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http://dx.doi.org/10.13066/kspm.2018.13.1.137

The Effects of Community Ambulation Training on Gait, Depression and Self-efficacy in Chronic Stroke Patients  

Kim, Ju-hyung (Dept. of Physical Therapy, Lisan Central Hospital)
Shim, Jae-Hun (Dept. of Physical Therapy, Division of Health Science Baekseok University)
Oh, Duck-Won (Dept. of Physical Therapy, College of Health Science Cheongju University)
Yu, Kyung-Hoon (Dept. of Physical Therapy, Division of Health Science Baekseok University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.13, no.1, 2018 , pp. 137-146 More about this Journal
Abstract
PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation. METHODS: In the experimental group, community ambulation training combined with indoor and outdoor walking was performed for 30 minutes three times a week for six weeks. In the control group, general indoor walking training was performed. The physical factors were assessed by a 10-meter walking test, six-minute walking test and community gait test. Psychological factors were assessed by the Korean version of the Epidemiology Center Depression Scale and Activity-Specific Balance Confidence Scale. RESULTS: In the 10-meter walking test, the normal walking speed was significantly improved after the intervention in both the experimental group and the control group (p<.05). However, the fast walking speed was significantly improved only in the experimental group (p <.05). ln the community gait test, the experimental group showed significant improvement (p<.05), but the control group did not. Depression and self-efficacy were significantly improved in the experimental group (p<.05) but not in the control group. CONCLUSION: Community ambulation training may improve the gait ability of stroke patients and reduce their depression and improve self-efficacy.
Keywords
Depression; Gait; Self-efficacy; Stroke;
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