Feasibility and effectiveness of circuit training in acute stroke rehabilitation

Dorian Rose*, Trevor Paris, Erin Crews, Samuel S. Wu, Anqi Sun, Andrea L. Behrman, Pamela Duncan

*Corresponding author for this work

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Task-specificity, repetition and progression are key variables in the acquisition of motor skill however they have not been consistently implemented in post-stroke rehabilitation. Objective: To evaluate the effectiveness of a stroke rehabilitation plan of care that incorporated task-specific practice, repetition and progression to facilitate functional gain compared to standard physical therapy for individuals admitted to an inpatient stroke unit. Methods: Individuals participated in either a circuit training (CTPT) model (n = 72) or a standard (SPT) model (n = 108) of physical therapy, 5 days/week. Each 60 minute circuit training session, delivered according to severity level, consisted of four functional mobility tasks. Daily exercise logs documented both task repetition and progression. Results: The CTPT model was successfully implemented in an acute rehabilitation setting. The CTPT group showed a significantly greater improved change in gait speed from hospital admission to discharge than the SPT group (0.21± 0.25 m/sec vs. 0.13± 0.22 m/sec; p = 0.03). The difference between groups occurred primarily among those who were ambulatory upon admission. There were no significant differences between the two cohorts at 90 days post-stroke as measured by the FONE-FIM, SF-36 and living location. Conclusions: Therapy focused on systematically progressed functional tasks can be successfully implemented in an inpatient rehabilitation stroke program. This circuit-training model resulted in greater gains in gait velocity over the course of inpatient rehabilitation compared to the standard model of care. Community-based services following hospital discharge to maintain these gains should be included in the continuum of post-stroke care.

Original languageEnglish
Pages (from-to)140-148
Number of pages9
JournalNeurorehabilitation and Neural Repair
Volume25
Issue number2
DOIs
Publication statusPublished - Feb 2011
Externally publishedYes

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Keywords

  • Exercise therapy
  • Physical therapy
  • Rehabilitation
  • Stroke

Cite this

Rose, D., Paris, T., Crews, E., Wu, S. S., Sun, A., Behrman, A. L., & Duncan, P. (2011). Feasibility and effectiveness of circuit training in acute stroke rehabilitation. Neurorehabilitation and Neural Repair, 25(2), 140-148. https://doi.org/10.1177/1545968310384270