Document Detail


Whole-body intensive rehabilitation is feasible and effective in chronic stroke survivors: a retrospective data analysis.
MedLine Citation:
PMID:  18647728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Upper extremity (UE) intensive repetitive training, locomotor training, and functional strength training, delivered in isolation, promote neural plasticity and functional recovery after stroke. However, the effectiveness of a comprehensive whole-body approach combining these interventions has not been thoroughly investigated. The purpose of this retrospective data analysis was to evaluate the efficacy and feasibility of intensive, comprehensive rehabilitation for a heterogeneous population of chronic stroke survivors in a community clinic setting. METHOD: Whole-body intensive rehabilitation (3-6 hours/day, 4-5 days/week, >or= 2 weeks) consisted of locomotor, balance, and transfer training; progressive resistive strengthening exercise; and repetitive task-specific UE practice. Outcome measures were collected from all patients participating in the program between March 2003 and January 2008 who were diagnosed with a stroke >or= 12 months prior to treatment initiation (N = 35). RESULTS: Significant improvements in function were observed as measured by the Fugl-Meyer Assessment, Wolf Motor Function Test (WMFT), Box and Block test, Berg Balance Scale, Timed Up & Go Test (TUG), and 6-minute walk test. CONCLUSION: Whole-body intensive rehabilitation is an effective and feasible approach to promote recovery in chronic stroke survivors with moderate to severe deficits. Further research is necessary to confirm these results in a more controlled environment.
Authors:
Kay Wing; James V Lynskey; Pamela R Bosch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Topics in stroke rehabilitation     Volume:  15     ISSN:  1074-9357     ISO Abbreviation:  Top Stroke Rehabil     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-07-23     Completed Date:  2008-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9439750     Medline TA:  Top Stroke Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-55     Citation Subset:  IM    
Affiliation:
Southwest Advanced Neurological Rehabilitation, Phoenix, AZ, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arm / physiology
Chronic Disease
Female
Humans
Locomotion / physiology
Male
Middle Aged
Physical Therapy Modalities*
Retrospective Studies
Stroke / rehabilitation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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