Motor and functional outcomes of a patient post-stroke following combined activity and impairment level training.
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.
Combs
Stephanie
S
Krannert School of Physical Therapy, University of Indianapolis, Indianapolis 46227, USA. scombs@uindy.edu
Miller
Ellen Winchell
EW
Forsyth
Elizabeth
E
D005260:Female; D006801:Humans; D007866:Leg; D008568:Memory; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009069:Movement Disorders / Q000209:etiology / Q000628:therapy; D026741:Physical Therapy Modalities; D000071939:Stroke Rehabilitation; D016138:Walking; D016474:Weight-Bearing