Navigation Links
Study yields promising results for patients with stroke
Date:2/11/2011

ALEXANDRIA, VA One year after having a stroke, 52% of people who participate in either a physical therapy program that includes a walking program using a body-weight supported treadmill or a home-based program focused on progressive strength and balance exercises experience improved functional walking ability, according to the results of the Locomotor Experience Applied Post-stroke (LEAPS) trial being presented today at the American Stroke Association's International Stroke Conference 2011 in Los Angeles, and tomorrow at the American Physical Therapy Association's (APTA) 2011 Combined Sections Meeting in New Orleans.

The LEAPS trial, led by physical therapist and APTA member Pamela W. Duncan, PT, PhD, included 408 participants (average age 62) with recent stroke recruited from 6 US stroke rehabilitation centers between April 2006 and June 2009. Participants were 45% female, 58% Caucasian, 22% African American, and 13% Asian. All were assigned to 36 sessions of 75 to 90 minutes for 12 to 16 weeks in either a structured and progressive task-specific walking program that included body weight supported treadmill training provided early (2 months post-stroke) or late (6 months post-stroke), or a structured and progressive home-based exercise program of strength and balance provided 2 months post-stroke.

"The investigators hypothesized that the body-weight supported treadmill and walking program, especially early locomotor training, would be superior to a home exercise program; However at 1 year, the early walking group, late walking group, and exercise program targeting strength and balance achieved similar important gains in walking speed, motor recovery, balance, functional status, and quality of life," said Duncan, professor at Duke University School of Medicine in Durham, North Carolina. "Additionally, walkers with severe and moderate limitations improved with all programs. In all groups, the biggest improvements in outcomes were made after the first 12 sessions of therapy, but 13% of the subjects continued to make functional gains in walking recovery by 24 sessions and another 7% improved by 30 to 36 sessions."

Individuals in the locomotor training groups were more likely to feel faint and dizzy during the exercise, and those who received early locomotor training experienced more multiple falls. Fifty-seven percent of all participants experienced 1 fall, 34% had multiple falls, and 6% had a fall resulting in injury. Falls are a common problem among stroke survivors, and the investigators say this study builds on evidence that additional research is needed to prevent falls.

A secondary finding of the study shows that at 6 months post-stroke, a group who had not yet received any therapy beyond usual care showed improved walking speed, but only about half as much as the participants who received either the walking or home-based program at 2 months. The 6-month findings, according to Duncan and colleagues, suggest that both programs are effective forms of physical therapy and are superior to usual care provided according to current standards of practice.

In the United States, nearly 800,000 people suffer a stroke each year and 2/3 of survivors have limited walking ability after 3 months, says Duncan. "The bottom line is that patients recover faster and sustain recovery when the intervention is given early."


'/>"/>

Contact: Erin Wendek
erinwendel@apta.org
202-213-0622
American Physical Therapy Association
Source:Eurekalert

Related medicine news :

1. Study finds preterm birth clinic attendance leads to major reduction in infant disability
2. Few Stroke Patients Given Clot-Buster Quickly Enough: Study
3. Study finds preterm birth clinic attendence leads to major reduction in infant disability
4. Study finds even with fetal lung maturity, babies delivered prior to 39 weeks are at risk
5. Study examines phenomenon of women caring for ex-husbands
6. LED products billed as eco-friendly contain toxic metals, study finds
7. Coastal Canadians living in high-risk neighborhoods in poorer health: Study
8. Obesity Tied to Education, Income, but Not Suburbia: Study
9. Study finds that folate does not offer protection against preterm delivery
10. Study finds magnesium sulfate may offer protection from cerebral palsy
11. Study finds women used 30 percent less analgesia during labor when self-administered
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/29/2017)... ... March 29, 2017 , ... The assembly of synthetic ... involve many repetitive steps and often scientists require many different versions of DNA. ... and results in a lower error rate and cost saving for reagents and ...
(Date:3/29/2017)... , ... March 29, 2017 ... ... and South Hills of Pittsburgh now have easier access to the robotic-assisted ... by Allegheny Health Network (AHN). Orthopaedic surgeons at Forbes Hospital and Jefferson ...
(Date:3/29/2017)... (PRWEB) , ... March 29, 2017 , ... AvePoint ... seventh North American office location in Richmond, Virginia, located at the Riverfront Plaza, 901 ... attended by Lieutenant Governor of Virginia Ralph S. Northam and Mayor of Richmond Levar ...
(Date:3/28/2017)... (PRWEB) , ... March 28, 2017 , ... Tuesday, March ... the American public to take the Diabetes Risk Test to find out if they ... Los Angeles World Airports will light up the evening sky by programming the LAX ...
(Date:3/28/2017)... ... March 28, 2017 , ... Greenfield ... Williamson brings his extensive knowledge of appraisals, property values, ad valorem taxation, and ... estate valuation industry for more than 40 years. , “Ruel is a great ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... , March 29, 2017  Spiral Therapeutics, ... agreement with Bionure Farma, S.L. for the worldwide ... to BN119 in the field of otolaryngology for ... sales-based royalties. The agreement provides Spiral with ... with a differentiated product profile. Under the terms ...
(Date:3/29/2017)... HEIGHTS, Utah , March 29, 2017 /PRNewswire/ ... ) announced today the appointment of Cynthia ... Operations.  Cyndi will be responsible for leading Dynatronics ... organization and will report to Dynatronics, CEO ... Cyndi,s appointment concludes an extensive search process conducted ...
(Date:3/29/2017)... SPRING, Md. , March 29, 2017 On March ... (ocrelizumab) to treat adult patients with relapsing forms of ... This is the first drug approved by the FDA ... a health care professional.  "Multiple sclerosis ... said Billy Dunn , M.D., director of the ...
Breaking Medicine Technology: