Rehabilitation of gait speed after stroke: a critical review of intervention approaches.

Abstract:

PURPOSE:Walking speed is a cardinal indicator of poststroke gait performance; however, no consensus exists regarding the optimal treatment method(s) for its enhancement. The most widely accepted criterion for establishing the contribution of treatment to walking speed is the gain in speed. The actual speed, however, at the end of the intervention (final speed) may be more important for functional community ambulation. This review examines the contribution of the prevailing methods for gait rehabilitation to final walking speed. METHOD:Walking speed information was derived from studies included in meta-analyses, systematic reviews, and clinical practice guidelines. Recent references, not included in the mentioned sources, were incorporated in cases when gait speed was an outcome variable. Final speed was assessed by the reported speed values and by inferring the capacity for functional community walking at the end of the intervention period. RESULTS:Similar outcomes for final walking speed were found for the different prevailing treatment methods. Treatment gains were likewise comparable and generally insufficient for upgrading patients' functional community walking capacity. CONCLUSIONS:Different treatment methods exist for poststroke gait rehabilitation. Their availability, mode of application, and costs vary, yet outcomes are largely similar. Therefore, choosing an appropriate method may be guided by a pragmatic approach. Simple "low technology" and conventional exercise to date is at least as efficacious as more complex strategies such as treadmill and robotic-based interventions.

authors

Dickstein R

doi

10.1177/1545968308315997

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

649-60

issue

6

eissn

1545-9683

issn

1552-6844

pii

22/6/649

journal_volume

22

pub_type

杂志文章,评审
  • Neuropathic Pain in Taxane-Induced Peripheral Neuropathy: Evidence for Exercise in Treatment.

    abstract::One in 2 Canadians is expected to acquire cancer in their lifetime. Many cancers, including breast, ovarian, and lung cancer, are treated using taxane chemotherapy with curative intent. A major adverse effect with the use of taxane chemotherapeutic agents is taxane-induced peripheral neuropathy (TIPN). Both positive (...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,评审

    doi:10.1177/1545968319860486

    authors: Andersen Hammond E,Pitz M,Shay B

    更新日期:2019-10-01 00:00:00

  • Spatial and Temporal Control Contribute to Step Length Asymmetry During Split-Belt Adaptation and Hemiparetic Gait.

    abstract:BACKGROUND:Step length asymmetry (SLA) is a common hallmark of gait poststroke. Though conventionally viewed as a spatial deficit, SLA can result from differences in where the feet are placed relative to the body (step position strategy), the timing between foot strikes (step time strategy), or the velocity of the body...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314567149

    authors: Finley JM,Long A,Bastian AJ,Torres-Oviedo G

    更新日期:2015-09-01 00:00:00

  • Reducing the energy cost of hemiparetic gait using center of mass feedback: a pilot study.

    abstract:BACKGROUND:Hemiparetic gait following stroke requires substantial energy consumption, which would promote deconditioning and disability. Optimal modalities for decreasing this energy cost remain challenging. Excessive energy consumption, however, seems to be mainly due to extra positive muscle work to substantially lif...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309349927

    authors: Massaad F,Lejeune TM,Detrembleur C

    更新日期:2010-05-01 00:00:00

  • Intramuscular electrical stimulation for shoulder pain in hemiplegia: does time from stroke onset predict treatment success?

    abstract:BACKGROUND:A randomized clinical has shown the effectiveness of intramuscular electrical stimulation for the treatment of poststroke shoulder pain. OBJECTIVE:Identify predictors of treatment success and assess the impact of the strongest predictor on outcomes. METHOD:This is a secondary analysis of a multisite random...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/1545968306298412

    authors: Chae J,Ng A,Yu DT,Kirsteins A,Elovic EP,Flanagan SR,Harvey RL,Zorowitz RD,Fang ZP

    更新日期:2007-11-01 00:00:00

  • A single injection of D-amphetamine facilitates improvements in motor training following a focal cortical infarct in squirrel monkeys.

    abstract:BACKGROUND:There is growing interest in the use of D-amphetamine (D-AMPH) as a pharmacological treatment to supplement rehabilitative therapy following stroke. Based on the success of earlier animal models, several clinical studies have demonstrated beneficial effects of applying physical rehabilitation while stroke pa...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968306290773

    authors: Barbay S,Zoubina EV,Dancause N,Frost SB,Eisner-Janowicz I,Stowe AM,Plautz EJ,Nudo RJ

    更新日期:2006-12-01 00:00:00

  • Brain-computer interface with language model-electroencephalography fusion for locked-in syndrome.

    abstract:BACKGROUND:Some noninvasive brain-computer interface (BCI) systems are currently available for locked-in syndrome (LIS) but none have incorporated a statistical language model during text generation. OBJECTIVE:To begin to address the communication needs of individuals with LIS using a noninvasive BCI that involves rap...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968313516867

    authors: Oken BS,Orhan U,Roark B,Erdogmus D,Fowler A,Mooney A,Peters B,Miller M,Fried-Oken MB

    更新日期:2014-05-01 00:00:00

  • Assessing Proprioception: A Systematic Review of Possibilities.

    abstract::Proprioception is a vital aspect of motor control and when degraded or lost can have a profound impact on function in diverse clinical populations. This systematic review aimed to identify clinically related tools to measure proprioceptive acuity, to classify the construct(s) underpinning the tools, and to report on t...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,评审

    doi:10.1177/1545968315573055

    authors: Hillier S,Immink M,Thewlis D

    更新日期:2015-11-01 00:00:00

  • Anodal tDCS Combined With Radial Nerve Stimulation Promotes Hand Motor Recovery in the Acute Phase After Ischemic Stroke.

    abstract:BACKGROUND AND OBJECTIVE:The question of the best therapeutic window in which noninvasive brain stimulation (NIBS) could potentiate the plastic changes for motor recovery after a stroke is still unresolved. Most of the previous NIBS studies included patients in the chronic phase of recovery and very few in the subacute...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314565465

    authors: Sattler V,Acket B,Raposo N,Albucher JF,Thalamas C,Loubinoux I,Chollet F,Simonetta-Moreau M

    更新日期:2015-09-01 00:00:00

  • The relationships between the unified Parkinson's disease rating scale and lower extremity functional performance in persons with early-stage Parkinson's disease.

    abstract:BACKGROUND:The Unified Parkinson's Disease Rating Scale (UPDRS) is the "gold standard" assessment tool for characterizing impairments in persons with Parkinson's disease (PD); however, this scale's ability to predict functional capabilities across different functional tasks has not been adequately assessed in persons w...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309332878

    authors: Song J,Fisher BE,Petzinger G,Wu A,Gordon J,Salem GJ

    更新日期:2009-09-01 00:00:00

  • Case control series of intrathecal autologous bone marrow mesenchymal stem cell therapy for chronic spinal cord injury.

    abstract:BACKGROUND:Autologous bone marrow mesenchymal cells that include stem cells (MSCs) are a clinically attractive cellular therapy option to try to treat severe spinal cord injury (SCI). OBJECTIVE:To study the possible value of MSCs injected intrathecally to enhance rehabilitation. METHODS:This case control, convenience...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968310369801

    authors: Kishk NA,Gabr H,Hamdy S,Afifi L,Abokresha N,Mahmoud H,Wafaie A,Bilal D

    更新日期:2010-10-01 00:00:00

  • Development of a health-related quality of life measure for peripheral neuropathy.

    abstract:STATEMENT OF PROBLEM:To develop and evaluate a self-administered health-related quality of life (HRQOL) measure for peripheral neuropathy. METHODS:A field test measure of 162 items was developed that included the RAND-36 Health Survey as a generic core and a neuropathy-targeted supplement whose content was driven by r...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/154596830001400202

    authors: Vickrey BG,Hays RD,Beckstrand M

    更新日期:2000-01-01 00:00:00

  • Defining the role of sensation, strength, and prehension for upper limb function in cervical spinal cord injury.

    abstract:BACKGROUND:Upper limb function plays a significant role in enhancing independence for individuals with tetraplegia. However, there is limited knowledge about the specific input of sensorimotor deficits on upper limb function. Thus the theoretical framework designed to develop the Graded Redefined Assessment of Strength...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968313490998

    authors: Kalsi-Ryan S,Beaton D,Curt A,Duff S,Jiang D,Popovic MR,Rudhe C,Fehlings MG,Verrier MC

    更新日期:2014-01-01 00:00:00

  • Upper limb robot-assisted therapy in cerebral palsy: a single-blind randomized controlled trial.

    abstract:BACKGROUND:Several pilot studies have evoked interest in robot-assisted therapy (RAT) in children with cerebral palsy (CP). OBJECTIVE:To assess the effectiveness of RAT in children with CP through a single-blind randomized controlled trial. PATIENTS AND METHODS:Sixteen children with CP were randomized into 2 groups. ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968314541172

    authors: Gilliaux M,Renders A,Dispa D,Holvoet D,Sapin J,Dehez B,Detrembleur C,Lejeune TM,Stoquart G

    更新日期:2015-02-01 00:00:00

  • Motor training of upper extremity with functional electrical stimulation in early stroke rehabilitation.

    abstract:BACKGROUND:Functional electrical stimulation (FES) allows active exercises in stroke patients with upper extremity paralysis. OBJECTIVE:To investigate the effect of motor training with FES on motor recovery in acute and subacute stroke patients with severe to complete arm and/or hand paralysis. METHODS:For this pilot...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968308324548

    authors: Mangold S,Schuster C,Keller T,Zimmermann-Schlatter A,Ettlin T

    更新日期:2009-02-01 00:00:00

  • A Dual-Learning Paradigm Simultaneously Improves Multiple Features of Gait Post-Stroke.

    abstract:BACKGROUND:Gait impairments after stroke arise from dysfunction of one or several features of the walking pattern. Traditional rehabilitation practice focuses on improving one component at a time, which may leave certain features unaddressed or prolong rehabilitation time. Recent work shows that neurologically intact a...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968318792623

    authors: Cherry-Allen KM,Statton MA,Celnik PA,Bastian AJ

    更新日期:2018-09-01 00:00:00

  • Improving Accelerometry-Based Measurement of Functional Use of the Upper Extremity After Stroke: Machine Learning Versus Counts Threshold Method.

    abstract:BACKGROUND:Wrist-worn accelerometry provides objective monitoring of upper-extremity functional use, such as reaching tasks, but also detects nonfunctional movements, leading to ambiguity in monitoring results. OBJECTIVE:Compare machine learning algorithms with standard methods (counts ratio) to improve accuracy in de...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320962483

    authors: Lum PS,Shu L,Bochniewicz EM,Tran T,Chang LC,Barth J,Dromerick AW

    更新日期:2020-12-01 00:00:00

  • Circadian modulation of mentally simulated motor actions: implications for the potential use of motor imagery in rehabilitation.

    abstract:BACKGROUND:. Mental practice through motor imagery improves subsequent motor performance and thus mental training is considered to be a potential tool in neuromotor rehabilitation. OBJECTIVE:. The authors investigated whether a circadian fluctuation of the motor imagery process occurs, which could be relevant in sched...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968308321775

    authors: Gueugneau N,Mauvieux B,Papaxanthis C

    更新日期:2009-03-01 00:00:00

  • Motor cortical disinhibition during early and late recovery after stroke.

    abstract:BACKGROUND:Functional neuroimaging studies show adaptive changes in areas adjacent and distant from the stroke. This longitudinal study assessed whether changes in cortical excitability in affected and unaffected motor areas after acute stroke correlates with functional and motor recovery. METHODS:We studied 13 patien...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968307313505

    authors: Manganotti P,Acler M,Zanette GP,Smania N,Fiaschi A

    更新日期:2008-07-01 00:00:00

  • Test-retest reliability of portable metabolic monitoring after disabling stroke.

    abstract:PURPOSE:Impaired economy of gait, prevalent in chronic stroke secondary to residual gait deficits, is associated with intolerance for performing activities of daily living. Gait economy/efficiency is traditionally assessed by determining the rate of oxygen consumption during submaximal treadmill walking. However, the m...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968313497103

    authors: Stookey AD,McCusker MG,Sorkin JD,Katzel LI,Shaughnessy M,Macko RF,Ivey FM

    更新日期:2013-11-01 00:00:00

  • Training memory self-efficacy in the chronic stage after stroke: a randomized controlled trial.

    abstract:BACKGROUND:Stroke patients with a low memory self-efficacy (MSE) report more memory complaints than patients with a high MSE. OBJECTIVE:The aim of this study was to examine the effect of a memory-training program on MSE in the chronic phase after stroke and to identify which patients benefit most from the MSE training...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968312455222

    authors: Aben L,Heijenbrok-Kal MH,van Loon EM,Groet E,Ponds RW,Busschbach JJ,Ribbers GM

    更新日期:2013-02-01 00:00:00

  • Motor and premotor cortices in subcortical stroke: proton magnetic resonance spectroscopy measures and arm motor impairment.

    abstract:BACKGROUND:Although functional imaging and neurophysiological approaches reveal alterations in motor and premotor areas after stroke, insights into neurobiological events underlying these alterations are limited in human studies. OBJECTIVE:We tested whether cerebral metabolites related to neuronal and glial compartmen...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968312469835

    authors: Craciunas SC,Brooks WM,Nudo RJ,Popescu EA,Choi IY,Lee P,Yeh HW,Savage CR,Cirstea CM

    更新日期:2013-06-01 00:00:00

  • Cortical and spinal excitability changes after robotic gait training in healthy participants.

    abstract:BACKGROUND:Recent studies have proposed a role for robotic gait training in participants with acquired brain injury, but the effects on the excitability of cortical and spinal neurons even in healthy participants are uncertain. OBJECTIVE:To investigate changes in corticospinal excitability in healthy participants afte...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968308317973

    authors: Blicher JU,Nielsen JF

    更新日期:2009-02-01 00:00:00

  • Fatigue perceived by multiple sclerosis patients is associated with muscle fatigue.

    abstract:BACKGROUND:Fatigue is a debilitating symptom in multiple sclerosis (MS). Previous studies showed no association between fatigue as perceived by the patient and physiological measures of fatigability. OBJECTIVE:The authors investigated associations between perceived fatigue and measures of fatigability after correction...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311416991

    authors: Steens A,de Vries A,Hemmen J,Heersema T,Heerings M,Maurits N,Zijdewind I

    更新日期:2012-01-01 00:00:00

  • Social Network Mapping and Functional Recovery Within 6 Months of Ischemic Stroke.

    abstract::Objective. Stroke recovery is a multidimensional process influenced by biological and psychosocial factors. To understand the latter, we mapped the social networks of stroke patients, analyzing their changes and effects on physical function at 3 and 6 months after stroke. Methods. We used a quantitative social network...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1545968319872994

    authors: Dhand A,Lang CE,Luke DA,Kim A,Li K,McCafferty L,Mu Y,Rosner B,Feske SK,Lee JM

    更新日期:2019-11-01 00:00:00

  • Electrical stimulation of abdominal muscles to produce cough in spinal cord injury: effect of stimulus intensity.

    abstract:BACKGROUND:Surface electrical stimulation of the abdominal muscles, with electrodes placed in the posterolateral position, combined with a voluntary cough can assist clearance of airway secretions in individuals with high-level spinal cord injury (SCI). OBJECTIVE:To determine whether an increase in stimulus intensity ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314552527

    authors: McBain RA,Boswell-Ruys CL,Lee BB,Gandevia SC,Butler JE

    更新日期:2015-05-01 00:00:00

  • Spinal reflex activity: a marker for neuronal functionality after spinal cord injury.

    abstract:BACKGROUND:Alterations in the function of spinal neuronal circuits underlying locomotion after a spinal cord injury (SCI) are associated with changes in the behavior of spinal reflexes (SRs) in both rats and humans. In healthy subjects, the SR consists of a dominant early reflex component, whereas in chronic, severely ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311420844

    authors: Hubli M,Dietz V,Bolliger M

    更新日期:2012-02-01 00:00:00

  • Effects of Training Intensity on Locomotor Performance in Individuals With Chronic Spinal Cord Injury: A Randomized Crossover Study.

    abstract:BACKGROUND:Many physical interventions can improve locomotor function in individuals with motor incomplete spinal cord injury (iSCI), although the training parameters that maximize recovery are not clear. Previous studies in individuals with other neurologic injuries suggest the intensity of locomotor training (LT) may...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968317731538

    authors: Brazg G,Fahey M,Holleran CL,Connolly M,Woodward J,Hennessy PW,Schmit BD,Hornby TG

    更新日期:2017-10-01 00:00:00

  • Impaired Callosal Motor Fiber Integrity and Upper Extremity Motor Impairment Are Associated With Stroke Lesion Location.

    abstract:BACKGROUND:Damage to the callosal motor fibers (CMFs) may affect motor recovery in patients with stroke. However, whether the severity of CMF impairment varies with lesion locations remains unclear. OBJECTIVE:To investigate (1) whether CMF impairment occurs after stroke and whether the impairment varies with lesion lo...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968318779730

    authors: Koh CL,Tang PF,Chen HI,Hsu YC,Hsieh CL,Tseng WI

    更新日期:2018-06-01 00:00:00

  • Clinical measurement of pharyngeal surface electromyography: exploratory research.

    abstract:BACKGROUND:Dysphagia diagnosis is limited by our inability to evaluate the underlying neuromuscular pathology of swallowing. A novel approach using pharyngeal surface electromyography (PsEMG) has been reported in the literature. OBJECTIVE:Three exploratory projects were undertaken to provide data toward the validation...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968306293448

    authors: Doeltgen SH,Hofmayer A,Gumbley F,Witte U,Moran C,Carroll G,Huckabee ML

    更新日期:2007-05-01 00:00:00

  • Combined analysis of cortical (EEG) and nerve stump signals improves robotic hand control.

    abstract:BACKGROUND:Interfacing an amputee's upper-extremity stump nerves to control a robotic hand requires training of the individual and algorithms to process interactions between cortical and peripheral signals. OBJECTIVE:To evaluate for the first time whether EEG-driven analysis of peripheral neural signals as an amputee ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311408919

    authors: Tombini M,Rigosa J,Zappasodi F,Porcaro C,Citi L,Carpaneto J,Rossini PM,Micera S

    更新日期:2012-03-01 00:00:00