| Titre : | Combining Fast-Walking Training and a Step Activity Monitoring Program to Improve Daily Walking Activity After Stroke: A Preliminary Study (2016) |
| Auteurs : | Kelly A. Danks ; Ryan Pohlig ; Darcy S. Reisman |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2016/9 suppl., 2016) |
| Article en page(s) : | pp. S185–S193 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activité motrice ; Rééducation et réadaptation |
| Mots-clés: | Motor activity ; Stroke |
| Résumé : |
bjectives To determine preliminary efficacy and to identify baseline characteristics predicting who would benefit most from fast walking training plus a step activity monitoring program (FAST+SAM) compared with fast walking training (FAST) alone in persons with chronic stroke. Design Randomized controlled trial with blinded assessors. Setting Outpatient clinical research laboratory. Participants Individuals (N=37) >6 months poststroke. Interventions Subjects were assigned to either FAST, which was walking training at their fastest possible speed on the treadmill (30min) and overground 3 times per week for 12 weeks, or FAST+SAM. The step activity monitoring program consisted of daily step monitoring with an activity monitor, goal setting, and identification of barriers to activity and strategies to overcome barriers. Main Outcome Measures Daily step activity metrics (steps/day [SPD], time walking per day), walking speed, and 6-minute walk test (6MWT) distance. Results There was a significant effect of time for both groups, with all outcomes improving from pre- to posttraining (all P values <.05 the fast was superior to for with a larger increase in group. interventions had differential effectiveness based on baseline step activity. sequential moderated regression models demonstrated that subjects levels of activity and distances were below mean intervention more effective than vs spd p overall model> Conclusions The addition of a step activity monitoring program to a fast walking training intervention may be most effective in persons with chronic stroke who have initial low levels of walking endurance and activity. Regardless of baseline performance, the FAST+SAM intervention was more effective for improving walking endurance. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931630185X |
Bibliothèques HE Vinci
