Walking Training and Functioning Among Elderly Persons With Stroke: Results of a Prospective Cohort Study.
Study Goal
To determine if walking rehabilitation improves functioning and quality of life in 65- to 85-year-old persons who had a stroke within the previous 3-36 months.
Results Summary
Walking distance and both self-reported and measured functioning improved significantly during rehabilitation, though quality of life and balance measures remained unchanged. The intervention showed statistically significant improvements in motor skills, self-care, and functional independence.
Population
65- to 85-year-old persons who had a stroke within the previous 3-36 months.
Effective Dosage
Inpatient (20 days) or outpatient (18 days) rehabilitation, followed by 10-15 individual physiotherapy sessions and home exercises.
Duration
6 months (including follow-up).
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | Walking distance (6-Minute Walking Test) | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 17 ± 51 meters | improved | #1 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | AMPS motor scale score | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 0.15 ± 0.65 logits | improved | #2 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | AMPS process scale score | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 0.10 ± 0.46 logits | improved | #3 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | FSQ self-care score | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 2.8 ± 15.8 points | improved | #4 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | total score of the FIM | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 4.2 ± 9.0 | statistically significant changes | #5 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | motor score of the FIM | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 3.7 ± 8.0 | statistically significant changes | #6 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | increase | cognitive score of the FIM | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | 0.5 ± 2.0 | statistically significant changes | #7 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | no change | Berg Balance Scale (BBS) | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | - | remained unchanged | #8 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | no change | WHO Quality of Life (WHOQOL-BREF) | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | - | remained unchanged | #9 |
multidisciplinary rehabilitation intervention consisting of inpatient or outpatient rehabilitation with follow-up, including walking exercises with and without body-weight support, conventional physiotherapy, and subsequent individual physiotherapy sessions with guidance in home exercises | no change | Sense of Coherence (SOC-13) | 65- to 85-year-old persons who had a stroke within the previous 3-36 months | - | remained unchanged | #10 |
OBJECTIVE: To determine if 65- to 85-year-old persons who had a stroke within the previous 3-36 months can improve functioning and quality of life during walking rehabilitation. DESIGN: Prospective cohort study with 6-month follow-up. SETTING: Three inpatient rehabilitation centers and one outpatient rehabilitation center. PARTICIPANTS: A total of 147 persons who had sustained a stroke. INTERVENTION: The multidisciplinary rehabilitation intervention consisted of inpatient (20 days) or outpatient (18 days) rehabilitation with follow-up. Rehabilitation included walking exercises with and without body-weight support and conventional physiotherapy. After the rehabilitation period, participants received 10-15 individual physiotherapy sessions at outpatient clinics and guidance in home exercises. MEASUREMENTS: The 6-Minute Walking Test (6MWT), Berg Balance Scale (BBS), Assessment of Motor and Process Skills (AMPS), Functional Status Questionnaire (FSQ), Functional Independence Measure (FIM), WHO Quality of Life (WHOQOL-BREF), and Sense of Coherence (SOC-13) were administered at the beginning of rehabilitation and at 6-month follow-up. RESULTS: Walking distance (6MWT) improved by 17 ± 51 meters (P < .001). The AMPS motor scale score improved by 0.15 ± 0.65 logits (P = .010), the process scale score improved by 0.10 ± 0.46 logits (P = .012), and the FSQ self-care score improved by 2.8 ± 15.8 points (P = .039). The changes in the total (4.2 ± 9.0), motor (3.7 ± 8.0), and cognitive (0.5 ± 2.0) scores of the FIM were statistically significant (P < .01). The BBS, WHOQOL-BREF, and SOC-13 remained unchanged. CONCLUSIONS: Walking distance and both self-reported and measured functioning improved during walking rehabilitation among elderly persons who had a stroke. Maintaining or improving functioning through rehabilitation and self-administered exercises may be important in supporting mobility and independent living outside institutional care.