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Action for Rehabilitation from Neurological Injury (ARNI): A pragmatic study of functional training for stroke survivors

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Open Journal of Therapy and Rehabilitation 2013年第2期1卷 40-51页

作者： cherry kilbride Meriel Norris Nicola Theis Amir A. Mohagheghi Centre for Research in Rehabilitation School of Health Sciences and Social Care Brunel University London UK Centre for Sports Medicine and Human Performance School of Sport and Education Brunel University London UK

This study evaluated the effectiveness of a twelve-week community-based functional training on measures of impairment, activity and participation in a group of stroke survivors. Isometric strength of the knee musculature, Centre-Of-Pressure (COP) based measures of balance, Berg Balance Scale (BBS), 10 m walk test, and the Subjective Index of Physical and Social Out come (SIPSO), were recorded at baseline, post-intervention, and after twelve weeks (follow-up). Exercise instructors delivered training once a week in a group format at a community centre. Significant improvement was noted in the BBS (p < 0.002), and 10 m walk speed (p = 0.03) post intervention which remained unchanged at follow-up. Total SIPSO score improved significantly post-intervention (p = 0.044). No other significant differences and no adverse effects were observed. It is possible that functional training provided more opportunity for the improvement of dynamic aspects of balance control that could be captured by the BBS but not with the traditional measures of balance using COP data. Results also suggest positive effects on the level of participation, and lack of association between measures of impairment and activity. Community based functional training could be effective and used to extend access to rehabilitation services beyond the acute and sub-acute stages after stroke.

关键词： Balance Centre-of-Pressure Functional Training Hemiplegia ICF Rehabilitation Strength Stroke

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