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Effect of gross motor group exercise on functional status in chronic stroke: a randomized controlled trial
Kim K, Lee B, Lee W
Journal of Physical Therapy Science 2014 Jul;26(7):977-980
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The aim of this study was to understand the effects of task-oriented gross motor group exercise based on motor development on chronic stroke patients' joint, bone, muscle, and motor functions and activities of daily living. SUBJECTS: Twenty-eight stroke patients hospitalized at P municipal nursing facility for the severely handicapped were randomly assigned to the gross motor group exercise group (experimental group, n = 14) or the control group (n = 14). METHODS: The two groups performed morning exercise led by a trainer for 30 minutes a day, 5 times a week for 6 weeks in total. The experimental group performed a gross motor group exercise in addition to this exercise for 50 minutes a day, 3 times a week for 6 weeks in total. Before the experiment, all subjects were measured with the Modified Barthel Index (MBI) and for their neuromuscular skeletal and motor-related functions according to the International Classification of Functioning, Disability and Health. RESULTS: Significant improvements were found in the experimental group's neuromusculoskeletal and motor-related functions and MBI test, except for the stability of joint functions. The control group showed no significant difference from the initial evaluation. CONCLUSION: The gross motor group exercise based on motor development is recommended for chronic stroke patients with severe handicaps.

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