Locomotor Training and Strength and Balance Exercises for Walking Recovery After Stroke: Response to Number of Training Sessions.

Abstract:

Background:Evidence-based guidelines are needed to inform rehabilitation practice, including the effect of number of exercise training sessions on recovery of walking ability after stroke. Objective:The objective of this study was to determine the response to increasing number of training sessions of 2 interventions-locomotor training and strength and balance exercises-on poststroke walking recovery. Design:This is a secondary analysis of the Locomotor Experience Applied Post-Stroke (LEAPS) randomized controlled trial. Setting:Six rehabilitation sites in California and Florida and participants' homes were used. Participants:Participants were adults who dwelled in the community (N=347), had had a stroke, were able to walk at least 3 m (10 ft) with assistance, and had completed the required number of intervention sessions. Intervention:Participants received 36 sessions (3 times per week for 12 weeks), 90 minutes in duration, of locomotor training (gait training on a treadmill with body-weight support and overground training) or strength and balance training. Measurements:Talking speed, as measured by the 10-Meter Walk Test, and 6-minute walking distance were assessed before training and following 12, 24, and 36 intervention sessions. Results:Participants at 2 and 6 months after stroke gained in gait speed and walking endurance after up to 36 sessions of treatment, but the rate of gain diminished steadily and, on average, was very low during the 25- to 36-session epoch, regardless of treatment type or severity of impairment. Limitations:Results may not generalize to people who are unable to initiate a step at 2 months after stroke or people with severe cardiac disease. Conclusions:In general, people who dwelled in the community showed improvements in gait speed and walking distance with up to 36 sessions of locomotor training or strength and balance exercises at both 2 and 6 months after stroke. However, gains beyond 24 sessions tended to be very modest. The tracking of individual response trajectories is imperative in planning treatment.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Rose DK,Nadeau SE,Wu SS,Tilson JK,Dobkin BH,Pei Q,Duncan PW

doi

10.1093/ptj/pzx079

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

1066-1074

issue

11

eissn

0031-9023

issn

1538-6724

pii

4082915

journal_volume

97

pub_type

杂志文章,多中心研究,随机对照试验
  • Gait cycle duration in 3-year-old children.

    abstract::The gait cycle duration of 11 children who were 3 years old was recorded using cinematography. The variation of cycle duration from cycle to cycle during free walking with each child and the variation of mean cycle duration among the children are reported. I analyzed individual subject characteristics including sex, h...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.1.17

    authors: Slaton DS

    更新日期:1985-01-01 00:00:00

  • Knee flexion during stance as a determinant of inefficient walking.

    abstract::A biomechanical analysis of normal walking assessed the mechanical work cost in joules per unit mass and distance walked. For 21 walking trials--seven subjects at slow, natural, and fast cadences--these work costs (min = .73 J/kg.m, max = 1.65 J/kg.m) were correlated with maximum knee flexion during stance (min=6 degr...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.3.331

    authors: Winter DA

    更新日期:1983-03-01 00:00:00

  • The motor unit. Anatomy and physiology.

    abstract::The physiological and anatomical properties of mammalian motor units are discussed, and the results of human and animal studies are compared. A physiological organization of motor units based on the mechanical properties of their associated muscle units is examined. It is concluded that such an organizing principle ha...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/62.12.1763

    authors: English AW,Wolf SL

    更新日期:1982-12-01 00:00:00

  • Individual expectation: an overlooked, but pertinent, factor in the treatment of individuals experiencing musculoskeletal pain.

    abstract::Physical therapists consider many factors in the treatment of patients with musculoskeletal pain. The current literature suggests expectation is an influential component of clinical outcomes related to musculoskeletal pain for which physical therapists frequently do not account. The purpose of this clinical perspectiv...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090306

    authors: Bialosky JE,Bishop MD,Cleland JA

    更新日期:2010-09-01 00:00:00

  • Passive ankle dorsiflexion increases in patients after a regimen of tilt table-wedge board standing. A clinical report.

    abstract::We monitored the result of a tilt table-wedge board routine on the passive ankle dorsiflexion of 20 patients consecutively to determine the effectiveness of the treatment. The calculated frequency of the treatment, which was applied for 30 minutes on each of 5 to 22 treatment days, ranged from 2.3 to 6.4 treatments a ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.11.1676

    authors: Bohannon RW,Larkin PA

    更新日期:1985-11-01 00:00:00

  • Cortical reorganization following bimanual training and somatosensory stimulation in cervical spinal cord injury: a case report.

    abstract:BACKGROUND AND PURPOSE:Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. Detrimental cortical reorganization, however, may create further loss of function. The purpose of this case report is to describe the cortical changes associated with a combinatio...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20050365

    authors: Hoffman LR,Field-Fote EC

    更新日期:2007-02-01 00:00:00

  • Measuring deterioration in international classification of functioning domains of people with multiple sclerosis who are ambulatory.

    abstract:BACKGROUND AND PURPOSE:Measures to detect important effects related to physical therapy interventions must be able to detect an important change. The purpose of this study was to select the most responsive physical functioning measures for multiple sclerosis (MS) using the International Classification of Functioning, D...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20070064

    authors: Paltamaa J,Sarasoja T,Leskinen E,Wikström J,Mälkiä E

    更新日期:2008-02-01 00:00:00

  • Physical therapy for a patient through six stages of amyotrophic lateral sclerosis.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of Sinaki and Mulder's approach to staging amyotrophic lateral sclerosis (ALS) and functional outcome measures in designing a treatment program for a 59-year-old woman with ALS. CASE DESCRIPTION AND OUTCOMES:As the patient progressed from stage I through stage ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.12.1312

    authors: Dal Bello-Haas V,Kloos AD,Mitsumoto H

    更新日期:1998-12-01 00:00:00

  • Selective training of the vastus medialis muscle using EMG biofeedback.

    abstract::The purpose of this study was to investigate if, in three weeks, the vastus medialis muscle could be trained to contract independently of the vastus lateralis muscle. Ten subjects attended electromyographic biofeedback training sessions five days a week for three weeks for one half hour each day. During the first two ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.11.1410

    authors: LeVeau BF,Rogers C

    更新日期:1980-11-01 00:00:00

  • Determinants of mobility and self-care in older people with stroke: importance of somatosensory and perceptual functions.

    abstract:BACKGROUND AND PURPOSE:Somatosensory as well as mental impairments are easily overlooked after acute stroke. Furthermore, their associations with activity limitations are not fully understood. The purpose of this study was to examine this association and whether the assessment of somatosensory functions will provide in...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20060349

    authors: Welmer AK,von Arbin M,Murray V,Holmqvist LW,Sommerfeld DK

    更新日期:2007-12-01 00:00:00

  • Air splint in preprosthetic rehabilitation of lower extremity amputated limbs. A clinical report.

    abstract::The purpose of this paper is to discuss the merits of the air splint in the preprosthetic rehabilitation of lower extremity amputated limbs. We describe various methods to control postoperative edema and discuss the advantages and disadvantages of each. The protocol to apply and maintain the air splint and the advanta...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.6.912

    authors: Rausch RW,Khalili AA

    更新日期:1985-06-01 00:00:00

  • Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy.

    abstract:BACKGROUND:Balance function is central in walking, and impaired balance function may be related to walking deterioration in adults with spastic bilateral cerebral palsy (CP). OBJECTIVES:The purposes of this study were: (1) to compare balance confidence, fear of falling, and balance ability in adults with spastic bilat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100432

    authors: Opheim A,Jahnsen R,Olsson E,Stanghelle JK

    更新日期:2012-02-01 00:00:00

  • Comparison of gluteus medius muscle electromyographic activity during forward and lateral step-up exercises in older adults.

    abstract:BACKGROUND:Step-up exercises often are suggested for strengthening the hip abductor muscles and improving balance in older adults. Little is known, however, about whether the forward or lateral version of these exercises is best for activating the hip abductor muscles. OBJECTIVE:The purpose of this study was to examin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080229

    authors: Mercer VS,Gross MT,Sharma S,Weeks E

    更新日期:2009-11-01 00:00:00

  • Development of clinical education sites in an area health education system.

    abstract::In 1974 the University of Kentucky was faced with two problems: 1) overburdening of local clinical facilities by students and 2) a large exodus of graduates from the state. The advent of the Area Health Education System offered the opportunity for the clinical education program to develop nontraditional clinical sites...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.6.904

    authors: Clark SL,Schlachter S

    更新日期:1981-06-01 00:00:00

  • Comparison of gait of young women and elderly women.

    abstract::The purpose of our study was to describe and compare free-speed gait patterns of healthy young women with healthy elderly women. The evaluation was completed with high-speed cinematography using synchronized front and side views of 26 healthy volunteers. One group was composed of 13 subjects 20 to 35 years of age, and...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.9.1382

    authors: Hageman PA,Blanke DJ

    更新日期:1986-09-01 00:00:00

  • Vestibulo-ocular physiology underlying vestibular hypofunction.

    abstract::The vestibular system detects motion of the head and maintains stability of images on the fovea of the retina as well as postural control during head motion. Signals representing angular and translational motion of the head as well as the tilt of the head relative to gravity are transduced by the vestibular end organs...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:

    authors: Schubert MC,Minor LB

    更新日期:2004-04-01 00:00:00

  • Orthopedic manual therapy--an overview. Part II: the spine.

    abstract::The focus of this article is orthopedic manual therapy for the spine: 1) precautions and contraindications for manual methods of treatment; 2) definitions of general terms for therapeutic techniques of mobilization and traction; and 3) the general concepts and the evaluation, treatment, and aftertreatment procedures o...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.3.259

    authors: Cookson JC

    更新日期:1979-03-01 00:00:00

  • Self-Reported Disability in Persons With HIV-Related Neuropathy Is Mediated by Pain Interference and Depression.

    abstract:OBJECTIVE:The purpose of this study was to compare disability in people with HIV and peripheral neuropathy with those without neuropathy and explore how neuropathy and other relevant factors are associated with disability. METHODS:In this cross-sectional study, participants completed the Brief pain inventory, Beck Dep...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa161

    authors: Kietrys DM,Parrott JS,Galantino ML,Davis T,Levin T,O'Brien KK

    更新日期:2020-12-07 00:00:00

  • Instructional style preferences: physical therapy faculty members in the United States.

    abstract::The purpose of this study was to describe the instructional styles of physical therapy faculty in basic professional programs in the United States in the academic year 1977-78. The Instructional Styles Inventory of Canfield and Canfield was used to test 311 respondents (61% of the total basic preparation faculty membe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.10.1277

    authors: Payton OD,Hueter AE,McDonald M,Hirt S

    更新日期:1980-10-01 00:00:00

  • Evaluation of a treatment-based classification algorithm for low back pain: a cross-sectional study.

    abstract:BACKGROUND:Several studies have investigated criteria for classifying patients with low back pain (LBP) into treatment-based subgroups. A comprehensive algorithm was created to translate these criteria into a clinical decision-making guide. OBJECTIVE:This study investigated the translation of the individual subgroup c...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100272

    authors: Stanton TR,Fritz JM,Hancock MJ,Latimer J,Maher CG,Wand BM,Parent EC

    更新日期:2011-04-01 00:00:00

  • Population Health, Prevention, Health Promotion, and Wellness Competencies in Physical Therapist Professional Education: Results of a Modified Delphi Study.

    abstract:OBJECTIVE:Physical therapists are well positioned to meet societal needs and reduce the global burden of noncommunicable diseases through the integration of evidence-based population health, prevention, health promotion, and wellness (PHPW) activities into practice. Little guidance exists regarding the specific PHPW co...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa056

    authors: Magnusson DM,Rethorn ZD,Bradford EH,Maxwell J,Ingman MS,Davenport TE,Bezner JR

    更新日期:2020-08-31 00:00:00

  • Physical therapy management of patients through cross modality.

    abstract::Cross modality is a method for channeling therapeutic services from various health disciplines (modalities) through a single therapist who provides direct treatment and care. A pilot project at the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities tested this method in thr...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.6.676

    authors: Schafer DS

    更新日期:1976-06-01 00:00:00

  • Interrater reliability of diastasis recti abdominis measurement.

    abstract::Diastasis recti abdominis, or midline separation of the abdominal musculature, has not been investigated scientifically. The purposes of this study were to provide data on the incidence and degree of diastasis recti abdominis, to describe the measurement system used, and to determine the interrater reliability of the ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.7.1077

    authors: Bursch SG

    更新日期:1987-07-01 00:00:00

  • Effectiveness of nonpharmacological and nonsurgical interventions for patients with rheumatoid arthritis: an overview of systematic reviews.

    abstract::Conclusions based on systematic reviews of randomized controlled trials are considered to provide the highest level of evidence about the effectiveness of an intervention. This overview summarizes the available evidence from systematic reviews on the effects of nonpharmacological and nonsurgical interventions for rheu...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20070039

    authors: Christie A,Jamtvedt G,Dahm KT,Moe RH,Haavardsholm EA,Hagen KB

    更新日期:2007-12-01 00:00:00

  • The value of orthoses for patients with Duchenne muscular dystrophy.

    abstract::We applied knee-ankle-foot orthoses to 17 consecutive patients with Duchenne muscular dystrophy at the time they lost independent ambulation. We judged the value of the orthoses solely by the patients' ability to walk. With the orthoses, 7 patients (41%) became effective ambulators and benefited greatly from the appli...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.11.1361

    authors: Ziter FA,Allsop KG

    更新日期:1979-11-01 00:00:00

  • Goniometric reliability in a clinical setting. Subtalar and ankle joint measurements.

    abstract::Measurements of the subtalar joint neutral (STJN) position and passive range of motion (PROM) of the ankle joint and the subtalar joint (STJ) are often part of a physical therapy evaluation. These measurements may be used in treatment planning, such as in the prescription of specialized shoes or orthoses. Therefore, r...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/68.5.672

    authors: Elveru RA,Rothstein JM,Lamb RL

    更新日期:1988-05-01 00:00:00

  • Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill.

    abstract:BACKGROUND:Acute care physical therapists contribute to the complex process of patient discharge planning. As physical therapists are experts at evaluating functional abilities and are able to incorporate various other factors relevant to discharge planning, it was expected that physical therapists' recommendations of ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090164

    authors: Smith BA,Fields CJ,Fernandez N

    更新日期:2010-05-01 00:00:00

  • Reliability, Validity, and Minimal Detectable Change of Four-Step Stair Climb Power Test in Community-Dwelling Older Adults.

    abstract:Background:Stair climb power is an important clinical measure of lower-extremity power. The stair climb power test (SCPT) was validated by requiring individuals to climb a full flight of stairs. A 4-step SCPT (4SCPT) would be more clinically feasible and easier to perform, yet its reliability and validity are unknown. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx039

    authors: Ni M,Brown LG,Lawler D,Bean JF

    更新日期:2017-07-01 00:00:00

  • Embodied Cognition in Practice: Exploring Effects of a Motor-Based Problem-Solving Intervention.

    abstract:BACKGROUND:Embodied cognition interests physical therapists because efforts to advance motor skills in young infants can affect learning. However, we do not know if simply advancing motor skill is enough to support advances in cognition. OBJECTIVE:The objective was to examine the effect of 2 interventions on the devel...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzz031

    authors: Harbourne RT,Berger SE

    更新日期:2019-06-01 00:00:00

  • Pelvic-floor muscle function in women with pelvic organ prolapse.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. SUBJECTS AND METHODS:Three hundred seventeen women without urinary str...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.2522/ptj.20060160

    authors: Borello-France DF,Handa VL,Brown MB,Goode P,Kreder K,Scheufele LL,Weber AM,Pelvic Floor Disorders Network.

    更新日期:2007-04-01 00:00:00