Enhanced life-role participation in response to comprehensive gait training in chronic-stroke survivors.
Disabil Rehabil
; 34(18): 1535-9, 2012.
Article
in En
| MEDLINE
| ID: mdl-22324654
ABSTRACT
PURPOSE:
Intensive gait training can produce improvements in gait and function (> 6 months after stroke); however, findings are mixed for enhanced life-role participation. Therefore, it is unclear if improved gait and function translate into life-role participation gain. Our objective was to evaluate whether intensive gait therapy can produce improvements in life-role participation for chronic-stroke survivors, according to a comprehensive measure dedicated to life-role participation.METHODS:
In conjunction with a clinical gait-training trial, we conducted a secondary analysis for a 44-member cohort with stroke (> 6 months). Gait-training interventions included functional neuromuscular stimulation, body-weight supported treadmill training, over-ground gait training and exercise for 1.5 hours/day, 4 days/week for 12 weeks. Study measures included Tinetti Gait (gait impairment), Functional Independence Measure (FIM, function), Stroke Impact Scale subscale of life-role participation (SIS part) and Craig Handicap Assessment and Reporting Technique (CHART, life-role participation). Analysis included Wilcoxon signed rank test and polytomous universal regression model.RESULTS:
Gait interventions produced significant improvement in CHART (p = 0.020), SIS part (p = 0.011), FIM (p < 0.0001), and Tinetti Gait (p < 0.0001). Age, gender and time since stroke did not predict response to treatment.CONCLUSIONS:
Intensive gait therapy resulted in significant gain in life-role participation, according to a comprehensive measure, so dedicated.
Full text:
1
Database:
MEDLINE
Main subject:
Electric Stimulation Therapy
/
Walking
/
Exercise Therapy
/
Stroke Rehabilitation
/
Gait
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Language:
En
Journal:
Disabil Rehabil
Year:
2012
Type:
Article
Affiliation country:
United States