STROKE-MOBILITY INTERVENTIONS, TASK SPECIFIC EXERCISES
SUMMARY
1. Neurodevelopmental Training (NDT) or the Bobath restorative approach results in longer lengths of stay and offers no advantage.
2. Overground walking may be beneficial for improving functional ambulation and gait but not balance.
3. Cycle ergometer training may be beneficial for improving motor function, balance and ADLs, but not beneficial for functional mobility, gait, spasticity and muscle strength. The evidence is mixed for cycle ergometer training improving functional ambulation.
4. Treadmill training may improve functional ambulation, but may not impact balance, ADLs and motor function. The evidence is mixed for functional ambulation and gait.
5. Partial body weight support treadmill training may not improve gait or balance outcomes compared to conventional or other interventions[1]. The authors concluded that independent walkers benefit most from treadmill training.
6. Rhythmic auditory stimulation (RAS) is a form of gait training that involves the sensory cuing of motor systems; may improve gait, functional ambulation and balance post
stroke.
7. Dual task training, or cognitive motor interference, involves the simultaneous performance of a motor task and a cognitive task. The literature is mixed concerning dual-task training’s ability to improve functional ambulation, balance, gait and it may not be beneficial for improving motor function and activities of daily living.
8. TENS may be beneficial for improving functional mobility, functional ambulation, range of motion and spasticity. The literature is mixed for improving motor function, activities of daily living, gait, balance, and muscle strength.
Reference(s)
- ↑ Duncan, P. W., Sullivan, K. J., Behrman, A. L., Azen, S. P., Wu, S. S., Nadeau, S. E., . . . Cen, S. (2011). Body-weight–supported treadmill rehabilitation after stroke. New England Journal of Medicine, 364(21), 2026-2036.
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