Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke.

This stud compared the test-retest reliability, validity, and responsiveness of the Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment for assessment of walking in patients with stroke. Forty-five outpatients participating in the validity and responsiveness study were tested using the 3 walking measures as well as the 10-m walk test, Barthel Index, and Postural Assessment Scale for Stroke Patients… Continue reading

Balance ability, not muscle strength and exercise endurance, determines the performance of hemiparetic subjects on the timed-sit-to-stand test.

The objective of this study was to examine the contribution of balance ability, muscle strength, and exercise endurance to performance in the timed-sit-to-stand test among chronic hemiparetic subjects. By using Pearson correlation coefficient, the five-times-sit-to-stand (FTSTS) test scores showed the highest negative correlation with Berg Balance Scale scores (r = −0.837, P < 0.001), and it showed significant moderate correlation with muscle strength index (r = −0.577, P < 0.001)… Continue reading

Effects of an intensive, task-specific rehabilitation program for individuals with chronic stroke: a case series.

The purpose of this case series was to determine feasibility and evaluate changes in activity and participation outcomes in persons with chronic stroke after an intensive, task-specific rehabilitation program incorporating whole-body and client-centred interventions. Participants with chronic stroke (N = 12) who were ambulatory and had at least minimal arm/hand function were recruited. The program included whole-body goal-focused activities, gait training and strengthening exercises for 4 h, 5 days per… Continue reading

Changes in perceived health between one and five years after stroke: A randomized controlled trial of early supported discharge with continued rehabilitation at home versus conventional rehabilitation.

Early supported discharge with continued rehabilitation at home (ESD) for patients with mild to moderate impairments has been compared to conventional rehabilitation in a randomized controlled trial. The aim of this study was to explore changes over time in perceived health status over the five years after stroke onset. Of 83 patients enrolled in a randomized controlled trial of ESD compared to conventional rehabilitation, 50 (home rehabilitation group, n=28, conventional… Continue reading

Risk factors for inferior shoulder subluxation in patients with stroke.

Shoulder subluxation is reported in up to 81% of stroke patients. It presents considerable challenges to those involved in rehabilitation. Extensive research has focused on treatment strategies used to reduce subluxation. A better understanding of the risk factors of shoulder subluxation would enable clinicians to provide effective management of this debilitating complication. Of the 36 abstracts identified, eight articles met the inclusion criteria. Complete loss of motor function/severity of… Continue reading

Simultaneous bilateral training for improving arm function after stroke.

The objective of this review was to determine the effects of simultaneous bilateral training for improving arm function after stroke. 18 studies involving 549 relevant participants, of which 14 (421 participants) were included in the analysis (one within both comparisons) were included. Four of the 14 studies compared the effects of bilateral training with usual care. Primary outcomes: results were not statistically significant for performance in ADL; functional movement of… Continue reading

Effect of Intensive Outpatient Physical Training on Gait Performance and Cardiovascular Health in People With Hemiparesis After Stroke

The objective of this study was to evaluate the impact of intensive physical training on gait performance and cardiovascular health parameters in people with stroke in the chronic stage. Fourteen people with hemiparesis after cerebrovascular injury (mean age=58.4 years, mean time since injury=25 months) participated in a 12-week training intervention, 5 times per week for 1.5 hours per session. The intervention consisted of high-intensity, body-weight–supported treadmill training; progressive resistance… Continue reading

A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation

This study evaluated of a community-based exercise and education scheme for stroke survivors.  243 participants were randomized to standard care (124) or the intervention (119). The intervention exercise and education schemes held twice weekly for eight weeks, facilitated by volunteers and qualified exercise instructors (supported by a physiotherapist), each with nine participants plus carers or family members. Participants were assessed by a blinded independent… Continue reading

Effect of Intensive Outpatient Physical Training on Gait Performance and Cardiovascular Health in People With Hemiparesis After Stroke.

The objective of this study was to evaluate the impact of intensive physical training on gait performance and cardiovascular health parameters in people with stroke in the chronic stage. Fourteen people with hemiparesis after cerebrovascular injury (mean age=58.4 years, mean time since injury=25 months) participated in a 12-week training intervention, 5 times per week for 1.5 hours per session. The intervention consisted of high-intensity, body-weight–supported treadmill training; progressive resistance… Continue reading

Effect of 6 weeks wobble board exercises on static and dynamic balance of stroke survivors.

The primary aim of this study was to determine the effect of a wobble board exercise program on static and dynamic balance of hemiplegic subjects. Seventeen (17) stroke survivors were randomly selected into two groups. The subjects in the experimental group were trained on wobble board for six weeks while the control group received only the baseline treatment programs. The modified version of the timed balance test was used to… Continue reading

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