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Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia

[Purpose] This study aimed to determine the effects of increased amount of physical therapy exercise on improvements in the walking ability of patients with stroke. [Subjects and Methods] The subjects were selected from patients with stroke who were hospitalized in the convalescent rehabilitation wa...

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Autores principales: Kawakami, Kenji, Tanino, Genichi, Tomida, Ken, Kato, Yohei, Watanabe, Makoto, Okuyama, Yuko, Sonoda, Shigeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4793018/
https://www.ncbi.nlm.nih.gov/pubmed/27065551
http://dx.doi.org/10.1589/jpts.28.602
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author Kawakami, Kenji
Tanino, Genichi
Tomida, Ken
Kato, Yohei
Watanabe, Makoto
Okuyama, Yuko
Sonoda, Shigeru
author_facet Kawakami, Kenji
Tanino, Genichi
Tomida, Ken
Kato, Yohei
Watanabe, Makoto
Okuyama, Yuko
Sonoda, Shigeru
author_sort Kawakami, Kenji
collection PubMed
description [Purpose] This study aimed to determine the effects of increased amount of physical therapy exercise on improvements in the walking ability of patients with stroke. [Subjects and Methods] The subjects were selected from patients with stroke who were hospitalized in the convalescent rehabilitation ward, and included 91 patients who received physical therapy for 2.5–3 exercise sessions per day during 2005–2006 (PT3unit group), and 86 patients who received physical therapy for 4.5–6 exercise sessions per day during 2010–2015 (PT6unit group). The functional independence measure (FIM) score evaluates the walking ability of patients during hospital admission, 2 and 4 weeks after admission, and at discharge. The FIM score was stratified according to the degree of lower limb motor paralysis and subsequently compared between groups. [Results] Among the patients with complete paralysis and severe paralysis, the FIM-Walking scores at 4 weeks after admission and at discharge were significantly higher in the PT6unit group than in the PT3unit group. No significant differences were found between the PT6unit and PT3unit groups for patients with mild and moderate paralysis. [Conclusion] Higher amounts of physical therapy exercise contributed to improvements in the walking ability of patients with complete and severe lower limb paralysis.
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spelling pubmed-47930182016-04-08 Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia Kawakami, Kenji Tanino, Genichi Tomida, Ken Kato, Yohei Watanabe, Makoto Okuyama, Yuko Sonoda, Shigeru J Phys Ther Sci Original Article [Purpose] This study aimed to determine the effects of increased amount of physical therapy exercise on improvements in the walking ability of patients with stroke. [Subjects and Methods] The subjects were selected from patients with stroke who were hospitalized in the convalescent rehabilitation ward, and included 91 patients who received physical therapy for 2.5–3 exercise sessions per day during 2005–2006 (PT3unit group), and 86 patients who received physical therapy for 4.5–6 exercise sessions per day during 2010–2015 (PT6unit group). The functional independence measure (FIM) score evaluates the walking ability of patients during hospital admission, 2 and 4 weeks after admission, and at discharge. The FIM score was stratified according to the degree of lower limb motor paralysis and subsequently compared between groups. [Results] Among the patients with complete paralysis and severe paralysis, the FIM-Walking scores at 4 weeks after admission and at discharge were significantly higher in the PT6unit group than in the PT3unit group. No significant differences were found between the PT6unit and PT3unit groups for patients with mild and moderate paralysis. [Conclusion] Higher amounts of physical therapy exercise contributed to improvements in the walking ability of patients with complete and severe lower limb paralysis. The Society of Physical Therapy Science 2016-02-29 2016-02 /pmc/articles/PMC4793018/ /pubmed/27065551 http://dx.doi.org/10.1589/jpts.28.602 Text en 2016©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
spellingShingle Original Article
Kawakami, Kenji
Tanino, Genichi
Tomida, Ken
Kato, Yohei
Watanabe, Makoto
Okuyama, Yuko
Sonoda, Shigeru
Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title_full Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title_fullStr Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title_full_unstemmed Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title_short Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
title_sort influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4793018/
https://www.ncbi.nlm.nih.gov/pubmed/27065551
http://dx.doi.org/10.1589/jpts.28.602
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