Journal Club CEU Approval
Contact Hours: 1
AR | FL CE26-803266 | ID
Balance, Balance Confidence, and Health-Related Quality of Life in Person with Chronic Stroke After Body Weight-Supported Treadmill Training
JC11Q2
On-demand
$10
On-demand
$10
Webinar Description
Balance, Balance Confidence, and Health-Related Quality of Life in Person with Chronic Stroke After Body Weight-Supported Treadmill Training Arch Phys Med Rehabil, December, 2010;91:1914-9 Stephanie A. Combs, PT, PhD, Eric L. Dugan, PhD, Miranda Passmore, DPT, Cara Riesner, DPT, Dana Whipker, DPT, Elizabeth Yingling, DPT, Amy B. Curits, PhD
CEU Information
Overview
Functional limitations and participation restrictions post-stroke are related to balance impairment, ADL limitations, and restricted community mobility. In this prospective, repeated-measures within-group design study, Dr. Combs and colleagues investigated the relationship between these, following BWS GT in individuals in the chronic stage of stroke recovery. Measures were taken 1 week prior to intervention, immediately post-intervention and at 6 months post-intervention. Recently released data from the LEAPS trial indicates that meaningful change can be driven in individuals post-stroke at 6 months post-injury, but that more change is seen when intervention is performed earlier, supporting the intervention in this study being performed at 6 months or greater post-stroke. A total of 19 community-dwelling subjects age 61.1 + 11.7 years, with hemiplegia in the chronic stage(> 6 months; mean 3.8) following stroke were included in this study, with 16 completing it for inclusion in statistical analysis. Comfortable walking speeds prior to intervention (10 meter walk test) was between .4 and .8 m/s (range for limited community ambulation). Intervention was provided 3x/week for 8 weeks, for a total of 24 sessions (participation in 20 sessions required for inclusion in statistical analysis). Total walking time per session was 20 minutes (higher than average in inpatient rehabilitation settings), with intermittent rest breaks (not included in walking time). Specific interventions included manual assistance (facilitation of weight shift, pelvic movement, paretic limb facilitation of movement/control) to provide optimal gait pattern. AFOs and UE support on handrail were not used during training. BWS began at 30% in static standing, walking speed was set to the fastest the participant could achieve within the first 3 minutes of session on first day of training. Protocol was progressed by decreasing BWS only when the following conditions were met: speed increase per session of .2 mph (until minimum norms for community walking speed were met, or maximum tolerated was achieved), the subject required only a single rest period in the training session, demonstrated optimal step and stance length symmetry, upright trunk alignment and consistent heel-strike with adequate limb-loading without manual assistance for at least 5 minutes of the session (25% success rate). BWS progression was from 30% BWS to 15% BWS when these parameters were met. The next increment of change was from 15% BWS to 0, when these parameters were met again.
Webinar Information
Contact Hours: 1
Price: $10
Instructor: Nechama Karman
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