Community-based models of mobility training after stroke: a scoping review

Abstract Background Irrespective of the severity, survival of a stroke has become commonplace, but many experience long-term physical, cognitive, and emotional difficulties, with walking difficulties being a frequent challenge. The community-based model of gait training is an innovative and holistic...

Full description

Saved in:
Bibliographic Details
Main Authors: Toluwalase Ayokunle Ayelabowo, Temitope Christianah Ajayi, Stephen Hsiao-Feng Macdonald
Format: Article
Language:English
Published: SpringerOpen 2024-12-01
Series:Bulletin of Faculty of Physical Therapy
Subjects:
Online Access:https://doi.org/10.1186/s43161-024-00226-2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846101444180049920
author Toluwalase Ayokunle Ayelabowo
Temitope Christianah Ajayi
Stephen Hsiao-Feng Macdonald
author_facet Toluwalase Ayokunle Ayelabowo
Temitope Christianah Ajayi
Stephen Hsiao-Feng Macdonald
author_sort Toluwalase Ayokunle Ayelabowo
collection DOAJ
description Abstract Background Irrespective of the severity, survival of a stroke has become commonplace, but many experience long-term physical, cognitive, and emotional difficulties, with walking difficulties being a frequent challenge. The community-based model of gait training is an innovative and holistic approach to neurorehabilitation that focuses on restoring mobility and enhancing the overall quality of life of stroke survivors. Aims To assess the impact of community-based stroke rehabilitation programs from existing literatures. Objectives To identify community-based stroke rehabilitation programs that are effective in improving function in stroke survivors. Methods We conducted a scoping review of peer-reviewed articles to understand the impact of the community-based rehabilitation model of mobility training after stroke. We searched five different databases: PsycINFO, PubMed, CINAHL complete, Embase, and SCOPUS using topic-specific keywords. Only studies published in the English language from 2013 to 2023 were included. Results Thirty-five articles met the inclusion criteria. Mobility training using either a treadmill or overground surfaces improved mobility. Orthotics use improved gait and balance among stroke survivors. Adapted video games for rehabilitation improved gait speed, balance, and mobility while the use of transcutaneous electrical nerve stimulation (TENS) aided functional recovery. The use of music or sound incorporated with exercises improved mobility, gait speed, and balance. Engaging in group exercises improved walking capacity, balance, walking speed, cardiovascular function, and community integration. Conclusion Some community-based rehabilitation programs are effective in improving the physical and social recovery of stroke survivors. This concept can be considered when planning a recovery program for stroke survivors who do not have the ability to access a hospital rehabilitation setting.
format Article
id doaj-art-db86121408c74e44949ba7fa3ece0a81
institution Kabale University
issn 2536-9660
language English
publishDate 2024-12-01
publisher SpringerOpen
record_format Article
series Bulletin of Faculty of Physical Therapy
spelling doaj-art-db86121408c74e44949ba7fa3ece0a812024-12-29T12:10:48ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602024-12-0129113510.1186/s43161-024-00226-2Community-based models of mobility training after stroke: a scoping reviewToluwalase Ayokunle Ayelabowo0Temitope Christianah Ajayi1Stephen Hsiao-Feng Macdonald2University of LimerickUniversity of LimerickUniversity of LimerickAbstract Background Irrespective of the severity, survival of a stroke has become commonplace, but many experience long-term physical, cognitive, and emotional difficulties, with walking difficulties being a frequent challenge. The community-based model of gait training is an innovative and holistic approach to neurorehabilitation that focuses on restoring mobility and enhancing the overall quality of life of stroke survivors. Aims To assess the impact of community-based stroke rehabilitation programs from existing literatures. Objectives To identify community-based stroke rehabilitation programs that are effective in improving function in stroke survivors. Methods We conducted a scoping review of peer-reviewed articles to understand the impact of the community-based rehabilitation model of mobility training after stroke. We searched five different databases: PsycINFO, PubMed, CINAHL complete, Embase, and SCOPUS using topic-specific keywords. Only studies published in the English language from 2013 to 2023 were included. Results Thirty-five articles met the inclusion criteria. Mobility training using either a treadmill or overground surfaces improved mobility. Orthotics use improved gait and balance among stroke survivors. Adapted video games for rehabilitation improved gait speed, balance, and mobility while the use of transcutaneous electrical nerve stimulation (TENS) aided functional recovery. The use of music or sound incorporated with exercises improved mobility, gait speed, and balance. Engaging in group exercises improved walking capacity, balance, walking speed, cardiovascular function, and community integration. Conclusion Some community-based rehabilitation programs are effective in improving the physical and social recovery of stroke survivors. This concept can be considered when planning a recovery program for stroke survivors who do not have the ability to access a hospital rehabilitation setting.https://doi.org/10.1186/s43161-024-00226-2Community-based interventionFunctional recoveryGait trainingStroke rehabilitationStroke survivors
spellingShingle Toluwalase Ayokunle Ayelabowo
Temitope Christianah Ajayi
Stephen Hsiao-Feng Macdonald
Community-based models of mobility training after stroke: a scoping review
Bulletin of Faculty of Physical Therapy
Community-based intervention
Functional recovery
Gait training
Stroke rehabilitation
Stroke survivors
title Community-based models of mobility training after stroke: a scoping review
title_full Community-based models of mobility training after stroke: a scoping review
title_fullStr Community-based models of mobility training after stroke: a scoping review
title_full_unstemmed Community-based models of mobility training after stroke: a scoping review
title_short Community-based models of mobility training after stroke: a scoping review
title_sort community based models of mobility training after stroke a scoping review
topic Community-based intervention
Functional recovery
Gait training
Stroke rehabilitation
Stroke survivors
url https://doi.org/10.1186/s43161-024-00226-2
work_keys_str_mv AT toluwalaseayokunleayelabowo communitybasedmodelsofmobilitytrainingafterstrokeascopingreview
AT temitopechristianahajayi communitybasedmodelsofmobilitytrainingafterstrokeascopingreview
AT stephenhsiaofengmacdonald communitybasedmodelsofmobilitytrainingafterstrokeascopingreview