RESULTS Studies of task-related training showed benefits for functional outcome compared with traditional therapies .
Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall health-related quality of life .
CONCLUSION Generally , task-oriented rehabilitation proved to be more effective .
Many interventions are feasible for nurses and can be performed in a ward or at home .
AIM This paper is a report of a review conducted to provide an overview of the evidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice .
BACKGROUND Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world .
The use of neurodevelopmental treatment in the daily nursing care of stroke survivors does not improve clinical outcomes .
Nurses are therefore exploring other forms of rehabilitation intervention , including task-oriented rehabilitation .
Despite the growing number of studies showing evidence on task-oriented interventions , recommendations for daily nursing practice are lacking .
Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke
Purpose . The purpose of this study was to characterize the gait cycle of patients with hemiplegia before and after a period of outpatient physiotherapy based on the Bobath concept . Methods . Nine patients , at least 6 weeks post stroke and recently discharged from a stroke unit , were measured before and after a period of outpatient physiotherapy ( mean duration = 17.4 weeks ) . Therapy was documented using a treatment checklist for each patient . The primary outcome measures were a number of gait variables related to the therapists ' treatment hypothesis , recorded during the gait cycle using the CODA motion analysis system . Other secondary outcome measures were the Motor Assessment Scale , Modified Ashworth Scale , subtests of the Sodring Motor Evaluation Scale , the Step test , a 10-m walk test , the Barthel Index and the London H and icap Score . Results . Recovery of more normal gait patterns in the gait cycle ( using motion analysis ) did not occur . Significant changes in temporal parameters ( loading response , single support time ) for both legs , in one kinematic ( dorsiflexion during stance ) and one kinetic variable on the unaffected side ( hip flexor moment ) , and most of the clinical measures of impairment , activity and participation ( with the exception of the Modified Ashworth Scale and the 10-m walk ) were noted . Conclusions . Study findings did not support the hypothesis that the Bobath approach restored more normal movement patterns to the gait cycle . Further research is required to investigate the treatment techniques that are effective at improving walking ability in people after stroke
RESULTS Studies of task-related training showed benefits for functional outcome compared with traditional therapies .
Active use of task-oriented training with stroke survivors will lead to improvements in functional outcomes and overall health-related quality of life .
CONCLUSION Generally , task-oriented rehabilitation proved to be more effective .
Many interventions are feasible for nurses and can be performed in a ward or at home .
AIM This paper is a report of a review conducted to provide an overview of the evidence in the literature on task-oriented training of stroke survivors and its relevance in daily nursing practice .
BACKGROUND Stroke is the second leading cause of death and one of the leading causes of adult disability in the Western world .
The use of neurodevelopmental treatment in the daily nursing care of stroke survivors does not improve clinical outcomes .
Nurses are therefore exploring other forms of rehabilitation intervention , including task-oriented rehabilitation .
Despite the growing number of studies showing evidence on task-oriented interventions , recommendations for daily nursing practice are lacking .