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Effects of facilitation exercise techniques in stroke rehabilitation
Stern PH, McDowell F, Miller JM, Robinson M
Archives of Physical Medicine and Rehabilitation 1970 Sep;51(9):526-531
clinical trial
3/10 [Eligibility criteria: No; Random allocation: No; 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*

A group of randomly selected patients with hemiplegia from stroke were exposed to a specified therapeutic exercise program utilizing neuromuscular "reeducation" techniques based on neurophysiological and/or developmental theories. Results were compared with those in a control group of persons who had received a similar program which did not contain these exercises. Patients in both groups were alike in their major clinical characteristics, and were evaluated using objective, quantitative test methods developed at The Burke Rehabilitation Center. In addition, a numerical self-care scoring system (Kenny Rehabilitation Institute Self-Care Evaluation) was used to assess functional improvement. This study indicates that facilitation exercises do not significantly improve the motility and strength deficits observed in these patients, because both groups showed comparable improvement. It can be concluded that these therapeutic exercises as outlined in this study do not improve motility and strength in patients with stroke.

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