Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke: a randomised trial

The conclusion should have been the immediate search for solutions to the 5 causesof the neuronal cascade of death in the first week. With that solution in place there would be vastly less dead and damaged neurons resulting in therapy that would work much better. But we have NO LEADERSHIP that can see that. Fucking blithering idiots. 

Oops, I'm not playing by the polite rules of Dale Carnegie,  'How to Win Friends and Influence People'. 
Politeness will never solve anything in stroke.  I call them as I see them.

 

 

Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke: a randomised trial

Author links open overlay panelDavide Gde Sousa^ab

Lisa AHarvey^bSimoneDorsch^cdBronwynVarettas^eSerenaJamieson^eAbbyMurphy^eSarahGiaccari^e

https://doi.org/10.1016/j.jphys.2019.05.007Get rights and content

Under a Creative Commons license

open access

Abstract

Question

Does intensive sit-to-stand training in addition to usual care improve sit-to-stand ability in people who are unable to stand up independently after stroke?

Design

A multi-centre randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants

Thirty patients from two Sydney hospitals, < 3 months after stroke, with a mean Modified Rankin Scale score of 4 points (SD 0.5).

Intervention

All participants received usual care. Participants in the experimental group attended two additional sessions of physiotherapy per day for 2 weeks. These sessions were individualised to the needs of each participant in order to increase the amount and intensity of sit-to-stand training.

Outcome measures

Outcome measures were taken at baseline and at 2 weeks. The primary outcome was clinicians’ impressions of sit-to-stand change, measured using videos and a 15-point Global Impressions of Change Scale. Secondary outcomes were sit-to-stand ability, composite strength of key muscles of the affected lower limb, gross lower limb extension strength, the Goal Attainment Scale, and ranking of change in ability to move from sitting to standing.

Results

All participants completed the trial. The mean between-group difference for clinicians’ impressions of sit-to-stand change was 1.57/15 points (95% CI 0.02 to 3.11). The secondary outcomes that indicated a treatment effect were gross lower limb extension strength and ranking of change in ability to move from sitting to standing, with mean between-group differences of 6.2 deg (95% CI 0.5 to 11.8) and −7 (95% CI −1 to −13), respectively.

Conclusion

Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke.

Trial registration

ANZCTR 12616001288415.