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Moderate to Vigorous Intensity Locomotor Training After Stroke: A Systematic Review and Meta-analysis of Mean Effects
Pierce Boyne1, Allison Miller, Owen Kubalak
1Department of Rehabilitation (P.B., O.K., C.M.), Exercise and Nutrition Sciences, College of Allied Health Sciences, University of Cincinnati, Cincinnati, Ohio; Department of Physical Therapy (A.M., D.S.R.), College of Health Sciences, University of Delaware, Newark; and Department of Rehabilitation Medicine (G.F.), School of Medicine, Emory University, Atlanta, Georgia.
Moderate to vigorous intensity locomotor training (LT mv) significantly improves walking speed and endurance in stroke survivors. While generally safe, individual responses to LT mv vary, and more research is needed on daily activity impacts.
Area of Science:
- Neurorehabilitation
- Clinical Biomechanics
- Stroke Recovery
Background:
- Stroke often impairs walking ability, impacting independence and quality of life.
- Locomotor training (LT) is a key rehabilitation strategy to improve walking post-stroke.
- Moderate to vigorous intensity LT (LT mv) may offer greater benefits, but its effects and variability require quantification.
Conclusions:
- LT mv is an effective intervention for improving walking capacity in stroke patients.
- The training is generally safe, but individual responses vary significantly.
- Further research should investigate effects on daily walking activity and non-serious adverse events.
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