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What is the benefit of a high intensive exercise program?: a randomized controlled trial
Umeå University, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
Umeå University, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
Vårdalinstitutet.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-9813-2719
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2010 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 12, no 3, p. 115-124Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to evaluate a high intensive exercise program in stroke subjects with risk of falls regarding balance, activities of daily life, falls efficacy, number of falls and lifestyle activities. The intervention program contained high intensity functional exercises (HIFE) implemented to real-life situations together with education on falls and security aspects. This was a single-center, single-blinded, randomized controlled trial. Consecutive >55-year-old patients with risk of falls were enrolled and randomized 36 months after first or recurrent stroke to the intervention group (IG, n=15) or to the control group (CG, n=19) who received group discussions about hidden dysfunctions after stroke. Outcomes were Berg Balance Scale (BBS) primarily, Barthel Index (BI), Falls Efficacy Scale International (FES-I) and number of falls secondarily and Frenchay Activities Index last 3 months (FAI-3) tertially. Assessments were done at baseline, post-intervention, 3- and 6-month follow-up by two physiotherapists and one nurse blinded to group allocation. Generalized Estimating Equations with Repeated-measure statistics were used to analyze the data. There were no significant differences between the IG and the CG regarding balance (BBS). BI at 6 months and FES-I post-intervention and 3 months follow-up showed significant improvement in the IG compared with the CG (p<0.05). Number of falls and FAI-3 were without significant change. This study suggests that our program consisting of HIFE implemented in real-life situations together with educational discussions may improve performance of everyday life activities and improve falls efficacy in stroke subjects with risk of falls

Place, publisher, year, edition, pages
2010. Vol. 12, no 3, p. 115-124
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-5173DOI: 10.3109/14038196.2010.491555Local ID: 33466dc0-b99a-11df-a707-000ea68e967bOAI: oai:DiVA.org:ltu-5173DiVA: diva2:978047
Note
Validerad; 2010; 20100906 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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