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- Title
Adaptive physical activity improves mobility function and quality of life in chronic hemiparesis.
- Authors
Macko, Richard F; Benvenuti, Francesco; Stanhope, Steven; Macellari, Velio; Taviani, Antonia; Nesi, Barbara; Weinrich, Michael; Stuart, Mary
- Abstract
This study investigated the effects of an adaptive physical activity (APA) program on mobility function and quality of life (QOL) in chronic stroke patients. Twenty subjects with chronic hemiparesis completed a 2-month, combined group, class-home exercise regimen that emphasized mobility training. APA improved Berg Balance Scale scores (35 +/- 2 vs 45 +/- 2, p = 0.001), 6-minute walk distances (114 +/- 15 vs 142 +/- 7 m, p < 0.001), and Short Physical Performance Battery scores (3.2 +/- 0.4 vs 5.2 +/- 0.6, p < 0.001). Barthel Index scores increased (75 +/- 4 vs 84 +/- 4, p < 0.001), but Lawton scores were unchanged. Geriatric Depression Scale (p < 0.01) and Stroke Impact Scale (SIS), Mobility, Participation, and Recovery improved with APA (p < 0.03). APA has the potential to improve gait, balance, and basic but not instrumental activities of daily living profiles in individuals with chronic stroke. Improved depression and SIS scores suggest APA improves stroke-specific outcomes related to QOL.
- Publication
Journal of rehabilitation research and development, 2008, Vol 45, Issue 2, p323
- ISSN
1938-1352
- Publication type
Journal Article
- DOI
10.1682/jrrd.2007.02.0025