Multidisciplinary Delphi Panel on Rehabilitation Approaches and Unmet Needs for Chronic Stroke Walking Impairment and the Role of Rhythmic Auditory Stimulation

Consensus agreement was ultimately reached on all 24 statements created and polled during this process. The panelists agreed that individuals with gait or walking impairment in the chronic phase of stroke recovery can achieve meaningful improvement in walking by utilizing various evidence-based interventions. Barriers to treatment included cost, access, participation in long-term treatment, and safety. Consensus was achieved for interventions that have the following features challenging, personalized, accessible, and engaging. Improvement of gait speed and quality, durability of effect, safety, affordability, and ability for home or community use also emerged as important treatment features. In addition to conventional treatments (e.g., physical therapy, including mobility-task training and walking/exercise therapy), RAS was recognized as a potentially valuable treatment modality. Discussion: This panel highlighted limitations of current treatments and opportunities to improve access, participation, and outcomes through a consideration of newer treatment strategies and patient/healthcare provider education and engagement.

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Publication Details

Journal
Cureus
Published
2024-08-31
DOI
https://doi.org/10.7759/cureus.68336
Citations
2
Primary Topic
Stroke Rehabilitation and Recovery
Type
article
Field-Weighted Citation Impact
0.50
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article

Multidisciplinary Delphi Panel on Rehabilitation Approaches and Unmet Needs for Chronic Stroke Walking Impairment and the Role of Rhythmic Auditory Stimulation

Michael W O'Dell, Preeti Raghavan, Prudence Plummer, David J. Lin et al.
2 citations
Cureus
Stroke Rehabilitation and Recovery
0.50
article

Multidisciplinary Delphi Panel on Rehabilitation Approaches and Unmet Needs for Chronic Stroke Walking Impairment and the Role of Rhythmic Auditory Stimulation

Michael W O'Dell, Preeti Raghavan, Prudence Plummer, David J. Lin, Carolee J. Winstein, Dorian K. Rose, Michael D. Lewek, Kirsten Smayda, Sabrina R. Taylor, Holly Roberts
article en
2 citations

Abstract

Consensus agreement was ultimately reached on all 24 statements created and polled during this process. The panelists agreed that individuals with gait or walking impairment in the chronic phase of stroke recovery can achieve meaningful improvement in walking by utilizing various evidence-based interventions. Barriers to treatment included cost, access, participation in long-term treatment, and safety. Consensus was achieved for interventions that have the following features challenging, personalized, accessible, and engaging. Improvement of gait speed and quality, durability of effect, safety, affordability, and ability for home or community use also emerged as important treatment features. In addition to conventional treatments (e.g., physical therapy, including mobility-task training and walking/exercise therapy), RAS was recognized as a potentially valuable treatment modality. Discussion: This panel highlighted limitations of current treatments and opportunities to improve access, participation, and outcomes through a consideration of newer treatment strategies and patient/healthcare provider education and engagement.

CureusVol. 16(8)
Boston University (US), University of North Carolina at Chapel Hill (US), University of Southern California (US), Harvard University (US), Johns Hopkins University (US), MGH Institute of Health Professions (US), Cornell University (US), Johns Hopkins Medicine (US), University of Florida Health (US), Independent Sector (US), Portland VA Medical Center (US), Center for Neuro-Oncology (US), Malcom Randall VA Medical Center (US), Brooks Rehabilitation Clinical Research Center (US), Clinical Research Consultants (United States) (US), University of Florida Health Science Center (US)
Openalex Percentile: Top 30%
Stroke Rehabilitation and Recovery
0.50
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