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.
Krannert School of Physical Therapy, University of Indianapolis, Indianapolis 46227, USA. scombs@uindy.edu
Stephanie
S
Combs
Ellen Winchell
EW
Miller
Elizabeth
E
Forsyth
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