Circuit class therapy is safe and effective in improving mobility in people after stroke and , when provided as part of hospital-based rehabilitation , may reduce length of stay
OBJECTIVE To examine the effectiveness of group circuit class therapy for improving the mobility of adults after stroke .
Variations in Stroke Incidence and Survival in 3 Areas of Europe
Background and Purpose Comparison of incidence and case-fatality rates for stroke in different countries may increase our underst and ing of the etiology of the disease , its natural history , and management . Within the context of an aging population and the trend for governments to set targets to reduce stroke risk and death from stroke , prospect i ve comparison of such data across countries may identify what drives the variation in risk and outcome . Methods  Population -based stroke registers , using multiple sources of notification , ascertained cases of first in a lifetime stroke between 1995 and 1997 for all age groups . The study population s were in Erlangen , Germany ; Dijon , France ; and London , UK .  Crude incidence rates were age-st and ardized to the European population for comparative purpose s. Case-fatality rates up to 1 year after the stroke were obtained , and logistic regression adjusting for age group , sex , and pathological subtype of stroke was used to compare survival in the 3 communities . Results A total of 2074 strokes were registered over the 3 years . The age-st and ardized rate to the European population was 100.4 ( 95 % CI 91.7 to 109.1 ) per 100 000 in Dijon , 123.9 ( 95 % CI 115.6 to 132.2 ) in London , and 136.4 ( 95 % CI 124.9 to 147.9 ) in Erlangen . Both crude and adjusted rates were lowest in Dijon , France . The incidence rate ratio , with Dijon as the baseline comparison ( 1 ) , was 1.21 ( 95 % CI 1.09 to 1.34 ) in London and 1.37 ( 95 % CI 1.22 to 1.54 ) in Erlangen ( P < 0.0001 ) . There were significant differences in the proportion of the subtypes of stroke between population s , with London having lower rates of cerebral infa rct ion and higher rates of subarachnoid hemorrhage and unclassified stroke ( P < 0.001 ) . Case-fatality rates varied significantly between centers at 1 year , after adjustment for age , sex , and subtype of stroke ( 35 % overall , 34 % Erlangen , 41 % London , and 27 % Dijon;P < 0.001 ) . Conclusions The impact of stroke is considerable , and the risk of stroke varies significantly between population s in Europe as does the risk of death . The striking differences in survival require clarification but lend weight to the evidence that stroke management may differ between northern and central Europe and influence outcome
Circuit class therapy is safe and effective in improving mobility in people after stroke and , when provided as part of hospital-based rehabilitation , may reduce length of stay
OBJECTIVE To examine the effectiveness of group circuit class therapy for improving the mobility of adults after stroke .