Abstract:
OBJECTIVE:To investigate the feasibility and the effects on gait of a high intensity task-oriented training, incorporating a high cardiovascular workload and large number of repetitions, in patients with subacute stroke, when compared to a low intensity physiotherapy-programme. DESIGN AND SUBJECTS:Randomized controlled clinical trial: Forty-four patients with stroke were recruited at 2 to 8 weeks after stroke onset. MEASURES:Maximal gait speed assessed with the 10-metre timed walking test (10MTWT), walking capacity assessed with the six-minute walk test (6MWT). Control of standing balance assessed with the Berg Balance Scale and the Functional Reach test. Group differences were analysed using a Mann-Whitney U-test. RESULTS:Between-group analysis showed a statistically significant difference in favour of the high intensity task-oriented training in performance on the 10MTWT (Z = -2.13, P = 0.03) and the 6MWT (Z = -2.26, P = 0.02). No between-group difference were found for the Berg Balance Scale (Z = -0.07, P = 0.45) and the Functional Reach test (Z = -0.21, P = 0.84). CONCLUSION:A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in patients with subacute stroke. In a future study, it seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Outermans JC,van Peppen RP,Wittink H,Takken T,Kwakkel Gdoi
10.1177/0269215509360647subject
Has Abstractpub_date
2010-11-01 00:00:00pages
979-87issue
11eissn
0269-2155issn
1477-0873pii
0269215509360647journal_volume
24pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial. DESIGN:A quasi-randomized controlled trial that was not blinded. SETTING:A subacute rehabilitation ward. SUBJECTS:A total of 66 pat...
journal_title:Clinical rehabilitation
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更新日期:2016-09-01 00:00:00
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journal_title:Clinical rehabilitation
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
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更新日期:2015-01-01 00:00:00
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更新日期:2017-12-01 00:00:00
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journal_title:Clinical rehabilitation
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更新日期:2007-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-05-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章
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更新日期:1999-06-01 00:00:00
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更新日期:2011-09-01 00:00:00
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更新日期:2007-05-01 00:00:00
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更新日期:2015-06-01 00:00:00
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更新日期:2015-02-01 00:00:00
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更新日期:2013-10-01 00:00:00