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A comparison of regular rehabilitation and regular rehabilitation with supported treadmill ambulation training for acute stroke patients
da Cunha Filho IT, Lim PAC, Qureshy H, Henson H, Monga T, Protas EJ
Journal of Rehabilitation Research and Development 2001 Mar-Apr;38(2):245-255
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

The purpose of this pilot study was to compare differences in motor recovery between regular rehabilitation (REG), and regular rehabilitation with supported treadmill ambulation training (STAT) using the performance on a bicycle exercise test and the locomotor scale of the Functional Independence Measure (FIM-L). Twelve patients with acute strokes were randomly assigned to either REG or STAT for 2 to 3 weeks. The STAT group received daily gait training utilizing a treadmill with partial support of body weight. After intervention, the STAT group had higher oxygen consumption (11.34 +/- 0.88 versus 8.32 +/- 0.88 ml/kg/min, p = 0.039), total workload (58.75 +/- 7.09 versus 45.42 +/- 7.09 watts, p = NS), and total time pedaling the bike (288.91 +/- 30.61 versus 211.42 +/- 30.61 s, p = NS) compared to the REG group. The FIM-L scores were not different for the two groups. This pilot study suggests that the STAT intervention is a promising technique for acute stroke rehabilitation, and that future studies with larger sample sizes are warranted to establish the effectiveness of this intervention.

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