Long term effects of intensity of upper and lower limb training after stroke: a randomised trial

Journal of Neurology, Neurosurgery, and Psychiatry
G KwakkelR C Wagenaar

Abstract

To assess long term effects at 1 year after stroke in patients who participated in an upper and lower limb intensity training programme in the acute and subacute rehabilitation phases. A three group randomised controlled trial with repeated measures was used. One hundred and one patients with a primary middle cerebral artery stroke were randomly allocated to one of three groups for a 20 week rehabilitation programme with an emphasis on (1) upper limb function, (2) lower limb function or (3) immobilisation with an inflatable pressure splint (control group). Follow up assessments within and between groups were compared at 6, 9, and 12 months after stroke. No statistically significant effects were found for treatment assignment from 6 months onwards. At a group level, the significant differences in efficacy demonstrated at 20 weeks after stroke in favour of the lower limb remained. However, no significant differences in functional recovery between groups were found for Barthel index (BI), functional ambulation categories (FAC),action research arm test (ARAT), comfortable and maximal walking speed, Nottingham health profile part 1(NHP-part 1), sickness impact profile-68 (SIP-68), and Frenchay activities index (FAI) from 6 months on...Continue Reading

Citations

Mar 19, 2011·Brain : a Journal of Neurology·Christian Grefkes, Gereon R Fink
Jun 6, 2013·Stroke Research and Treatment·Naoyuki Takeuchi, Shin-Ichi Izumi
Oct 11, 2012·Stroke Research and Treatment·Naoyuki Takeuchi, Shin-Ichi Izumi
Nov 28, 2013·BioMed Research International·Sharon F KramerJulie Bernhardt

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