Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: A randomized controlled pilot study

Inaacutecio Teixeira Da Cunha, Peter A. Lim, Huma Qureshy, Helene Henson, Trilok Monga, Elizabeth J. Protas

Research output: Contribution to journalArticle

123 Citations (Scopus)

Abstract

Objective: To investigate gait outcomes with supported treadmill ambulation training (STAT) associated with regular rehabilitation in acute stroke survivors. Design: Randomized controlled trial, pilot study. Setting: Rehabilitation medicine service at a Veterans Affairs medical center. Participants: Seven acute stroke survivors assigned to regular intervention group and 6 patients assigned to STAT intervention. Interventions: Regular intervention consisted of 3 hours daily of physical therapy, kinesiotherapy, and occupational therapy. STAT group received regular rehabilitation with STAT substituted for usual gait training, Participants were tested at baseline, treated for an average of 3 weeks, and retested on discharge. The analysis of covariance procedure was used to test for differences between the 2 approaches. Main Outcome Measures: Functional Ambulation Category Scale, gait speed, walking distance, gait energy expenditure, and gait energy cost. Results: The small sample size did not generate enough power to detect significant differences in any variable, However, medium to large effect sizes of 0.7 and 1.16 standard deviation units were observed for gait energy cost and walk distance, respectively. Conclusions: This pilot study indicated that STAT is a safe, feasible, and promising intervention for acute stroke survivors. A larger trial is warranted for statistical relevance.

Original languageEnglish (US)
Pages (from-to)1258-1265
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number9
DOIs
StatePublished - Sep 2002
Externally publishedYes

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Gait
Walking
Stroke
Survivors
Rehabilitation
Costs and Cost Analysis
Occupational Therapy
Veterans
Stroke Rehabilitation
Sample Size
Energy Metabolism
Randomized Controlled Trials
Medicine
Outcome Assessment (Health Care)

Keywords

  • Ambulation
  • Cerebrovascular accident
  • Gait
  • Rehabilitation
  • Treadmill test

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training : A randomized controlled pilot study. / Da Cunha, Inaacutecio Teixeira; Lim, Peter A.; Qureshy, Huma; Henson, Helene; Monga, Trilok; Protas, Elizabeth J.

In: Archives of Physical Medicine and Rehabilitation, Vol. 83, No. 9, 09.2002, p. 1258-1265.

Research output: Contribution to journalArticle

Da Cunha, Inaacutecio Teixeira ; Lim, Peter A. ; Qureshy, Huma ; Henson, Helene ; Monga, Trilok ; Protas, Elizabeth J. / Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training : A randomized controlled pilot study. In: Archives of Physical Medicine and Rehabilitation. 2002 ; Vol. 83, No. 9. pp. 1258-1265.
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