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Thesis

One year follow-up study of the Comprehensive Stroke Project

21 May 1989

Abstract

This study was designed to investigate whether or not the functional gains made by 19 Comprehensive Stroke Project (CSP) patients, who were 1 year or more post stroke, were still being maintained for a year or more following treatment in the CSP.

The CSP was conducted at Pacific University's Stroke Management Clinic (SMC) between September 1985 and May 1987. The purpose of the CSP was to investigate whether or not chronic stroke patients (one year or more post stroke) could make gains in functional skills as a result of intensive therapy treatment and then maintain these skills thereafter. Using pre-post measures the CSP showed that initial gains could be made as a result of treatment. A previous study at 3 months post CSP treatment showed gains in function to be maintained. The present one year follow-up study showed, using T-test analysis and comparison of mean test scores at 3 months and 1 year, that gains in function at one year were still being maintained in the areas of balance, ADL, and activity level. A slight improvement was shown in the ability to weight shift. More research is needed in the area of treating and producing functional gains in chronic stroke patients as the CSP is not a duplication of any study currently in the literature. Overall, this study showed that it is beneficial to work with these patients and suggests that gains can be made and maintained in chronic stroke patients.


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