effects. This study has been granted ethical approval by the Ethics Review Committee of the CRP (CRP-R&E-0401-357)). All activities and interventions will be carried out following the Helsinki Declaration of 2020. The findings will be published in peer-reviewed journals and disseminated at international conferences. Trial registration number: CTRI/2023/09/057907 (21 September 2023) (Prospectively registered).
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007049 | PMC |
http://dx.doi.org/10.1136/bmjsem-2025-002604 | DOI Listing |
Entropy (Basel)
July 2025
Guangxi Key Laboratory of Brain-Inspired Computing and Intelligent Chips, School of Electronic and Information Engineering, Guangxi Normal University, Guilin 541004, China.
This paper studies deep reinforcement learning (DRL)-based joint resource allocation and three-dimensional (3D) trajectory optimization for unmanned aerial vehicle (UAV)-ground access point (GAP) cooperative non-orthogonal multiple access (NOMA) communication in Industrial Internet of Things (IIoT) systems. Cooperative and non-cooperative users adopt different signal transmission strategies to meet diverse, task-oriented, quality-of-service requirements. Specifically, the DRL framework based on the Soft Actor-Critic algorithm is proposed to jointly optimize user scheduling, power allocation, and UAV trajectory in continuous action spaces.
View Article and Find Full Text PDFAm J Occup Ther
September 2025
Ilkem Ceren Sigirtmac, OT, PhD, is Assistant Professor, Occupational Therapy Department, Faculty of Health Sciences, Uluyazı Campus, Cankiri Karatekin University, Cankiri, Turkey;
Importance: Task-oriented circuit training (TOCT) is a structured intervention to enhance older adults' cognitive and motor functions. However, the feasibility and effectiveness of TOCT delivered through face-to-face, telerehabilitation, and home-based methods remain unclear.
Objective: To evaluate the feasibility and preliminary efficacy of TOCT delivered through different modalities on cognitive and motor functions in older adults.
Medicine (Baltimore)
August 2025
Department of Rehabilitation Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Background: Task-oriented circuit training (TOCT) and virtual reality (VR) are innovative clinical treatment approaches based on motor relearning and neuroplasticity principles. However, the synergistic effects of these 2 methods on improving upper extremity function in stroke patients remain unclear. This study investigates the impact of VR combined with TOCT on upper limb functions and quality of life (QoL) in subacute stroke patients.
View Article and Find Full Text PDFBMJ Open Sport Exerc Med
April 2025
Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh.
Stroke is one of the most common causes of disability and death worldwide. With the rapidly growing stroke survivor population, it is crucial to identify an effective method for their healthcare. Recovery from stroke is followed by physiotherapy to promote rehabilitation.
View Article and Find Full Text PDFJ Musculoskelet Neuronal Interact
March 2025
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Objectives: Children with hemiplegia often experience motor problems that primarily affect one side of their body. They frequently struggle with asymmetrical gait patterns, pelvic imbalance affecting stability, and reduced trunk muscle endurance, all of which impact their overall mobility and coordination. The purpose of this study was to examine the effect of task-oriented circuit training program in improving kinematic gait parameters, pelvic symmetry, and trunk endurance in children with hemiplegia.
View Article and Find Full Text PDF