High-Intensity Functional Activities Specific Training (FAST) in Post-Stroke Rehabilitation: A Randomized Trial on Motor Recovery and Quality of Life Improvements.
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引用次数: 0
Abstract
Background: Stroke often leads to long-term disability, impacting motor function, mobility, and quality of life. However, the effectiveness of different intensities of functional training in improving these outcomes in stroke rehabilitation is not well established.
Purpose: This study aimed to determine the effects of different intensities of functional activities specific training on upper extremity function, mobility, fall risk, and quality of life in stroke patients.
Methods: This randomized controlled trial was conducted in a rehabilitation setting (PRH Islamabad) with age 40-60 years and 3 months post-stroke. Participants (N = 99) were randomly (simple) assigned to conventional therapy, moderate-intensity, or high-intensity training with 33 in each group. Eligibility criteria included a Montreal Cognitive Assessment score of 18-25, Fugl-Meyer Assessment score of 50-70 and a Modified Rankin Scale score of 3 and 4, suggesting moderate motor impairment and moderate to severe disability, respectively. Participants with severe spasticity, inability to follow two-step commands, concurrent stroke treatments, other neurological conditions, and a history of falls were excluded. The 12-week training program utilized the FAST-Table, and outcomes including Fugl-Meyer Assessment for upper extremity, Berg Balance Scale, and Stroke-Specific Quality of Life Urdu scale-were assessed at baseline, 4, 8, and 12 weeks.
Results: The mean age of participants were 65.4 ± 7.2 years, gender (52% male, 48% female, ischemic 70%, and hemorrhagic 30%). The high-intensity group showed significant improvements in Fugl-Meyer Assessment-Upper Extremity scores at weeks 8 and 12 (p < 0.05), Timed Up and Go test (p < 0.05), Berg Balance Scale scores (p < 0.05), and Stroke-Specific Quality of Life Urdu scale (p < 0.05). Moderate-intensity and conventional groups also showed improvements individually.
Discussion: High-intensity functional training leads to greater improvements in physical performance and quality of life in stroke survivors compared with moderate-intensity functional training and conventional therapies.
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.
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