Table 3. Current Practice at FIRST-Oslo Clinical Sites, Before Implementation of High-Intensity Training.
| 50%-100% Assistance to Ambulate | 25%-49% Assistance to Ambulate | <25% Assistance to Ambulate | |
|---|---|---|---|
| 2017 Median (IQR) | |||
| Question: Out of 5 patients, please rate the number of patients in which you provide each of the following interventions to improve a patient's ability to walk | |||
| Task-specific gait training | 4.5 (4.0-5.0) | 5.0 (5.0-5.0) | 5.0 (5.0-5.0) |
| Weight shifting or pregait activities in standing | 4.0 (3.75-5.0) | 4.0 (3.0-5.0) | 3.0 (1.75-4.25) |
| Sitting balance activities | 3.5 (1.0-5.0) | 1.5 (1.0-3.0) | 1.0 (0.0-2.25) |
| Standing balance activities | 4.0 (2.5-5.0) | 4.0 (4.0-5.0) | 5.0 (2.75-5.0) |
| Therapeutic exercises for strengthening | 5.0 (3.0-5.0) | 5.0 (4.75-5.0) | 5.0 (4.75-5.0) |
| Stretching | 1.5 (0.75-2.0) | 1.0 (0.0-1.25) | 1.0 (0.75-1.0) |
| Development positions (4-point, tall kneeling, etc) | 0.0 (0.0-1.0) | 0.0 (0.0-1.0) | 0.5 (0.0-1.25) |
| Bobath treatment | 1.0 (0.0-2.0) | 0.5 (0.0-1.5) | 0.5 (0.0-2.5) |
| Proprioceptive neuromuscular facilitation | 0.5 (0.0-2.0) | 0.5 (0.0-2.25) | 0.0 (0.0-1.5) |
| 0 = I do not provide this treatment; 1 = 1 in 5 patients; 2 = 2 in 5 patients; 3 = 3 in 5 patients; 4 = 4 in 5 patients; and 5 = 5 in 5 patients | |||
| 2017 Median (IQR) | |||
| Question: Please complete the following questions about your perceptions related to current gait training practices for individuals with stroke | |||
| I have sufficient knowledge and skills to use body weight support treadmill training on all of my patients. | 4.0 (3.0-4.0) | ||
| I have sufficient knowledge and skills to use gait training overground on all of my patients. | 4.0 (4.0-5.0) | ||
| I have sufficient knowledge and skills to use high-intensity gait training (aims to achieve 70%-85% heart rate maximum and/or rating of perceived exertion of 14-17). | 4.0 (3.0-5.0) | ||
| If I focus mostly on gait training in my sessions, I feel that I can still adequately address my patients' other impairment areas (such as balance, transfers, etc). | 3.0 (3.0-3.25) | ||
| The use of the high-intensity gait training program still allows for me to make my own clinical decisions. | 3.5 (3.0-4.0) | ||
| Coworkers support the use of high-intensity gait training. | 4.0 (3.0-4.0) | ||
| My supervisor supports the use of high-intensity gait training. | 4.5 (3.75-5.0) | ||
| Patients support the use of high-intensity gait training. | 3.5 (3.0-4.0) | ||
| Most of my patients are too impaired to undergo high-intensity gait training. | 4.0 (3.0-4.0) | ||
| I do not have enough time to provide the recommended dose of high-intensity gait training to my patients. | 4.0 (3.0-4.0) | ||
| I can provide high-intensity gait training in a safe manner to my patients. | 4.0 (3.0-4.0) | ||
| The high-intensity gait training program improves the quality of my patient treatment. | 3.0 (3.0-4.0) | ||
| The use of high-intensity gait training is an integral part of my treatment. | 4.0 (3.0-4.0) | ||
| My coworkers and I provide gait training to our patients with a similar dose (number of steps, minutes per session, number of sessions per week) to all patients. | 4.0 (3.75-4.25) | ||
| 1 = completely disagree; 2 = disagree; 3 = neutral; 4 = agree; 5 = completely agree | |||
Abbreviation: IQR, interquartile range.