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

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.

• Authors: Stephanie Combs, Ellen Winchell Miller, Elizabeth Forsyth
• Journal: Physiotherapy theory and practice (Physiother Theory Pract) 2007 Jul-Aug Vol. 23 Issue 4 Pg. 219-29 ISSN: 0959-3985 [Print] England
• PMID: 17687735 (Publication Type: Case Reports, Journal Article)

Topics

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