Jump training is feasible for nearly ambulatory patients after stroke

    loading  Checking for direct PDF access through Ovid

Abstract

Objective

To evaluate the feasibility of jump training for nearly ambulatory patients after stroke.

Design

Case series.

Setting

A rehabilitation centre for adult people with neurological disorders.

Subjects

Six subacute, nearly ambulatory patients with hemiparesis due to stroke.

Interventions

A modified form of jump training performed over a period of six weeks.

Measures

Impairments: We used the Motricity Index to measure strength, the Fugl-Meyer subtest passive joint motion/pain for range of motion and pain and the modified Tardieu Scale to measure spasticity at baseline and after six weeks. Activity level: To assess walking ability we used the Functional Ambulation Category, to measure walking quality we used 10-m gait velocity, stride length and Rivermead Visual Gait Index and to assess walking capacity we used the six-minute walk test.

Results

No severe adverse events were observed during the study period. Motricity Index sum score of the affected leg increased from 38 ± 11 points (mean ± SD) to 56 ± 15 points; P = 0.028. Modified Tardieu Scale and Fugl-Meyer subtest passive joint motion/pain remained unchanged over time (P = 1.0; P = 0.157, respectively). All patients were able to walk at the end of training (median Functional Ambulation Category grade five, P = 0.023). Gait quality improved as shown in increased gait velocity (from 0.3 ± 0.1 to 1.1 ± 0.5 m/s; P = 0.028), improved stride length (from 0.3 ± 0.1 to 0.6 ± 0.2 m; P = 0.028) and improved Rivermead Visual Gait Index score (from 38.7 ± 5.6 points to 24.8 ± 7.0 points; P = 0.027). All patient increased gait capacity (from 97 ± 33 m to 289 ± 134 m; P = 0.028).

Conclusion

Jump exercises are feasible for selected subacute stroke patients with hemiparesis.

Related Topics

    loading  Loading Related Articles