Useless, NO protocol written up and distributed to all 10 million yearly stroke survivors. No objective damage diagnosis seems to have been done, without that none of this is repeatable either.
Effects of intensive gait-oriented physiotherapy during early acute phase of stroke
Sinikka H. Peurala, PhD;1–2
*
Olavi Airaksinen, MD, PhD;
3
Pekka Jäkälä, MD, PhD;
1
Ina M. Tarkka, PhD;
4
Juhani Sivenius, MD, PhD
1,4
1
Department of Neurology, Kuopio University Hospital, Kuopio, Finland;
2
Department of Health Sciences, The Finnish Centre for Interdisciplinary Gerontology, University of Jyväskylä, Jyväskylä, Finland;
3
Department of Physical Medicine and Rehabilitation, Kuopio University Hospital, Kuopio, Finland;
4
Brain Research and Rehabilitation Center Neuron, Kuopio, Finland
Abstract—
We assessed the effects and strenuousness of intensive gait-oriented inpatient rehabilitation initiated very early after stroke. Therapy content and interrater reliability of the assessments were also analyzed. Of 22 patients, 19 (average 8.0 d post stroke) completed the study. Before rehabilitation, 13 patients were unable to walk or needed two assistants to walk and 6 patients needed one assistant. Patients spent a daily maximum of 1 h therapy time to obtain 20 min of walking. Additional physiotherapy was also provided during the 3 wk therapy period. Seven structured motor tests were recorded before and after rehabilitation and at 6 months post rehabilitation, and perceived exertion was followed during physiotherapy.After rehabilitation, 16 patients could walk unassisted and 3needed one assistant to walk. Mean +/– standard deviation exercise walking distance was 10,784 +/– 4,446 m and exercise was ranked as slightly strenuous. After 3 wk, the patients’ 10 m walking time, ankle spasticity, lower-limb muscle force, andmotor scale scores improved (p < 0.05). The early intensive rehabilitation was well tolerated and only three patients dropped out. Improved motor abilities were seen in all stroke patients.
Clinical Trial Registration
:
ClinicalTrials.gov; Gait Trainervs Traditional Physiotherapy in Acute Stroke, NCT00307762;
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