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Aerobic treadmill plus Bobath walking training improves walking in subacute stroke
EICH HJ; MACH C; WERNER C
CLIN REHABIL , 2004, vol. 18, n° 6, p. 640-651 Doc n°: 114719 Localisation : Documentation IRR Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DF24 - REEDUCATION DE LA MARCHE, KA61 - BOBATH Objective: To evaluate the immediate and long-term effects of aerobic treadmill plus Bobath walking training in subacute stroke survivors compared with Bobath walking training alone. Design: Randomized controlled trial. Setting: Rehabilitation unit. Subjects: Fifty patients, first-time supratentorial stroke, stroke interval less than six weeks, Barthel Index (0-100) from 50 to 80, able to walk a minimum distance of 12 m with either intermittent help or stand-by while walking, cardiovascular stable, minimum 50 W in the bicycle ergometry, randomly allocated to two groups, A and B. Interventions: Group A 30 min of treadmill training, harness secured and minimally supported according to patients' needs, and 30 min of physiotherapy, every workday for six weeks, speed and inclination of the treadmill were adjusted to achieve a heart rate of HR: (Hrmax-HRrest)*0.6+HRrest; in group B 60 min of daily physiotherapy for six weeks. Main outcome measures: Primary outcome variables were the absolute improvement of walking velocity (m/s) and capacity ( m), secondary were gross motor function including walking ability Langue : ANGLAIS |
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