Motor and functional outcomes of a patient post-stroke following combined activity and impairment level training

Physiother Theory Pract. 2007 Jul-Aug;23(4):219-29. doi: 10.1080/09593980701209261.

Abstract

The purpose of this single-subject report was to determine the effect of a targeted training regimen aimed at improving motor and functional outcomes for a patient with chronic deficits after stroke. A 51-year-old woman with hemiparesis, 6 months post-stroke, participated in this prospective study. During the baseline, intervention, and immediate retention phases, performance was established by using repeated measures of four dependent variables: Fugl-Meyer assessment, Berg Balance Scale, 10-meter walk, and 6-minute walk. Two standard deviation band analyses were conducted on the four dependent variables with repeated measures. The Frenchay Activities Index and step length/single-limb support time measured at baseline and immediate retention were compared. During intervention, the participant was involved in a combined treatment protocol including body weight supported (BWS) treadmill training and strengthening exercises. Results indicated significant improvements in motor activity, balance, gait speed, and endurance. Progression was found in self-perceived participation. Although an improvement in step length symmetry occurred following training, a decrease in single-limb support time symmetry was found. BWS treadmill training, combined with strength training, significantly improved motor and functional performance in this participant with chronic deficits after stroke.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Leg
  • Memory
  • Middle Aged
  • Motor Activity / physiology*
  • Movement Disorders / etiology
  • Movement Disorders / therapy
  • Physical Therapy Modalities*
  • Stroke Rehabilitation*
  • Walking
  • Weight-Bearing