Clinical practice guidelines for gait training.
Clinical practice guidelines for gait training.
29 October 2008
Ottawa Panel - Independent Expert Panel
Summary ,
GUIDELINE OBJECTIVE(S)
To promote the appropriate use of various rehabilitation interventions in the management of stroke survivors
TARGET POPULATIONM
Adult patients (>18 years of age) presenting with hemiplegia or hemiparesis following a single clinically identifiable ischemic or hemorrhagic cerebrovascular accident (CVA)
INTERVENTIONS AND PRACTICES CONSIDERED
1. Treadmill training
2. Overground training
3. Body weight support training
4. Brace-assisted walking
5. Electrogoniometric feedback training
6. Functional electrical stimulation (FES)
7. Rhythmic auditory facilitation training
8. Functional lower extremity training
Note: See the ""Major Recommendations"" field and the original guideline document for specific recommendations for individual interventions.
MAJOR OUTCOMES CONSIDERED
* Body function: pain reduction, muscle strength, motor function/motor recovery, range of motion (ROM), postural status, balance status, gait status, cadence, stride length, sensory status, spasticity/muscle tone, global physician assessment, global patient assessment, and cardiopulmonary function.
* Activities and participation: walking speed, walking distance, endurance, functional status, patient adherence, patient satisfaction, length of stay, discharge disposition, quality of life, and return to work.
Ottawa Panel - Independent Expert Panel
Summary ,
GUIDELINE OBJECTIVE(S)To promote the appropriate use of various rehabilitation interventions in the management of stroke survivors
TARGET POPULATIONM
Adult patients (>18 years of age) presenting with hemiplegia or hemiparesis following a single clinically identifiable ischemic or hemorrhagic cerebrovascular accident (CVA)
INTERVENTIONS AND PRACTICES CONSIDERED
1. Treadmill training
2. Overground training
3. Body weight support training
4. Brace-assisted walking
5. Electrogoniometric feedback training
6. Functional electrical stimulation (FES)
7. Rhythmic auditory facilitation training
8. Functional lower extremity training
Note: See the ""Major Recommendations"" field and the original guideline document for specific recommendations for individual interventions.
MAJOR OUTCOMES CONSIDERED
* Body function: pain reduction, muscle strength, motor function/motor recovery, range of motion (ROM), postural status, balance status, gait status, cadence, stride length, sensory status, spasticity/muscle tone, global physician assessment, global patient assessment, and cardiopulmonary function.
* Activities and participation: walking speed, walking distance, endurance, functional status, patient adherence, patient satisfaction, length of stay, discharge disposition, quality of life, and return to work.
