CPGs for Stroke

what is the core set of 6 outcome measures?

6MWT, 10m walk test, Activities Specific Balance Confidence Scale, Berg balance scale, FGA, 5xSTS

CPG for improving walking function in ambulatory chronic CVA, iSCI, & TBI. Based on individuals 6 months post stroke & do not require physical assistance to walk. What should clinicians not perform?

static or dynamic standing balance activities including pre-gait

BWSTT w/ emphasis on kinematics

Robot A gait training

CPG for improving walking function in ambulatory chronic CVA, iSCI, & TBI. Based on individuals 6 months post stroke & do not require physical assistance to walk. What should clinicians may consider?

strength training at >= 70% 1RM

circuit training, cycling, or recumbent stepping at 75-85% HRm

Balance training w/ VR

CPG for improving walking function in ambulatory chronic CVA, iSCI, & TBI. Based on individuals 6 months post stroke & do not require physical assistance to walk. What should clinicians perform?

walking training at mod-high aerobic intensity

walking training w/ VR

someones walking will improve w/ what?

specificity, intensity, repetition

CPG for Use of AFO & FES Post Stroke apply to acute & chronic stroke unless stated otherwise, if want to improve Qol we should provide these.

strength & muscle activation, may provide AFO, in chronic should provide FES
tone/spasticity will not be improved by these

gait speed, dynamic balance should provide both

walking endurance may provide both in acute, but in chronic we should

AFO might be better for slower walker, FES might be better for faster walker. giving someone AFO early in recovery improves

participation, improves long term outcomes

wearing an AFO does not hinder muscle activation

no evidence shows AFO or FES will decrease PF spasticity

an AFO that allows PF motion may lead to greater effect on gait speed