An intensive massed practice approach to retraining balance post-stroke

Vearrier, Laura Adomaitis; Langan, Jeanne; Shumway-Cook, Anne; Woollacott, Marjorie H.

doi:10.1016/j.gaitpost.2004.09.001

Cited by 98 publications

(81 citation statements)

References 26 publications

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“…In addition, Marigold et al found that step reaction time (time to complete a voluntary step forward when cued) was also reduced in the Agility group [76]. Similarly, Vearrier et al found that the time to stabilize standing posture following a translating platform perturbation, in addition to weightbearing symmetry, was improved following their practice program [77].…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 98%

“…One small study (n = 10) with encouraging results was an intensive massed practice program (6 hours a day, 5 days a week of one-on-one training for 10 weeks) for patients with chronic stroke that focused on strengthening, range of motion, aerobic conditioning, balance activities, functional training, and education [77]. A reduced number of falls in the year following the intervention was documented [77]; however, caution should be used when interpreting these fall results since the study was not a controlled trial and the number of falls in the year prior to the intervention were collected by recall.…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

“…A reduced number of falls in the year following the intervention was documented [77]; however, caution should be used when interpreting these fall results since the study was not a controlled trial and the number of falls in the year prior to the intervention were collected by recall. Fall history recall can be prone to underreporting, especially when collected over a long period rather than at shorter intervals (e.g., monthly) [78].…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

“…The three studies that reduced falls used repetitive functional tasks that most likely increased motor coordination, improved movement speed, and challenged muscle strength [74,[76][77]. Task-specific interventions may be particularly important in stroke where altered motor coordination is present.…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

“…A once-weekly training compared favorably with both twice-weekly and thrice-weekly training among 65-to-75-year-old adults on muscle and balance outcomes [81]. However, the work of Vearrier et al suggests that high volumes of exercise (6 hours daily) may be necessary to produce positive falls outcomes in people with stroke [77]. The optimum dose of exercise is an important area that has not been adequately addressed in the literature, yet is essential for guiding appropriate exercise prescription.…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

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Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Eng

Pang

Ashe

2008

JRRD

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Abstract-Fractures occur frequently in people living with stroke and have high personal, social, and economic costs for these individuals, their families, and the community. Exercise to reduce the risk of fragility fractures is a relatively new application in stroke rehabilitation but is a promising treatment with the potential to reduce the incidence of falls as well as maintain or improve bone health. In this article, we outline fracture risk factors and provide an overview of exercise interventions aimed at reducing fracture risk poststroke. Although randomized controlled trials support the use of exercise to reduce fracture risk factors poststroke, the body of literature is small and further studies are required. Further, the optimal dose of exercise and the additive effects of pharmacology on fracture risk need to be determined. Given the many health benefits associated with exercise, it should be considered an important modality for the management of falls and maintenance of bone health following stroke.

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Section: Exercise To Reduce Falls Poststrokementioning

confidence: 98%

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

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Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Eng

Pang

Ashe

2008

JRRD

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Management of Gait Impairments in Chronic Unilateral Upper Motor Neuron Lesions

et al. 2018

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Importance: A variety of neurological disorders can damage the corticospinal tract in the supratentorial region of the brain. Gait impairments are common in patients with chronic supratentorial upper motor neuron lesions, and are a source of great disability. Clinical management aimed at improving the gait pattern in these patients is generally perceived as a challenging task, as many possible abnormalities may interact. Moreover, a multitude of treatment options exist-ranging from assistive devices and muscle stretching to pharmacological and surgical interventions-but evidence is inconclusive for most approaches and there is a lack of clear treatment guidelines. Observations: To improve management, we here show that gait deviations in adults with a chronic supratentorial upper motor neuron lesion can roughly be reduced to three groups of primary deficits: (1) imbalance of muscle strength, length and activity around the ankle and tarsal joints leading to pes equino(varus), (2) calf muscle weakness, and (3) overactivity of proximal leg muscles.

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Using Technology to Promote Safe Patient Handling and Rehabilitation

Rockefeller

2008

Rehabilitation Nursing

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Technology has improved and expanded the equipment options for use in patient handling. There is substantial evidence that these activities expose healthcare professionals, including nurses and physical therapists, to risk for work‐related musculoskeletal disorders. There is also evidence that ergonomic use of equipment to assist with patient handling is associated with decreases in injuries among healthcare providers. The use of patient‐handling equipment has additional potential for facilitating the goals of rehabilitation and improving patient outcomes. This article presents an overview of new research areas and a discussion of these topics.

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An intensive massed practice approach to retraining balance post-stroke

Cited by 98 publications

References 26 publications

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Management of Gait Impairments in Chronic Unilateral Upper Motor Neuron Lesions

Using Technology to Promote Safe Patient Handling and Rehabilitation

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