Increasing the Amount and Intensity of Stepping Training During Inpatient Stroke Rehabilitation Improves Locomotor and Non-Locomotor Outcomes

Autor:	Christopher E. Henderson, Abbey Plawecki, Emily Lucas, Jennifer K. Lotter, Molly Scofield, Angela Carbone, Jeong H. Jang, T. George Hornby
Rok vydání:	2022
Předmět:	Stroke Inpatients Stroke Rehabilitation Humans Walking General Medicine Gait Article Exercise Therapy
Zdroj:	Neurorehabil Neural Repair
ISSN:	1552-6844 1545-9683
DOI:	10.1177/15459683221119759
Popis:	Background The efficacy of traditional rehabilitation interventions to improve locomotion post-stroke, including providing multiple exercises targeting impairments and activity limitations, is uncertain. Emerging evidence rather suggests attempts to prioritize stepping practice at higher cardiovascular intensities may facilitate greater locomotor outcomes. Objective The present study was designed to evaluate the comparative effectiveness of high-intensity training (HIT) to usual care during inpatient rehabilitation post-stroke. Methods Changes in stepping activity and functional outcomes were compared over 9 months during usual-care (n = 131 patients 2 analysis. Results Across all phases, admission scores were similar except for balance (usual-care>HIT; P Conclusions Greater efforts to prioritize walking and reach higher intensities during HIT led to increased steps/day, resulting in greater gains in locomotor and non-locomotor outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ace0959c247d5ae5cfdd4b51cc5e43a https://doi.org/10.1177/15459683221119759 Zobrazit plný text záznamu