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- Marklund, IngelaDepartment of Physiotherapy, Torsby Hospital, Sweden; Research Centre for Primary Care, Värmland County Council, Karlstad, Sweden (author)
Effects of lower limb intensive mass practice in poststroke patients : single-subject experimental design with long-term follow-up
- Article/chapterEnglish2006
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- 2016-07-01
- Sage Publications,2006
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- LIBRIS-ID:oai:DiVA.org:umu-22801
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22801URI
- https://doi.org/10.1191/0269215506cr973oaDOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:1929821URI
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- Language:English
- Summary in:English
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- OBJECTIVE: To investigate the effects of two weeks of intensive mass practice with a constraint-induced movement therapy approach for the lower extremity in five chronic poststroke patients, and the persistence of effects at three and six months.DESIGN: A single-subject experimental design (SSED) was used with an AB design and follow-ups three and six months later.SETTING: Outpatient rehabilitation at Torsby Hospital in Sweden.MAIN MEASURES: Motor function in lower extremity, mobility, dynamic balance, weight-bearing symmetry and walking ability were measured on six occasions during two weeks (A phase), with the Fugl-Meyer assessment for lower extremity, the Timed Up and Go, the Step Test, the Timed Walking Test and the Six-Minute Walk Test. During the intervention's B phase, six measurements were performed with the same time intervals as in the A phase. There were follow-ups three and six months later.INTERVENTION: The intervention (B phase) consisted of bicycling, training in water, strength training, standing weight-bearing, walking up and down stairs, walking indoors and outdoors and flexibility training of the lower extremity, on all weekdays, 6 h a day for two weeks.RESULTS: The results showed improvements in 23/30 variables (77%), 12 of them statistically significant (52%). At follow-up, 22/23 improvements persisted. For example, three of five subjects walked significantly further after the intervention and the follow-ups showed that they still walked further than before the intervention.CONCLUSION: Intensive mass practice with constraint-induced movement therapy for the lower extremity can improve motor function, mobility, dynamic balance, weight-bearing symmetry and walking ability in chronic poststroke patients. Long-term follow-up showed that the effects persisted for these five subjects.
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- Klässbo, MariaResearch and Public Health, Värmland County Council, Karlstad; Neurotec Department, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden (author)
- Department of Physiotherapy, Torsby Hospital, Sweden; Research Centre for Primary Care, Värmland County Council, Karlstad, SwedenResearch and Public Health, Värmland County Council, Karlstad; Neurotec Department, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)
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- In:Clinical Rehabilitation: Sage Publications20:7, s. 568-5760269-21551477-0873
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