Abstract
Abstract: Objective: Post-stroke dysfunction remains one of the principal causes of long-term disability worldwide and frequently produces persistent deficits in movement, postural control, and activities of daily living (ADL). Exercise-based rehabilitation has established clinical value, but many programs still rely on generalized routines, and standardized prescription models that are simultaneously individualized and supported by quantifiable outcomes have not been sufficiently examined in randomized trials. This study therefore compared a structured, patient-specific exercise prescription with conventional rehabilitation and evaluated whether the tailored program could produce superior functional recovery after stroke. Methods: A single-blind randomized controlled trial enrolled 84 patients with post-stroke dysfunction from a tertiary rehabilitation center. The sample had a mean age of 62.4±8.7 years and included 46 men and 38 women. Participants were randomly assigned in equal numbers to an experimental group (n=42) or a control group (n=42). The experimental group completed an individualized prescription integrating aerobic conditioning, resistance exercise, balance practice, and coordination training for 60 minutes per session, five sessions each week, over 12 weeks. The control group received the center's conventional rehabilitation program. Primary outcomes were motor performance measured by the Fugl-Meyer Assessment (FMA), balance measured by the Berg Balance Scale (BBS), and daily functional independence measured by the Modified Barthel Index (MBI). Secondary measures were gait speed on the 10-Meter Walk Test and quality of life on the Stroke-Specific Quality of Life Scale (SS-QOL). Evaluations were performed at baseline, after 6 weeks, and at the end of week 12. Results: Baseline demographic and functional measures showed no statistically significant between-group differences (p>0.05), supporting the comparability of the two groups. By week 12, however, the individualized-program group demonstrated consistently larger gains than the conventional-rehabilitation group across all assessed domains. FMA scores improved by 26.8% in the experimental group, rising from 45.3±9.6 to 57.4±10.2, whereas the control group improved by 12.5%, from 46.1±10.1 to 51.9±9.8 (p
References
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