Effects of enriched task-specific training on sit-to-stand tasks in individuals with chronic stroke.
Sara Vive, Roland Zügner, Roy Tranberg and 1 others
PMID 38160369WHAT IT FOUND
After a three-week package of task-specific exercise, socialization, and sensory and cognitive stimulation, 41 people with chronic stroke averaged 2.1 more 30-second chair stands, still present at six months.
There was no control group. Weight-bearing changes were inconsistent in three participants.
Key findings
01In the 41 participants analysed, chair-stand performance increased from 6.1 to 8.2 after enriched task-specific training (mean change 2.1±2.9, p < 0.001) and was 8.1 at six months (mean change 2.0±2.4, p < 0.001).
02Subject 1 was the only participant with a significant increase in affected-limb vertical force after intervention, and that change was not sustained at six months.
STILL TO COME
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What it does not show
There was no comparison group, so the chair-stand gains cannot be separated from time, background treatment, or expectation. The chair used at one baseline differed from the chair used later, which the authors say may have made scores look better. The kinetic analysis included only three participants, and the two-standard-deviation band method can be strongly influenced by one outlier in small data. The kinetic analysis looked at peak vertical force in each phase, not the whole force pattern during the phase. This was a secondary analysis of existing exploratory data, not a new controlled trial.
Declared interests
The authors declare no conflicts of interest. Funding came from the AinaWallström’s and Mary-Ann Sjöblom’s Foundation, Peter Eriksson Foundation, the Swedish state ALF-agreement, Promobilia foundation, the Swedish Stroke Association, Rune and Ulla Amlöv’s foundation, and Renée Eander Foundation.
The easy way to misread this
Do not conclude that task-specific exercise alone caused the improved chair-stand scores. The training package also included socialization, sensory stimulation, and cognitive stimulation, and there was no comparison group. The chair used at baseline also differed from the chair used later, which the authors say may have made scores look better.