The Effect of Aquatic Therapy and Body Weight-Supported Treadmill Training on Gait and Balance for Individuals With Chronic Stroke: A Single-Subject Study...CSM APTA Combined Sections Meeting, February 21-24, 2018, New Orleans, Louisiana.
Background and purpose. The recovery of gait and balance is a consistent priority for individuals with stroke. Although strong evidence exists to support land-based interventions, including body weight-supported treadmill training (BWSTT), evidence to support aquatic physical therapy (AQPT) to impro...
| Publicado en: | Journal of Aquatic Physical Therapy Vol. 26; no. 1; pp. 2 - 13 |
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| Autores principales: | , , |
| Formato: | abstract clinical trial proceedings research tables/charts Journal Article |
| Publicado: |
American Physical Therapy Association, Aquatic Physical Therapy Section
summer2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137189059&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137189059 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23776102 Z1K jtl: Journal of Aquatic Physical Therapy issn: 23776102 maglogo: N pubinfo: dt: summer2018 vid: 26 iid: 1 pid: 38230 pub: American Physical Therapy Association, Aquatic Physical Therapy Section place: Alexandria, Virginia artinfo: ui: 137189059 137189059 137189059 137189059 ppf: 2 ppct: 11 formats: fmt: @attributes: type: P tig: atl: The Effect of Aquatic Therapy and Body Weight-Supported Treadmill Training on Gait and Balance for Individuals With Chronic Stroke: A Single-Subject Study...CSM APTA Combined Sections Meeting, February 21-24, 2018, New Orleans, Louisiana. aug: au: Fishel, Sarah McNamara, Christine Hetzler, Renée affil: Ithaca College, Ithaca, NY sug: subj: Hydrotherapy Body-Weight-Supported Treadmill Training Gait Balance, Postural Quality of Life Evaluation Stroke Patients Human Female Male Middle Age Aged Congresses and Conferences Louisiana Louisiana Crossover Design Repeated Measures Clinical Assessment Tools Clinical Trials Outcome Assessment Descriptive Statistics Scales Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background and purpose. The recovery of gait and balance is a consistent priority for individuals with stroke. Although strong evidence exists to support land-based interventions, including body weight-supported treadmill training (BWSTT), evidence to support aquatic physical therapy (AQPT) to improve gait and balance for individuals with stroke is limited. This single-subject crossover study investigated the effects of AQPT and BWSTT on the gait, balance, and quality of life of 2 people with chronic stroke. Methods. Two participants completed 2, 4-week intervention phases (AQPT, BWSTT) biweekly, with order of intervention randomized. Repeated measures, performed at each visit, included single leg stance (SLS), Romberg test (RT), and 10-meter walk test at self-selected and fast speeds. The Mini-BESTest, 6-minute walk test (6MWT), and Stroke Impact Scale (SIS) were performed before and after the study. Quasi-statistical analysis of repeated measures data was performed using the split middle lines, and comparison to minimal detectable change scores was performed for pre- and posttest data. Results. Participant 1 achieved a significant improvement in gait velocity during AQPT; Participant 2 achieved significant improvements in gait velocity during both AQPT and BWStT. Variability in SLS and RT data limited between phase comparison of these data; however, both participants improved on the Mini-BESTest after 8 weeks. The SIS score improved for Participant 2 in multiple domains related to physical functioning. On the 6MWT, Participant 2 improved after each intervention phase, while Participant 1 improved after AQPT but decreased overall after BWSTT to below baseline. Discussion and conclusions. Participant 2 experienced similar gait improvements during land-based and aquatic-based physical therapy programs, while Participant 1 experienced improvements only in response to AQPT. For individuals with chronic stroke, the aquatic environment is a supportive treatment environment therapists may consider for gait and balance training. pubtype: Academic Journal doctype: abstract clinical trial proceedings research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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