Deans' stroke musings: A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, December 3, 2019

A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial

Improves and reducing are not good enough. WHAT THE HELL WILL IT TAKE TO GET WALKING 100% RECOVERED? If that is not your goal, get the hell out of stroke. You are not tackling the BHAGs(Big Hairy Audacious Goals) of 100% recovery for all survivors. I don't care how difficult that is. You try recovering from a stroke with the complete lack of any recovery protocols.

A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial

Louise Ada, PhD, Catherine M. Dean, PhD, Jillian M. Hall, GradDipPhtyAppSc, Julie Bampton, MSc, Sarah Crompton, MAppSc

ABSTRACT.

Ada L, Dean CM, Hall JM, Bampton J, Crompton S. A treadmill and over ground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys MedRehabil 2003;84:1486-91.Objective:
To evaluate the effectiveness of a treadmill and over ground walking program in reducing the disability and handicap associated with poor walking performance after stroke.
Design:
Randomized, placebo-controlled clinical trial with a 3-month follow-up.
Setting:
General community.
Participants:
A volunteer sample of 29 ambulatory individuals (less 2 dropouts) who were living in the community after having suffered a stroke more than 6 months previously.
Interventions:
The experimental group participated in a30-minute treadmill and over ground walking program, 3 times a week for 4 weeks. The control group received a placebo consisting of a low-intensity, home exercise program and regular telephone contact.
Main Outcome Measures:
Walking speed (over 10m),walking capacity (distance over 6min), and handicap (stroke-adapted 30-item version of the Sickness Impact Proﬁle) measured by a blinded assessor.
Results:
The 4-week treadmill and over ground walking program signiﬁcantly increased walking speed (P=.02) and walking capacity (P<.001), but did not decrease handicap (P=.85)compared with the placebo program. These gains were largely maintained 3 months after the cessation of training (P≤.05).
Conclusions:
The treadmill and over ground walking program was effective in improving walking in persons residing in the community after stroke. This suggests that the routine provision of accessible, long-term, community-based walking programs would be beneﬁcial in reducing disability after stroke.
Key Words:
Exercise; Hemiplegia; Physical therapy techniques; Randomized controlled trials; Rehabilitation; Treatment outcome; Walking.©
2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation