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Neurorehabil Neural Repair. 2011 Feb;25(2):140-8. doi: 10.1177/1545968310384270. Epub 2010 Nov 4.

Feasibility and effectiveness of circuit training in acute stroke rehabilitation.

Author information

  • 1Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA. dkrose@phhp.ufl.edu

Abstract

BACKGROUND:

Task-specificity, repetition and progression are key variables in the acquisition of motor skill however they have not been consistently implemented in post-stroke rehabilitation.

OBJECTIVE:

To evaluate the effectiveness of a stroke rehabilitation plan of care that incorporated task-specific practice, repetition and progression to facilitate functional gain compared to standard physical therapy for individuals admitted to an inpatient stroke unit.

METHODS:

Individuals participated in either a circuit training (CTPT) model (n = 72) or a standard (SPT) model (n = 108) of physical therapy, 5 days/week. Each 60 minute circuit training session, delivered according to severity level, consisted of four functional mobility tasks. Daily exercise logs documented both task repetition and progression.

RESULTS:

The CTPT model was successfully implemented in an acute rehabilitation setting. The CTPT group showed a significantly greater improved change in gait speed from hospital admission to discharge than the SPT group (0.21 ± 0.25 m/sec vs. 0.13 ± 0.22 m/sec; p = 0.03). The difference between groups occurred primarily among those who were ambulatory upon admission. There were no significant differences between the two cohorts at 90 days post-stroke as measured by the FONE-FIM, SF-36 and living location.

CONCLUSIONS:

Therapy focused on systematically progressed functional tasks can be successfully implemented in an inpatient rehabilitation stroke program. This circuit-training model resulted in greater gains in gait velocity over the course of inpatient rehabilitation compared to the standard model of care. Community-based services following hospital discharge to maintain these gains should be included in the continuum of post-stroke care.

PMID:
21051764
[PubMed - indexed for MEDLINE]
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