Rehabilitation with accurate adaptability walking tasks or steady state walking: A randomized clinical trial in adults post-stroke.
Rehabilitation with accurate adaptability walking tasks or steady state walking: A randomized clinical trial in adults post-stroke.
复制标题
通过准确的适应性步行任务或稳态步行进行康复：针对成人中风后的随机临床试验。
DOI：
10.1177/02692155211001682
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发表时间：
2021-08
影响因子：
3
通讯作者：
Fox, Emily J.
中科院分区：
文献类型：
--
作者：
Clark, David J.;Rose, Dorian K.;Butera, Katie A.;Hoisington, Brooke;DeMark, Louis;Chatterjee, Sudeshna A.;Hawkins, Kelly A.;Otzel, Dana M.;Skinner, Jared W.;Christou, Evangelos A.;Wu, Samuel S.;Fox, Emily J.
To assess changes in walking function and walking-related prefrontal cortical activity following two post-stroke rehabilitation interventions: an accurate adaptability (ACC) walking intervention and a steady state (SS) walking intervention. Randomized, single blind, parallel group clinical trial. Hospital research setting. Adults with chronic post-stroke hemiparesis and walking deficits. ACC emphasized stepping accuracy and walking adaptability, while SS emphasized steady state, symmetrical stepping. Both included 36 sessions led by a licensed physical therapist. ACC walking tasks recruit cortical regions that increase corticospinal tract activation, while SS walking activates the corticospinal tract less intensely. The primary functional outcome measure was preferred steady state walking speed. Prefrontal brain activity during walking was measured with functional near infrared spectroscopy to assess executive control demands. Assessments were conducted at baseline, post-intervention (3 months), and follow-up (6 months). Thirty eight participants were randomized to the study interventions (mean age 59.6±9.1 years; mean months post-stroke 18.0±10.5). Preferred walking speed increased from baseline to post-intervention by 0.13±0.11 m/s in the ACC group and by 0.14±0.13 m/s in the SS group. The Time × Group interaction was not statistically significant (p=0.86). Prefrontal fNIRS during walking decreased from baseline to post-intervention, with a marginally larger effect in the ACC group (p=0.05). The ACC and SS interventions produced similar changes in walking function. fNIRS suggested a potential benefit of ACC training for reducing demand on prefrontal (executive) resources during walking.
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影响因子：
4.8
作者：
Eggenberger P;Wolf M;Schumann M;de Bruin ED
通讯作者：
de Bruin ED
DOI：
10.1016/j.apmr.2007.08.109
发表时间：
2007-11-01
影响因子：
4.3
作者：
Jonsdottir, Johanna;Cattaneo, Davide
通讯作者：
Cattaneo, Davide
影响因子：
4.8
作者：
Clark DJ;Rose DK;Ring SA;Porges EC
通讯作者：
Porges EC
影响因子：
3.8
作者：
Clark, David J.;Kautz, Steven A.;Bauer, Andrew R.;Chen, Yen-Ting;Christou, Evangelos A.
通讯作者：
Christou, Evangelos A.
影响因子：
2.2
作者：
Hornby, T. George;Straube, Donald S.;Narducci, Elizabeth A.
通讯作者：
Narducci, Elizabeth A.