Efficiency of High-Intensity Gait Training in the Rehabilitation of Post-Stroke Patients

Author:

Kireyev Igor V.1,Zhabotynska Natalia V.1,Andriukhin Dmytro A.2,Sydorchuk Mykhailo Yu.2,Tsemenko Karyna V.1,Liashok Andrey L.3

Affiliation:

1. NATIONAL UNIVERSITY OF PHARMACY, KHARKIV, UKRAINЕ

2. АLEF CLINIC, KHARKIV, UKRAINЕ

3. V. N. KARAZIN KHARKIV NATIONAL UNIVERSITY, KHARKIV, UKRAINЕ

Abstract

Aim: Research of the effectiveness of high-intensity gait training in the rehabilitation of middle-aged patients in different periods after a stroke. Materials and Methods: Middle-aged post-stroke patients took part in the research. They performed either a comprehensive rehabilitation program with the addition of high-intensity gait training or only high-intensity gait training. All patients underwent an assessment of their functioning before and after rehabilitation programs. The following tests were used for assessment: the Berg Balance Scale, the Modified Rivermead Mobility Index, the Functional Ambulation Classification, the 10-meter walk test, and “Get Up and Go” test. The results were processed using statistical methods. Results: The application of high-intensity gait training has demonstrated high efficiency in middle-aged post-stroke patients. Adding the method of high-intensity gait training to comprehensive rehabilitation programs demonstrated significantly higher efficiency than the use of only high-intensity gait training. At the same time, in post-stroke patients, in the early recovery period, the improvement in functioning was better than in the late recovery period. Conclusions: Adding the method HIGT to the comprehensive rehabilitation of middle-age post-stroke patients leads to a significant improvement in their functioning, especially in the early recovery period.

Publisher

ALUNA

Subject

General Medicine

Reference17 articles.

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4. 4. Hakansson K, Ledreux A, Daffner K, Terjestam Y, Bergman P, Carlsson R, et al. BDNF Responses in Healthy Older Persons to 35 Minutes of Physical Exercise, Cognitive Training, and Mindfulness: Associations with Working Memory Function. J Alzheimers Dis. 2017;55(2):645-657. doi: 10.3233/JAD-160593.

5. 5. American Physical Therapy Association. High Intensity Gait Training Once per Week Improved Gait for Individual One Year Post Stroke. https://apta.confex.com/apta/csm2020/meetingapp.cgi/Paper/25326#:~:text=Background%20and%20Purpose%3A%20High%20Intensity,done%20in%20outpatient%20physical%20therapy [date access 10.06.2023]

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