Browse > Article
http://dx.doi.org/10.13066/kspm.2013.8.3.407

The Effects of Task-Related Circuit Training by Type of Dual Task on the Gait of Chronic Stroke Patients  

Kim, Hyeun-Ae (Department of Physical Therapy, Pohang University)
Seo, Kyo-Chul (Department of Physical Therapy, Nazarene University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.3, 2013 , pp. 407-415 More about this Journal
Abstract
PURPOSE: This study is to examine the effects of different types of tasks on gait functions of chronic stroke patients when different types of dual tasks were applied while the patients were implementing practical and continuous circuit tasks using their upper and lower extremities circulating many workbenches. METHODS: Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes by a physical therapist were thereafter made to train for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit task training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Changes in functional gait abilities made through the training were evaluated using GAITRite. SPSS Win 12.0 was used for the data analysis. RESULTS: As for the gait variables that showed significant differences in comparison between the groups over the training period, the dual motor circuit task training group showed more significant differences than the dual cognitive circuit task training group and the simple task training group at 4 weeks and 8 weeks of training(p<.05). CONCLUSION: Therefore, it could be seen that the practical and continuous dual circuit task training was more effective than simple task training on gait. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group.
Keywords
Stroke; Circuit gait task training; Gait performance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Bensoussan L, Viton JM, Schieppati M et al. Changes in postural controlin hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil. 2007;88(8): 1009-15.   DOI   ScienceOn
2 Bowen A, Wenman R, Mickelborough J et al. Dual-task effects of talking while walking on velocity and balance following a stroke. Ages Ageing. 2001;30(4):319-23.   DOI   ScienceOn
3 Canning. CG. The effect of directing attention during walking under dual-task conditions in Parkinson's disease. Parkinsonism & Related disorders. 2004;11(2):95-9.
4 Carr JH., Shepherd RB, Nordholm L. Investigation of a New Motor Assessment Scale for Stroke Patients. Physical Therapy. 1985;65(2):175-80.
5 Dean CM, Carol LR, Fransine M. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Physical Therapy. 2000;81(4):409-17.
6 Dean CM, Channon EF, Hall JM. Sitting Training Early after Stroke Improves Sitting Ability and Quality and Carries over to Standing up but Not to Walking: A Randomised Controlled Trial. Australian Journal of Physiotherapy. 2007;53(2):97-102.   DOI
7 De Haart M, Geurt AC, Huidekoper SC el al. Recovery of standing balance in postacute stroke patients : a rehabilitation cohort study. Arch Phus Med Rehabil. 2004;85(6):886-95.   DOI   ScienceOn
8 Eng JJ, Chu KS, Kim CM et al. A Communty-Based Group Exercise Program for Persons with Chronic Stroke. Med. Sci. Sports Exerc. 2003;35(8):1271-8.   DOI   ScienceOn
9 Gentile AM. Skill acquisition: action, movement and neuromotor processes. In: Carr JH., Shepherd RB. editors, Movement sciences: foundation for physical therapy in rehabilitation. 2nd ed, Aspen. 2000.
10 Kizony R, Levin MF, Hughey L et al. Cognitive load and dual-task performance during locamotion poststroke: a feasibility study using a functional vitual environment. Phys Ther. 2010; 90(2):252-260.   DOI   ScienceOn
11 Kwakkel G, Kollen BJ, Wagenaar RC. Long term effects of intensity of upper and lower limb training after stroke: a randomised trial. J Neurol Neurosurg Psychiatry. 2002;72(4):473-9.
12 Lord C, Rich S, Gotham K et al. Combining Information From Multiple Sources in the Diagnosis of Autism Spectrum Disorders. J of the American Academy of Child & Adolescent Psychiatry. 2006;45(9):1094-103.   DOI   ScienceOn
13 Lord SE, Rochester L, Weatherall M et al. The effect of environment and task on gait parameters after stroke: a randomized comparison of measurement conditions. Arch Phys Med Rehabil. 2006;87(7):967-73.   DOI   ScienceOn
14 Maki BE & McIlroy WE. Influence of arousal and attention on the control of postural sway. J Vestib Res. 1996;6(1):53-9.   DOI
15 Maxwell J & Master R. External versus internal focus instructions: Is the learner paying attention? Int J Appl Sport Sci. 2002;14(2):70-88.
16 Melzer I, Tzedek I, Or M et al. Speed of voluntary stepping in chronic stroke survivors under single-task and dual-task conditions: a case-control study. Electronic. 2009;90(6):927-33.
17 Morioka S, Hiyamizu M, Yagi F. The effects of an attentional demand tasks on standing posture control. J Physiol Anthropol Appl Human Sci. 2005;24(3):215-9.   DOI   ScienceOn
18 Rensink M, Schuurmans M, Lindeman E et al. Task-oriented training in rehabilitation after stroke: systematic review, JAN. 2009;65(4):737-54.   DOI   ScienceOn
19 Muhaidat J, Skelton DA, Kerr A et al. 182 are we using the right dual tasks to detect mobiility problems? perspectives from older people. Gait & Mental Function. 2010;16(1):S52-S53.
20 Pellecchia GL, Shockley K, Turvey MT. Concurrent Cognitive Task Modulates Coordination Dynamics. Cognitive Science. 2005;29(4):531-557.   DOI   ScienceOn
21 Rose D, Paris T, Crews E et al. Feasibility and Effectiveness of Circuit Training in Acute Stroke Rehabilitation. Neurorehabilitation and Neural Repair. 2011;25(2):140-8.   DOI   ScienceOn
22 Salbach NM, Mayo NE, Wood-Dauphinee S et al. A task - orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil. 2004;18(5):509-19.   DOI   ScienceOn
23 Silsupadol P, Lugade V, Shumway-Cook A et al. Training-related changes in dual-task walking performance of elderly persons with balance impairment : a double-blind, randomized controlled trial. Gait & Posture. 2009;29(4):634-639.   DOI   ScienceOn
24 Stelmach GE, Zelaznik HN, Lowe D. The influence of aging and attentional demands on recovery from postural instability. Aging. 1990;2(2):155-61.
25 van Iersel MB, Ribbers H, Munneke M el al. The effect of cognitive dual tasks on balance during walking in physically fit elderly people. Arch Phys Med Rehabil. 2007;88(2):187-91.   DOI   ScienceOn
26 Wevers L, van de Port I, Vermue M et al. Effects of Task-Oriented Circuit Class Training on Walking Competency After Stroke, Stroke. 2009;40(7):2450-9.   DOI   ScienceOn
27 Wollacott M & Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait & Posture. 2002;16(1):1-14.
28 Yang YR, Chung YC, Lee CS et al. Dual task-related gait changes in individuals with stroke. Gait & Posture. 2007;25(2):185-90.   DOI   ScienceOn
29 Yang YR, Wang RY, Lin KH el al. Task-oriented progressive resistance strength training improve muscle strength and functional performance in individuals with stroke. Clin rehabil. 2006;20(10):860-70.