PMID- 21112434
OWN - NLM
STAT- MEDLINE
DCOM- 20110111
LR  - 20220410
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 91
IP  - 12
DP  - 2010 Dec
TI  - Balance, balance confidence, and health-related quality of life in persons with 
      chronic stroke after body weight-supported treadmill training.
PG  - 1914-9
LID - 10.1016/j.apmr.2010.08.025 [doi]
AB  - OBJECTIVES: To examine changes in balance, balance confidence, and health-related 
      quality of life immediately and 6 months after body weight-supported treadmill 
      training (BWSTT) for persons with chronic stroke (primary objective) and to 
      determine whether changes in gait speed after BWSTT were associated with changes 
      in these dimensions of health (secondary objective). DESIGN: Prospective 
      pre-/posttest pilot study with 6 months retention. SETTING: University research 
      laboratory settings. PARTICIPANTS: A convenience sample of participants (N=19; at 
      least 6mo poststroke; able to ambulate 0.4-0.8m/s) were recruited. INTERVENTION: 
      BWSTT was provided for 24 sessions over 8 weeks with 20 minutes of total walking 
      each session. MAIN OUTCOME MEASURES: Berg Balance Scale (BBS), 
      Activities-Specific Balance Confidence (ABC) Scale, Stroke Impact Scale (SIS), 
      comfortable 10-m walk test (CWT), and fast 10-m walk test (FWT). Proportions of 
      participants who achieved minimal detectable changes (MDCs) were examined for all 
      measures. RESULTS: Statistically significant improvements were found from pre- to 
      posttest for BBS, ABC, SIS mobility, SIS stroke recovery, and CWT scores (P<.05) 
      and from pretest to retention on BBS, ABC, CWT, and FWT scores (P<.05). For most 
      participants, improvements did not exceed MDCs. Changes in gait speed and BBS, 
      ABC, and SIS scores were not associated. CONCLUSIONS: The findings of this study 
      suggest that effects of BWSTT may transfer beyond gait to positively influence 
      balance, balance confidence, and health-related quality of life. However, for 
      most participants, BWSTT was not sufficient to induce improvements in balance and 
      balance confidence beyond measurement error or long-term retention of enhanced 
      perceptions of quality of life.
CI  - Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Combs, Stephanie A
AU  - Combs SA
AD  - University of Indianapolis, IN, USA. scombs@uindy.edu
FAU - Dugan, Eric L
AU  - Dugan EL
FAU - Passmore, Miranda
AU  - Passmore M
FAU - Riesner, Cara
AU  - Riesner C
FAU - Whipker, Dana
AU  - Whipker D
FAU - Yingling, Elizabeth
AU  - Yingling E
FAU - Curtis, Amy B
AU  - Curtis AB
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Chronic Disease
MH  - Disability Evaluation
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Gait Disorders, Neurologic/*physiopathology/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pilot Projects
MH  - Postural Balance/*physiology
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Recovery of Function
MH  - Self Concept
MH  - Stroke/*physiopathology
MH  - *Stroke Rehabilitation
MH  - Treatment Outcome
MH  - Weight-Bearing/physiology
EDAT- 2010/11/30 06:00
MHDA- 2011/01/12 06:00
CRDT- 2010/11/30 06:00
PHST- 2010/06/09 00:00 [received]
PHST- 2010/08/12 00:00 [revised]
PHST- 2010/08/31 00:00 [accepted]
PHST- 2010/11/30 06:00 [entrez]
PHST- 2010/11/30 06:00 [pubmed]
PHST- 2011/01/12 06:00 [medline]
AID - S0003-9993(10)00762-8 [pii]
AID - 10.1016/j.apmr.2010.08.025 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2010 Dec;91(12):1914-9. doi: 10.1016/j.apmr.2010.08.025.