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Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke

The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation...

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Autores principales: Pellicer, Montserrat Grau, Lusar, Andrés Chamarro, Casanovas, Josep Medina, Ferrer, Bernat-Carles Serdà
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Exercise Rehabilitation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747202/
https://www.ncbi.nlm.nih.gov/pubmed/29326899
http://dx.doi.org/10.12965/jer.1735056.528
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author Pellicer, Montserrat Grau
Lusar, Andrés Chamarro
Casanovas, Josep Medina
Ferrer, Bernat-Carles Serdà
author_facet Pellicer, Montserrat Grau
Lusar, Andrés Chamarro
Casanovas, Josep Medina
Ferrer, Bernat-Carles Serdà
author_sort Pellicer, Montserrat Grau
collection PubMed
description The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index). The program consisted on: aerobic exercise; task oriented exercises; balance and postural tonic activities; and stretching. Participants also followed a program of progressive ambulation at home. They were evaluated at baseline, postintervention and at the end of a 6-month follow-up period. After the intervention there were significant improvements in all outcomes measures that were maintained 6 months later. Comfortable and fast walking speed increased an average of 0.16 and 0.40 m/sec, respectively. The walking distance in the 6-min walking test increased an average of 59.8 m. At the end of the intervention, participants had achieved independent ambulation both indoors and outdoors. In ADLs, 40% were independent at baseline vs. 64% at the end of the intervention. Our study demonstrates that a multimodal exercise rehabilitation program adapted to stroke survivors has benefits on walking speed, walking ability and independence in ADLs.
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spelling pubmed-57472022018-01-11 Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke Pellicer, Montserrat Grau Lusar, Andrés Chamarro Casanovas, Josep Medina Ferrer, Bernat-Carles Serdà J Exerc Rehabil Original Article The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index). The program consisted on: aerobic exercise; task oriented exercises; balance and postural tonic activities; and stretching. Participants also followed a program of progressive ambulation at home. They were evaluated at baseline, postintervention and at the end of a 6-month follow-up period. After the intervention there were significant improvements in all outcomes measures that were maintained 6 months later. Comfortable and fast walking speed increased an average of 0.16 and 0.40 m/sec, respectively. The walking distance in the 6-min walking test increased an average of 59.8 m. At the end of the intervention, participants had achieved independent ambulation both indoors and outdoors. In ADLs, 40% were independent at baseline vs. 64% at the end of the intervention. Our study demonstrates that a multimodal exercise rehabilitation program adapted to stroke survivors has benefits on walking speed, walking ability and independence in ADLs. Korean Society of Exercise Rehabilitation 2017-12-27 /pmc/articles/PMC5747202/ /pubmed/29326899 http://dx.doi.org/10.12965/jer.1735056.528 Text en Copyright © 2017 Korean Society of Exercise Rehabilitation This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Pellicer, Montserrat Grau
Lusar, Andrés Chamarro
Casanovas, Josep Medina
Ferrer, Bernat-Carles Serdà
Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title_full Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title_fullStr Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title_full_unstemmed Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title_short Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
title_sort effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747202/
https://www.ncbi.nlm.nih.gov/pubmed/29326899
http://dx.doi.org/10.12965/jer.1735056.528
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