Article

Intensive gait training can produce improvements in gait and function (>
6 months after stroke); findings are mixed for enhanced life role participation.
Therefore, it is unclear if improved gait and function translate into life role
participation gain. Our objective was to evaluate whether intensive gait therapy
can produce significant improvements in life role participation for chronic
stroke survivors. METHODS: In conjunction with a clinical gait training trial, we
conducted a secondary analysis for a 44-member cohort with stroke (>6 months).
Gait training interventions included exercise, body weight supported treadmill
training (BWSTT), over-ground gait training, and functional electrical
stimulation (FES) for 1.5 h/day, 4 days/wk for 12 weeks. Study measures included
Tinetti Gait (TG) (gait impairment), Functional Independence Measure (FIM,
function), Stroke Impact Scale Subscale of Life Role Participation (SISpart), and
Craig Handicap Assessment & Reporting Technique (CHART, life-role participation).
Analyses included Wilcoxon Signed Rank Test and PLUM Regression Model. RESULTS:
Gait interventions produced significant improvement in CHART (p = 0.020), SISpart
(p = 0.011), FIM (p < 0.0001), and Tinetti Gait (p < 0.0001). Age, gender and
time since stroke did not predict response to treatment. CONCLUSIONS: Intensive,
multi-modal, long-duration gait therapy resulted in significant gain in life-role
participation, according to a relatively comprehensive, homogeneous measure.

Langue : ANGLAIS