From hands-on to family-on: Task-Shifting manual therapy techniques in post-stroke neuroplasticity - A retrospective comparative analysis of the Cogni-Famille protocol.
Manual therapy techniques have demonstrated efficacy in post-stroke rehabilitation through neuroplastic mechanisms, yet accessibility remains limited by specialist availability. Family-centered task-shifting approaches may democratize manual therapy delivery while amplifying therapeutic intensity. O...
| Published in: | Journal of Bodywork & Movement Therapies Vol. 46; pp. 168 - 181 |
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| Main Authors: | , , , , |
| Format: | research Journal Article |
| Published: |
Churchill Livingstone, Inc.
Jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192665996&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192665996 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13608592 8II jtl: Journal of Bodywork & Movement Therapies issn: 13608592 maglogo: N pubinfo: dt: Jun2026 vid: 46 pid: 1242 pub: Churchill Livingstone, Inc. artinfo: ui: 192665996 192665996 192665996 10.1016/j.jbmt.2025.10.052 192665996 ppf: 168 ppct: 13 formats: tig: atl: From hands-on to family-on: Task-Shifting manual therapy techniques in post-stroke neuroplasticity - A retrospective comparative analysis of the Cogni-Famille protocol. aug: au: Npochinto Moumeni, Ibrahim Abdel-Nasser, Njikam Moumeni Bristher Horlister, Tchuidjio Ketchogué Temgoua, Michael Mapoure, Yakouba Njankouo affil: Department of Physiotherapy & Physical Medicine, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon sug: subj: Stroke Complications Neuronal Plasticity Stroke Rehabilitation Manual Therapy Methods Task Performance and Analysis Treatment Outcomes Evaluation Protocols Evaluation Family Centered Care Education Family Education Human Retrospective Design Record Review Comparative Studies Diffusion of Innovation Psychological Tests Barthel Index Functional Status Prospective Studies Stroke Patients Descriptive Statistics Interview Guides Scales Cultural Sensitivity Cultural Competence ab: Manual therapy techniques have demonstrated efficacy in post-stroke rehabilitation through neuroplastic mechanisms, yet accessibility remains limited by specialist availability. Family-centered task-shifting approaches may democratize manual therapy delivery while amplifying therapeutic intensity. Objective: To evaluate the effectiveness of structured family training in manual therapy techniques for post-stroke recovery through the innovative Cogni-Famille protocol, with primary outcome measured by Montreal Cognitive Assessment (MoCA) score changes and functional independence (Barthel Index). Retrospective comparative cohort study analyzing 13 post-stroke patients receiving family-delivered manual therapy training (25-h structured program, March 2024–June 2025) versus 13 historical controls receiving conventional therapy (December 2022–January 2024). Significant improvements in MoCA scores (+5.8 ± 2.1 vs +2.1 ± 1.3 points, p < 0.001, effect size 2.1), functional independence (85 % vs 46 %, p = 0.02), Zarit caregiver burden reduction (−18.3 ± 4.7 vs −6.2 ± 3.1, p < 0.001), and Modified Ashworth Scale spasticity improvement (−2.1 ± 0.8 vs −0.7 ± 0.6, p < 0.001). Task-shifting model achieved 94 % family certification rate with zero serious adverse events. Cost reduction of 68 % (742€ vs 2310€, p < 0.001). Structured family training in manual therapy techniques achieves superior outcomes through neuroplastic amplification via intensive, culturally-adapted delivery. This model offers scalable solutions for global stroke rehabilitation while maintaining safety and therapeutic effectiveness. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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