Patricia S Smith1, Mary Thompson. 1. Department of Physical Therapy, The University of Texas Southwestern Medical Center, Dallas, Texas 75239-8876, USA. patricia.smith@utsouthwestern.edu
Abstract
OBJECTIVE: To explore the secondary benefits of treadmill training for people in the chronic stage of recovery from stroke. DESIGN: Modified random assignment, matched-pair control group design with repeated measures. SETTING:Outpatient stroke centre. PARTICIPANTS: Twenty individuals post first stroke who acknowledged walking slower than pre stroke. Participants matched by side of hemiparesis and motor impairment. INTERVENTIONS: Twelve 20-minute sessions of walking on a treadmill or weekly phone call. MAIN OUTCOME MEASURES: Depression (Beck Depression Index), mobility and social participation (Stroke Impact Scale 3.0 subscales) were assessed initially, at the end of 12 treatments (four weeks) and six weeks later. RESULTS: No significant difference was found between groups for any dependent measure. The ANOVA to investigate main effects in each group found no significant findings in the control group; however in the treatment group significant improvements over time for depression (P = 0.005, P < 0.001), mobility (P = 0.008) and social participation (P = 0.004) were demonstrated. CONCLUSIONS: A task-specific intervention designed to improve gait speed may potentially provide secondary benefits by positively impacting depression, mobility and social participation for people post stroke.
RCT Entities:
OBJECTIVE: To explore the secondary benefits of treadmill training for people in the chronic stage of recovery from stroke. DESIGN: Modified random assignment, matched-pair control group design with repeated measures. SETTING:Outpatientstroke centre. PARTICIPANTS: Twenty individuals post first stroke who acknowledged walking slower than pre stroke. Participants matched by side of hemiparesis and motor impairment. INTERVENTIONS: Twelve 20-minute sessions of walking on a treadmill or weekly phone call. MAIN OUTCOME MEASURES: Depression (Beck Depression Index), mobility and social participation (Stroke Impact Scale 3.0 subscales) were assessed initially, at the end of 12 treatments (four weeks) and six weeks later. RESULTS: No significant difference was found between groups for any dependent measure. The ANOVA to investigate main effects in each group found no significant findings in the control group; however in the treatment group significant improvements over time for depression (P = 0.005, P < 0.001), mobility (P = 0.008) and social participation (P = 0.004) were demonstrated. CONCLUSIONS: A task-specific intervention designed to improve gait speed may potentially provide secondary benefits by positively impacting depression, mobility and social participation for people post stroke.
Authors: David H Saunders; Mark Sanderson; Sara Hayes; Maeve Kilrane; Carolyn A Greig; Miriam Brazzelli; Gillian E Mead Journal: Cochrane Database Syst Rev Date: 2016-03-24
Authors: Shraddha Srivastava; Pei Chun Kao; Darcy S Reisman; John P Scholz; Sunil K Agrawal; Jill S Higginson Journal: Int J Phys Med Rehabil Date: 2016-10-12