Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial

Dean, Catherine M.; Richards, Carol L.; Malouin, Francine

doi:10.1053/mr.2000.3839

Cited by 592 publications

(438 citation statements)

References 29 publications

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“…It consists of 15 tasks and quantifies upper extremity movement through timed joint-segment movements (tasks 1-7) and functional tasks (tasks [8][9][10][11][12][13][14][15]. The higher the score, the closer the movement appears to be normal.…”

Section: Discussionmentioning

confidence: 99%

A Community-Based Upper-Extremity Group Exercise Program Improves Motor Function and Performance of Functional Activities in Chronic Stroke: A Randomized Controlled Trial

Pang

Harris

Eng

2006

Archives of Physical Medicine and Rehabilitation

195

131

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Objective-To assess the effects of a community-based exercise program on motor recovery and functional abilities of the paretic upper extremity in persons with chronic stroke. Design-Randomized controlled trial. Setting-Rehabilitation research laboratory and a community hall.Participants-A sample of 63 people (≥ 50 years) with chronic deficits resulting from stroke (onset ≥ 1 year).Interventions-The arm group underwent an exercise program designed to improve upper extremity function (1 hour per session, 3 sessions per week for 19 weeks). The leg group underwent a lower extremity exercise program. Main outcome measures-(1) Wolf Motor Function Test (WMFT), (2) Fugl-Meyer MotorAssessment (FMA), (3) hand-held dynamometry (grip strength), and (4) Motor Activity Log.Results-Multivariate analysis showed a significant group × time interaction (Wilk's Lambda=0.726, P=0.017), indicating that overall, the arm group had significantly more improvement than the leg group. Post-hoc analysis demonstrated that gains in WMFT (functional ability) (P=0.001) and FMA (P=0.001) were significantly higher in the arm group. The amount of improvement was comparable to other novel treatment approaches such as constraint-induced movement therapy or robot-aided exercise training previously reported in chronic stroke. Participants with moderate arm impairment benefited more from the program.Conclusions-The pilot study showed that a community-based exercise program can improve upper extremity function in persons with chronic stroke. This outcome justifies a larger clinical trial to further assess efficacy and cost-effectiveness. There is mounting evidence that both motor and functional changes in the paretic upper extremity can occur many years post stroke with forced use.-Indeed, cortical reorganization has been demonstrated following intensive movement therapy in persons with chronic stroke. Novel approaches such as constraint-induced movement therapy (CIMT)-, repetitive bilateral arm training with rhythmic auditory cueing (BATRAC) and robot-aided exercise training-have been developed to promote paretic upper extremity function following chronic stroke. However, these treatment approaches often involve one-to-one clienttherapist ratio. In case of CIMT, extensive amount of daily therapy is also required.-Considering the current limited health care resources, alternative rehabilitative programs are needed to reduce the long-term disability resulting from upper extremity hemiparesis.A community-based group program may be a feasible alternative approach to upper extremity rehabilitation following a stroke. It is accessible to a large number of people in the community and does not require one-to-one supervision, thereby reducing the cost. The concept of community programs is also compatible with the emerging priority in health care policy to prevent secondary disabilities for persons living with chronic conditions., Community-based programs for promoting mobility and physical fitness in people with chronic stroke have been proposed and po...

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Section: Discussionmentioning

confidence: 99%

A Community-Based Upper-Extremity Group Exercise Program Improves Motor Function and Performance of Functional Activities in Chronic Stroke: A Randomized Controlled Trial

Pang

Harris

Eng

2006

Archives of Physical Medicine and Rehabilitation

195

131

View full text Add to dashboard Cite

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“…Thus, many therapeutic methods for improvement of independent walking ability in stroke patients have been attempted, such as task-related circuit training (Dean et al 2000), community-based physical activity programs (Stuart et al 2009), and virtual reality training (Cho and Lee 2013). However, most studies on stroke rehabilitation have been conducted in clinical or hospital settings, where it is difficult to reflect home environmental conditions and a complex external environment (Park et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Kim

Cho

Lee

2014

Tohoku J. Exp. Med.

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Stroke patients live with balance and walking dysfunction. Walking is the most important factor for independent community activities. The purpose of this study was to investigate the effect of a community walking training program (CWTP) within the real environment on walking function and social participation in chronic stroke patients. Twenty-two stroke patients (13 male, 50.45 years old, post stroke duration 231.64 days) were randomly assigned to either the CWTP group or the control group. All subjects participated in the same standard rehabilitation program consisting of physical and occupational therapy for 60 min per day, five times a week, for four weeks. In addition, the CWTP group participated in CWTP for 30 min per day, five times a week, for four weeks. Walking function was assessed using the 10-m walk test (measurement for 10-meter walking speed), 6-min walk assessment (measurement of gait length for 6-minutes), and community gait assessment. Social participation was assessed using a social participation domain of stroke impact scale. In walking function, greater improvement was observed in the CWTP group compared with the control group (P < 0.05). In addition, social participation improved more in the CWTP group compared with the control group (P < 0.05). These findings demonstrate the efficacy of CWTP on walking function and social participation in chronic stroke patients. Therefore, we suggest that CWTP within the real environment may be an effective method for improving walking function and social participation of chronic stroke patients when added to standard rehabilitation.

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“…OGT improves the body's ability to generate muscle strength in the lower extremities and ground reaction force during movement 22) , while TGT enhances gait symmetry, coordination ability, and muscle strength of the lower extremities through repetitive movement of the lower extremities 19,20) . This study conducted OCT and TGT after dividing the subjects into a slow gait group (0.5 m/s or slower) and a fast gait group (faster than 0.5 m/s) 8) .…”

Section: Discussionmentioning

confidence: 99%

A Comparison of the Effects of Overground Gait Training and Treadmill Gait Training According to Stroke Patients’ Gait Velocity

et al. 2013

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Abstract.[Purpose] The purpose of this study was to compare the effects of overground gait training (OGT) and treadmill gait training (TGT) on walking speed, gait endurance, and balance ability of subjects with stroke. [Subjects and Methods] The study subjects were 40 patients with stroke. They were randomly divided into two groups, the OGT group and the TGT group, and further categorized according to their individual walking speeds (slow <0.5 m/s and fast >0.5 m/s). The groups performed exercises 10 times for a week. Pre-and post-test assessments involved the measurement of walking speed, walking endurance, and balance ability, as assessed by the 10-m walking time, the 6-min walking distance, and the Berg Balance Scale (BBS).[Results] The 10-m walking times, 6-min walking distance, and BBS scores of both the OGT group and the TGT group significantly improved, but there were no significant differences between the two groups. In the slow walking speed group, the OGT subjects showed significant improvement compared to the TGT subjects in the 6-min walk test.[Conclusion] Overall, we conclude that OGT was more effective at improving the gait endurance of stroke patients than TGT. Further research is needed to verify the generalizability of these findings and to identify which stroke patients might benefit from OGT.

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Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial

Cited by 592 publications

References 29 publications

A Community-Based Upper-Extremity Group Exercise Program Improves Motor Function and Performance of Functional Activities in Chronic Stroke: A Randomized Controlled Trial

A Community-Based Upper-Extremity Group Exercise Program Improves Motor Function and Performance of Functional Activities in Chronic Stroke: A Randomized Controlled Trial

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

A Comparison of the Effects of Overground Gait Training and Treadmill Gait Training According to Stroke Patients’ Gait Velocity

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