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Clinical Rehabilitation, Vol. 20, No. 8, 645-655 (2006)
DOI: 10.1191/0269215506cre986oa
© 2006 SAGE Publications

The effect of exercise of the affected foot in stroke patients-a randomized controlled pilot trial

Elisabeth Rydwik

Sara Eliasson

Gunnar Akner

Nutrition and Pharmacotherapy Unit, Research and Development Unit for the Elderly North West, Karolinska Institute, Jakobsbergs Hospital, Sweden

Objective: To evaluate the effect of treatment with a portable device called Stimulo on range of motion, muscle strength and spasticity in the ankle joint and its effect on walking ability, balance, activities of daily living (ADL) and health-related quality of life in stroke patients.

Design: A randomized controlled pilot study.

Setting: A research centre.

Subjects: Ambulatory or partly ambulatory chronic stroke patients with remaining spasticity and/or decreased range of motion in the hemiparetic leg/ankle.

Interventions: Standardized and individualized programme including active and passive range of motion of the ankle with a portable device (Stimulo), performed three times a week for 30 min, over a six-week period.

Main measures: Range of motion, muscle strength, spasticity, gait variables, balance, ADL and health-related quality of life.

Results: Eighteen subjects were included in the study with a mean age of 75 years. The compliance rate was 94-99%. There were no significant differences between the groups.

Conclusion: The study showed no significant effect of an ankle-exercise intervention programme with Stimulo. Further studies with a larger sample size are of importance before any further conclusions can be drawn.


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