Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke. Grau Pellicer, M. G., Lusar, A. C., Casanovas, J. M., & Ferrer, B. S. Journal of Exercise Rehabilitation, 13(6):666–675, 2017. doi abstract bibtex The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index). The program consisted on: aerobic exercise; task oriented exercises; balance and postural tonic activities; and stretching. Participants also followed a program of progressive ambulation at home. They were evaluated at baseline, postintervention and at the end of a 6-month follow-up period. After the intervention there were significant improvements in all outcomes measures that were maintained 6 months later. Comfortable and fast walking speed increased an average of 0.16 and 0.40 m/sec, respectively. The walking distance in the 6-min walking test increased an average of 59.8 m. At the end of the intervention, participants had achieved independent ambulation both indoors and outdoors. In ADLs, 40% were independent at baseline vs. 64% at the end of the intervention. Our study demonstrates that a multimodal exercise rehabilitation program adapted to stroke survivors has benefits on walking speed, walking ability and independence in ADLs.
@article{grau_pellicer_effectiveness_2017,
title = {Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke},
volume = {13},
issn = {2288-176X},
doi = {10.12965/jer.1735056.528},
abstract = {The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index). The program consisted on: aerobic exercise; task oriented exercises; balance and postural tonic activities; and stretching. Participants also followed a program of progressive ambulation at home. They were evaluated at baseline, postintervention and at the end of a 6-month follow-up period. After the intervention there were significant improvements in all outcomes measures that were maintained 6 months later. Comfortable and fast walking speed increased an average of 0.16 and 0.40 m/sec, respectively. The walking distance in the 6-min walking test increased an average of 59.8 m. At the end of the intervention, participants had achieved independent ambulation both indoors and outdoors. In ADLs, 40\% were independent at baseline vs. 64\% at the end of the intervention. Our study demonstrates that a multimodal exercise rehabilitation program adapted to stroke survivors has benefits on walking speed, walking ability and independence in ADLs.},
language = {eng},
number = {6},
journal = {Journal of Exercise Rehabilitation},
author = {Grau Pellicer, Montserrat Grau and Lusar, Andrés Chamarro and Casanovas, Josep Medina and Ferrer, Bernat-Carles Serdà},
year = {2017},
pmid = {29326899},
pmcid = {PMC5747202},
keywords = {Activities of daily living, Article, Exercise, Physical activity, Rehabilitació, Stroke rehabilitation, Walking speed},
pages = {666--675},
}
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