title: [Evidence-based rehabilitation of mobility after stroke].
abstract: BACKGROUND
  Approximately two thirds of stroke patients initially suffer from at least impaired mobility. Various rehabilitation concepts have been proposed.
  
  
  OBJECTIVE
  Based on the current literature, which rehabilitation methods can be recommended for improvement of gait, gait velocity, gait distance and balance?
  
  
  METHODS
  A systematic literature search was carried out for randomized clinical studies and reviews with clinically relevant outcome variables. Formulation of recommendations, separated for target variables and time after stroke.
  
  
  RESULTS
  Restoration and improvement of gait function relies on a high number of repetitions of gait movements, which for more severely affected patients is preferentially machine-based. For improvement of gait velocity for less severely affected patients intensive gait training does not necessarily rely on mechanical support. Gait distance can be improved by aerobic endurance exercises with a cardiovascular effect, which have to be performed in a functional context. Improvement of balance should be achieved by intensive functional gait training. Additional stimulation techniques are only effective when included in a functionally relevant training program.
  
  
  CONCLUSIONS
  These guidelines not only provide recommendations for action but also provide pathophysiological insights into functional restoration of stance and gait after stroke.
authors.affiliation: MEDIAN Klinik Berlin-Kladow, Kladower Damm 223, 14089, Berlin, Deutschland. christian.dohle@median-kliniken.de.|Centrum für Schlaganfallforschung, Charité - Universitätsmedizin Berlin, Berlin, Deutschland. christian.dohle@median-kliniken.de.
authors.forename: C
authors.initials: C
authors.lastname: Dohle
authors.affiliation: Physio Deutschland - Deutscher Verband für Physiotherapie (ZVK), Köln, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Tholen
authors.affiliation: St. Mauritius Therapieklinik, Meerbusch, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Wittenberg
authors.affiliation: Medical Park Loipl, Bischofswiesen, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Quintern
authors.affiliation: Institut für Gesundheits- und Pflegewissenschaft, Martin-Luther-Universität Halle-Wittenberg, Halle, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Saal
authors.affiliation: St. Mauritius Therapieklinik, Meerbusch, Deutschland.|SRH Gesundheitszentrum Bad Wimpfen, Bad Wimpfen, Deutschland.
authors.forename: K M
authors.initials: KM
authors.lastname: Stephan
mesh_terms: D019317:Evidence-Based Medicine / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D020233:Gait Disorders, Neurologic / Q000175:diagnosis* / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D051346:Mobility Limitation; D017063:Outcome Assessment, Health Care / Q000379:methods; D020127:Recovery of Function; D020521:Stroke / Q000150:complications / Q000175:diagnosis; D000071939:Stroke Rehabilitation / Q000379:methods*; D016896:Treatment Outcome
keywords: Balance; Gait; Guidelines; Neurorehabilitation; Physiotherapy