Deans' stroke musings: Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled 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.

Saturday, December 21, 2019

Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled Trial

Bad research. Cherry picked participants, no protocol that I can see, went for feasible and beneﬁcial results rather than 100% recovery. I still can't carry a tray.

Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled Trial

Yea-Ru Yang, PT, PhD, Ray-Yau Wang, PT, PhD, Yu-Chung Chen, PT, MS, Mu-Jung Kao, MD
ABSTRACT. Yang YR, Wang RY, Chen YC, Kao MJ.Dual-task exercise improves walking ability in chronic stroke:a randomized controlled trial. Arch Phys Med Rehabil 2007;88:1236-40.
Objective:
To examine the effectiveness of a dual-task–based exercise program on walking ability in subjects withchronic stroke.
Design:
Single-blind randomized controlled trial.
Setting:
General community.
Participants:
Twenty-ﬁve subjects with chronic stroke who were at least limited community ambulatory subjects (a minimum gait velocity, 58cm/s).
Interventions:
Participants were randomized into a control group (n=12) or experimental group (n=13). Subjects in thecontrol group did not receive any rehabilitation training. Sub- jects in the experimental group underwent a 4-week ball exercise program.
Main Outcome Measures:
Gait performance was measured under single task (preferred walking) and tray-carrying task(So you choose high functioning upper limb persons who probably had less gait damage.).Gait parameters of interest were walking speed, cadence, stride time, stride length, and temporal symmetry index.
Results:
The experimental group showed signiﬁcant improvement in all selected gait measures except for temporal symmetry index under both task conditions. In the control group, there were no signiﬁcant changes over the 4-week period for all selected measures. There was a signiﬁcant difference between groups for all selected gait variables except for temporal symmetry index under both task conditions.
Conclusions:
The dual-task–based exercise program is feasible and beneﬁcial for improving walking ability in subjects with chronic stroke.
Key Words:
Cerebrovascular accident; Exercise; Rehabilitation; Walking.©
2007 by the American Congress of Rehabilitation Medi-cine and the American Academy of Physical Medicine and Rehabilitation