Article

OBJECTIVE: To compare the efficacy of intensive daily applied progressive group
therapy task training with equally dosed individual progressive task training on
self-reported mobility for patients with moderate to severe stroke during
inpatient rehabilitation. DESIGN: Randomized controlled clinical trial. SETTING:
In-patient rehabilitation center. SUBJECTS: A total of 73 subacute patients with
stroke who were not able to walk without physical assistance at randomisation.
INTERVENTIONS: Patients were allocated to group therapy task training (GT) or
individual task training (IT). Both interventions were intended to improve
walking competency and comprised 30 sessions of 90 minutes over six weeks. MAIN
MEASURES: Primary outcome was the mobility domain of the Stroke Impact Scale
(SIS-3.0). Secondary outcomes were the other domains of SIS-3.0, standing
balance, gait speed, walking distance, stair climbing, fatigue, anxiety and
depression. RESULTS: No adverse events were reported in either arm of the trial.
There were no significant differences between groups for the SIS mobility domain
at the end of the intervention
(Z= -0.26, P = 0.79). No significant differences
between groups were found in gait speed improvements (GT:0.38 +/-0.23;
IT:0.26+/-0.35), any other gait related parameters, or in non-physical outcomes
such as depression and fatigue. CONCLUSION: Inpatient group therapy task training
for patients with moderate to severe stroke is safe and equally effective as a
dose-matched individual task training therapy. Group therapy task training may be
delivered as an alternative to individual therapy or as valuable adjunct to
increase time spent in gait-related activities.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS