High-Intensity Gait Training for Patients After Stroke: A Feasibility Study.

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2025-04-01 DOI:10.1002/pri.70059

Iris Charlotte Brunner, Gunhild Mo Hansen

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Abstract

Background and purpose: Approximately two-thirds of stroke patients experience various levels of walking impairment that limit their participation in society. Mounting evidence suggests that gait training provided at high cardiovascular intensity with a focus on stepping practice improves gait function after stroke and is superior to lower intensity standard gait training. However, high intensity gait training (HIGT) is not widely applied.

Purpose: With this study, we wanted to examine the feasibility of HIGT in a XXX neurorehabilitation hospital.

Methods: A longitudinal cohort study with 15 patients participated in 2 weeks of HIGT with 3-5 sessions per week. HIGT was provided as part of standard physical therapy. The results included feasibility measures such as adherence and fidelity to treatment, adverse events, and patient satisfaction. Furthermore, gait assessments were performed before and after the intervention and heart rate and number of steps were monitored during the training sessions.

Results: Eleven of the 15 patients were non-ambulatory or dependent on the support of two people at the start of HIGT. Adherence to treatment was good, with almost all (14/15) completing 8 sessions or more. No serious adverse events occurred. The target heart rate of > 60% of HR_max was achieved for a mean of 26.4, SD 7.4, min-max 12.3-37.0 min per session. The number of steps increased from 245.44 (SD 223.12) in the first session to 676.75 (SD 376.83) in the last session. However, with a large variety, both within and between individuals. There was a significant improvement in all gait assessments. Patient satisfaction was high.

Discussion: HIGT was feasible, well tolerated by the patients and could be provided within existing staffing levels. There were no serious adverse events, and all patients confirmed that they would recommend HIGT to a friend in the same situation.

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脑卒中后患者高强度步态训练的可行性研究

背景和目的：大约三分之二的中风患者经历不同程度的行走障碍，这限制了他们参与社会活动。越来越多的证据表明，高心血管强度的步态训练，重点是步进练习，可以改善中风后的步态功能，优于低强度的标准步态训练。然而，高强度步态训练（HIGT）并没有得到广泛的应用。目的：通过这项研究，我们想要检查HIGT在XXX神经康复医院的可行性。方法：一项纵向队列研究，15例患者参加了为期2周的HIGT治疗，每周3-5次。HIGT作为标准物理治疗的一部分。结果包括可行性措施，如治疗依从性和保真度、不良事件和患者满意度。此外，在干预前后进行步态评估，并在训练期间监测心率和步数。结果：在HIGT开始时，15例患者中有11例不能走动或依赖两人的支持。治疗依从性良好，几乎所有患者（14/15）完成了8个疗程或更长时间。未发生严重不良事件。在平均26.4分钟、SD 7.4分钟、min-max 12.3-37.0分钟的每次训练中，达到了bb0 - 60% HRmax的目标心率。步骤数从第一次会话的245.44 （SD 223.12）增加到最后一次会话的676.75 （SD 376.83）。然而，个体内部和个体之间的差异很大。所有步态评估均有显著改善。患者满意度高。讨论：HIGT是可行的，患者耐受性良好，可以在现有人员水平下提供。没有发生严重的不良事件，所有患者都证实他们会在相同情况下向朋友推荐HIGT。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.