A systematic review of mechanisms of gait speed change post-stroke. Part 2: Exercise capacity, muscle activation, kinetics, and kinematics

So still no clue as to what rehab creates functional gains. Once again everything in your recovery is up to you. You find the appropriate research and deduce what the protocol is. What the fuck is your doctor for?
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78167&phrase=no&rec=136199&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 24(5) , Pgs. 394-403.

NARIC Accession Number: J78167.  What's this?
ISSN: 1074-9357.
Author(s): Wonsetler, Elizabeth C.; Bowden, Mark G..
Publication Year: 2017.
Number of Pages: 10.
Abstract: This systematic review explored potential mechanisms of change that may explain improvements in gait speed and quantify motor recovery following physical therapy interventions in the stroke population. PubMed, Ovid, and CINAHL databases were searched relevant rehabilitation trials with a statistically significant change in self-selected walking speed post-intervention that concurrently collected mechanistic variables. Twenty-five studies met the inclusion criteria and examined. Methodological quality was assessed using Cochrane Collaboration’s tool. Walking speed changes, mechanistic variables, and intervention data were extracted. The physical therapy interventions used within the included studies that were found to produce improvements in gait speed were: cardiorespiratory function, muscle activation, force production, and movement analysis. Interventions included: aerobic training, functional electrical stimulation, multidimensional rehabilitation, robotics, sensory stimulation training, strength/resistance training, task-specific locomotor rehabilitation, and visually-guided training. No systematic approach or set of outcome measures to mechanistically explain changes observed in walking speed were identified. Nor is there a theoretical basis to drive the complicated selection of outcome measures, as many of these outcomes are not independent of walking speed. Since rehabilitation literature has not yet identified a causal, mechanistic link for post-stroke functional gains, a systematic, multimodal approach to stroke rehabilitation will be necessary in doing so.
Descriptor Terms: AMBULATION, BIOENGINEERING, ELECTROPHYSIOLOGY, EXERCISE, LITERATURE REVIEWS, OUTCOMES, PHYSICAL THERAPY, REHABILITATION SERVICES, STROKE, THERAPEUTIC TRAINING.


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Citation: Wonsetler, Elizabeth C., Bowden, Mark G.. (2017). A systematic review of mechanisms of gait speed change post-stroke. Part 2: Exercise capacity, muscle activation, kinetics, and kinematics.  Topics in Stroke Rehabilitation , 24(5), Pgs. 394-403. Retrieved 4/19/2018, from REHABDATA database.


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More information about this publication:
Topics in Stroke Rehabilitation.