Article

The Locomotor Experience Applied Post Stroke rehabilitation trial found
equivalent walking outcomes for body weight-supported treadmill plus overground
walking practice versus home-based exercise that did not emphasize walking.
From this large database, we examined several clinically important questions that
provide insights into recovery of walking that may affect future trial designs.
Using logistic regression analyses, we examined predictors of response based on a
variety of walking speed-related outcomes and measures that captured disability,
physical impairment, and quality of life. The most robust predictor was being
closer at baseline to the primary outcome measure, which was the functional
walking speed thresholds of 0.4 m/s (household walking) and 0.8 m/s (community
walking). Regardless of baseline walking speed, a younger age and higher Berg
Balance Scale score were relative predictors of responding, whether operationally
defined by transitioning beyond each speed boundary or by a continuous change or
a greater than median increase in walking speed. Of note, the cutoff values of
0.4 and 0.8 m/s had no particular significance compared with other walking speed
changes despite their general use as descriptors of functional levels of walking.
No evidence was found for any difference in predictors based on treatment group.

Langue : ANGLAIS