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| Volitionale schulungsstrategien in der neurologischen rehabilitation zur forderung des walking-trainings -- eine pilotstudie (Application of volitional training strategies in neurological rehabilitation to increase regular walking training -- a pilot study) [German] |
| Ludwig L, Kuderer B, Dettmers C |
| Neurologie und Rehabilitation 2016 Jan;22(1):43-52 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: No; 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* |
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BACKGROUND: The aim was to develop a manual based on the health action process approach (HAPA) in order to increase engagement with physical activity (walking training) subsequent to the discharge from neurological rehabilitation and to examine longitudinal effects. METHOD: 74 patients with various neurological diagnoses were randomly allocated to one of two training programmes: either an intervention group (IG) based on the manual, or a control group based on motivational support (KG). RESULTS: In both groups the frequency and duration of walking training units increased in a highly significant and stable manner over 6 months independent of the training programme. The number of inactive patients was significantly reduced in the IG at first follow-up (1 month). A post-hoc analysis showed that stroke patients -- in contrast to multiple sclerosis patients -- tended to benefit more from the intervention programme than from the control programme. CONCLUSIONS: An educational program involving volitional techniques that aim to foster walking training subsequent to the discharge from neurological rehabilitation proved itself feasible for development and implementation within a neurological rehabilitation setting.
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