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Effects of lower limb intensive mass practice in poststroke patients: single-subject experimental design with long-term follow-up
2006 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 20, no 7, p. 568-576Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the effects of two weeks of intensive mass practice with a constraint-induced movement therapy approach for the lower extremity in five chronic poststroke patients, and the persistence of effects at three and six months.

DESIGN: A single-subject experimental design (SSED) was used with an AB design and follow-ups three and six months later.

SETTING: Outpatient rehabilitation at Torsby Hospital in Sweden.

MAIN MEASURES: Motor function in lower extremity, mobility, dynamic balance, weight-bearing symmetry and walking ability were measured on six occasions during two weeks (A phase), with the Fugl-Meyer assessment for lower extremity, the Timed Up and Go, the Step Test, the Timed Walking Test and the Six-Minute Walk Test. During the intervention's B phase, six measurements were performed with the same time intervals as in the A phase. There were follow-ups three and six months later.

INTERVENTION: The intervention (B phase) consisted of bicycling, training in water, strength training, standing weight-bearing, walking up and down stairs, walking indoors and outdoors and flexibility training of the lower extremity, on all weekdays, 6 h a day for two weeks.

RESULTS: The results showed improvements in 23/30 variables (77%), 12 of them statistically significant (52%). At follow-up, 22/23 improvements persisted. For example, three of five subjects walked significantly further after the intervention and the follow-ups showed that they still walked further than before the intervention.

CONCLUSION: Intensive mass practice with constraint-induced movement therapy for the lower extremity can improve motor function, mobility, dynamic balance, weight-bearing symmetry and walking ability in chronic poststroke patients. Long-term follow-up showed that the effects persisted for these five subjects.

Place, publisher, year, edition, pages
2006. Vol. 20, no 7, p. 568-576
Identifiers
URN: urn:nbn:se:umu:diva-22801DOI: 10.1191/0269215506cr973oaPubMedID: 16894799OAI: oai:DiVA.org:umu-22801DiVA, id: diva2:218123
Available from: 2009-05-19 Created: 2009-05-19 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Intensivträning av nedre extremitet för personer med stroke: effekter och upplevelser
Open this publication in new window or tab >>Intensivträning av nedre extremitet för personer med stroke: effekter och upplevelser
2009 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Institutionen för samhällsmedicin och rehabilitering, 2009. p. 54
Identifiers
urn:nbn:se:umu:diva-22815 (URN)
Presentation
2009-06-01, Aulan, Vårdvetarhuset, Umeå, 13:00 (Swedish)
Supervisors
Available from: 2009-05-20 Created: 2009-05-19 Last updated: 2009-05-20Bibliographically approved

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