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Original Article

Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke

원문정보

초록

영어

The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index). The program consisted on: aerobic exercise; task oriented exercises; balance and postural tonic activities; and stretching. Participants also followed a program of progressive ambulation at home. They were evaluated at baseline, postintervention and at the end of a 6-month follow- up period. After the intervention there were significant improvements in all outcomes measures that were maintained 6 months later. Comfortable and fast walking speed increased an average of 0.16 and 0.40 m/sec, respectively. The walking distance in the 6-min walking test increased an average of 59.8 m. At the end of the intervention, participants had achieved independent ambulation both indoors and outdoors. In ADLs, 40% were independent at baseline vs. 64% at the end of the intervention. Our study demonstrates that a multimodal exercise rehabilitation program adapted to stroke survivors has benefits on walking speed, walking ability and independence in ADLs.

목차

Abstract
 INTRODUCTION
 MATERIALS AND METHODS
  Subjects
  Measurement tools
  Exercise program
  Data analysis
 RESULTS
  Characteristics of participants
  Outcome variables
  Satisfaction questionnaire
 DISCUSSION
 CONFLICT OF INTEREST
 REFERENCES

저자정보

  • Montserrat Grau Pellicer Rehabilitation Unit, Hospital-Consorci Sanitari de Terrassa, Barcelona, Spain
  • Andrés Chamarro Lusar Basic, Evolutionary, and Educational Psychology Department, Autonomous University of Barcelona, Barcelona, Spain
  • Josep Medina Casanovas Functional Rehabilitation Department, Private Foundation Institut Guttmann Neurorehabilitation Hospital, Badalona, Barcelona, Spain
  • Bernat-Carles Serdà Ferrer Department of Nursing, and Biomedical Research Institute, University of Girona, Girona, Spain

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