Article

OBJECTIVE: To examine the effect of randomized controlled trials of walking
training on walking and self-care in patients with stroke.
DATA SOURCES: MEDLINE,
CINAHL, Embase, PEDro, OTSeeker, Central, and manual search to the end of August
2012. STUDY SELECTION: English, Finnish, Swedish, or German language walking
training randomized controlled trials for patients over 18 years of age with
stroke. DATA SYNTHESIS: The meta-analyses included 38 randomized controlled
trials from 44 reports. There was high evidence that in the subacute stage of
stroke, specific walking training resulted in improved walking speed and distance
compared with traditional walking training of the same intensity. In the chronic
stage, walking training resulted in increased walking speed and walking distance
compared with no/placebo treatment, and increased walking speed compared with
overall physio-therapy. On average, 24 training sessions for 7 weeks were needed.
CONCLUSION: Walking training improves walking capacity and, to some extent,
self-care in different stages of stroke, but the training frequency should be
fairly high.

Langue : ANGLAIS