Action for Rehabilitation from Neurological Injury (ARNI): A pragmatic study of functional training for stroke survivors

Kilbride, Cherry, Norris, Meriel, Theis, Nicola ORCID: 0000-0002-0775-1355 and Mohagheghi, Amir A (2013) Action for Rehabilitation from Neurological Injury (ARNI): A pragmatic study of functional training for stroke survivors. Open Journal of Therapy and Rehabilitation, 1 (2). pp. 40-51. doi:10.4236/ojtr.2013.12008

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This study evaluated the effectiveness of a twelve-week community-based functional training on measures of impairment, activity and participation in a group of stroke survivors. Isometric strength of the knee musculature, Centre-Of- Pressure (COP) based measures of balance, Berg Balance Scale (BBS), 10 m walk test, and the Subjective Index of Physical and Social Out come (SIPSO), were recorded at baseline, post- intervention, and after twelve weeks (follow-up). Exercise instructors delivered training once a week in a group format at a community centre. Significant improvement was noted in the BBS (p < 0.002), and 10 m walk speed (p = 0.03) post intervention which remained unchanged at follow-up. Total SIPSO score improved significantly post-intervention (p = 0.044). No other significant differences and no adverse effects were observed. It is possible that functional training provided more opportunity for the improvement of dynamic aspects of balance control that could be captured by the BBS but not with the traditional measures of balance using COP data. Results also suggest positive effects on the level of participation, and lack of association between measures of impairment and activity. Community based functional training could be effective and used to extend access to rehabilitation services beyond the acute and sub-acute stages after stroke.

Item Type: Article
Article Type: Article
Subjects: Q Science > QP Physiology
R Medicine > RB Pathology
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Nicola Theis
Date Deposited: 18 Oct 2017 13:49
Last Modified: 31 Aug 2023 09:10

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