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Does Treadmill Exercise Improve Performance of Cognitive or Upper-Extremity Tasks in People With Chronic Stroke? A Randomized Cross-Over Trial  Michelle.

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Presentation on theme: "Does Treadmill Exercise Improve Performance of Cognitive or Upper-Extremity Tasks in People With Chronic Stroke? A Randomized Cross-Over Trial  Michelle."— Presentation transcript:

1 Does Treadmill Exercise Improve Performance of Cognitive or Upper-Extremity Tasks in People With Chronic Stroke? A Randomized Cross-Over Trial  Michelle Ploughman, PhD, PT, Jason McCarthy, MD, Melissa Bossé, MD, Heather J. Sullivan, BKin, Dale Corbett, PhD  Archives of Physical Medicine and Rehabilitation  Volume 89, Issue 11, Pages (November 2008) DOI: /j.apmr Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig 1 CONSORT flow diagram indicating subject inclusion, exclusion, and randomization. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig 2 Study design and subject flow through sessions A and B (both divided into 2 parts separated by 60-minute rest with nutrition). Abbreviations: HRR, heart rate reserve; PLE, perceived level of exertion. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig 3 Performance on the ARAT improved more (2.5 points) after treadmill exercise than control condition (.16 points; * indicates P<.05). Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

5 Fig 4 Change in ARAT score after BWSTT is associated with maximum treadmill speed. Linear regression line indicates R2 equal to 0.2 (P=.04). Polynomial U-shaped curve shows a more robust effect for the very slowest walkers. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

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