Variable Intensive Early Walking Poststroke (VIEWS): A Randomized Controlled Trial

Neurorehabilitation and Neural Repair
T George HornbyElliot Roth

Abstract

Converging evidence suggests that the amount of stepping practice is an important training parameter that influences locomotor recovery poststroke. More recent data suggest that stepping intensity and variability are also important, although such strategies are often discouraged early poststroke. The present study examined the efficacy of high-intensity, variable stepping training on walking and nonwalking outcomes in individuals 1 to 6 months poststroke as compared with conventional interventions. Methods Individuals with unilateral stroke (mean duration = 101 days) were randomized to receive ≤40, 1-hour experimental or control training sessions over 10 weeks. Experimental interventions consisted only of stepping practice at high cardiovascular intensity (70%-80% heart rate reserve) in variable contexts (tasks or environments). Control interventions were determined by clinical physical therapists and supplemented using standardized conventional strategies. Blinded assessments were obtained at baseline, midtraining, and posttraining with a 2-month follow-up. Results A total of 32 individuals (15 experimental) received different training paradigms that varied in the amount, intensity, and types of tasks performed. Primary outcom...Continue Reading

Associated Clinical Trials

Feb 12, 2013·T. George Hornby

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Citations

Jun 10, 2016·Journal of Neuroengineering and Rehabilitation·Dennis R Louie, Janice J Eng
Nov 3, 2016·Current Opinion in Neurology·T George HornbyElliot J Roth
Mar 17, 2018·Journal of Neurologic Physical Therapy : JNPT·Carey L HolleranT George Hornby
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Jan 1, 2019·Neurorehabilitation and Neural Repair·Marzieh M ArdestaniT George Hornby
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Jul 7, 2021·Archives of Physical Medicine and Rehabilitation·T George HornbyNeil Jordan
Aug 10, 2021·Journal of Neurologic Physical Therapy : JNPT·Jennifer L MooreJan Egil Nordvik
Oct 26, 2021·The Cochrane Database of Systematic Reviews·Beth ClarkJane Burridge

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