Improves and reducing are not good enough. WHAT THE HELL WILL IT TAKE TO GET WALKING 100% RECOVERED? If that is not your goal, get the hell out of stroke. You are not tackling the BHAGs(Big Hairy Audacious Goals) of 100% recovery for all survivors. I don't care how difficult that is. You try recovering from a stroke with the complete lack of any recovery protocols.
A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial
Louise Ada, PhD, Catherine M. Dean, PhD, Jillian M. Hall, GradDipPhtyAppSc, Julie Bampton, MSc, Sarah Crompton, MAppScABSTRACT.
Ada L, Dean CM, Hall JM, Bampton J, Crompton S. A treadmill and over ground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys MedRehabil 2003;84:1486-91.Objective:
To evaluate the effectiveness of a treadmill and over ground walking program in reducing the disability and handicap associated with poor walking performance after stroke.
Design:
Randomized, placebo-controlled clinical trial with a 3-month follow-up.
Setting:
General community.
Participants:
A volunteer sample of 29 ambulatory individuals (less 2 dropouts) who were living in the community after having suffered a stroke more than 6 months previously.
Interventions:
The experimental group participated in a30-minute treadmill and over ground walking program, 3 times a week for 4 weeks. The control group received a placebo consisting of a low-intensity, home exercise program and regular telephone contact.
Main Outcome Measures:
Walking speed (over 10m),walking capacity (distance over 6min), and handicap (stroke-adapted 30-item version of the Sickness Impact Profile) measured by a blinded assessor.
Results:
The 4-week treadmill and over ground walking program significantly increased walking speed (P=.02) and walking capacity (P<.001), but did not decrease handicap (P=.85)compared with the placebo program. These gains were largely maintained 3 months after the cessation of training (P≤.05).
Conclusions:
The treadmill and over ground walking program was effective in improving walking in persons residing in the community after stroke. This suggests that the routine provision of accessible, long-term, community-based walking programs would be beneficial in reducing disability after stroke.
Key Words:
Exercise; Hemiplegia; Physical therapy techniques; Randomized controlled trials; Rehabilitation; Treatment outcome; Walking.©
2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
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