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Critically appraised paper: Implicit motor learning is not superior to explicit motor learning for improving gait speed in chronic stroke [synopsis]

Year: 2021
Type: article
Abstract: Question: Does implicit motor learning using analogy learning improve walking speed in chronic stroke more than explicit motor learning using verbal instructions?Design: Randomised controlled trial with concealed allocation and blinded outcome assessment.Setting: Home-based intervention in the Netherlands.Participants: Individuals who were 6 months after stroke, with gait speed , 1.0 m/s and ability to follow a three-step command in Dutch.Key exclusion criteria were inability to walk 10 m, requiring manual assistance to walk on level surfaces, and other non-stroke impairments that affected the gait pattern.Randomisation of 81 participants allocated 39 to the implicit training group and 42 to the explicit training group.Interventions: For both groups, the intervention was delivered at home in nine 30-minute sessions over 3 weeks.The implicit training group participants received analogies meaningful to them that aimed to improve walking performance (eg, walk as if you are following footprints in the sand), whereas the explicit training group received detailed verbal instructions about how to alter aspects of their walking (eg, land with your heel first then roll through from heel to toe).Outcome measures: The primary outcome measure was 10-m gait speed, averaged over three trials, measured before and after intervention and at 1-month follow-up.Secondary outcome
DOI: 10.1016/j.jphys.2021.09.002
Language: English
Subfield: Rehabilitation
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,450
OpenAlex ID: W3200428437
FWCI:
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