Of course they are. I believe in Bar stool stroke rehab! Don't follow me, I'm not medically trained!
Gait training after stroke: are physiotherapists overcautious?
g.kwakkel@amsterdamumc.nl
In patients who had a stroke, high intensities of gait training are associated with improved walking capacity in terms of longer distances and faster speeds.1,2 However, there are few studies investigating training programmes with intensities of at least 20 h or more, and these are often small, with a substantial risk of methodological bias.1,2 As a result, current recommendations are based on weak evidence. Thus, the question remains about what type and how much exercise is needed to improve walking capacity in a clinically meaningful way in patients after a stroke. Additionally, most gait training programmes are difficult to implement in practice due to the lack of implementation training among physiotherapists and rehabilitation assistants. In a review, Lynch and colleagues3 concluded that only 2·5% of the treatment interventions evaluated in rehabilitation research are effectively implemented in clinical practice.
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