http://journals.lww.com/co-neurology/Abstract/publishahead/Influence_of_skill_and_exercise_training.99284.aspx
Hornby, T. George; Moore, Jennifer L.; Lovell, Linda; Roth, Elliot J.
Published Ahead-of-Print
Abstract
Purpose of review: Research findings from the fields of
motor learning and exercise physiology suggest specific training
parameters that can be manipulated during physical rehabilitation
profoundly influence skilled task performance. This review details the
rationale for some of these training variables and their application in
selected intervention studies focused on improving walking function in
patients poststroke.
Recent findings: Basic and applied studies have shown
that the amount, intensity, and variability of specific task practice
applied during rehabilitation interventions can affect recovery of
walking poststroke. Many studies detailing the effects of conventional,
therapist, and mechanically assisted interventions may incorporate some
of these training parameters but minimize others, and their relative
contributions may influence walking outcomes. Specific patient factors,
such as the stroke acuity and degree of impairments, appear to influence
the relative contributions of these training variables, and different
patient subgroups may benefit from greater emphasis on specific
parameters.
Summary: The present findings suggest these training
parameters should be considered when evaluating or implementing physical
interventions directed toward improving locomotor function poststroke.
More work is needed to understand their optimal combinations to maximize
walking outcomes in patients with different levels of impairment
poststroke.
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