But with nothing written in protocol format this is useless.
Effects of Dynamic Stepping Training on Nonlocomotor Tasks in Individuals Poststroke: A Clinical TrialDon D. Straube, Carey L. Holleran, Catherine R. Kinnaird, Abigail L. Leddy,Patrick W. Hennessy, T. George Hornby
During the physical rehabilitation of individuals post stroke, therapists are challenged to provide sufﬁcient amounts of task speciﬁc practice in order to maximize outcomes of multiple functional skills within limited visits. Basic and applied studies have suggested that training of one motor task may affect performance of biomechanically separate tasks that utilize overlapping neural circuits.However, few studies have explicitly investigated the impact of training one func-tional task on separate, nonpracticed tasks.
The purpose of this preliminary study was to investigate the potential gains in speciﬁc non locomotor assessments in individuals post stroke following only stepping training of variable, challenging tasks at high aerobic intensities.
Individuals with locomotor deﬁcits following subacute and chronic stroke (n=22) completed a locomotor training paradigm using a repeated measures design. Practice of multiple stepping tasks was provided in variable environments or contexts at high aerobic intensities for >=40 sessions over 10 weeks. The primary outcome was timed Five-Times Sit-to-Stand Test (5XSTS) performance, with secondary measures of sit-to-stand kinematics and kinetics, clinical assessment of balance,and isometric lower limb strength.
Participants improved their timed 5XSTS performance following stepping training, with changes in selected biomechanical measures. Statistical and clinically meaningful improvements in balance were observed, with more modest changes in paretic leg strength.
The present data suggest that signiﬁcant gains in selected non locomotor tasks can be achieved with high-intensity, variable stepping training.Improvements in non practiced tasks may minimize the need to practice multiple tasks within and across treatment sessions.