Is circuit class therapy packaged to improve functional mobility, balance, community reintegration, and quality of life in stroke survivors? A review.
Pillai, Sharmila GK
Nordin, Nor Azlin Mohd
Devinder Kaur Ajit, Singh
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Pillai, S., Nordin, N., Devinder Kaur Ajit, S. & Culpan, J. (2016) Is circuit class therapy packaged to improve functional mobility, balance, community reintegration, and quality of life in stroke survivors? A review., Malaysian Journal of Public Health Medicine, vol. 16, , pp. 75-86,
Circuit Class Therapy (CCT) is a rehabilitation intervention which utilises group format and consists of various workstations, aiming to improve mobility and other post-stroke functions. Due to the increasing popularity of CCT usage in the rehabilitation of stroke survivors, there is a need to review the evidences surrounding the therapy. This review assesses the evidences and characteristics of CCT in improving post-stroke mobility, balance, community reintegration and quality of life of stroke survivors. PUBMED, PEDro, Science Direct databases and The Cochrane library was accessed to search for articles published between January 1999 and September 2015. The search terms used were Circuit Class Therapy or Circuit Therapy and Stroke or Cerebrovascular accident-. Searches were limited to systematic reviews, randomised controlled trials, controlled clinical trials, and papers published in English language. Hand search was also performed to trace articles from references of retrieved papers. A total of 35 studies were found. However, only two systematic reviews, nine randomised controlled trials and one non-randomised controlled trial that met the inclusion criteria were selected. This review showed that CCT is effective in improving mobility among stroke survivors. An improvement of up to 76.6m for walking endurance and 0.12m/s for walking speed was reported following CCT. Studies on spatiotemporal gait parameters are limited. Contradictory results were found for post-stroke balance. CCT was demonstrated to have positive effect on community reintegration and quality of life measures; however, more studies are needed to establish these findings. To obtain improvement in functional tasks, CCT must include high frequency, specific training for the intended task. CCT, focusing on high frequency task-oriented training is effective in improving mobility following a stroke. More studies are warranted to assess the effect of CCT on balance, community reintegration and health related quality of life.