Effect of forced use of the lower extremity on gait performance and mobility of post-acute stroke patients

Journal of Physical Therapy Science
Wen-Hsiu YuHen-Yu Lien

Abstract

[Purpose] The purpose of this study was to investigate the effects of a forced-use training program on gait, mobility and quality of life of post-acute stroke patients. [Subjects] Twenty-one individuals with unilateral stroke participated in this study. All participants had suffered from first-ever stroke with time since onset of at least 3 months. [Methods] A single-blinded, non-equivalent, pre-post controlled design with 1-month follow-up was adopted. Participants received either a forced-use or a conventional physical therapy program for 2 weeks. The main outcomes assessed were preferred and fastest walking velocities, spatial and temporal symmetry indexes of gait, the timed up and go test, the Rivermead Mobility Index, and the Stroke-Specific Quality of Life Scale (Taiwan version). [Results] Forced-use training induced greater improvements in gait and mobility than conventional physical therapy. In addition, compared to pre-training, patients in the conventional physical therapy group walked faster but more asymmetrically after training. However, neither program effectively improved in-hospital quality of life. [Conclusion] The forced-use approach can be successfully applied to the lower extremities of stroke patients to im...Continue Reading

References

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Mar 22, 2014·Journal of Physical Therapy Science·Jae Hyo ParkJun Soo Kim

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Citations

Sep 16, 2016·Journal of Physical Therapy Science·Chang Sik Park, Seung Heon An
Nov 26, 2020·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Auwal AbdullahiWim Saeys

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Software Mentioned

SPSS
Statistical Package for Social Sciences

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