Trajectories of stroke recovery of impairment, function, and quality of life in response to 12-month mobility and fitness intervention

Autor: Somnath Datta, Catherine Boissoneault, Tyler Grimes, Anna Khanna, Michael F. Waters, Dorian K. Rose, Janis J. Daly
Rok vydání: 2021
Předmět:
Zdroj: NeuroRehabilitation. 49:573-584
ISSN: 1878-6448
1053-8135
DOI: 10.3233/nre-210147
Popis: BACKGROUND: Gait deficits and functional disability are persistent problems for many stroke survivors, even after standard neurorehabilitation. There is little quantified information regarding the trajectories of response to a long-dose, 12-month intervention. OBJECTIVE: We quantified treatment response to an intensive neurorehabilitation mobility and fitness program. METHODS: The 12-month neurorehabilitation program targeted impairments in balance, limb coordination, gait coordination, and functional mobility, for five chronic stroke survivors. We obtained measures of those variables every two months. RESULTS: We found statistically and clinically significant group improvement in measures of impairment and function. There was high variation across individuals in terms of the timing and the gains exhibited. CONCLUSIONS: Long-duration neurorehabilitation (12 months) for mobility/fitness produced clinically and/or statistically significant gains in impairment and function. There was unique pattern of change for each individual. Gains exhibited late in the treatment support a 12-month intervention. Some measures for some subjects did not reach a plateau at 12 months, justifying further investigation of a longer program (>12 months) of rehabilitation and/or maintenance care for stroke survivors.
Databáze: OpenAIRE
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