Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke
Stroke commonly results in substantial and persistent deficits in locomotor function. The majority of scientific inquiries have focused on singular intervention approaches, with recent attention given to task specific therapies. We propose that measurement should indicate the most critical limitin...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.4061/2011/601416 |
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| _version_ | 1832555082971873280 |
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| author | Mark G. Bowden Aaron E. Embry Chris M. Gregory |
| author_facet | Mark G. Bowden Aaron E. Embry Chris M. Gregory |
| author_sort | Mark G. Bowden |
| collection | DOAJ |
| description | Stroke commonly results in substantial and persistent deficits in locomotor function. The majority of scientific inquiries have focused on singular intervention approaches, with recent attention given to task specific therapies. We propose that measurement should indicate the most critical limiting factor(s) to be addressed and that a combination of adjuvant treatments individualized to target accompanying impairment(s) will result in the greatest improvements in locomotor function. We explore training to improve walking performance by addressing a combination of: (1) walking specific motor control; (2) dynamic balance; (3) cardiorespiratory fitness and (4) muscle strength and put forward a theoretical framework to maximize the functional benefits of these strategies as physical adjuvants. The extent to which any of these impairments contribute to locomotor dysfunction is dependent on the individual and will undoubtedly change throughout the rehabilitation intervention. Thus, the ability to identify and measure the relative contributions of these elements will allow for identification of a primary intervention as well as prescription of additional adjuvant approaches. Importantly, we highlight the need for future studies as appropriate dosing of each of these elements is contingent on improving the capacity to measure each element and to titrate the contribution of each to optimal walking performance. |
| format | Article |
| id | doaj-art-e7dc58f824604a1eb9a4d4db8005ee3f |
| institution | Kabale University |
| issn | 2042-0056 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-e7dc58f824604a1eb9a4d4db8005ee3f2025-02-03T05:49:47ZengWileyStroke Research and Treatment2042-00562011-01-01201110.4061/2011/601416601416Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after StrokeMark G. Bowden0Aaron E. Embry1Chris M. Gregory2Rehabilitation Research and Development Service, Ralph H. Johnson VA Medical Center, Department of Health Science and Research and Division of Physical Therapy, Medical University of South Carolina, 77 President Street, MSC 700, Charleston, SC 29425, USARehabilitation Research and Development Service, Ralph H. Johnson VA Medical Center, Department of Health Science and Research and Division of Physical Therapy, Medical University of South Carolina, 77 President Street, MSC 700, Charleston, SC 29425, USARehabilitation Research and Development Service, Ralph H. Johnson VA Medical Center, Department of Health Science and Research and Division of Physical Therapy, Medical University of South Carolina, 77 President Street, MSC 700, Charleston, SC 29425, USAStroke commonly results in substantial and persistent deficits in locomotor function. The majority of scientific inquiries have focused on singular intervention approaches, with recent attention given to task specific therapies. We propose that measurement should indicate the most critical limiting factor(s) to be addressed and that a combination of adjuvant treatments individualized to target accompanying impairment(s) will result in the greatest improvements in locomotor function. We explore training to improve walking performance by addressing a combination of: (1) walking specific motor control; (2) dynamic balance; (3) cardiorespiratory fitness and (4) muscle strength and put forward a theoretical framework to maximize the functional benefits of these strategies as physical adjuvants. The extent to which any of these impairments contribute to locomotor dysfunction is dependent on the individual and will undoubtedly change throughout the rehabilitation intervention. Thus, the ability to identify and measure the relative contributions of these elements will allow for identification of a primary intervention as well as prescription of additional adjuvant approaches. Importantly, we highlight the need for future studies as appropriate dosing of each of these elements is contingent on improving the capacity to measure each element and to titrate the contribution of each to optimal walking performance.http://dx.doi.org/10.4061/2011/601416 |
| spellingShingle | Mark G. Bowden Aaron E. Embry Chris M. Gregory Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke Stroke Research and Treatment |
| title | Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke |
| title_full | Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke |
| title_fullStr | Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke |
| title_full_unstemmed | Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke |
| title_short | Physical Therapy Adjuvants to Promote Optimization of Walking Recovery after Stroke |
| title_sort | physical therapy adjuvants to promote optimization of walking recovery after stroke |
| url | http://dx.doi.org/10.4061/2011/601416 |
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