Smith Patricia S, Thompson Mary
Department of Physical Therapy, The University of Texas Southwestern Medical Center, Dallas, Texas 75239-8876, USA.
Clin Rehabil. 2008 Oct-Nov;22(10-11):997-1002. doi: 10.1177/0269215508088988.
To explore the secondary benefits of treadmill training for people in the chronic stage of recovery from stroke.
Modified random assignment, matched-pair control group design with repeated measures.
Outpatient stroke centre.
Twenty individuals post first stroke who acknowledged walking slower than pre stroke. Participants matched by side of hemiparesis and motor impairment.
Twelve 20-minute sessions of walking on a treadmill or weekly phone call.
Depression (Beck Depression Index), mobility and social participation (Stroke Impact Scale 3.0 subscales) were assessed initially, at the end of 12 treatments (four weeks) and six weeks later.
No significant difference was found between groups for any dependent measure. The ANOVA to investigate main effects in each group found no significant findings in the control group; however in the treatment group significant improvements over time for depression (P = 0.005, P < 0.001), mobility (P = 0.008) and social participation (P = 0.004) were demonstrated.
A task-specific intervention designed to improve gait speed may potentially provide secondary benefits by positively impacting depression, mobility and social participation for people post stroke.
探讨跑步机训练对中风慢性恢复期患者的次要益处。
改良随机分配、配对对照组设计并重复测量。
门诊中风中心。
20名首次中风后承认步行速度比中风前慢的个体。参与者按偏瘫侧和运动障碍进行配对。
在跑步机上进行12次每次20分钟的步行训练或每周电话随访。
最初、12次治疗结束时（四周）及六周后评估抑郁（贝克抑郁量表）、活动能力和社会参与度（中风影响量表3.0子量表）。
各相关测量指标在两组间均未发现显著差异。调查每组主要效应的方差分析在对照组未发现显著结果；然而，治疗组在抑郁（P = 0.005，P < 0.001）、活动能力（P = 0.008）和社会参与度（P = 0.004）方面随时间有显著改善。
一项旨在提高步态速度的特定任务干预可能通过对中风后患者的抑郁、活动能力和社会参与产生积极影响而带来次要益处。
