Amount of Exercise in the First Week After Stroke Predicts Walking Speed and Unassisted Walking

All you have done is identify persons with less damage. Now go back and objectively diagnose the damage in 3d(dead or damaged neurons) so you can correlate damage in both grey and white matter to functional disabilities.  Because you have NO CLUE which of these nine possibilities is causing the visible disability;

You can't tell me these all have the same solution, I'm not that stupid.
1. Penumbra damage to the motor cortex.
2. Dead brain in the motor cortex.
3. Penumbra damage in the pre-motor cortex.
4. Dead brain in the pre-motor cortex.
5. Penumbra damage in the executive control area.
6. Dead brain in the executive control area.
7. Penumbra damage in the white matter underlying any of these three.
8. Dead brain in the white matter underlying any of these three.
9. Spasticity preventing movement from occurring.
First we need an objective 3d damage diagnosis, without that there is no point in going forward. Dr. Watson likely to the rescue.  

 

Amount of Exercise in the First Week After Stroke Predicts Walking Speed and Unassisted Walking 

Katharine Scrivener, Catherine Sherrington, PhD, MPH, Karl Schurr, MAppSc (Physio)

First Published March 28, 2012 Research Article

https://doi.org/10.1177/1545968312439628

Article information

Abstract

Background. Predicting walking outcomes poststroke is a challenge for clinicians.  
Objective. To identify the extent to which exercise dose (repetitions of leg movements) in the first week of a comprehensive stroke unit stay predicts discharge mobility. Methods. A cohort study was conducted on 200 consecutive people admitted to a comprehensive stroke unit who required physical therapy.
Results. Discharge and predictor data were available for 191 survivors (99%). On admission, 86 participants were able to walk, and the average walking velocity was 0.42 m/s. On discharge, the average walking velocity was 0.77 m/s, and 152 participants were able to walk. A discharge walking velocity of greater than 0.8 m/s was predicted by the exercise dose achieved in the first week after admission. Adding other predictors did not significantly increase the predictive ability of the model. Completion of more than the median number of exercise repetitions (703) in the first week of admission was associated with a quicker recovery of unassisted walking. This effect persisted after adjustment for walking velocity on admission, cognition, and comorbidity.
Conclusion. Exercise dose in the first week after admission for stroke is an important indicator of walking speed at discharge and the time to achieve unassisted walking.

Keywords stroke rehabilitation, walking, physical therapy intensity, functional outcome, prediction

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Article available in:

Vol 26, Issue 8, 2012

Citing articles: 9View all >

• Prediction of Motor Recovery and Outcomes After Stroke
• Validity of Different Activity Monitors to Count Steps in an Inpatient Rehabilitation Setting