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Rehabilitation including treadmill therapy for patients with incomplete locked-in syndrome after stroke - case series study of motor recovery

HOYER E; NORMANN B; SORSDAL R; STRAND LI
BRAIN INJ , 2010, vol. 24, n° 1, p. 34-45
Doc n°: 145871
Localisation : Accès réservé

D.O.I. : http://dx.doi.org/DOI:10.3109/02699050903471805
Descripteurs : AE2 - PARAPLEGIE-TETRAPLEGIE

The aim of this study was to explore changes in motor function
in patients with incomplete LIS referred to rehabilitation. A
prospective, explorative, multiple case study design was applied. METHODS : A multidisciplinary intervention programme was conducted including
treadmill therapy (TT) with body weight support. Patients being able to stand
upright supported by a standing frame were consecutively recruited to TT from
2001-2005. Physical performance was recorded on video and treadmill data were
registered. Performances of transfer and walking were selected as the focus of
observation. Two external observers described the performances independently,
using an observational form and validated the joint and condensed descriptions.
OUTCOMES AND RESULTS: A total of nine patients fulfilled the intervention
programme and no adverse events were noted. Personal assistance and body weight
support were reduced during the TT period and all patients demonstrated improved
physical performance. While five patients were able to practice some kind of
walking activity at the end of rehabilitation, four patients demonstrated
improvement in body functions, showing better postural control. CONCLUSION: This
study indicates that TT can be a safe and useful method to intensify the
rehabilitation programme for patients with incomplete LIS.

Langue : ANGLAIS

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