Short-term effects of physiotherapy combining repetitive facilitation exercises and orthotic treatment in chronic post-stroke patients
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- Tomioka Kazutoshi
- Department of Rehabilitation, Tarumizu Municipal Medical Center Tarumizu Chuo Hospital, Japan
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- Matsumoto Shuji
- Department of Rehabilitation and Physical Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University: 3930-7 Takachiho, Makizono-cho, Kirishima City, Kagoshima 899-6603, Japan
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- Ikeda Keiko
- Department of Rehabilitation, Kirishima Rehabilitation Center of Kagoshima University Hospital, Japan
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- Uema Tomohiro
- Department of Rehabilitation, Kirishima Rehabilitation Center of Kagoshima University Hospital, Japan
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- Sameshima Jun-ichi
- Department of Rehabilitation, Tarumizu Municipal Medical Center Tarumizu Chuo Hospital, Japan
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- Sakashita Yuji
- Department of Rehabilitation, Tarumizu Municipal Medical Center Tarumizu Chuo Hospital, Japan
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- Kaji Tomokazu
- Department of Rehabilitation, Tarumizu Municipal Medical Center Tarumizu Chuo Hospital, Japan
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- Shimodozono Megumi
- Department of Rehabilitation and Physical Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University: 3930-7 Takachiho, Makizono-cho, Kirishima City, Kagoshima 899-6603, Japan
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Abstract
<p>[Purpose] This study investigated the short-term effects of a combination therapy consisting of repetitive facilitative exercises and orthotic treatment. [Subjects and Methods] The subjects were chronic post-stroke patients (n=27; 24 males and 3 females; 59.3 ± 12.4 years old; duration after onset: 35.7 ± 28.9 months) with limited mobility and motor function. Each subject received combination therapy consisting of repetitive facilitative exercises for the hemiplegic lower limb and gait training with an ankle-foot orthosis for 4 weeks. The Fugl-Meyer assessment of the lower extremity, the Stroke Impairment Assessment Set as a measure of motor performance, the Timed Up & Go test, and the 10-m walk test as a measure of functional ambulation were evaluated before and after the combination therapy intervention. [Results] The findings of the Fugl-Meyer assessment, Stroke Impairment Assessment Set, Timed Up & Go test, and 10-m walk test significantly improved after the intervention. Moreover, the results of the 10-m walk test at a fast speed reached the minimal detectible change threshold (0.13 m/s). [Conclusion] Short-term physiotherapy combining repetitive facilitative exercises and orthotic treatment may be more effective than the conventional neurofacilitation therapy, to improve the lower-limb motor performance and functional ambulation of chronic post-stroke patients.</p>
Journal
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- Journal of Physical Therapy Science
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Journal of Physical Therapy Science 29 (2), 212-215, 2017
The Society of Physical Therapy Science
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Details
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- CRID
- 1390001204330361344
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- NII Article ID
- 130005241496
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- ISSN
- 21875626
- 09155287
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed