Something we should have had for years, evidence-based practice.
http://www.ptproductsonline.com/news/2012-09-06_01.asp
Individuals with stroke have reduced walking activity, although it is
unknown whether this deficit is due to a reduction in all aspects of
walking activity or only in specific areas. Researchers from Delaware
and Maine performed a study to examine the walking activity in
post-stroke individuals compared with older adults without disability.
The results were published in the September 2012 issue of Physical Therapy.
Margaret A. Roos, PT, DPT, PhD, NCS, from the department of physical
therapy at the University of Delaware, Newark, Del, led the
cross-sectional study of 54 post-stroke participants and 18 older adults
reported as having no disability. All participants wore a step activity
monitor for 3 days, which calculated steps per day (SPD), bouts per day
(BPD), steps per bout (SPB), total time walking per day (TTW),
percentage of time walking per day (PTW), and frequency of short,
medium, and long walking bouts.
The researchers classified 29 participants as household and limited
community ambulators (HHA-LCA group) and 22 participants as unlimited
community ambulators (UCA group). According to the results, the SPD,
TTW, PTW, and BPD measurements were the greatest in the older,
non-disabled adults and the lowest in the HHA-LCA group. In addition,
walking in the short, medium, and long categories was found to be lowest
in the HHA-LCA group, greater in the UCA group, and greatest in the
non-disabled group.
The specific descriptors of walking activity presented can provide
insight into walking deficits post-stroke that cannot be determined by
looking at steps per day alone. The researchers stress the need to
analyze the structure of walking activity, concluding that the deficits
found during this study could be addressed through appropriate exercise
prescription.
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