Short-term effects of physiotherapy combining repetitive facilitation exercises and orthotic treatment in chronic post-stroke patients
| Autor: | Tomokazu Kaji, Tomohiro Uema, Shuji Matsumoto, Keiko Ikeda, Kazutoshi Tomioka, Megumi Shimodozono, Yuji Sakashita, Jun-ichi Sameshima |
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| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Combination therapy Fast speed business.industry Physical Therapy Sports Therapy and Rehabilitation medicine.disease Test (assessment) Stroke 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Ankle-foot orthosis Gait training Physical therapy medicine Facilitation Post stroke Repetitive facilitation exercise Original Article Limited mobility 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Physical Therapy Science |
| ISSN: | 2187-5626 0915-5287 |
| DOI: | 10.1589/jpts.29.212 |
| Popis: | [Purpose] This study investigated the short-term effects of a combination therapy consisting of repetitive facilitative exercises and orthotic treatment. [Subjects and Methods] The subjects were chronic post-stroke patients (n=27; 24 males and 3 females; 59.3 ± 12.4 years old; duration after onset: 35.7 ± 28.9 months) with limited mobility and motor function. Each subject received combination therapy consisting of repetitive facilitative exercises for the hemiplegic lower limb and gait training with an ankle-foot orthosis for 4 weeks. The Fugl-Meyer assessment of the lower extremity, the Stroke Impairment Assessment Set as a measure of motor performance, the Timed Up & Go test, and the 10-m walk test as a measure of functional ambulation were evaluated before and after the combination therapy intervention. [Results] The findings of the Fugl-Meyer assessment, Stroke Impairment Assessment Set, Timed Up & Go test, and 10-m walk test significantly improved after the intervention. Moreover, the results of the 10-m walk test at a fast speed reached the minimal detectible change threshold (0.13 m/s). [Conclusion] Short-term physiotherapy combining repetitive facilitative exercises and orthotic treatment may be more effective than the conventional neurofacilitation therapy, to improve the lower-limb motor performance and functional ambulation of chronic post-stroke patients. |
| Databáze: | OpenAIRE |
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