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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Sofia Straudi (Ferrara University Hospital) Carlotta Martinuzzi (Ferrara University Hospital) Andrea Baroni (Ferrara University Hospital) Maria Grazia Benedetti (Istituto Ortopedico Rizzoli) Calogero Foti (University of Rome Tor Vergata) Amira Sabbagh Charabati (Ferrara University Hospital) Claudia Pavarelli (Ferrara University Hospital) Nino Basaglia (Ferrara University Hospital)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제40권 제6호
발행연도
2016.12
수록면
989 - 997 (9page)

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Objective To explore the amount of practice and progression during task-oriented circuit training (TOCT) in chronic stroke survivors; to test the use of pedometers and observation-based measures in detecting step activity; to verify the possible correlation between step activity and locomotor function improvements.Methods Six community-dwelling chronic stroke survivors underwent 10 TOCT sessions (2 hours/each) over 2 weeks in which they were trained both on a treadmill and on six task-oriented workstations (W1?W6). During the sessions, they wore a piezoelectric pedometer and step activities were recorded. Outcome measures were as follows: % of activities during which pedometers worked properly; pedometer-based measures (total step counts, treadmill steps, workstation steps? total and W2,W3,W5,W6); observation-based measures (number of repetitions in task W1 and W4); walking speed changes measured by the 10-m walking test (10MWT) and walking endurance changes (6-minute walking test) after TOCT.Results During TOCT sessions (n=57), activities were recorded through pedometer-based measures in 4 out of the 6 patients. The total amount of step activity was 5,980.05±1,968.39 steps (54.29% in task-oriented workstations, 37.67% on treadmill, and 8.03% during breaks). Exercise progression was highlighted significantly by observational measures (W1, W4). A positive correlation was observed between increased gait speed and observational stair step repetitions progression (W1) (r=0.91, p=0.01) or pedometer-based tandem exercise step progression (W3) (r=0.98, p=0.01).Conclusion TOCT can be considered a high-intensity, progressive intervention to restore locomotor function in chronic stroke survivors. Pedometer-based measures might help in quantifying TOCT’s volume of practice; however, further investigations are required.
#Stroke #Rehabilitation #Gait

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참고문헌 (28)

참고문헌 신청
Michael K / 2007 / Ambulatory activity intensity profiles, fitness, and fatigue in chronic stroke / Top Stroke Rehabil 14:5~12 google schola Kleim JA / 2008 / Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage / J Speech Lang Hear Res 51:225~239 google schola Kwakkel G / 2004 / Effects of augmented exercise therapy time after stroke: a metaanalysis / Stroke 35:2529~2539 google schola Rose D / 2011 / Feasibility and effectiveness of circuit training in acute stroke rehabilitation / Neurorehabil Neural Repair 25:140~148 google schola English CK / 2007 / Circuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: a controlled trial / Arch Phys Med Rehabil 88:955~963 google schola

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