Opracowanie protokołu treningu funkcjonalnego w celu przyspieszenia powrotu do sprawności ruchowej kończyn dolnych u pacjentów z wczesnym podostrym udarem mózgu

Background. Functional training is a common intervention practiced in stroke rehabilitation. The efficicacy of lower limb functional training to improve functions has been widely tested in patients with chronic stroke. Improvement in function generally does not reficlect changes in motor recovery. The effect of this training on motor recovery has been less explored. Moreover, a standard protocol for lower limb functional training is elusive in literature. Aim. To develop an intervention protocol of functional training for lower extremity to improve motor recovery and functions in acute and early subacute stroke patients. Methods. Study was conducted in two phases. First phase involved literature review to identify the components for functional training for lower extremity in patients with stroke. Second phase involved two rounds of Delphi survey to design an intervention protocol. First round of Delphi survey was conducted to identify the functions of lower extremity that can be used as components of training and second round was conducted to receive the consensus on activities of lower extremity which can be practiced in acute and early subacute stroke patients. Results. Functions of lower extremity and exercises of functional training which received consensus of atleast 70% and above in Delphi survey are selected to design the protocol. Weight-bearing, postural control, sit to stand, stepping, walking, standing, manipulation function was selected to design activities for functional training. Conclusion. A Functional training protocol was developed with activities for weight bearing, postural control, manipulation and walking function.