Author
Marieke Van Puymbroeck
Other affiliations: University of Florida, University of Illinois at Urbana–Champaign, Indiana University
Bio: Marieke Van Puymbroeck is an academic researcher from Clemson University. The author has contributed to research in topics: Stroke & Medicine. The author has an hindex of 26, co-authored 87 publications receiving 1800 citations. Previous affiliations of Marieke Van Puymbroeck include University of Florida & University of Illinois at Urbana–Champaign.
Topics: Stroke, Medicine, Balance (ability), Occupational therapy, Population
Papers published on a yearly basis
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TL;DR: Among people with chronic stroke, balance self-efficacy, not physical aspects of gait, was independently associated with activity and participation, indicating a need to further evaluate and address the psychological factors of balance and falls self- efficacy to obtain the best stroke recovery.
165 citations
TL;DR: Yoga may be a promising intervention to manage FoF and improve balance, thereby reducing fall risk for older adults and Rehabilitation therapists may wish to explore yoga as a modality for balance and falls programming.
133 citations
TL;DR: A group yoga-based rehabilitation intervention for people with chronic stroke has potential in improving multiple poststroke variables, and group yoga may be complementary to rehabilitation, may be possible in medical-based and community-based settings, and may be cost-effective.
Abstract: Background and Purpose—Balance impairment is common after stroke; modified yoga may be able to improve balance and other important poststroke variables. Scientific-evidence is needed to support such treatment interventions. The purpose of this study was to assess the impact of a yoga-based rehabilitation intervention on balance, balance self-efficacy, fear of falling (FoF), and quality of life after stroke. Methods—This was a prospective, randomized, pilot study of yoga-based rehabilitation for people with chronic stroke. All yoga sessions were taught by a registered yoga therapist, occurred twice per week for 8 weeks and included seated, standing, and floor postures with relaxation and meditation. Balance was assessed with the Berg Balance Scale, balance self-efficacy with the Activities-specific Balance Confidence Scale, FoF with a dichotomous yes/no question, and quality of life with the Stroke Specific Quality of Life scale. Results—There were no significant differences between wait-list control (n=10...
112 citations
TL;DR: Patient adherence with HEP after discharge from rehabilitation is less than ideal and Rehabilitation therapists need to be able to identify and help patients manage barriers to HEP adherence to promote management of residual deficits.
Abstract: Background: Most people complete post-stroke rehabilitation within the first 6 months after stroke even though benefits from exercise are believed to persist well beyond 6 months. Physical and Occupational therapists provide home exercise programs (HEP) to instruct patients on exercises to continue after discharge from rehabilitation. Unfortunately, there is little known about HEP adherence rates in adults with stroke.Objectives: The objectives of this project were to (1) determine the adherence rate with post-rehabilitation HEP and reasons for non-adherence, (2) assess for interactions between HEP adherence and self-report of depression and fatigue, and (3) determine patient beliefs about the benefit of exercise during stroke recovery.Design: This was a cross-sectional, survey study.Methods: A survey was developed and distributed during stroke support group meetings to determine adherence rates with post rehabilitation HEP, reasons for non-adherence, and patient beliefs about the benefit of exercise.Resu...
93 citations
TL;DR: Findings indicate that caregivers in a yoga program may receive some benefits, and future studies are encouraged to test the efficacy of yoga as an intervention for caregivers.
Abstract: Family and friends who provide unpaid care to an individual with a disease or disability (known as informal caregivers) experience numerous threats to their physical health as a result of providing care. In spite of evidence that participation in physical and leisure activities can be health promoting, informal caregivers have reported diminished or completely absent leisure participation. Hatha yoga has documented therapeutic benefits, including reduced anxiety, as well as improved muscle strength and endurance and flexibility. The purpose of this study was to determine the feasibility of conducting an 8-week yoga program with informal caregivers, and to gather pilot data on the effects of yoga on the physical fitness and coping of informal caregivers. Caregivers were randomized into a yoga intervention (n = 8) or control group (n = 9). The yoga sessions were 2.5 hours/week for 8 weeks and consisted of a variety of pranayama (breathing) and asana (postures) activities and were led by a certified yoga instructor. Four caregivers (two in each group) dropped out of the study. After the conclusion of the 8-week yoga program, lower body strength increased significantly for those in the yoga group and other notable trends occurred in terms of coping, upper body strength and aerobic endurance. Caregivers in the control group experienced an unexpected increase in lower body flexibility. These findings indicate that caregivers in a yoga program may receive some benefits. Future studies are encouraged to test the efficacy of yoga as an intervention for caregivers.
86 citations
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2,428 citations
2,050 citations
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TL;DR: Definition: To what extent does the study allow us to draw conclusions about a causal effect between two or more constructs?
Abstract: Definition: To what extent does the study allow us to draw conclusions about a causal effect between two or more constructs? Issues: Selection, maturation, history, mortality, testing, regression towrd the mean, selection by maturation, treatment by mortality, treatment by testing, measured treatment variables Increase: Eliminate the threats, above all do experimental manipulations, random assignment, and counterbalancing.
2,006 citations
TL;DR: This guideline provides a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence.
Abstract: Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods—Writing group members were nominated by th...
1,679 citations
1,452 citations