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Treadmill training post stroke: are there any secondary benefits? A pilot study

Department of Physical Therapy, The University of Texas Southwestern Medical Center, patricia.smith{at}utsouthwestern.edu

Mary Thompson

School of Physical Therapy, Texas Woman's University, Dallas, Texas, USA

Objective: To explore the secondary benefits of treadmill training for people in the chronic stage of recovery from stroke.

Design: Modified random assignment, matched-pair control group design with repeated measures.

Setting: Outpatient stroke centre.

Participants: Twenty individuals post first stroke who acknowledged walking slower than pre stroke. Participants matched by side of hemiparesis and motor impairment.

Interventions: Twelve 20-minute sessions of walking on a treadmill or weekly phone call.

Main outcome measures: Depression (Beck Depression Index), mobility and social participation (Stroke Impact Scale 3.0 subscales) were assessed initially, at the end of 12 treatments (four weeks) and six weeks later.

Results: No significant difference was found between groups for any dependent measure. The ANOVA to investigate main effects in each group found no significant findings in the control group; however in the treatment group significant improvements over time for depression (P=0.005, P<0.001), mobility (P=0.008) and social participation (P= 0.004) were demonstrated.

Conclusions: A task-specific intervention designed to improve gait speed may potentially provide secondary benefits by positively impacting depression, mobility and social participation for people post stroke.

Clinical Rehabilitation, Vol. 22, No. 10-11, 997-1002 (2008)
DOI: 10.1177/0269215508088988


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