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Functional Training for Lower Extremities in Stroke Survivors: A Scoping Review
Meenakshi Jharbade1, Sivakumar Ramachandran1, Shankar V2
1Department of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research. (Deemed to be University), Chennai, IND.
Cureus
|May 13, 2024
Summary
Functional training aids stroke recovery, but standardized protocols for early lower extremity training are lacking. More research is needed to understand its impact on motor function and clinical significance in stroke survivors.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Physical Therapy
Background:
- Repetitive, goal-oriented functional tasks enhance neuroplasticity and recovery post-stroke.
- Current research predominantly focuses on chronic stroke patients and functional outcomes.
- Limited data exists on standardized lower extremity functional training protocols in early stroke phases.
Purpose of the Study:
- To review evidence on lower extremity functional training protocols.
- Identify common training elements and their impact on motor and functional outcomes.
- Assess the impact of functional training on stroke survivors during early recovery.
Main Methods:
- Systematic literature search of PubMed and Scopus (2000-2022).
- Screening of 1786 retrieved articles based on inclusion criteria.
- Inclusion of 36 articles for review, categorizing findings on protocols, outcomes, and clinical significance.
Main Results:
- Few studies detailed lower extremity functional training protocols.
- Most research focused on gait and balance improvements in chronic stroke.
- Outcome evaluations often relied on statistical rather than clinical significance.
Conclusions:
- Standardized protocols for early subacute lower extremity functional training are underdeveloped.
- Further research is recommended for the early subacute phase to assess motor outcomes.
- Understanding the clinical significance of functional training is crucial for stroke survivors' recovery.
