I see nothing here that suggests that any objective measurement of gait occurred. So nothing is repeatable upon demand since there is no objective knowledge of the starting point.
How much exercise does the enhanced gait-oriented physiotherapy provide for chronic stroke patients?
Sinikka H.Peurala
Kauko Pitkänen
Juhani Sivenius
Ina M.Tarkka
Received:26 May 2003Received in revised form:17 November 2003Accepted:25 November 2003S.H.Peurala,MSc.,PT (
) · K.Pitkänen · J.Sivenius · I.M.TarkkaBrain Research and Rehabilitation CenterNeuronKortejoki71130 Kuopio,FinlandTel.:+358-17/460111Fax:+358-17/460200E-Mail:sinikka.peurala@neuron.fi
) · K.Pitkänen · J.Sivenius · I.M.TarkkaBrain Research and Rehabilitation CenterNeuronKortejoki71130 Kuopio,FinlandTel.:+358-17/460111Fax:+358-17/460200E-Mail:sinikka.peurala@neuron.fi
Abstract
Background and Purpose
Physical exercise therapy in sensorimotor rehabilitation of stroke patients includes active and repetitive exercise and task-specific training. The time spent in active practice is fundamental. The purpose of this study was to analyse what was the actual amount of exercise and content of the per-formed exercise of the three-week gait-oriented physiotherapy pro-gram for chronic stroke patients in an in-patient setting.
Methods
Twenty ambulatory post-stroke patients participated in an in-patient rehabilitation period during which a special effort was made to enhance gait training and the amount of therapy and its contents were recorded in structured form. Base-line and postintervention gait ability assessments were made, but the analysis concentrated on participation records in different forms of therapy.
Results
Patients received19 hours of instructed physiotherapy in three weeks and together with self-initiated training they practised for 28 hours. The practice time in the upright position was 62% of the total duration of the instructed physiotherapy and 35% was performed while sitting. This amount of exercise resulted in improvement of the gait tests.
Conclusions
In order to improve gait in the chronic state of disease, a sufficient amount of gait rehabilitation practice can be obtained with a combination of electromechanical gait trainer exercises, physiotherapy, instructed exercise groups and self-initiated training.
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Key words
motor rehabilitation· gait · weight-supported training ·cerebrovascular diseases ·hemiparesis
Methods
Twenty ambulatory post-stroke patients participated in an in-patient rehabilitation period during which a special effort was made to enhance gait training and the amount of therapy and its contents were recorded in structured form. Base-line and postintervention gait ability assessments were made, but the analysis concentrated on participation records in different forms of therapy.
Results
Patients received19 hours of instructed physiotherapy in three weeks and together with self-initiated training they practised for 28 hours. The practice time in the upright position was 62% of the total duration of the instructed physiotherapy and 35% was performed while sitting. This amount of exercise resulted in improvement of the gait tests.
Conclusions
In order to improve gait in the chronic state of disease, a sufficient amount of gait rehabilitation practice can be obtained with a combination of electromechanical gait trainer exercises, physiotherapy, instructed exercise groups and self-initiated training.
■
Key words
motor rehabilitation· gait · weight-supported training ·cerebrovascular diseases ·hemiparesis
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