And your doctorate advisors didn't inform you of problems with HIT? You will 100% guarantee that HIT will not cause a stroke? By verifying that your aneurysms will not blow out?
Do you really want to do high intensity training?
Because Andrew Marr blames high-intensity training for his stroke.
Can too much exercise cause a stroke?
From Evidence to Practice: Efficacy and Implementation of High-intensity Locomotor Training for Stroke Rehabilitation
Abstract Details
2024,
Doctor of Philosophy in Health Sciences, Youngstown State University,
Department of Graduate Studies in Health and Rehabilitation Sciences.
This
dissertation investigates the efficacy and real-world implementation of
high-intensity locomotor training (HIT) for stroke patients during
inpatient rehabilitation. The project was guided by three specific aims:
(1) to evaluate the strength of the evidence supporting HIT for
improving ambulation outcomes, (2) to determine whether clinicians can
replicate these results in a real-world setting, and (3) to identify the
barriers and facilitators to implementing HIT in inpatient
rehabilitation facilities (IRFs) across the United States.
The first study, a systematic review, confirmed that HIT is more
effective than usual care in improving gait speed and endurance at
discharge for patients with stroke, with moderate effect sizes on
meta-analysis. The second study, a retrospective analysis of a
clinician-initiated HIT project, revealed challenges in replicating
these outcomes in a real world setting, possibly due to low
implementation fidelity suggesting that a minimum threshold of fidelity
may be necessary to see unit-wide improvements. The third study used a
Delphi survey approach to explore the experiences of clinicians
implementing HIT in IRFs. While several facilitators to HIT adoption
were identified, a notable barrier was insufficient time, consistent
with barriers to evidence-based practice reported in other
rehabilitation disciplines. Despite favorable conditions, less than half
of surveyed clinicians reported using HIT daily, indicating ongoing
challenges.
HIT is an effective intervention for improving walking ability in
patients post-stroke during inpatient rehabilitation. Future research
should focus on addressing key barriers, exploring optimal dosing
strategies and fidelity targets, and developing interdisciplinary
approaches to increase the widespread adoption of HIT across the
continuum of care in stroke rehabilitation.
David Griswold, PhD (Committee Chair)
Kenneth Learman, PhD (Committee Member)
Susan Linder, DPT (Committee Member)
Nancy Landgraff, PhD (Committee Member)
Kenneth Learman, PhD (Committee Member)
Susan Linder, DPT (Committee Member)
Nancy Landgraff, PhD (Committee Member)
123 p.
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