title: Whole-body intensive rehabilitation is feasible and effective in chronic stroke survivors: a retrospective data analysis.
abstract: OBJECTIVE
  Upper extremity (UE) intensive repetitive training, locomotor training, and functional strength training, delivered in isolation, promote neural plasticity and functional recovery after stroke. However, the effectiveness of a comprehensive whole-body approach combining these interventions has not been thoroughly investigated. The purpose of this retrospective data analysis was to evaluate the efficacy and feasibility of intensive, comprehensive rehabilitation for a heterogeneous population of chronic stroke survivors in a community clinic setting.
  
  
  METHODS
  Whole-body intensive rehabilitation (3-6 hours/day, 4-5 days/week, >or= 2 weeks) consisted of locomotor, balance, and transfer training; progressive resistive strengthening exercise; and repetitive task-specific UE practice. Outcome measures were collected from all patients participating in the program between March 2003 and January 2008 who were diagnosed with a stroke >or= 12 months prior to treatment initiation (N = 35).
  
  
  RESULTS
  Significant improvements in function were observed as measured by the Fugl-Meyer Assessment, Wolf Motor Function Test (WMFT), Box and Block test, Berg Balance Scale, Timed Up & Go Test (TUG), and 6-minute walk test.
  
  
  CONCLUSIONS
  Whole-body intensive rehabilitation is an effective and feasible approach to promote recovery in chronic stroke survivors with moderate to severe deficits. Further research is necessary to confirm these results in a more controlled environment.
authors.affiliation: Southwest Advanced Neurological Rehabilitation, Phoenix, AZ, USA.
authors.forename: Kay
authors.initials: K
authors.lastname: Wing
authors.forename: James V
authors.initials: JV
authors.lastname: Lynskey
authors.forename: Pamela R
authors.initials: PR
authors.lastname: Bosch
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000502:physiology; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008124:Locomotion / Q000502:physiology; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome